PMID- 21340377
OWN - NLM
STAT- MEDLINE
DCOM- 20110817
LR  - 20220410
VI  - 25
IP  - 4
DP  - 2010 Oct-Dec
TI  - Respiratory muscle training in patients submitted to coronary arterial bypass 
      graft.
PG  - 483-90
LID - S0102-76382010000400011 [pii]
AB  - OBJECTIVES: 1) To demonstrate the impaired ventilatory capacity during the post 
      operatory period, in patients submitted to coronary arterial bypass graft surgery 
      (CABG). 2) To test the hypothesis that the respiratory muscle training (RMT), 
      performed after the surgery, may increase the ventilatory capacity in this 
      population. METHODS: Thirty-eight patients (age: 65 +/- 7 years, 29 male), whose 
      underwent CABG with extra-corporeal circulation. Patients were randomized in two 
      groups: 23 patients in the RMT group and 15 in the control group (CO). RMT group 
      received conventional physiotherapy plus RMT. The CO group received the 
      conventional physiotherapy. Evaluated parameters: maximum inspiratory and 
      expiratory pressures (MIP) (MEP), dyspnea (Borg), peak expiratory flow (PEF), 
      pain, tidal volume and hospitalization days. Measures were performed at pre, 
      first post operatory day and also at the patients discharge from the hospital). 
      RESULTS: MIP and MEP in the RMT group were higher when compared with CO at the 
      patients discharge (MIP: 90 +/- 26 vs. 55 +/- 38 cmH2O, P = 0.01) (MEP: 99 +/- 30 vs. 
      53 +/- 26 cmH2O, P = 0.02). The PEF was higher after hospitalization in the RMT 
      group (237 +/- 93 vs. 157 +/- 102 lpm, P=0.02). Tidal volume was also higher in the 
      RMT group at discharge (0.71 +/- 0.21 vs. 0.44 +/- 0.12 liters, P = 0,00). No 
      differences were observed among the groups in the aspects: admission days, 
      dyspnea and pain. CONCLUSIONS: Patients submitted to CABG presents an impaired 
      respiratory muscle strength in their post operatory. RMT performed in this phase 
      was effective to restore the ventilatory capacity in the following parameters: 
      MIP, MEP, PEF and tidal volume, in this group of patients.
FAU - Barros, Graziella Ferreira
AU  - Barros GF
AD  - Servico de Cirurgia Cardiovascular, Hospital Santa Marcelina, Itaquera, Sao 
      Paulo, Brazil.
FAU - Santos, Claudia da Silva
AU  - Santos Cda S
FAU - Granado, Fernanda Boromello
AU  - Granado FB
FAU - Costa, Patricia Tatiane
AU  - Costa PT
FAU - Limaco, Renan Prado
AU  - Limaco RP
FAU - Gardenghi, Giulliano
AU  - Gardenghi G
LA  - eng
LA  - por
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - Brazil
TA  - Rev Bras Cir Cardiovasc
JT  - Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade 
      Brasileira de Cirurgia Cardiovascular
JID - 9104279
SB  - IM
MH  - Aged
MH  - Analysis of Variance
MH  - *Breathing Exercises
MH  - Coronary Artery Bypass/adverse effects/*rehabilitation
MH  - Female
MH  - Humans
MH  - Male
MH  - Muscle Strength/*physiology
MH  - Patient Discharge/statistics & numerical data
MH  - Postoperative Period
MH  - Preoperative Period
MH  - Pulmonary Ventilation/*physiology
MH  - Respiratory Muscles/*physiopathology
MH  - Tidal Volume/physiology
EDAT- 2011/02/23 06:00
MHDA- 2011/08/19 06:00
CRDT- 2011/02/23 06:00
PHST- 2010/04/19 00:00 [received]
PHST- 2010/09/18 00:00 [accepted]
PHST- 2011/02/23 06:00 [entrez]
PHST- 2011/02/23 06:00 [pubmed]
PHST- 2011/08/19 06:00 [medline]
AID - S0102-76382010000400011 [pii]
AID - 10.1590/s0102-76382010000400011 [doi]
PST - ppublish
SO  - Rev Bras Cir Cardiovasc. 2010 Oct-Dec;25(4):483-90. doi: 
      10.1590/s0102-76382010000400011.