A Cycle Ergometer Exercise Program Improves Exercise Capacity and Inspiratory Muscle Function in Hospitalized Patients Awaiting Heart Transplantation: a Pilot Study
AUTOR(ES)
Forestieri, Patrícia, Guizilini, Solange, Peres, Monique, Bublitz, Caroline, Bolzan, Douglas W., Rocco, Isadora S., Santos, Vinícius B., Moreira, Rita Simone L., Breda, João R., Almeida, Dirceu R. de, Carvalho, Antonio Carlos de C., Arena, Ross, Gomes, Walter J.
FONTE
Braz. J. Cardiovasc. Surg.
DATA DE PUBLICAÇÃO
2016-10
RESUMO
Abstract Objective: The purpose of this study was to evaluate the effect of a cycle ergometer exercise program on exercise capacity and inspiratory muscle function in hospitalized patients with heart failure awaiting heart transplantation with intravenous inotropic support. Methods: Patients awaiting heart transplantation were randomized and allocated prospectively into two groups: 1) Control Group (n=11) - conventional protocol; and 2) Intervention Group (n=7) - stationary cycle ergometer exercise training. Functional capacity was measured by the six-minute walk test and inspiratory muscle strength assessed by manovacuometry before and after the exercise protocols. Results: Both groups demonstrated an increase in six-minute walk test distance after the experimental procedure compared to baseline; however, only the intervention group had a significant increase (P =0.08 and P =0.001 for the control and intervention groups, respectively). Intergroup comparison revealed a greater increase in the intervention group compared to the control (P <0.001). Regarding the inspiratory muscle strength evaluation, the intragroup analysis demonstrated increased strength after the protocols compared to baseline for both groups; statistical significance was only demonstrated for the intervention group, though (P =0.22 and P <0.01, respectively). Intergroup comparison showed a significant increase in the intervention group compared to the control (P <0.01). Conclusion: Stationary cycle ergometer exercise training shows positive results on exercise capacity and inspiratory muscle strength in patients with heart failure awaiting cardiac transplantation while on intravenous inotropic support.
Documentos Relacionados
- Analysis of deaths in patients awaiting heart transplantation: impact on patient selection criteria.
- ASSOCIATION BETWEEN FATIGUE AND EXERCISE CAPACITY IN PATIENTS WITH CHRONIC LIVER DISEASE AWAITING LIVER TRANSPLANTATION
- Physical exercise improves the functional capacity and quality of life in patients with heart failure
- Fall in pulmonary vascular resistance in patients awaiting heart transplantation
- Oxygen uptake in water polo, comparison and agreement in cycle ergometer and eggbeater kick: A pilot study