Cycle Ergometer Exercise in Phase I of Cardiac Rehabilitation After Cardiac Surgery
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|ClinicalTrials.gov Identifier: NCT02437552|
Recruitment Status : Active, not recruiting
First Posted : May 7, 2015
Last Update Posted : May 7, 2015
|Condition or disease||Intervention/treatment||Phase|
|Exercise Movement Techniques Cardiac Surgery||Device: ergometer cycle exercise Other: routine physiotherapy||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||24 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Single (Outcomes Assessor)|
|Official Title:||Cycle Ergometer Exercise in Phase I of Cardiac Rehabilitation After Cardiac Surgery|
|Study Start Date :||March 2015|
|Estimated Primary Completion Date :||June 2015|
|Estimated Study Completion Date :||March 2019|
Placebo Comparator: Control group: routine physiotherapy
Are patients who carry out the routine already established the Unit, consisting of the first post surgery, the patient lying down doing the breathing exercises, active exercises ends and active-assisted upper (UL) and lower limbs (LL),
Other: routine physiotherapy
Active Comparator: Intervention group: ergometer cycle exercise
Are the patients who will carry out the exercises routine over the cycle ergometer twice daily from 3 PO for 5 minutes with its progressiveness at discharge for ward for 10 minutes
Device: ergometer cycle exercise
Other: routine physiotherapy
- Change of six-minute walk test (6MMWT) distance [ Time Frame: Before surgery ,third and seventh postoperative day ]The six-minute walk test will be conducted with monitoring blood pressure, HR, RR and SpO2 in a hall plan, with distances previously marked. The patient will be accompanied by the researcher and encouraged by constant verbal stimulation, walking as fast as possible, if the patient stop walking the timer will keep triggered. Will use the oximeter with the sensor on the third finger of the right hand, and a certain reading after the signal stabilization and at the same time we get the heart rate. Will be used to calculate the expected value, and reference to distance in the 6MWT, the equations proposed by Enright and Sherrill (1998) determining the percentage of predicted for each test performed by patient.
- Change of spirometric values [ Time Frame: Before surgery ,third and seventh postoperative day ]Spirometry will be performed according to criteria of the American Thoracic Society and the Brazilian Consensus Spirometry. Values will be observed from CVF, VEF1 e PEF.
- Change of respiratory muscle strength - Mouth pressure measurements [ Time Frame: Before surgery ,third and seventh postoperative day ]Manovacuometry will be performed with the patient seated with nasal clip, the display scale with intervals of 4 cmH2O and variation +/- 120 cmH2O. The highest value obtained during the two maneuvers will be compared to the table described by Neder et al (1999), which predicts expected values for the Brazilian population according to gender and age.
- Change of perceived dyspnea [ Time Frame: Before surgery ,third and seventh postoperative day ]The perceived effort is used the Borg Scale modified scored from 0 to 10. And dyspnea scale will be scored from 0 to 4 according to the intensity of dyspnea and is based on used the scale of the Medical Research Council (MRC).
- Change of body mass index [ Time Frame: Before surgery and postoperative seventh day ]The BMI will be calculated using the classical formula: BMI = current weight (kg) / A2 (m). The following lower limits of normal were considered: BMI <21 for age group 35-44 years; <22 for 45-54 years; <23 for 55 -64 years and <24 to 65 above years.
- Change of cirtometry [ Time Frame: Before surgery ,third and seventh posoperative day ]Cirtometry will be held in myocardial revascularization of patients who use the saphenous and waist hip will be performed in all patients. Will be used a tape measure.
- Change of peripheral muscle strength [ Time Frame: Before surgery ,third and seventh postoperative day ]The peripheral muscle strength assessment test will be the end of the test the foot, the patient will be instructed to stay barefoot with his right hand resting on the front wall and with a semi elbow flexion to aid maintenance balance. Prior to testing, the participant will be oriented make a plantar flexion to the point of support of the joints metatarsophalangeal and this time will be marked by the examiner through a mark on the wall and the patient will be informed that should reach the one marked point. The test itself consisted of time, in seconds, the time it takes to perform five push-ups as plantar soon as possible.
- Change in cortisol levels [ Time Frame: Before surgery ,third and seventh postoperative day ]Laboratory evaluation will be performed by laboratory staff of hospital with a blood sample from the patient, which will be assessed the cortisol levels .
- change of radiological assessment [ Time Frame: Before surgery ,third and seventh postoperative day ]Radiological assessment will be held the day before the surgery, the third post-operative and post-operative seventh, the clinic Radiology Southwest - Pato Branco - Paraná to assess complications lung from surgery.
- Adherence evaluation [ Time Frame: Third and seventh postoperative day ]The questionnaire will be administered at the end of the first contact of the patient the exercises with the cycle ergometer to assess adherence running a differential exercise during your surgical recovery.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02437552
|Policlínica Pato Branco|
|Pato Branco, Paraná, Brazil, 85501250|