Moderate-to-high intensity inspiratory muscle training improves the effects of combined training on exercise capacity in patients after coronary artery bypass graft surgery: A randomized clinical trial

Santos, Tamires Darós dos; Pereira, Sergio Nunes; Portela, Luiz Osório Cruz; Cardoso, Dannuey Machado; Lago, Pedro Dal; Guarda, Naiara dos Santos; Moresco, Rafael Noal; Pereira, Marisa Bastos; Albuquerque, Isabella Martins de

doi:10.1016/j.ijcard.2018.12.013

Cited by 37 publications

(36 citation statements)

References 35 publications

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“…ese changes have been observed in both exercise and the physical activity groups but significantly in those that have had behavioural associated counselling present as a part of the cardiac rehabilitation program [33,49]. Training inspiratory muscles at moderate thresholds for twice a week under an inspiratory muscle strengthening (IMT) program proved beneficial in improving the health related quality of life and functional capacity, thereby linking aerobic capacity and quality of life after 12 weeks in patients after coronary artery bypass graft surgery [22]. In recent times with advancing technology, application of telerehabilitation and telemonitoring in cardiac disease patients placed at remote locations would connect them to health professionals at various centres.…”

Section: Cr and Quality Of Lifementioning

confidence: 99%

Impact of Cardiac Rehabilitation on Functional Capacity and Physical Activity after Coronary Revascularization: A Scientific Review

Prabhu

Maiya

2020

Cardiology Research and Practice

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Background. Coronary revascularization procedures often cause lowered exercise capacity and declining physical activity levels. These outcomes are paramount in predicting morbidity and mortality after these procedures. Cardiac rehabilitation (CR) focuses on incrementing cardiovascular endurance, exercise capacity, muscle strength, levels of physical activity, and quality of life through health education and lifestyle modification in post-coronary revascularization patients. Objective. To review the impact of cardiac rehabilitation on functional capacity, levels of physical activity, and health related quality of life in patients following coronary revascularization. Methods. A structured literature search in PubMed, Scopus, CINAHL, and ProQuest for studies focused on CR and its effects on functional capacity, physical activity, and quality of life after coronary revascularization. Results. A total of 2,010 studies were retrieved. Deduplication and eligibility screening included 190 studies after the application of filters. A sum of 21 studies were considered for this review. Most studies reported that exercise and physical activity programs were centre-based and home-based and via telerehabilitation. Treadmill and cycle ergometry training with callisthenics and flexibility exercises in phase 2 CR exhibited significant improvement in functional capacity and physical activity levels in patients after coronary revascularization procedures. Conclusion. Although centre-based supervised CR programs do improve functional capacity after coronary revascularization, home-based or telerehabilitation-based CR programs are feasible, improve patient compliance in improving physical activity, and thereby increase functional capacity. Patient education improves levels of physical activity, health related quality of life, and adherence to home- and centre-based CR programs.

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Section: Cr and Quality Of Lifementioning

confidence: 99%

Impact of Cardiac Rehabilitation on Functional Capacity and Physical Activity after Coronary Revascularization: A Scientific Review

Prabhu

Maiya

2020

Cardiology Research and Practice

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“…Four studies assessed functional capacity as measured by the 6-minute walk test as an outcome [3,[16][17][18]. There were 46 participants in the intervention group and 150 in the control group.…”

Section: Functional Capacitymentioning

confidence: 99%

“…www.e-arm.org Worldwide, coronary artery bypass graft (CABG) surgery is performed daily in patients with coronary artery disease [3]. Valve repair or replacement is the treatment of choice for patients with valve diseases [4].…”

mentioning

confidence: 99%

“…Mobilization of the extremities; IMT; and IMT using a device that includes isocapnic/normocapnic hyperpnea training, inspiratory resistive flow training, inspiratory threshold pressure training, and incentive spirometry is part of prehabilitation [14]. IMT can also be used in phase II of cardiac rehabilitation along with aerobic training or resistance exercises in patients with chronic heart failure and chronic obstructive pulmonary disease, as evidence has shown improvements in respiratory muscle strength (RMS) in this population [3].…”

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confidence: 99%

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Effectiveness of Inspiratory Muscle Training on Respiratory Muscle Strength in Patients Undergoing Cardiac Surgeries: A Systematic Review With Meta-Analysis

et al. 2021

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To determine the effect of inspiratory muscle training (IMT) on pulmonary function, respiratory muscle strength (RMS), and functional capacity in patients undergoing cardiac surgery. The PubMed, PEDro, CINAHL, Web of Science, CENTRAL, and EMBASE databases were searched from inception to June 2020. Randomized controlled trials (RCTs) that evaluated patients who underwent cardiac surgery were included in this review. Meta-analysis performed using a random-effects model showed that the mean difference in forced vital capacity, forced expiratory volume in 1 second, 6-minute walk distance, and RMS was 3.47% (95% confidence interval [CI], 0.57 to 6.36), 5.80% (95% CI, 2.03 to 9.56), 78.05 m (95% CI, 60.92 to 95.18), and 4.8 cmH2O (95% CI, -4.00 to 13.4), respectively. There is strong evidence that IMT improves inspiratory muscle strength, pulmonary function, and functional capacity, and reduces the length of hospital stay in patients undergoing cardiac surgery.

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“…These complications can lead to an increase in hospital stay, risk of functional decline and increased mortality rate. In this sense, inspiratory muscle training (IMT) appears as a tool for hospital rehabilitation of this population [1][2][3][4][5]. Some intra and postoperative procedures are directly linked to these complications: the median sternotomy, the effects of anesthesia, cardiopulmonary bypass (CPB), use of chest tubes and invasive mechanical ventilation can alter respiratory mechanics [6,7].…”

Section: Introductionmentioning

confidence: 99%

Dois tipos de treinamento muscular inspiratório sobre a força muscular de pacientes após revascularização do miocárdio: ensaio clínico

Cordeiro¹,

Soares²,

Vasconcelos³

et al. 2021

Fisioter Bras

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Introdução: A cirurgia de revascularização do miocárdio (CRM) causa alterações na musculatura respiratória que afetam a capacidade funcional e complicações pós-operatórias (DCP). O treinamento muscular inspiratório (TMI) é uma ferramenta utilizada por esses pacientes, mas não se sabe qual é a melhor forma de aumentar a força. Objetivo: Investigar se o TMI com dispositivo de carga de pressão linear é superior ao incentivo inspiratório na capacidade funcional e força muscular de pacientes submetidos à CRM. Métodos: Este é um ensaio clínico. Os pacientes foram avaliados no pré-operatório para pressão muscular inspiratória (PImáx), pressão expiratória (PEF), pico de fluxo expiratório (PFE), teste de caminhada de seis minutos (TC6) e medida de independência funcional (MIF). Após a cirurgia, eles foram divididos em três grupos: grupo controle (GC), grupo treinamento com carga linear de pressão (IMT) e grupo incentivo inspiratório (GI). No dia da alta, todos os pacientes tiveram suas variáveis anteriores reavaliadas. Resultados: O estudo incluiu 56 pacientes, 31 (55,4%) eram do sexo masculino e idade média de 55 ± 12 anos. Houve redução significativa em todas as variáveis, em relação à PImáx, o IMT apresentou valor maior no pós-operatório 83 ± 19 cmH2O, contra 70 ± 15 cmH2O no GC e 80 ± 15 cmH2O no GI (p < 0,001). O mesmo comportamento foi observado na PEmáx, 77 ± 12 cmH2O no IMT, 67 ± 14 cmH2O no GC e 75 ± 10 cmH2O no GI (p <0,001). Em relação ao TC6, houve menor perda no TMI de 434 ± 15 metros para 398 ± 20 metros no GI (p < 0,001). Conclusão: Conclui-se que o treinamento muscular com dispositivo de carga pressórica linear é superior ao treinamento com incentivo inspiratório na capacidade funcional e da força muscular em pacientes submetidos à CRM.

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Moderate-to-high intensity inspiratory muscle training improves the effects of combined training on exercise capacity in patients after coronary artery bypass graft surgery: A randomized clinical trial

Cited by 37 publications

References 35 publications

Impact of Cardiac Rehabilitation on Functional Capacity and Physical Activity after Coronary Revascularization: A Scientific Review

Impact of Cardiac Rehabilitation on Functional Capacity and Physical Activity after Coronary Revascularization: A Scientific Review

Effectiveness of Inspiratory Muscle Training on Respiratory Muscle Strength in Patients Undergoing Cardiac Surgeries: A Systematic Review With Meta-Analysis

Dois tipos de treinamento muscular inspiratório sobre a força muscular de pacientes após revascularização do miocárdio: ensaio clínico

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