Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2021 Sep;36(9):3166-3173.
doi: 10.1111/jocs.15698. Epub 2021 Jun 3.

Evaluation of respiratory and peripheral muscle training in individuals undergoing myocardial revascularization

Tarcísio Nema de Aquino  1   2 , Simone de Faria Rosseto  1   2 , Jaqueline Lúcio Vaz  1   2 , Carolline de Faria Cordeiro Alves  2 , Fernanda de Carvalho Vidigal  3 , Giovane Galdino  1
Affiliations
Randomized Controlled Trial

Evaluation of respiratory and peripheral muscle training in individuals undergoing myocardial revascularization

Tarcísio Nema de Aquino et al. J Card Surg. 2021 Sep.

Abstract

Objectives: To investigate the effect of peripheral muscle strength training (PMT) and respiratory muscle strength training (RMT) muscle strength training associated with conventional physical therapy on the respiratory muscle strength, functional capacity, and quality of life in the immediate postoperative period of patients undergoing coronary artery bypass graft (CABG).

Methods: This was a randomized controlled trial. Eighty-three patients undergoing CABG were divided into two groups: Intervention group, patients that received PMT and RMT associated with conventional physical therapy, one session a day for 5 days; control group, patients that received conventional physical therapy, one session a day for 5 days. All patients had respiratory muscle strength, peripheral muscle strength, functional capacity, and quality of life evaluated by manovacuometry, dynamometry, 6-min walking test, and 36-item Short-Form Health Survey Questionnaire, respectively, before and 5 days after CABG.

Results: Both groups showed a significantly reduced respiratory muscle strength after CABG; however, in the intervention group, the inspiratory muscle strength reduction was lower (confidence interval [CI] 95%: 2.29 [1.9; 27.54]). The quality of live domains for pain (CI 95%: 3.08 [5.21; 24.97]) and vitality perception (CI 95%: 2.51 [2.12; 19.53]) worsened in the control and improved in the intervention group (pain: CI 95%: 1.19 [-3.38; 13.09]; vitality CI 95%: 0.07 [-6.55; 7.04]). Both groups showed reduced functional capacity and expiratory muscle strength after CABG.

Conclusion: Conventional physical therapy combined with PMT and RMT may reduce inspiratory muscle strength loss and improve pain and vitality perception in the immediate postoperative period after CABG.

Keywords: cardiac rehabilitation; cardiovascular disease; muscle training; quality of life.

PubMed Disclaimer

References

REFERENCES

    1. World Health Organization (WHO). Cardiovascular Disease. 2019. http://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseas.... Accessed October 15, 2019.
    1. Bojar RM. Manual of Perioperative Care in Adult Cardiac Surgery. 15th ed. Chichester, UK: Wiley-Blackwell; 2011.
    1. Botega FS, Cipriano G Jr., Lima FVSO, Arena R, Fonseca JHP, Gerola LR. Cardiovascular behavior during rehabilitation after coronary artery bypass grafting. Rev Bras Cir Cardiovasc. 2010;25(4):527-615.
    1. Pivoto FL, Lunardi Filho WD, Santos SSC, Almeida MA, Silveira RS. Nursing diagnoses in patients in the postoperative period of cardiac surgery. Acta Paul Enferm. 2010;23(5):665-670.
    1. Guizilini S, Gomes WJ, Faresin SM, et al. Evaluation of pulmonary function in patients following on- and off-pump coronary artery bypass grafting. Braz J Cardiovasc Surg. 2005;20(3):310-316.

Publication types

LinkOut - more resources