Caracterização do uso do cicloergômetro para auxiliar no atendimento fisioterapêutico em pacientes críticos

Abstract

ObjectiveThe objective of this study was to use a cycle ergometer to assess cardiorespiratory changes during active exercise and to verify patients' satisfaction with this type of activity. Methods A single intervention involving active lower limb exercise was performed with a cycle ergometer (without load) for 5 minutes. The following variables were measured before, during and immediately after exercise: heart rate, blood pressure, respiratory rate, peripheral oxygen saturation and the Borg dyspnea scale score. Following the exercise, the patients answered a questionnaire to evaluate their satisfaction with this type of activity. Results A total of 38 patients (65% male) with a mean age of 48 ± 16 years old participated in the study. Enrolled patients presented a sequential organ failure assessment (SOFA) score of 2 (0 - 5 scale). During the exercise, 16% of the patients used ventilation support and 55% of them were breathing at room air. A comparison of the initial and final values of the variables indicated increases in the heart rate (92±17 beats/min vs. 95±18 beats/min; p<0.05), the respiratory rate (19 ± 8 breaths/min vs. 23±8 breaths/min; p<0.05) and the Borg dyspnea scale score (1.3±1.8 vs. 2.8±2.2; p<0.05). In addition, 85% of the patients reported enjoying the activity. Only 25% of the patients reported some discomfort, and 100% of the patients wanted to repeat this type of activity in future treatments. ConclusionDuring the cycle ergometer exercises, minor cardiorespiratory changes were observed in the patients. The evaluated patients reported high satisfaction with this type of activity.

Comportamento Das Variáveis Cardiorrespiratórias Durante Uso Do Cicloergômetro Ativo Na Unidade De Terapia Intensiva

“…Pires-Neto (8) realizaram um estudo com o objetivo de analisar as alterações cardiorrespiratórias de pacientes durante o exercício ativo com um cicloergômetro para MMII por 5 minutos e verificaram um aumento significativo da FC, FR e Borg, as quais foram semelhantes ao encontrado neste estudo, o que é esperado de forma fisiológica pelo aumento do consumo de oxigênio dos tecidos musculares e do sistema cardiorrespiratório. Importante ressaltar que no estudo citado, a maioria dos pacientes tinha o perfil clínico, semelhante a este estudo.…”

“…(17)(18)(19)(20)(21) O estudo de Pires-Neto et al evidenciou que o uso de cicloergômetro em ambiente de terapia intensiva também pode trazer satisfação aos pacientes, sendo que todos eles gostariam de repetir a atividade na próxima sessão de fisioterapia. (8) Além dessa adesão por parte dos pacientes, houve pequenas alterações cardiorrespiratórias, corroborando com os dados evidenciados nesta pesquisa.…”

“…(7) Os autores afirmam que é preciso ter atenção com os fatores relacionados a segurança antes da execução da técnica, como aqueles intrínsecos ao paciente (histórico de doenças pregressa e atual, estabilidade clínica, reserva cardiorrespiratória) e fatores extrínsecos, como presença de cateteres, ambiente e equipe multiprofissional envolvida no processo. (8)(9)(10) Sabendo-se dos benefícios potenciais do cicloergômetro para melhora do condicionamento cardiovascular, desempenho físico e dos possíveis riscos associados ao cicloergômetro em pacientes críticos, o presente estudo teve como objetivo avaliar o comportamento das variáveis cardiorrespiratórias durante o uso cicloergômetro ativo para membros superiores (MMSS) e membros inferiores (MMII) em pacientes internados numa UTI.…”

Hemodynamic effects of cycle ergometer in critical cancer patients: relation length of stay and type of treatment

“…However, most of these studies assessing the feasibility and effectiveness of early mobilization in clinical and functional recovery of critically ill patients usually does not include cancer patients, probably because they are considered more serious and/or unstable by their disease condition and specific treatment. (9,10) To date, there are no studies in the literature to evaluate the use of this technique in cancer patients. The aim of this study was to evaluate the influence of age, length of stay and type of treatment in the hemodynamic behavior in response to active cycle ergometer in cancer patients in intensive care.…”

Awaking, exercising, sitting, walking and extubating: moving on the paradigms for mechanically ventilated patients

“…( 7 ) Patients were incentivized to early mobilization using a cycle ergometer and had high satisfaction in doing so. ( 8 ) Currently, some ICUs propose the judicious early mobilization of critically ill patients. They consider progressive levels of mobilization, from active on-bed mobilization to exercising while sitting, exercising while standing, and ambulating.…”