Heart Failure
Conditions
Interventions
This is a randomized prospective cohort study developed at the rehabilitation clinic of the Hospital Universitário Regional dos Campos Gerais - HURCG, with patients with HF who are at the inclusion li
Other
E02.779
Sponsors
Maiqueli Arpini
Hospital Universitário Regional dos Campos Gerais
Eligibility
Inclusion criteria
Inclusion criteria: Diagnosis of Heart Failure; optimized drug therapy; both sexes; being between the third and fourth phase of cardiac rehabilitation; participate assiduously in the cardiac rehabilitation program; sign the Informed Consent Form
Exclusion criteria
Exclusion criteria: Revascularization of the myocardium to less than three months; limiting orthopedic disease; being on steroid, hormonal and / or chemotherapy; history of exercise-induced asthma; miss three consecutive sessions
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate inspiratory muscle training to promote inspiratory muscle strengthening through the IMT Threshold method using manovacuometry. The IMT protocol will be performed with the IMT - Philips Respironics Threshold Linear Charging Device, with a 40% resistance load of maximal inspiratory pressure (PImax) for 8 weeks. In all stages, the frequency will be three times weekly, where five series of ten repetitions of TMI will be performed, during 20 min / day. The control will be performed in a spreadsheet (Appendix 3) where the degree of dyspnea after the exercises and the number of series and repetitions will be recorded. The IR protocol will be performed with the charging device aligning Voldyne 5000® through inspirations by the stimulator mouthpiece from the tidal volume to total lung capacity, sustaining inspiration as much as possible for three to five seconds. The steps and frequency of treatment will be given in the same way as the IMT: three times a week, with five sets of ten replicates, for 20 min./day, and duly recorded in the control worksheet. ;For evaluation of the ventilatory muscle function, the measurement of ventilatory muscle strength will be performed with the Murens Manovacuometer 120 cmH2O. Individuals will be seated, with the trunk at a 90º angle to the thighs and the airway occluded by a nasal forceps. The values obtained will be the maximum inspiratory pressure (PImax), a measure that predicts inspiratory muscle strength, and the maximum expiratory pressure (PEmax), or expiratory muscular force. Both MIP and MEP values ??are expressed in cmH2O, but MIP is preceded by a negative signal. | — |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate inspiratory muscle training to promote improvement of lung function through the IMT Threshold method, using spirometry. In the assessment of pulmonary function, the USB Portable Spirometer - MicroLoop - CareFusion, with the individuals seated, with the trunk at a 90º angle to the thighs and the airway occluded by a nasal forceps, will be oriented to deeply inhale to the CPT and then perform a fast expiration, obtaining the value of FVC and FEV1, and the Tiffenau index (FEV1 / FVC). | — |
Countries
Brazil
Contacts
Public ContactMaiqueli Arpini
Hospital Universitário Regional dos Campos Gerais
Outcome results
None listed