Thoracic Surgery
Conditions
Interventions
This is a two-arm randomized controlled clinical trial. Control group: 50 patients submitted to the institution's conventional physiotherapy protocol, consisting of: a) on the 1st postoperative day, w
b) on the 2nd postoperative day, with sitting patient: diaphragmatic breathing exercises associated with active upper limb exercises (diagonal movements), active extremity exercises, active knee exerc
c) on the 3rd postoperative day: the same previous exercises, plus incentive spirometry, this being 3 sets of 10 repetitions and 35-m walking, progressing from ambulatory distance to the 5th postopera
E02.190.525.186
Sponsors
Universidade Federal de Alfenas - UNIFAL MG
Hospital e Maternidade Santa Lúcia - Hospital do Coração
Eligibility
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: Individuals with coronary artery disease with elective indication for myocardial revascularization with extracorporeal circulation; age 18 and over,with a maximum limit of 80 years;of both sexes; who are able to perform physical and respiratory tests; in addition to having signed the consent form
Exclusion criteria
Exclusion criteria: Individuals presenting a diagnosis of neurological and / or cognitive impairment, neuromuscular diseases, history of previous pulmonary surgery; associated heart surgery; presence of aneurysm; in use of muscle relaxants in the preoperative period and present cardiovascular instability during the preoperative evaluation period and during the postoperative protocol; individuals who can not perform the necessary procedures; quit participating in the survey
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expected outcome 1: Respiratory muscle strength behavior pre and post operative by analogic manovacuometer;Expected outcome 2: Functional capacity by six minutes walking test in the pre and post operative;Found outcome 1: Regarding peripheral respiratory muscle strength, the analyzes carried out in delta did not show statistically significant differences (p-value>0.05), there was also no statistically significant interaction between groups and times, nor difference between groups, only the effect of time showed a difference. significant for both groups;Found outcome 2: In relation to functional capacity, inspiratory muscle training resulted in greater distance covered during the 6-minute walk test at T4, in which there was a statistically significant interaction between groups and times (p-value = 0.0251) and difference between groups ( p-value = 0.0192), a similar result was obtained by delta analysis (p = 0.0414) for the intervention group | — |
Secondary
| Measure | Time frame |
|---|---|
| Expected outcomes 1: Period of hospitalization observed by the patient's hospitalization record;Expected outcome 2: Postoperative complications observed by patient's clincial evaluation;Found outcomes 1: No statistically significant differences occurred between the groups in terms of stay in the ICU;Found outcomes 2: No postoperative complications were observed | — |
Countries
Brazil
Contacts
Public ContactMary da Cruz Neves
Hospital e Maternidade Santa Lúcia - Hospital do Coração
Outcome results
None listed