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Effects of High-Intensity Inspiratory Muscle Training Associated with Aerobic Exercise in Patients Undergoing CABG: Randomized Clinical Trial
- Source :
- Brazilian Journal of Cardiovascular Surgery, Volume: 33, Issue: 4, Pages: 376-383, Published: AUG 2018, Brazilian Journal of Cardiovascular Surgery v.33 n.4 2018, Brazilian Journal of Cardiovascular Surgery, Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV), instacron:SBCCV, Brazilian Journal of Cardiovascular Surgery, Vol 33, Iss 4, Pp 376-383
- Publication Year :
- 2018
- Publisher :
- Sociedade Brasileira de Cirurgia Cardiovascular, 2018.
-
Abstract
- Objective: Evaluate the interaction between high-intensity inspiratory muscle training (IMT) and aerobic exercise on physical capacity, respiratory muscle strength, peripheral muscle strength, and quality of life of patients who underwent coronary artery bypass grafting (CABG). Methods: Twenty-four patients underwent CABG were randomized into two groups. During 36 sessions, one group received IMT associated with aerobic exercise and the other group received only aerobic exercise. Primary outcome was the distance in the six-minute walk distance (6MWD) test. Secondary outcomes included respiratory muscle strength, peripheral muscle strength, and quality of life. Measures were taken at the baseline, at the 12th session, the 24th session, and 36th session. Results: Baseline characteristics were similar between the groups. There was no statistically significant difference between the two groups in any outcome [6MWD - P=0.935; peak oxygen consumption (PeakVO2) - P=0.853; maximal inspiratory pressure (MIP) - P=0.243; maximal expiratory pressure (MEP) - P=0.268; sitting-rising test (SRT) - P=0.212], but there was interaction in MIP (P=0.000) and all outcomes improved in the two groups (6MWD - P=0.000; PeakVO2 - P=0.000; MIP - P=0.000; MEP - P=0.000; SRT - P=0.000). Conclusion: There was an improvement of all outcomes in both groups, but IMT was not able to provide additional benefits. The use of this combination should be used with caution to not generate higher costs in the rehabilitation process of these patients.
- Subjects :
- Male
lcsh:Diseases of the circulatory (Cardiovascular) system
Maximal Respiratory Pressures
Time Factors
030204 cardiovascular system & hematology
law.invention
0302 clinical medicine
Quality of life
Randomized controlled trial
law
Surveys and Questionnaires
030212 general & internal medicine
Coronary Artery Bypass
Respiratory Muscles/Physiopathology
Exercise Tolerance
Cardiac Rehabilitation
General Medicine
Middle Aged
Respiratory Muscles
Exercise Therapy
medicine.anatomical_structure
Treatment Outcome
Cardiology
Female
Original Article
Analysis of variance
Cardiology and Cardiovascular Medicine
Artery
medicine.medical_specialty
lcsh:Surgery
Muscle Strength/Physiology
Breathing Exercises
Statistics, Nonparametric
03 medical and health sciences
Oxygen Consumption/Physiology
Oxygen Consumption
Internal medicine
Muscle Stretching Exercises
medicine
Respiratory muscle
Aerobic exercise
Humans
Muscle Strength
Exercise physiology
Exercise
Physical Therapy Modalities
Aged
Analysis of Variance
business.industry
Reproducibility of Results
lcsh:RD1-811
lcsh:RC666-701
Quality of Life
Surgery
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Brazilian Journal of Cardiovascular Surgery, Volume: 33, Issue: 4, Pages: 376-383, Published: AUG 2018, Brazilian Journal of Cardiovascular Surgery v.33 n.4 2018, Brazilian Journal of Cardiovascular Surgery, Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV), instacron:SBCCV, Brazilian Journal of Cardiovascular Surgery, Vol 33, Iss 4, Pp 376-383
- Accession number :
- edsair.doi.dedup.....65159916e2092ff62c58653b13d0625e