Effects of Different Rehabilitation Protocols in Inpatient Cardiac Rehabilitation After Coronary Artery Bypass Graft Surgery
| Autor: | Raquel Petry Buhler, Rosane Maria Nery, Juliana Beust de Lima, Maurice Zanini, Ricardo Stein, Anderson Donelli da Silveira |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine Respiratory Therapy medicine.medical_specialty medicine.medical_treatment Treatment outcome 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine Clinical Protocols Randomized controlled trial law medicine Humans Single-Blind Method Coronary Artery Bypass Lung Inpatients Cardiac Rehabilitation Rehabilitation business.industry Middle Aged Respiratory Muscles Exercise Therapy Surgery Treatment Outcome surgical procedures operative medicine.anatomical_structure 030228 respiratory system Exercise Test Female Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Journal of Cardiopulmonary Rehabilitation and Prevention. 39:E19-E25 |
| ISSN: | 1932-7501 |
| DOI: | 10.1097/hcr.0000000000000431 |
| Popis: | Patients undergoing coronary artery bypass graft (CABG) surgery typically experience loss of cardiopulmonary capacity in the post-operative period. The purpose of this study was to evaluate the effects of different rehabilitation protocols used in inpatient cardiac rehabilitation on functional capacity and pulmonary function in patient status post-CABG surgery.This was a single-blind randomized controlled trial. The primary endpoint of functional capacity and secondary endpoints of lung capacity and respiratory muscle function were assessed in patients scheduled to undergo CABG. After surgery, 40 patients were randomly assigned across 1 of 4 inpatient cardiac rehabilitation groups: G1, inspiratory muscle training, active upper limb and lower limb exercise training, and early ambulation; G2, same protocol as G1 without inspiratory muscle training; G3, inspiratory muscle training alone; and G4, control. All groups received chest physical therapy and expiratory positive airway pressure. Patients were reassessed on post-operative day 6 and post-discharge day 30 (including cardiopulmonary exercise testing).The 6-min walk distance on post-operative day 6 was significantly higher in groups that included exercise training (G1 and G2), remaining higher at 30 d post-discharge (P.001 between groups). Peak oxygen uptake on day 30 was also higher in G1 and G2 (P = .005). All groups achieved similar recovery of lung function.Protocols G1 and G2, which included a systematic plan for early ambulation and upper and lower limb exercise, attenuated fitness losses while in the hospital and significantly enhanced recovery 1 mo after CABG. |
| Databáze: | OpenAIRE |
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