Detalhes bibliográficos
| Ano de defesa: |
2018 |
| Autor(a) principal: |
FORTES, João Vyctor Silva
 |
| Orientador(a): |
FIGUEIREDO NETO, José Albuquerque de
|
| Banca de defesa: |
FIGUEIREDO NETO, José Albuquerque de
,
BORGES, Daniel Lago
,
NINA, Vinícius José da Silva
,
BASSI, Daniela
,
DIBAI FILHO, Almir Vieira
|
| Tipo de documento: |
Dissertação
|
| Tipo de acesso: |
Acesso aberto |
| Idioma: |
por |
| Instituição de defesa: |
Universidade Federal do Maranhão
|
| Programa de Pós-Graduação: |
PROGRAMA DE PÓS-GRADUAÇÃO EM CIÊNCIAS DA SAÚDE/CCBS
|
| Departamento: |
DEPARTAMENTO DE MEDICINA II/CCBS
|
| País: |
Brasil
|
| Palavras-chave em Português: |
|
| Área do conhecimento CNPq: |
|
| Link de acesso: |
https://tedebc.ufma.br/jspui/handle/tede/2465
|
Resumo: |
Patients undergoing cardiac surgery present impairment in functional parameters, including pulmonary function, respiratory and peripheral muscle strength and functional capacity. Whole body vibration exercises (WBVE) have been studied in several clinical conditions and demonstrated benefits in musculoskeletal and respiratory systems. However, the effects of WBVE in cardiac rehabilitation, especially in phase I, remain unknown. To investigate the effects of the addition of WBVE when associated to a conventional physiotherapy protocol on functional capacity, respiratory and peripheral muscle strength and pulmonary function in patients that have undergone cardiac surgery. Thirty patients that have undergone cardiac surgery were randomized to vibration group (WBVE, n =15) or usual care group (Control, n =15). Both groups received the same physiotherapy protocol during phase I of cardiac rehabilitation, after Intensive Care Unit discharge (limbs exercises, walking, and chest physiotherapy). Vibration group received additionally two daily sessions of WBVE. The patients were positioned in a standing position and were instructed to perform a 15º squat with their hands resting on the platform. Initially, they performed three sets of 1 min (per 1 min rest) at 5 Hz and 8 mm peak-to-peak amplitude, twice a day. Each day, the sessions were improved by one set, and the frequency by 1 Hz, achieving at maximum seven sets of 1 min and 9 Hz, on the 7th postoperative day. Both groups were assessed preoperatively and on the 7th postoperative day, through: (i) pulmonary function, by spirometry; (ii) respiratory muscle strength, by manovacuometry; (iii) peripheral muscle strength, by hand grip dynamometer; (iv) functional capacity, by timed up and go test (TUG). For statistical analyses were applied Shapiro-Wilk, Mann-Whitney, Cohen’s d, Student’s t, Student’s t paired and Fisher exact tests. Results with p < 0.05 were considered significant. WBVE induced the maintenance of vital forced capacity [71(61;79)% vs. 53 (51;65)% p = 0.12] and expiratory peak flow [232 (143;374) L/min vs. 247 (180;280) L/min, p = 0.97]; maximal inspiratory pressure [- 70 (-62;-109) cmH2O vs. -61 (-47; -79) cmH2O, p = 0.16] and maximal expiratory pressure [73 (54;85) cmH2O vs. 64 (57;72) cmH2O, p = 0.15]; handgrip strength [dominant hand – 26 (24;31) kgf vs. 24 (19;33) kgf, p = 0.18; no-dominant hand – 22 (19;29) kgf vs. 21 (17;26) kgf, p = 0.27]; and functional capacity [10 (9;13) seconds vs. 12 (8;13) seconds, p =0.31]. Control group had worst values of assessed outcomes as expected, considering dysfunction related to cardiac surgical procedures. The inclusion of the oscillating/vibratory to a physical therapy protocol after cardiac surgery promotes physiologic responses that contribute to the maintenance of pulmonary function, respiratory and peripheral muscle strength and functional capacity. |
