Physical Exercise Combined With CPAP in Subjects Who Underwent Surgical Myocardial Revascularization: A Randomized Clinical Trial.
BACKGROUND: Aerobic exercise and CPAP benefit patients in the postoperative period of cardiac surgery. To our knowledge, the association of aerobic exercise on an exercise bicycle with CPAP has not yet been demonstrated. Therefore, we aimed to evaluate the effectiveness of physical exercise on a cyc...
| Publicado en: | Respiratory Care Vol. 65; no. 2; pp. 150 - 158 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Feb2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141657283&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141657283 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Feb2020 vid: 65 iid: 2 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 141657283 141657283 141657283 10.4187/respcare.06919 141657283 ppf: 150 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Physical Exercise Combined With CPAP in Subjects Who Underwent Surgical Myocardial Revascularization: A Randomized Clinical Trial. aug: au: Windmöller, Pollyana Teixeira Bodnar, Emely Casagrande, Julia Dallazen, Fernanda Schneider, Juliana Agnolleto Berwanger, Silvana Borghi-Silva, Audrey Roseli Winkelmann, Eliane affil: Undergraduate Program in Physical Therapy at the Regional University of Northwestern Rio Grande do Sul (UNIJUÍ), Ijuí, Brazil sug: subj: Cardiac Patients Exercise Continuous Positive Airway Pressure Coronary Artery Bypass Rehabilitation Myocardial Revascularization Rehabilitation Cycling Postoperative Period Treatment Outcomes Human Randomized Controlled Trials Descriptive Statistics Breathing Exercises Joint Mobilization Sitting Walking Stair Climbing Resistance Training Functional Assessment Length of Stay Intensive Care Units Airway Pressure Inspiration, Respiratory Expiration Exercise Test Adult Middle Age Aged Random Assignment Interviews Clinical Assessment Tools Data Analysis Software Paired T-Tests Wilcoxon Rank Sum Test Post Hoc Analysis Pretest-Posttest Design Pearson's Correlation Coefficient Chi Square Test Fisher's Exact Test Regression Brazil Male Female Comparative Studies Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: BACKGROUND: Aerobic exercise and CPAP benefit patients in the postoperative period of cardiac surgery. To our knowledge, the association of aerobic exercise on an exercise bicycle with CPAP has not yet been demonstrated. Therefore, we aimed to evaluate the effectiveness of physical exercise on a cycle ergometer combined with CPAP in the postoperative period after coronary artery bypass graft surgery. METHODS: This was a randomized clinical trial, with recruitment from May 2017 to December 2017 (registered in the Brazilian Clinical Trials Registry: RBR-69CDYF). The step group (n = 16 subjects) started rehabilitation in the immediate postoperative period with breathing exercises and passive mobilization in the sitting position, progressing to active exercises, ambulation, and stair training. For the intervention group (n = 15 subjects), dynamic exercises on a cycle ergometer combined with CPAP were added to the step program from the second to the fourth postoperative day in a single daily session. RESULTS: Functional capacity decreased in both groups, but this reduction was not significant in the intervention group (P = .11). The length of stay in ICU was lower in the intervention group (P = .050). In both groups there was a decrease in maximum inspiratory and expiratory pressure, as well as in the 1-min sit-to-stand test on the fourth postoperative day compared to the preoperative period. CONCLUSIONS: Physical exercise combined with CPAP promoted the maintenance of functional capacity and reduced the length of stay in the ICU. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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