IntroductionCardiac surgery is a highly complex procedure which generates worsening of
lung function and decreased inspiratory muscle strength. The inspiratory
muscle training becomes effective for muscle strengthening and can improve
functional capacity.ObjectiveTo investigate the effect of inspiratory muscle training on functional
capacity submaximal and inspiratory muscle strength in patients undergoing
cardiac surgery.MethodsThis is a clinical randomized controlled trial with patients undergoing
cardiac surgery at Instituto Nobre de Cardiologia. Patients were divided
into two groups: control group and training. Preoperatively, were assessed
the maximum inspiratory pressure and the distance covered in a 6-minute walk
test. From the third postoperative day, the control group was managed
according to the routine of the unit while the training group underwent
daily protocol of respiratory muscle training until the day of
discharge.Results50 patients, 27 (54%) males were included, with a mean age of
56.7±13.9 years. After the analysis, the training group had
significant increase in maximum inspiratory pressure (69.5±14.9
vs. 83.1±19.1 cmH2O,
P=0.0073) and 6-minute walk test
(422.4±102.8 vs. 502.4±112.8 m,
P=0.0031).ConclusionWe conclude that inspiratory muscle training was effective in improving
functional capacity submaximal and inspiratory muscle strength in this
sample of patients undergoing cardiac surgery.
Introduction: The new corona virus (2019-nCoV OR HCOV-19 or CoV2), has emerged in China as the main cause of viral pneumonia (COVID-19, Coronavirus Disease-19).
Objective: To provide evidence-based Physiotherapy and functionality in patients with adult and pediatric COVID-19.
Methods: This is an integrative literature review using the MedLine / PubMed databases, library of Latin American and Caribbean Literature in Health Sciences (LILACS) and Physiotherapy Evidence Database (PEDRo).
Results: Part of the patients with covid 19 show signs of respiratory deficiency with hypoxemia, with low severity in children. Impaired functionality is also expected.
Conclusion: COVID-19 causes low pulmonary compliance and important changes in lung function with hypoxemia and cardiovascular repercussions. These changes lead to the need for Physiotherapy and the management of oxygen therapy and ventilatory support (invasive and non-invasive) for these patients.
INTRODUÇÃO: A prática regular de atividade física está associada com melhora do estado de saúde, aumento da capacidade funcional, aumento da força muscular e redução da mortalidade por doenças cardíacas. Apesar dos benefícios de a prática regular de exercício físico estarem consolidados na literatura, as adaptações na força e resistência dos músculos inspiratórios são controversas. OBJETIVO: Testar a hipótese que não há diferença da força e resistência dos músculos inspiratórios entre indivíduos ativos e sedentários. MÉTODOS: Estudo observacional de corte transversal. Avaliou-se indivíduos entre 18 e 30 anos, ambos os sexos e saudáveis. Os voluntários foram divididos em ativos e sedentários de acordo a classificação da American College of Sports Medicine (ACMS). Os indivíduos tiveram a força máxima dos músculos inspiratórios (FMI) determinada através do dispositivo POWERbreathe® K5 inspiratory muscle trainer, que intula esta variável como Sindex. A resistência dos músculos inspiratórios foi avaliada través de um teste incremental. Para comparação das médias foi aplicada o teste t de student para distribuição simétrica, p< 0,05. O estudo foi aprovado pelo comitê de ética em pesquisa com CAAE : 37781014.4.0000.5544. RESULTADOS: Foram avaliados 92 indivíduos, destes 55 (60%) foram classificados como ativos e 57 (62%) do sexo masculino. Ao realizar a comparação do Sindex entre ativos e sedentários (128±26; 119±24 cmH2O; p=0,85) e da exaustão no teste incremental (65±16% e 60±16%;p=0,095), respctivamente. CONCLUSÃO: Os indivíduos ativos não apresentam músculos inspiratórios mais fortes e resistentes quando comparados com sedentários.
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