Navegando por Palavras-chave "Respiratory Therapy/(Star)MethodsFailure"

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    A cycle ergometer exercise program improves exercise capacity and inspiratory muscle function in hospitalized patients awaiting heart transplantation: a pilot study
    (Hospital Clinicas, Univ Sao Paulo, 2016) Forestieri, Patricia [UNIFESP]; Guizilini, Solange [UNIFESP]; Peres, Monique [UNIFESP]; Bublitz, Caroline [UNIFESP]; Bolzan, Douglas Willian [UNIFESP]; Rocco, Isadora Salvador [UNIFESP]; Santos, Vinicius Batista [UNIFESP]; Moreira, Rita Simone Lopes [UNIFESP]; Breda, João Roberto [UNIFESP]; Almeida, Dirceu Rodrigues de [UNIFESP]; Carvalho, Antonio Carlos de Camargo [UNIFESP]; Arena, Ross; Gomes, Walter José [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    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.