Effects of a respiratory physiotherapeutic program in liver transplantation candidates.

Autor: Limongi V; Faculty of Medical Science, State University of Campinas, Campinas, Brazil., dos Santos DC; Faculty of Medical Science, State University of Campinas, Campinas, Brazil., da Silva AM; Faculty of Medical Science, State University of Campinas, Campinas, Brazil., Ataide EC; Clinical Hospital, State University of Campinas, Campinas, Brazil., Mei MF; Clinical Hospital, State University of Campinas, Campinas, Brazil., Udo EY; Clinical Hospital, State University of Campinas, Campinas, Brazil., Boin IF; State University of Campinas, Campinas, Brazil., Stucchi RS; State University of Campinas, Campinas, Brazil. Electronic address: stucchi.raquel@gmail.com.
Jazyk: angličtina
Zdroj: Transplantation proceedings [Transplant Proc] 2014 Jul-Aug; Vol. 46 (6), pp. 1775-7.
DOI: 10.1016/j.transproceed.2014.05.044
Abstrakt: Background: Candidates for liver transplantation may have malnutrition, fatigue, loss of muscle mass and function. The combination of these factors leads to overall physical disability and physical inactivity.
Objective: The aim of the study was to evaluate the effects of a respiratory physiotherapeutic program on liver transplantation candidates.
Method: Forty-two patients were evaluated by respiratory muscle strength, surface electromyography of the rectus abdominis and diaphragm, and spirometry. We also applied the SF-36. The patients were divided into two groups: 12 randomly assigned to the control group and 5 in the intervention group. The intervention consisted of an explanatory and illustrative manual to be followed at home with diaphragmatic breathing exercises, diaphragmatic isometric exercise, Threshold IMT, lifting the upper limbs with a bat, and strengthening the abdominals.
Results: Significant difference was found between initial forced expiratory flow (FEF)25-75% (P = .042) and final FEF25-75 in the intervention group. The control group had significant difference (P = .036) in the diaphragm RMS between initial time and end time. In conclusion, the control group showed greater electrical activity of the diaphragm after 3 months.
Conclusion: The intervention group benefited from the exercise, thus improving the FEF25-75%.
(Copyright © 2014 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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