Submitted by Setor de Tratamento da Informa??o - BC/PUCRS (tede2@pucrs.br) on 2015-08-04T17:12:26Z
No. of bitstreams: 1
473016 - Texto Completo.pdf: 1875230 bytes, checksum: e53279cd3ea9e1ed4b0273503fd159ea (MD5) / Made available in DSpace on 2015-08-04T17:12:26Z (GMT). No. of bitstreams: 1
473016 - Texto Completo.pdf: 1875230 bytes, checksum: e53279cd3ea9e1ed4b0273503fd159ea (MD5)
Previous issue date: 2015-03-11 / Objective : To assess the impact of a rehabilitation protocol on the functional capacity of patients who underwent coronary artery bypass graft surgery (CABG), after phase I of rehabilitation, using the cycle ergometer.Method : this is a randomized clinical trial blinded to the evaluator. All patients, older than 50 years old, who underwent CABG and did not meet the exclusion criteria, were invited to participate in the study. After signing the Informed Consent (IC), and being submitted to the surgical procedure, participants were included and randomized to rehabilitation in the control group, with the standard protocol, or in the intervention group, keeping breathing exercises from the standard protocol and replacing the usual physical therapy for 20 minutes of activity in cycle ergometer. Functional assessment was performed at the pre-operative period and on the sixth day after surgery, in order to evaluate balance through the unipodal stance test, mobility through the TUG test and aerobic power assessed by the 6MWT.Results : 19 patients were randomized, being 9 individuals allocated to the intervention group and 10 to the control group. Mean age of the participants in the intervention group was similar to the control group (60.8 ? 4.7 vs 62.4 ? 8.1). There was a predominance of man in both groups (55.6% vs 80.0%). In the intragroup comparisons, individuals from the control group showed a significant decrease in the distance walked in the 6MWT. There was no significant difference between groups considering the other functional variables.Conclusion : Using cycle ergometer in cardiac rehabilitation phase I resulted in similar outcomes considering functional assessment; however, the cycle ergometer allowed better monitoring of hemodynamic and respiratory parameters; therefore, it can be an alternative for rehabilitation of CABG phase I. / Objetivo : Verificar o impacto de um protocolo de reabilita??o sobre a capacidade funcional de indiv?duos submetidos a cirurgia de revasculariza??o do mioc?rdio ap?s a fase I de reabilita??o com o uso do cicloerg?metro.M?todo : Trata-se de um ensaio cl?nico randomizado cegado para o avaliador. Todos pacientes acima de 50 anos que realizaram Cirurgia de Revasculariza??o do Mioc?rdio (CRM) e n?o entravam nos crit?rios de exclus?o eram convidados a participar do estudo, ap?s assinarem o Termo de Consentimento Livre e Esclarecido (TCLE) e ter realizado a cirurgia eram inclu?dos e randomizados para a reabilita??o no grupo controle com protocolo j? utilizado pelo hospital ou no grupo interven??o que mantinha os exerc?cios respirat?rios e substitu?a os exerc?cios de fisioterapia motora habituais por 20 minutos de atividade no cicloerg?metro. A avalia??o funcional utilizados com objetivo de verificar o equil?brio atrav?s do teste de Apoio Unipodal, mobilidade por meio do TUG e capacidade de exerc?cio pelo TC6 foi realizada no pr?-operatorio e no sexto dia de p?s-operat?rio.Resultados : 19 pacientes foram randomizados, sendo 9 alocados no grupo interven??o e 10 no grupo controle. A m?dia de idade do grupo interven??o foi semelhante ? do grupo controle (60,8 ? 4,7 vs 62,4? 8,1) anos. Houve predom?nio do sexo masculino em ambos os grupos (55,6% vs 80,0%). Nas compara??es intragrupo, o grupo controle apresentou uma redu??o significativa na dist?ncia percorrida no TC6,e nas demais vari?veis funcionais avaliadas n?o houve diferen?a significativa entre os grupos.Conclus?o : Uso do cicloerg?metro na fase I de reabilita??o card?aca resultou em efic?cia semelhante para os desfechos funcionais avaliados, sendo que a utiliza??o do cicloerg?metro permitiu um mais adequado monitoramento de par?metros hemodin?micos e respirat?rios, podendo ser mais uma alternativa para a reabilita??o da fase I de CRM.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/6242 |
| Date | 11 March 2015 |
| Creators | Lopes , Diene Gomes Colvara |
| Contributors | Myskiw , Jociane de Carvalho |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Gerontologia Biom?dica, PUCRS, Brasil, Faculdade de Medicina |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 4438661476953179033, 600, 600, 600, -8624664729441623247, -969369452308786627 |
Page generated in 0.0022 seconds