Cardiorespiratory Physiotherapy, Critical Care and Rehabilitation最新文献

{"title":"Characterization of patients with COVID-19-related ARDS before the prone position: prospective cohort study","authors":"G. B. Costa, Higor Apolinario Melquiades, E. V. Carvalho, E. P. Gomes, M. M. Reboredo, B. Pinheiro","doi":"10.4322/2675-9977.cpcr.44141","DOIUrl":"https://doi.org/10.4322/2675-9977.cpcr.44141","url":null,"abstract":"; Bruno Valle Pinheiro 3  Abstract Background : The general characteristics and ventilator-related variables of patients with acute respiratory distress syndrome (ARDS) caused by COVID-19 infection who have undergone invasive mechanical ventilation (MV) remain unclear, especially those who need a prone position (PP). Aim : To characterize the clinical, demographical, and ventilatory variables of patients on MV with COVID-19-related ARDS, evolving to PP. Methods : This study was an observational prospective cohort investigation of COVID-19 patients undergoing invasive MV. PP and non-prone groups were compared using Student’s t, Mann-Whitney U, chi-square, or Fisher’s exact tests. Binary logistic regression was used to identify predictor variables. Statistical significance was set at p < 0.05. The study design was approved by the Research Ethics Committee. Results : The clinical and demographical characteristics of patients requiring PP were: age (63.4 ± 12.4 years), predicted body weight (57.3 ± 11.0 kg), SAPS 3 47.5 (41-55), SOFA 3 (2-6), comorbidities, days until intubation (1.2 ± 2.2 days), and death in the ICU (52.4%); these characteristics were similar to those who remained in supine position. A total of 42 (65.6%) subjects needed PP, especially females. There were no differences between PP and non-prone groups in respiratory system compliance (C rs ) [(30.0 (24.6-35.3)], driving pressure (ΔP) (14.2 ± 3.9 cm H 2 O) and plateau pressure (Pplateau) (23.9 ± 4.7 cmH 2 O). The PP group had lower initial PaO 2 /FIO 2 ratio values (130.5 ± 58.1 vs 187.5 ± 59.1, p < 0,05). C rs was not a significant predictor of PP (OR 1.702; CI 95% 0.962 – 1.131). Conclusions : Most patients required PP, especially females aged over 60. These patients frequently use neuromuscular blockers and had a longer hospital stay. Upon admission to the ICU, the C rs , Pplateau, and ΔP values of these patients were similar to those who did not require PP; PaO 2 /FiO 2 Respiratory Distress Syndrome. How can the results this on the day of orotracheal intubation. The prognostic system used was the Simplified Acute Physiology Score 3 (SAPS 3), to establish a predictive index of mortality for patients admitted to intensive care units. Coexisting medical conditions were obtained from the patients’ medical records and clinical history. These were used to calculate the Charlson Comorbidity Index (Charlson Index). Instrumental score calculations were performed by the physician responsible for the ICU stay duration and added to the study’s database, along with information on the following laboratory tests of interest: C-reactive protein (mg/l), leukocytes (103/mm 3 ), lymphocytes (103/mm 3 ), lactate (U/l), creatine phosphokinase (U/l), lactate dehydrogenase (IU/l), D-dimer and ferritin (mcg/l) levels.","PeriodicalId":164984,"journal":{"name":"Cardiorespiratory Physiotherapy, Critical Care and Rehabilitation","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134008424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"4-meter gait speed test as a tool to prescribe walking exercise intensity in individuals with COPD","authors":"Gianna Waldrich Bisc, A. Morita, F. Machado, Antenor Rodrigues, Thais SantAnna, N. Hernandes, F. Pitta","doi":"10.4322/2675-9977.cpcr.42316","DOIUrl":"https://doi.org/10.4322/2675-9977.cpcr.42316","url":null,"abstract":"Introduction Exercise training remains the essential component of rehabilitation programs in individuals with chronic obstructive pulmonary disease (COPD)1. In order to guarantee the training benefits, an appropriate prescription of exercise intensity is necessary1. The target intensity for training is generally prescribed as a percentage of maximum exercise capacity1; however, a simple field test such as the 6-minute walking test (6MWT) was shown to be useful in exercise prescription for walking2-4 . The importance of the 6MWT to evaluate exercise capacity is undeniable5; nevertheless, the test requires space and time, which may hinder its use in home visits and in some clinical settings. On the other hand, the 4-meter gait speed (4MGS) is a reliable test, which requires short time and space6-9. It reflects global well-being and captures the multisystemic effects of disease severity9. Furthermore, walking is the main activity in a rehabilitation program and gait speed measure is modifiable through rehabilitation, therefore being a potential marker of functional improvement or decline8-9. Although the 4MGS has potential as an assessment tool, further work is necessary to confirm its utilization for exercise prescription. Therefore, the aims of this study were to verify whether it is possible to prescribe the intensity of walking exercise training and to predict the distance covered in the 6MWT through the 4MGS in individuals with moderate-to-very severe COPD. In addition, since there are different available protocols for the 4MGS, another aim was to identify which protocol better estimates these outcomes.","PeriodicalId":164984,"journal":{"name":"Cardiorespiratory Physiotherapy, Critical Care and Rehabilitation","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133138508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does the COPD assessment test associate to skeletal muscle dysfunction in individuals with chronic obstructive pulmonary disease?","authors":"Tamires Daros dos Santos, A. S. Pasqualoto, Felipe Fagundes Pereira, E. Lüdke, A. Silveira, I. M. Albuquerque","doi":"10.4322/2675-9977.cpcr.42146","DOIUrl":"https://doi.org/10.4322/2675-9977.cpcr.42146","url":null,"abstract":"Background: Skeletal muscles provide the mechanical basis for breathing and movement, and skeletal muscle dysfunction which is frequently observed in individuals with chronic obstructive pulmonary disease (COPD) has important clinical implications. Aims: The objective of the present study was to investigate whether the COPD assessment test (CAT) score may be associated with quadriceps muscle thickness, handgrip strength, peripheral muscle endurance and respiratory muscle strength in individuals with COPD enrolled in a pulmonary rehabilitation program. Methods: This is a cross-sectional study with evaluation of the following outcomes: quadriceps muscle thickness (ultrasonography), handgrip strength (muscle strength dynamometer), peripheral muscle endurance (30-second sit-to-stand test) and respiratory muscle strength (manovacuometry). Results: Twenty-three individuals (65 ± 10.1 years; GOLD I (n=2), II (n=8), III (n=7) and IV (n=6)) participated in the study. The CAT score correlated negatively and moderately with handgrip strength (r=-0.655; p<0.001), negatively and moderately with quadriceps muscle thickness (r=-0.562; p=0.005) and peripheral muscle endurance (r=-0.573; p=0.004). There was no correlation between CAT score and respiratory muscle strength. The multiple linear regression model including the variables quadriceps muscle thickness, handgrip strength and peripheral muscle endurance was the best to predict the CAT score, explaining 65% of the variance. Conclusions: Our results suggest that the CAT score was associated with skeletal muscle dysfunction through quadriceps muscle thickness, handgrip strength and peripheral muscle endurance in a sample composed predominantly of women with COPD, ex-smokers or without previous smoking history enrolled in a pulmonary rehabilitation program.","PeriodicalId":164984,"journal":{"name":"Cardiorespiratory Physiotherapy, Critical Care and Rehabilitation","volume":"285 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134007980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute effects of breathing exercises on diaphragmatic mobility and respiratory muscles activity in healthy adults","authors":"Maryne Ramos da Siva, Catherine Corrêa Peruzzolo, Jéssica Canizelli, Dayane Montemezzo, E. Paulin","doi":"10.4322/2675-9977.cpcr.42701","DOIUrl":"https://doi.org/10.4322/2675-9977.cpcr.42701","url":null,"abstract":"Objective : To investigate the differences between the breathing exercises sniff inspiration (SI), diaphragmatic breathing (DB), fractionated breaths (FB) and breathing from functional residual capacity (BFRC) in terms of their effect on diaphragmatic mobility and electrical activity of the sternocleidomastoid (SCM) and anterior scalene muscles in healthy adults in two positions: sitting and supported 30° trunk inclination. Methods : In a cross-sectional observational research, healthy adults of both sexes were recruited. Participants underwent anthropometric and spirometric assessment and their vital signs were measured. Diaphragmatic mobility (DM) was analyzed by ultrasound (US). Electrical activity of the sternocleidomastoid and anterior scalene muscles was assessed by electromyography (EM), in two positions: sitting and supported 30° trunk inclination. Results : A total of 30 individuals were assessed, 14 women and 16 men. Among the exercises studied, respiratory muscles were least used in DB for both positions and most used in BFRC. In regard to DM, the exercise that mobilized the diaphragm the most was BFRC in both studied positions, while DB caused the least mobilization of this muscle. Diaphragmatic mobility declined during trunk inclination at 30° and respiratory muscle electrical activity was lower when compared to the sitting position. Conclusion : In clinical practice, diaphragmatic breathing proved to be the exercise that least used the respiratory muscles. However, the BFRC with a 30° trunk inclination is the most recommended exercise when the objective is the mobilization of the diaphragm. It is important to know the muscle action during breathing exercises for a better prescription.","PeriodicalId":164984,"journal":{"name":"Cardiorespiratory Physiotherapy, Critical Care and Rehabilitation","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128865992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation, cross-cultural adaptation and validation of the Pulmonary Rehabilitation Adapted Index of Self-efficacy (PRAISE) scale for Brazilian patients with chronic obstructive pulmonary disease","authors":"S. G. Gavenda, M. Karloh, H. F. Alexandre, T. Matias, A. Mayer","doi":"10.4322/2675-9977.cpcr.43048","DOIUrl":"https://doi.org/10.4322/2675-9977.cpcr.43048","url":null,"abstract":"Background: Patients with Chronic Obstructive Pulmonary Disease (COPD) present a progressive chronic airflow obstruction. Pulmonary Rehabilitation (PR) promotes the reversal of the extrapulmonary effects of the disease and improves the quality of life. Despite the physiological benefits, the major challenge of PR is to promote change in lifestyle. In this sense, it has been emphasized the study of psychological variables such as self-efficacy. Aim: To translate, cross-culturally adapt and validate the PRAISE scale for Brazilian COPD patients. Methods: The PRAISE scale was applied on the first day by two raters and 15-20 days later by one rater. Patients were assessed for self-efficacy with the General Self-Efficacy Scale (GSS) and the COPD Self-Efficacy Scale (CSES); functional limitation for activities of daily living with the London Chest Activity of Daily Living (LCADL) scale; anxiety and depression symptoms with the Hospital Anxiety and Depression Scale (HADS); quality of life with Saint George’s Respiratory Questionnaire (SGRQ); resilience with the Resilience Scale; and basic psychological needs with the Basic Psychological Needs in Exercise Scale (BPNES). The tests used were: Student’s t-test or Wilcoxon’s test (PRAISE score comparison); intraclass correlation coefficient (ICC), interrater reliability and test-retest and Cronbach’s alpha; and Spearman’s or Pearson’s correlation coefficient to assess validity. Results: The scale was pre-tested in 10 patients to evaluate translation accuracy and cross-cultural adaptation. Thirty-four patients with COPD took part (22 men; FEV1=42.2±15.7%pred). The interrater and test-retest ICCs were excellent (0.82 and 0.86, respectively), with no significant differences in test-retest reliability (p>0.05). Cronbach’s alpha interrater and testretest were 0.90 and 0.92, respectively (p<0.001). There were no floor and ceiling effects. The scale showed weak to moderate correlations with GSS, CSES, LCADL, HADS, SGRQ, Resilience Scale, and BPNES. Conclusions: The PRAISE scale proved to be valid and reliable for Brazilian patients with COPD.","PeriodicalId":164984,"journal":{"name":"Cardiorespiratory Physiotherapy, Critical Care and Rehabilitation","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134285042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In-hospital mobilization after cardiac surgery: investigation of a dose-effect of once- and twice-daily exercise on cardiac autonomic modulation","authors":"R. Mendes, C. B. Pantoni, R. Simões, Luciana Ditomaso Luporini, Flávia Cristina Rossi Caruso Bonjorno, E. Kabbach, A. Borghi Silva","doi":"10.4322/2675-9977.cpcr.42060","DOIUrl":"https://doi.org/10.4322/2675-9977.cpcr.42060","url":null,"abstract":"1  ; Audrey Borghi-Silva 1  Abstract Background: Coronary artery bypass surgery (CABG) implies in impairment of cardiac autonomic modulation (CAM). In-hospital mobilization positively affects CAM; however, it is not known whether higher exercise dosage would provide the same benefits in CAM as lower dosage in patients post-CABG. Aims: To investigate the dose-effect of an exercise inpatient program performed once or twice-daily on cardiac autonomic modulation post-CABG. Design: Prospective trial with a quasi-experimental design. Methods: Thirty patients of both sexes with a diagnosis of coronary heart disease and first-time post-CABG were allocated in a non-random manner into GEX1 (n = 10) and GEX2 (n = 10), composed of patients engaged in one and two daily exercise sessions plus usual care (breathing exercises, education with no systematized mobilization exercise program), respectively; and control group (CG, n = 10), composed of those who only received usual care. Patients underwent a mobilization protocol until discharge, which included a progressive five steps of active-assistive exercises of lower/upper limbs. Heart rate (HR) and R-wave intervals (RRi) were recorded by heart rate monitor at basal condition and discharge time. CAM was assessed by heart rate variability (HRV). Results: At discharge, the higher-dose group (GEX2) showed significant higher values of: parasympathetic (RMSSD: 7.9±1.3 ms vs 4.6±0.4 ms) and overall CAM indexes (STD RR: 7.5±1.1 ms vs 4.8±0.5 ms and TINN (38±6.4 ms vs 23±2.8 ms) compared with CG, respectively. In addition, mean HR (GEX2: 88.1 ±12.3 bpm; GEX1: 79.4±5.7 bpm, CG: 100.4±10.1 bpm) and mean RR (GEX2: 694.0±101.8 bpm; GEX1: 759.1±57.0 bpm, CG: 602.8±59.1 bpm) were different to exercise groups compared to controls regardless dosage. However, there was no significant difference between the exercise groups (GEX1 and GEX2). Conclusions: Regardless dosage, post-CABG patients who engaged in a mobilization-exercise program demonstrated better cardiac autonomic modulation at discharge compared with the control group. The results are encouraging further investigation in the field of in-hospital exercise rehabilitation dosage on cardiac autonomic modulation in a","PeriodicalId":164984,"journal":{"name":"Cardiorespiratory Physiotherapy, Critical Care and Rehabilitation","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121305889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disease-related knowledge, health behaviours and clinical outcomes following an educational intervention in patients with diabetes according to their health literacy level: a systematic review","authors":"G. Chaves, R. Britto, P. Oh, G. Ghisi","doi":"10.4322/2675-9977.cpcr.42809","DOIUrl":"https://doi.org/10.4322/2675-9977.cpcr.42809","url":null,"abstract":"Background: The effectiveness of education programs designed to improve disease-related knowledge and change behaviours in people with diabetes has been established. Low health literacy (HL) is considered a barrier to improving health outcomes in people with diabetes. The evidence of the effects of education programs considering HL levels in diabetes has not been previously systematically reviewed. Aim: This systematic review aimed to verify the impact of education on patients’ knowledge, health behaviour change and clinical outcomes in patients with diabetes with low and marginal Health Literacy (HL). Methods: A literature search of electronic databases was conducted for published articles from database inception to April 2020. Eligible articles included assessment of HL, disease-related knowledge, health behaviours (physical activity, diet, smoking cessation, medication adherence, self-care), and clinical outcomes (diabetes management based on A1C values, self-efficacy, perceived susceptibility of complications, self-reported medical care, patient activation, and diabetes-related distress) in diabetes patients that receive any type of education intervention. Results: Overall, 8 articles were included, of which 4 (50%) were RCTs. Four studies were considered “fair” quality. The most used screening instrument to assess HL was the Test of Functional Health Literacy in Adults short form (S-TOFHLA; n=5, 62.5%). All studies showed improvement in disease-related knowledge and behaviour after an education program, regardless of HL level. The overall quality of the evidence of the studies was graded as low to very low according to the GRADE scale. Included studies differed substantially in their education programs characteristics, such as mode of delivery and intervention content. Conclusion: Educational interventions can improve knowledge, change behaviour and improve clinical outcomes of diabetic patients with low or marginal health literacy.","PeriodicalId":164984,"journal":{"name":"Cardiorespiratory Physiotherapy, Critical Care and Rehabilitation","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122025270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can diaphragmatic mobility be measured by chest wall volumes?","authors":"Tarcila Dal Pont, Jéssica Canizelli Gonçalez, Carolina Luana Mello, D. Francisco, Catherine Corrêa Peruzzolo, Dayane Montemezzo, Danielle Soares Rocha Vieira, E. Paulin","doi":"10.4322/2675-9977.cpcr.42579","DOIUrl":"https://doi.org/10.4322/2675-9977.cpcr.42579","url":null,"abstract":"e do Esporte – CEFID, Florianópolis, SC, Brasil Abstract Background : The evaluation of the diaphragm muscle is important in clinical practice as a way to investigate its relationship with lung volumes. This allows the knowledge of pulmonary variations via different equipment, enabling the accessibility of the ventilatory evaluation. Objective : To investigate the relationship between chest wall volumes and diaphragmatic mobility in the sitting position and dorsal decubitus at 30° of trunk inclination. Methods : 40 participants of both sexes, aged between 20 and 50 years, were submitted to measurements of volume changes in three chest wall compartments by optoelectronic plethysmography. Diaphragmatic mobility (DM) was assessed by ultrasonography. Statistical analysis: univariate analysis was performed using Spearman´s rank correlation, followed by linear regression to determine the influence of lung volume changes in each compartment on DM. Significance was set at ≤5%. Results : DM was correlated with the volume of the abdominal rib cage (Vrca) at 30° (r=0.33, p=0.03) and with abdominal volume (Vab) in both sitting position and at 30° inclination, respectively (r=0.62, p<0.001; r=0.61, p<0.001). However, in multivariate analysis, Vab contributed to 68% and 50% of DM variance while sitting and at 30º, respectively. Conclusion : Abdominal volume (Vab) can be used as an indirect measure of DM in men and women in the sitting position and at","PeriodicalId":164984,"journal":{"name":"Cardiorespiratory Physiotherapy, Critical Care and Rehabilitation","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121757587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multi-level barriers faced and lessons learned to conduct a randomized controlled trial in patients with diabetes and prediabetes during the COVID-19 pandemic in Brazil","authors":"Lilian Pinto da Silva, M. B. Seixas, Ana Paula Delgado Bomtempo Batalha, Isabela Coelho Ponciano, P. Oh, Gabriela L. M. Ghisi","doi":"10.4322/2675-9977.cpcr.42516","DOIUrl":"https://doi.org/10.4322/2675-9977.cpcr.42516","url":null,"abstract":"This an Open Access article published and distributed under a Creative Commons Attribution NonComercial ShareAlike License which permits unrestricted non-commercial use, distribution, and reproduction in any medium provided the original work is properly cited and is not represented as endorsing the use made of the work. Further, any new works must be made available under the same license. Multi-level barriers faced and lessons learned to conduct a randomized controlled trial in patients with diabetes and prediabetes during the COVID-19 pandemic in Brazil","PeriodicalId":164984,"journal":{"name":"Cardiorespiratory Physiotherapy, Critical Care and Rehabilitation","volume":"04 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129878153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of heart rate variability and accelerometry in patients following surgery for the treatment of gastrointestinal cancer","authors":"Maria Cláudia Valente Almeida, Débora Carolina Santos do Nascimento, Laura Maria Tomazi Neves, J. Dias, A. A. C. Silva, L. L. Bastos, Saul Rassy Carneiro","doi":"10.4322/2675-9977.cpcr.42568","DOIUrl":"https://doi.org/10.4322/2675-9977.cpcr.42568","url":null,"abstract":"Background: Gastrointestinal cancer is the most prevalent form of cancer worldwide. Surgical treatment interferes with functionality and increases the length of hospital stay. However, studies have shown that early mobilization reduces the length of hospital stay. Aim: To determine the cardiovascular safety and intensity of an adapted protocol for early mobilization in patients following surgery for the treatment of gastrointestinal cancer. Methods: An observational, cross-sectional study was conducted with 24 individuals: 15 in the case group (cancer patients in the post-operative period) and nine in the control group (hospitalized patients without cancer). All participants were submitted to a standardized early mobilization physiotherapeutic protocol. A portable heart rate monitor and accelerometer were used to obtain data on heart rate variability (HRV), analyzing the variables ‘interval between consecutive beats’ (RR), ‘mean heart rate’ (HR), ‘standard deviation from mean of all normal RR intervals’ (SDNN), ‘square root of mean of square of differences between consecutive RR intervals’ (RMSSD), ‘number of RR intervals’ (NN50) and ‘percentage of adjacent RR intervals with difference in duration greater than 50 ms’ (pNN50), and the intensity of physical activity (IPA), analyzing metabolic equivalents (METS), before and after the intervention. Data analysis involved the Student’s t-test for the comparison of data with parametric distribution and the Mann-Whitney U test for variables with non-parametric distribution. Results: No statistically significant differences in energy expenditure or IPA percentages were found between groups. Moreover, no significant difference in HRV occurred in the case group, whereas differences in RR, HR and pNN50 variables were found in the control group. Conclusions: Early mobilization for patients following surgery for the treatment of gastrointestinal cancer can be performed without increasing HRV and with energy expenditure and IPA similar to those found in patients without cancer.","PeriodicalId":164984,"journal":{"name":"Cardiorespiratory Physiotherapy, Critical Care and Rehabilitation","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117090331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}