Infra-Abdominal Muscles Activation Brings Benefits to the Pulmonary Function of Patients with Sternal Instability after Cardiac Surgery

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art_NOZAWA_InfraAbdominal_Muscles_Activation_Brings_Benefits_to_the_Pulmonary_2020.PDF (710.57 KB)
Citações na Scopus
1
Tipo de produção
article
Data de publicação
2020
DOI
SciELO
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SOC BRASIL CIRURGIA CARDIOVASC
Autores
ALMEIDA, Patricia Oliva de
Citação
BRAZILIAN JOURNAL OF CARDIOVASCULAR SURGERY, v.35, n.1, p.41-49, 2020
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objective: To compare physical therapy strategies involving abdominal muscle stabilization, with and without upper limb movement, in patients with sternal instability after heart surgery and during in-hospital care. Methods: This prospective, longitudinal, randomized, and comparative clinical study included 20 patients, which were divided into two groups: ARM, the arm group (n=10), and LEG, the leg group (n=10). The study involved the evaluation of scores of visual analog scales for sternal instability, pain, discomfort, functional impairment, lung function, and maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) before and after the interventions. Two protocols consisting of abdominal exercises in both groups with upper limb movements (ARM) and just abdominal activation with leg movements (LEG) were used for three weeks. Results: There were statistically significant (P=0.01) improvements in pain, discomfort, and functional impairment scores, and in MIP (P=0.04) and MEP (P=0.01) after intervention in both groups and just LEG showed improvement in forced vital capacity (P=0.043) and forced expiratory volume in one second (P=0.011). Conclusion: Both strategies promoted improvement in pain, discomfort, and functional impairment scores and in the values of inspiratory and expiratory pressures. Perhaps they were influenced by the time and resolution of the infection process, although exercises with upper limb movements seem to be safe in this population. The activation of the infra-abdominal muscles through leg movements seems to bring more benefits to lung function.
Palavras-chave
Mediastinitis, Surgical Wound Infection, Sternum, Muscle Strengthening, Exercises
URI
https://observatorio.fm.usp.br/handle/OPI/35901
Referências
  1. Balachandran S, 2016, ANN THORAC SURG, V102, P2109, DOI 10.1016/j.athoracsur.2016.05.047
  2. Balachandran S, 2014, J CARDIOPULM REHABIL, V34, P390, DOI 10.1097/HCR.0000000000000053
  3. Bryan CS, 2013, TEX HEART I J, V40, P125
  4. Costa D, 2010, J BRAS PNEUMOL, V36, P306, DOI 10.1590/S1806-37132010000300007
  5. Crabtree Traves D, 2004, Semin Thorac Cardiovasc Surg, V16, P53
  6. El Nasr MM, 2017, J EGYPTIAN SOC CARDI, V25, P142, DOI [10.1016/j.jescts.2017.04.004, DOI 10.1016/J.JESCTS.2017.04.004]
  7. El-Ansary D, 2018, INT J PHYS THER REHA, V4, P140
  8. El-Ansary D, 2008, ARCH PHYS MED REHAB, V89, P1775, DOI 10.1016/j.apmr.2008.01.025
  9. El-Ansary Doa, 2007, Physiotherapy Theory and Practice, V23, P273, DOI 10.1080/09593980701209402
  10. El-Ansary D, 2007, AUST J PHYSIOTHER, V53, P255, DOI 10.1016/S0004-9514(07)70006-5
  11. El-Ansary D, 2007, ANN THORAC SURG, V83, P1513, DOI 10.1016/j.athoracsur.2006.10.058
  12. El-Ansary Doa, 2000, Physiotherapy Theory and Practice, V16, P27, DOI 10.1080/095939800307584
  13. Franco SS, 2015, REV BRAS CIR CARDIOV, V30, P188, DOI 10.5935/1678-9741.20150006
  14. Gallafrio ST, 2017, REV BRAS CIR PLAST, V32, P194, DOI [10.5935/2177- 1235.2017RBCP0031., DOI 10.5935/2177-1235.2017RBCP0031]
  15. Gelape Cláudio Léo, 2007, Arq. Bras. Cardiol., V89, pe3, DOI 10.1590/S0066-782X2007001300013
  16. Ferreira PEG, 2009, ARQ BRAS CARDIOL, V92, P261, DOI 10.1590/S0066-782X2009000400005
  17. Gooseman MR, 2018, ANN THORAC SURG, V105, pE175, DOI 10.1016/j.athoracsur.2017.10.030
  18. Hersh RE, 2001, HEART SURG FORUM, V4, P211
  19. Kawauchi TS, 2013, REV BRAS CIR CARDIOV, V28, P338, DOI 10.5935/1678-9741.20130053
  20. Miller MR, 2005, EUR RESPIR J, V26, P319, DOI 10.1183/09031936.05.00034805
  21. Neder JA, 1999, BRAZ J MED BIOL RES, V32, P719, DOI 10.1590/S0100-879X1999000600007
  22. Palau P, 2016, EUR J PREV CARDIOL, V23, P4, DOI 10.1177/2047487314562740
  23. Pereira Carlos Alberto de Castro, 2007, J. bras. pneumol., V33, P397, DOI 10.1590/S1806-37132007000400008
  24. Pinto Débora Cristine Gomes, 2018, Int. J. Cardiovasc. Sci., V31, P163, DOI 10.5935/2359-4802.20180004

Coleções
Artigos e Materiais de Revistas Científicas - FM/MCP
Artigos e Materiais de Revistas Científicas - FM/MCG
Artigos e Materiais de Revistas Científicas - HC/ICESP
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/08