Myocardial Infarction
Conditions
Keywords
virtual reality, physical therapy, myocardial revascualrization
Brief summary
Coronary artery disease is a dysfunction characterized by the narrowing of the coronary arteries in due to the accumulation of atheromatous plaques. The surgery of myocardial revascularization is a surgical procedure of choice performed in individuals with to improve symptoms and survival. Cardiovascular surgeries of this size in an extended time of rest after the procedure. Such immobility may have repercussions to the functionality of the individual. Thus, the early mobilization with the use of reality in the Intensive Care Units (ICU) emerges as a potential means of of complications in the postoperative period of cardiac surgery.
Detailed description
The study will be performed at the ICU coronary artery of the Hospital de Clínicas Gaspar Viana de Belém-Pará. 40 volunteers will participate in the study. preoperative period of myocardial revascularization. The oxidative stress (by the method called Optical Morphology by Oxidative Stress, using capillary blood drops), the modulation autonomic heart rate (with a Polar® model RS800CX) and motor function (through the Medical Research Council scale), before and after the application of protocol for cardiac rehabilitation with ergometer, virtual reality and ambulation. Volunteers will be randomized into a control group who receive the cardiac rehabilitation protocol from the hospital and the Early Mobilization Group, which will receive the cardiac rehabilitation protocol plus virtual reality training using Wii video game from Nintendo.
Interventions
OTHERVirtual reality training
training with Wii games, ergometer exercise, ambulation, standing exercises
OTHERControl
chest physical therapy exercises
Sponsors
Universidade Metodista de Piracicaba
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)
Intervention model description
Randomized clinical trial
Eligibility
Sex/Gender
ALL
Age
50 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Male patients over 50 years of age to 80 years * Body Mass Index (BMI) between 20 and 30 BMI kg / m2 * Candidates for elective and conventional myocardial revascularization surgery * Hemodynamic stability with or without the use of positive inotropes
Exclusion criteria
* Patients with previous pulmonary diseases, with ejection fraction below 35% or greater than 54% * Undergo concomitant surgeries and who underwent surgical reoperation and intraoperative death * Also excluded are those with motor and neurological deficits, as well as contraindications for performing 6MWT * orthopedic limitations * unstable angina, HR\> 120 bpm at rest, systolic pressure\> 180 mmHg or diastolic\> 100 mmHg.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cardiac autonomic modulation | 7 days | Avaliation during aplication of protocol (1 week) of heart rate variability on influence of autonomus nervous system on cardiac function |
Countries
Brazil
Outcome results
None listed