Effects of Aerobic Exercise Applied Early After Coronary Artery Bypass Grafting on Pulmonary Function, Respiratory Muscle Strength, and Functional Capacity: A Randomized Controlled Trial

Borges, Daniel Lago; Silva, Mayara Gabrielle; Silva, Luan Nascimento; Fortes, João Vyctor Silva; Costa, Erika Thalita; Assunção, Rebeca Pessoa; Lima, Carlos Magno de; Nina, Vinicius José da Silva; Bernardo-Filho, Mário; Sá-Caputo, Danúbia da Cunha de

doi:10.1123/jpah.2015-0614

Cited by 22 publications

(31 citation statements)

References 18 publications

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“…However, the mean length of hospital stay observed in our results was lower than those described in the literature. 10,21,22 This result reinforces the importance of the physiotherapeutic intervention independently from the protocol adopted in the present study.…”

Section: Eligible Patients 59supporting

confidence: 82%

“…However, this result was not observed in subjects who performed only 5 min of physical training on a cycle ergometer in the Fowler position during the ICU stay. 10 In the analysis of hospital length of stay, we observed no differences between the groups. However, the mean length of hospital stay observed in our results was lower than those described in the literature.…”

Section: Eligible Patients 59mentioning

confidence: 65%

“…8,9 The use of physical exercise in the postoperative period of cardiac surgery has demonstrated recovery and maintenance of functional capacity in patients who performed exercises on a cycle ergometer during their hospital stay. 10,11 In addition to the already widely recognized benefits of postoperative CPAP (eg, improvement of oxygenation, decreased need for endotracheal intubation, and reduction of pulmonary complications 12 ). However, to our knowledge, cycle ergometer exercise combined with CPAP in the postoperative period of cardiac surgery has not yet been studied.…”

Section: Introductionmentioning

confidence: 99%

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Physical Exercise Combined With CPAP in Subjects Who Underwent Surgical Myocardial Revascularization: A Randomized Clinical Trial

et al. 2020

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BACKGROUND: Aerobic exercise and CPAP benefit patients in the postoperative period of cardiac surgery. To our knowledge, the association of aerobic exercise on an exercise bicycle with CPAP has not yet been demonstrated. Therefore, we aimed to evaluate the effectiveness of physical exercise on a cycle ergometer combined with CPAP in the postoperative period after coronary artery bypass graft surgery. METHODS: This was a randomized clinical trial, with recruitment from May 2017 to December 2017 (registered in the Brazilian Clinical Trials Registry: RBR-69CDYF). The step group (n ‫؍‬ 16 subjects) started rehabilitation in the immediate postoperative period with breathing exercises and passive mobilization in the sitting position, progressing to active exercises, ambulation, and stair training. For the intervention group (n ‫؍‬ 15 subjects), dynamic exercises on a cycle ergometer combined with CPAP were added to the step program from the second to the fourth postoperative day in a single daily session. RESULTS: Functional capacity decreased in both groups, but this reduction was not significant in the intervention group (P ‫؍‬ .11). The length of stay in ICU was lower in the intervention group (P ‫؍‬ .050). In both groups there was a decrease in maximum inspiratory and expiratory pressure, as well as in the 1-min sit-to-stand test on the fourth postoperative day compared to the preoperative period. CONCLUSIONS: Physical exercise combined with CPAP promoted the maintenance of functional capacity and reduced the length of stay in the ICU.

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Section: Eligible Patients 59supporting

confidence: 82%

Section: Eligible Patients 59mentioning

confidence: 65%

Section: Introductionmentioning

confidence: 99%

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Physical Exercise Combined With CPAP in Subjects Who Underwent Surgical Myocardial Revascularization: A Randomized Clinical Trial

et al. 2020

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“…6-minute walk test results did not differ significantly between the two groups, Group 1 on average walked 274.38 metres, the second group walked on average 266.18 metres. 6-metre walking test is recommended as a good tool for people with moderate disabilities [8,17]. Different physiotherapy methods applied for the first and second groups show similar results for both -assessing spirographic data and analysis of the 6-meter walking test results after surgery.…”

Section: Discussionmentioning

confidence: 63%

Physiotherapy following cardiac surgery: Program comparison

et al. 2018

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Abstract. The objective is to examine and compare the usability of two physiotherapy programmes, analyzing respiratory function in patients before and after cardiac surgery in hospital during seven postoperative days (POD). Quantitative randomized prospective study of 157 patients before and after the valve replacement surgery, coronary artery bypass graft and combined surgeries, who moved independently. Participants were randomized into two groups (1 and 2) with different physiotherapy programmes. The routine physiotherapy of breath-enhancing techniques, micro-circulation improvement were used for the first group, for the second groupmodified physiotherapy -the improvement of inspiration muscles, mm. quadriceps. gluteus max strength. Anthropometric measurements were defined for both groups on the day before surgery and during spirographydynamic indicators -forced vital capacity (FVC), forced expiratory volume in the 2 nd second (FEV1), Tiffeneau index (FEV1/VC (%)), peak expiratory flow (PEF), operation parameters. By comparing the postoperative respiratory parameters between the two groups and using independent samples t test, it was found out that the difference in FVC between groups is 1.71 [95% CI: -8.25 to 4.8] and it is not statistically significant (t (155) = -0.52; p = 0.60). Based on the Leuven test results FVC the distribution variance is not statistically notably different for group 1 and group 2 (F = 0.27, p = 0.60). Using routine and modified physiotherapy and comparing postoperative dynamic respiratory performance of the two groups, there was no statistically significant difference, proving that the two models are equally effective.

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“…After duplicates were removed, we screened 509 titles and abstracts and initially excluded 436 studies. After screening the remaining 65 full-text articles, 6 RCTs were selected for inclusion in this systematic review and meta-analysis ( Figure 2 ) [ 22 , 23 , 24 , 25 , 26 , 27 ]. Among the six included studies, the oldest study was published in 2008.…”

Section: Resultsmentioning

confidence: 99%

Effect of Early Mobilization on Physical Function in Patients after Cardiac Surgery: A Systematic Review and Meta-Analysis

Kanejima

Shimogai

Kitamura

et al. 2020

IJERPH

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The objective effects of early mobilization on physical function in patients after cardiac surgery remain unknown. The purpose of the present study was to clarify the effects of early mobilization on physical function in patients after cardiac surgery through meta-analysis. Four electronic databases were searched on 2 August 2019. We used search keywords related to “early mobilization”, “cardiac surgery”, and “randomized controlled trials”. All randomized controlled trials conducting early mobilization after cardiac surgery were included. We defined early mobilization as the application of physical activity within the first five postoperative days. Citations and data extraction were independently screened in duplicate by two authors. The meta-analysis was conducted using random-effects modeling with EZR software. The primary outcome was the distance walked during the six-minute walking test at hospital discharge. Six randomized controlled trials comprising 391 patients were included following screening of 591 studies. All studies included coronary artery bypass grafting as the cardiac surgery conducted. Early mobilization started on postoperative days 1–2 and was conducting twice daily. Early mobilization showed a trend of being combined with respiratory exercise or psychoeducation. The meta-analysis showed that the distance walked during the 6-min walking test improved by 54 m (95% confidence interval, 31.1–76.9; I2 = 52%) at hospital discharge. The present study suggested that early mobilization after cardiac surgery may improve physical function at discharge.

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Effects of Aerobic Exercise Applied Early After Coronary Artery Bypass Grafting on Pulmonary Function, Respiratory Muscle Strength, and Functional Capacity: A Randomized Controlled Trial

Abstract: Aerobic exercise applied early on coronary artery bypass grafting patients may promote maintenance of functional capacity, with no impact on pulmonary function and respiratory muscle strength when compared with conventional physiotherapy.

Cited by 22 publications

References 18 publications

Physical Exercise Combined With CPAP in Subjects Who Underwent Surgical Myocardial Revascularization: A Randomized Clinical Trial

Physical Exercise Combined With CPAP in Subjects Who Underwent Surgical Myocardial Revascularization: A Randomized Clinical Trial

Physiotherapy following cardiac surgery: Program comparison

Effect of Early Mobilization on Physical Function in Patients after Cardiac Surgery: A Systematic Review and Meta-Analysis

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