Evaluation of Peripheral Muscle Strength of Patients Undergoing Elective Cardiac Surgery: A Longitudinal Study.

Abstract

IntroductionPeripheral muscle strength has been little explored in the literature in the context of cardiac rehabilitation.ObjectiveTo evaluate the peripheral muscle strength of patients undergoing elective cardiac surgery.MethodsThis was a longitudinal observational study. The peripheral muscle strength was measured using isometric dynamometry lower limb (knee extensors and flexors) at three different times: preoperatively (M1), the day of discharge (M2) and hospital discharge (M3). Participants received physiotherapy pre and postoperatively during the days of hospitalization during the morning and afternoon.ResultsTwenty-two patients were evaluated. The values of peripheral muscle strength of knee extensors preoperative found were about 50% lower than those predicted for the healthy population. When comparing muscle strength prior (M1), with the remaining evaluation, found himself in a fall of 29% for the movement of knee extension and 25% for knee flexion in M2 and a decrease of 10% movement for knee extension and 13% for knee flexion in M3 when comparing with M1.ConclusionThe values of peripheral muscle strength prior of the study patients were lower than predicted for the healthy population of the same age. After the surgical event this reduction is even more remarkable, being reestablished until the time of discharge, to values close to baseline.

Does CABG with Saphenous Vein Grafting and Standard Cardiac Rehabilitation Affect Lower Limb Function? A Clinical Study

“…CR is a critical component of post-operative therapy for CAD patients [35,36,37]. Longitudinal research has found lower limb strength to be compromised after cardiac surgery compared with pre-operative levels but steadily improves with values reaching close to baseline at hospital discharge [38]. The results of the present study confirm the benefits of CR, particularly within the domain of lower limb function after CABG with saphenous vein harvesting.…”

Functional capacity and mental state of patients undergoing cardiac surgery

“…A reduction in oxidative capacity and a significant decrease in blood flow affect the production of energy in the muscle. The Brazilian version of the DASI is a valid, reliable and easily administered instrument for self-assessing functional capacity in patients with cardiovascular diseases (2,14,29).…”

“…The main clinical manifestations result from atherosclerotic processes such as cerebrovascular disease, peripheral vascular disease, cardiac ischemia and coronary atherosclerotic disease or coronary artery disease (CAD) (1,2). Smoking, high levels of low density lipoprotein (LDL), low levels of high density lipoprotein (HDL), diabetes mellitus, systemic arterial hypertension, family history, lifestyle, obesity, sedentary lifestyle and heavy alcohol intake are the main risk factors that contribute to the development of the disease (3 -5).…”

Assessment of the Plantar Pressure, Muscle Strength and Balance in Patients with Type 2 Diabetes Mellitus in Cyprus

“…The isometric muscle strength of the foot invertors, evertors and finger flexor muscles was measured using a Manual Muscle Tester (model 01163 Lafayette). The participants were asked to carry out three maximal isometric contractions for each muscle group, with an interval of 60 s. The mean peak force was recorded by the muscle tester device (kg) [13].…”