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Inspiratory Muscle Training in Phase 1 and 2 Postoperative Cardiac Rehabilitation Following Coronary Artery Bypass Graft Surgery: Systematic Review With Meta-Analysis.
Araújo, Clênia Oliveira; Araújo Alves, Carla Cristina; Dos Santos, Francisco R A; Cahalin, Lawrence P; Cipriano, Graziella França Bernardelli; Cipriano, Gerson.
Afiliação
  • Araújo CO; University of Brasília (Faculty of Ceilandia), Graduate Program in Science and Technology in Health, Brasília, DF, Brazil.
  • Araújo Alves CC; University of Brasília (Faculty of Ceilandia), Graduate Program in Science and Technology in Health, Brasília, DF, Brazil.
  • Dos Santos FRA; University of Brasília (Faculty of Ceilandia), Graduate Program in Science and Technology in Health, Brasília, DF, Brazil.
  • Cahalin LP; Unievangelica, Graduate Program in Human Movement and Rehabilitation, Anápolis, GO, Brazil.
  • Cipriano GFB; University of Brasília (Faculty of Ceilandia), Graduate Program in Science and Technology in Health, Brasília, DF, Brazil.
  • Cipriano G; University of Brasília (Faculty of Ceilandia), Graduate Program in Rehabilitation Sciences Brasília, DF, Brazil.
Phys Ther ; 104(7)2024 Jul 02.
Article em En | MEDLINE | ID: mdl-38624192
ABSTRACT

OBJECTIVE:

This study aimed to determine the effects of inspiratory muscle training (IMT) on exercise capacity, respiratory muscle strength, length of hospital stay (LOS), and quality of life (QOL) following coronary artery bypass graft surgery.

METHODS:

The search was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and the Cochrane Handbook and included the databases MEDLINE, EMBASE, CINAHL, Scopus, and CENTRAL. The review included randomized controlled trials utilizing IMT during phase 1 or 2 postoperative cardiac rehabilitation (PoCR) versus alternative treatment (active or passive control) in patients following coronary artery bypass graft surgery.

RESULTS:

Fifteen studies were included (11 phase 1 studies, 4 phase 2 studies) with no reported adverse events. In phase 1 PoCR, IMT reduced the LOS (-1.02 days; 95% CI = -2.00 to -0.03) and increased exercise capacity (6-minute walk distance) (+75.46 m; 95% CI = 52.34 to 98.57), and maximal inspiratory pressure (MIP) (10.46 cm H2O; 95% CI = 2.83 to 18.10), but had no effect on maximal expiratory pressure. In phase 2 PoCR, IMT increased 6-minute walk distance (45.84 m; 95% CI = 10.89 to 80.80), MIP (-23.19 cm H2O; 95% CI = -31.31 to -15), maximal expiratory pressure (20.18 cm H2O; 95% CI = 9.60 to 30.76), and QOL (-11.17; 95% CI = -17.98 to -4.36), with no effect on peak oxygen uptake. There was a high risk of bias for MIP (75% of the phase 1 studies) and 6MWT (1 of 4 phase 2 studies). The quality of the evidence ranged from very low to moderate.

CONCLUSION:

IMT significantly improves exercise capacity, respiratory muscle strength, LOS, and QOL in phase 1 and 2 PoCR. IMPACT IMT may benefit patients during phase 1 and 2 of PoCR, considering the safety, low cost, and potential benefits.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Qualidade de Vida / Músculos Respiratórios / Exercícios Respiratórios / Ponte de Artéria Coronária / Força Muscular / Reabilitação Cardíaca / Tempo de Internação Limite: Humans Idioma: En Revista: Phys Ther Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Qualidade de Vida / Músculos Respiratórios / Exercícios Respiratórios / Ponte de Artéria Coronária / Força Muscular / Reabilitação Cardíaca / Tempo de Internação Limite: Humans Idioma: En Revista: Phys Ther Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos