Inspiratory muscle training and functional capacity in patients submitted to cardiac surgery

Cordeiro, André Luiz Lisboa; Melo, Thiago Araújo de; Neves, Daniela; Luna, Julianne; Esquivel, Mateus Souza; Guimarães, André Raimundo; Borges, Daniel Lago; Petto, Jefferson

doi:10.5935/1678-9741.20160035

Cited by 46 publications

(72 citation statements)

References 23 publications

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“…Furthermore, RMT decrease PPC of postoperative atelectasis, pneumonia, duration of hospital stay [15] , and improves functional capacity submaximal and inspiratory muscle strength [16] in patients undergoing cardiac surgery. However, the effect of RMT on metabolic adaptations in the diaphragm is not fully understood.…”

Section: Discussionmentioning

confidence: 99%

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Respiratory Muscle Training Improves Diaphragm Citrate Synthase Activity and Hemodynamic Function in Rats with Heart Failure

Jaenisch¹,

Bertagnolli²,

Borghi‐Silva³

et al. 2017

Braz J Cardiovasc Surg

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Introduction Enhanced respiratory muscle strength in patients with heart failure positively alters the clinical trajectory of heart failure. In an experimental model, respiratory muscle training in rats with heart failure has been shown to improve cardiopulmonary function through mechanisms yet to be entirely elucidated.ObjectiveThe present report aimed to evaluate the respiratory muscle training effects in diaphragm citrate synthase activity and hemodynamic function in rats with heart failure.MethodsWistar rats were divided into four experimental groups: sedentary sham (Sed-Sham, n=8), trained sham (RMT-Sham, n=8), sedentary heart failure (Sed-HF, n=7) and trained heart failure (RMT-HF, n=7). The animals were submitted to a RMT protocol performed 30 minutes a day, 5 days/week, for 6 weeks.ResultsIn rats with heart failure, respiratory muscle training decreased pulmonary congestion and right ventricular hypertrophy. Deleterious alterations in left ventricular pressures, as well as left ventricular contractility and relaxation, were assuaged by respiratory muscle training in heart failure rats. Citrate synthase activity, which was significantly reduced in heart failure rats, was preserved by respiratory muscle training. Additionally, a negative correlation was found between citrate synthase and left ventricular end diastolic pressure and positive correlation was found between citrate synthase and left ventricular systolic pressure.ConclusionRespiratory muscle training produces beneficial adaptations in the diaphragmatic musculature, which is linked to improvements in left ventricular hemodynamics and blood pressure in heart failure rats. The RMT-induced improvements in cardiac architecture and the oxidative capacity of the diaphragm may improve the clinical trajectory of patients with heart failure.

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Section: Discussionmentioning

confidence: 99%

“…Moreover, preoperative [16] and postoperative [15] RMT improves functional capacity submaximal, inspiratory muscle strength and decreases PPCs in patients undergoing cardiac surgery [15,16] .…”

Section: Discussionmentioning

confidence: 99%

Respiratory Muscle Training Improves Diaphragm Citrate Synthase Activity and Hemodynamic Function in Rats with Heart Failure

Jaenisch¹,

Bertagnolli²,

Borghi‐Silva³

et al. 2017

Braz J Cardiovasc Surg

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“…decrease in the quality of life after hospital discharge, it is imperative to know the causes and quantify the losses, in order to prescribe the best treatment and to maintain or improve these patients' quality of life after hospital discharge (8)(9) .…”

Section: Level Of Pain and Functional Independence Of Patients Submitmentioning

confidence: 99%

“…In our study, a good cognitive situation was verified and this is an indication that these patients have potential to receive orientations and to execute the physical therapy techniques, helping in their postoperative improvement. Other studies (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17) indicate that physical therapy integrates patient care with indication of cardiac surgery, both in the pre-and postoperative periods, using active and educative techniques in collaborative patients.…”

Section: Level Of Pain and Functional Independence Of Patients Submitmentioning

confidence: 99%

Nível De Dor E Grau De Independência Funcional De Pacientes Submetidos À Cirurgia Cardíaca

Chiapinotto

Dallazen

Bodnar

et al. 2017

Rev. baiana enferm.

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How to cite this article: Chiapinotto S, Dallazen F, Bodnar ET, Winkelman ER. Level of pain and functional independence of patients submitted to cardiac surgery. Rev Baiana Enferm. 2017;31(4):e21388.Objective: to evaluate the correlation of pain and functional independence in the pre and postoperative period of patients submitted to cardiac surgery. Methods: A prospective, noninterventional study of 24 patients submitted to elective cardiac surgery. Clinical data was collected in patients' charts and a direct interview was done both in the preoperative and in the postoperative period. The pain intensity was rated according to the Numerical Visual Scale. Functionality was measured with the Functional Independence Measure. Results: in the first evaluation, the patients did not report pain. In the postoperative evaluation, patients presented an average of 4.75 ± 1.91 points on the pain scale. The functionality increased from 124.29 ± 6.38 in the preoperative period to 97.42 ± 12.73 in the postoperative. There was a significant correlation between pain and functionality. Conclusion: there was an increase in pain and reduced functionality in the postoperative period of cardiac surgery, in addition to a correlation between the variables, demonstrating that the higher the intensity of the pain, the lower the functional independence of the patient.Descriptors: Thoracic surgery. Pain measurement. Physical therapy. Rehabilitation. Objetivo: avaliar a correlação da dor e independência funcional no período pré e pós-operatório dos

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“…We conclude that inspiratory muscle training was effective in improving functional capacity submaximal and inspiratory muscle strength in this sample of patients undergoing cardiac surgery. [4] To investigate the feasibility and effects of preoperative inspiratory muscle training on the incidence of atelectasis in patients at high risk of postoperative pulmonary complications scheduled for elective abdominal aortic aneurysm surgery. Preoperative inspiratory muscle training is well tolerated and appreciated and seems to reduce the incidence of atelectasis in patients scheduled for elective abdominal aortic aneurysm surgery.…”

Section: Introductionmentioning

confidence: 99%

Preoperative Respiratory Physiotherapy and Postoperative Pulmonary Complications in CABG

2017

Sept. 8-10, 2017 Istanbul (Turkey) ESTIA-2017, HEFBS-2017, UTAEE-17, BLECSR-17 &Amp; LEHSS-17

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Abstract:It has been shown that Preoperative inspiratory muscle training is able to affect on surgical trauma, the respiratory muscle strength, the lung volumes, and diaphragmatic excursion in patients undergoing surgery. The aim of this short review is to introduce preoperative respiratory physiotherapy as a mean to reduce the postoperative pulmonary complications after coronary artery bypass graft surgery .

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Inspiratory muscle training and functional capacity in patients submitted to cardiac surgery

Cited by 46 publications

References 23 publications

Respiratory Muscle Training Improves Diaphragm Citrate Synthase Activity and Hemodynamic Function in Rats with Heart Failure

Respiratory Muscle Training Improves Diaphragm Citrate Synthase Activity and Hemodynamic Function in Rats with Heart Failure

Nível De Dor E Grau De Independência Funcional De Pacientes Submetidos À Cirurgia Cardíaca

Preoperative Respiratory Physiotherapy and Postoperative Pulmonary Complications in CABG

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