Dalyla Jhenifer Gomes Da Silva , Dalila Oliveira Martins , Kailaine Foschiani Egídio , Lilian Cristine Assunção Carneiro , Ludmila Santos da Silva Santana , André Raimundo França Guimarães , André Luiz Lisboa Cordeiro
{"title":"物理治疗指导对冠状动脉旁路移植术后功能独立性和生活质量的影响:临床试验","authors":"Dalyla Jhenifer Gomes Da Silva , Dalila Oliveira Martins , Kailaine Foschiani Egídio , Lilian Cristine Assunção Carneiro , Ludmila Santos da Silva Santana , André Raimundo França Guimarães , André Luiz Lisboa Cordeiro","doi":"10.1016/j.jbmt.2025.06.032","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>Patients undergoing coronary artery bypass graft(CABG) are exposed to a decline in functional capacity, increasing the risk of pulmonary complications, worsening the quality of life. Often, this decline is associated with not understanding the activities that can be performed postoperatively. In this scenario, orienting patients can be an effective strategy.</div></div><div><h3>Objective</h3><div>To evaluate the impact of physiotherapy guidance on functional capacity, functionality, postoperative complications and quality of life.</div></div><div><h3>Methods</h3><div>This is a randomized controlled trial. Preoperatively and at hospital discharge patients had their functional capacity assessed by the 6-min walk test(6MWT), functionality by the functional independence measure(FIM), sit and stand test(SST), quality of life by the SF-36 and postoperative pulmonary complications. The patients were to either the Guidance Group(GO) or the Control Group(CG). During their hospital stay, patients in the orientation group received verbal guidance and later a booklet containing instructions to raise awareness about their conditions and how to prevent immobility by becoming active during their hospital stay.</div></div><div><h3>Results</h3><div>Were evaluated with 57 in each group. The GO had superiority in 6MWT95 %CI46(25.53–66.47) meters FIM12(9.30–14.70), SST-2(-4.31to-1.69) seconds when compared to the preoperative value at hospital discharge. The quality of life showed no difference between the groups. Regarding postoperative pulmonary complications, the guidance group had a lower rate of atelectasis 15(26 %) in GO group versus 26(46 %) in CG(p = 0.02).</div></div><div><h3>Conclusion</h3><div>Postoperative physiotherapeutic guidance was effective in reducing the loss of functional capacity, functionality and the atelectasis rate. On the other hand, quality of life and other complications had no difference.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"44 ","pages":"Pages 708-713"},"PeriodicalIF":1.4000,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Physiotherapeutic guidance on functional independence and quality of life after coronary artery bypass grafting: Clinical trial\",\"authors\":\"Dalyla Jhenifer Gomes Da Silva , Dalila Oliveira Martins , Kailaine Foschiani Egídio , Lilian Cristine Assunção Carneiro , Ludmila Santos da Silva Santana , André Raimundo França Guimarães , André Luiz Lisboa Cordeiro\",\"doi\":\"10.1016/j.jbmt.2025.06.032\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><div>Patients undergoing coronary artery bypass graft(CABG) are exposed to a decline in functional capacity, increasing the risk of pulmonary complications, worsening the quality of life. Often, this decline is associated with not understanding the activities that can be performed postoperatively. In this scenario, orienting patients can be an effective strategy.</div></div><div><h3>Objective</h3><div>To evaluate the impact of physiotherapy guidance on functional capacity, functionality, postoperative complications and quality of life.</div></div><div><h3>Methods</h3><div>This is a randomized controlled trial. Preoperatively and at hospital discharge patients had their functional capacity assessed by the 6-min walk test(6MWT), functionality by the functional independence measure(FIM), sit and stand test(SST), quality of life by the SF-36 and postoperative pulmonary complications. The patients were to either the Guidance Group(GO) or the Control Group(CG). During their hospital stay, patients in the orientation group received verbal guidance and later a booklet containing instructions to raise awareness about their conditions and how to prevent immobility by becoming active during their hospital stay.</div></div><div><h3>Results</h3><div>Were evaluated with 57 in each group. The GO had superiority in 6MWT95 %CI46(25.53–66.47) meters FIM12(9.30–14.70), SST-2(-4.31to-1.69) seconds when compared to the preoperative value at hospital discharge. The quality of life showed no difference between the groups. Regarding postoperative pulmonary complications, the guidance group had a lower rate of atelectasis 15(26 %) in GO group versus 26(46 %) in CG(p = 0.02).</div></div><div><h3>Conclusion</h3><div>Postoperative physiotherapeutic guidance was effective in reducing the loss of functional capacity, functionality and the atelectasis rate. 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Physiotherapeutic guidance on functional independence and quality of life after coronary artery bypass grafting: Clinical trial
Introduction
Patients undergoing coronary artery bypass graft(CABG) are exposed to a decline in functional capacity, increasing the risk of pulmonary complications, worsening the quality of life. Often, this decline is associated with not understanding the activities that can be performed postoperatively. In this scenario, orienting patients can be an effective strategy.
Objective
To evaluate the impact of physiotherapy guidance on functional capacity, functionality, postoperative complications and quality of life.
Methods
This is a randomized controlled trial. Preoperatively and at hospital discharge patients had their functional capacity assessed by the 6-min walk test(6MWT), functionality by the functional independence measure(FIM), sit and stand test(SST), quality of life by the SF-36 and postoperative pulmonary complications. The patients were to either the Guidance Group(GO) or the Control Group(CG). During their hospital stay, patients in the orientation group received verbal guidance and later a booklet containing instructions to raise awareness about their conditions and how to prevent immobility by becoming active during their hospital stay.
Results
Were evaluated with 57 in each group. The GO had superiority in 6MWT95 %CI46(25.53–66.47) meters FIM12(9.30–14.70), SST-2(-4.31to-1.69) seconds when compared to the preoperative value at hospital discharge. The quality of life showed no difference between the groups. Regarding postoperative pulmonary complications, the guidance group had a lower rate of atelectasis 15(26 %) in GO group versus 26(46 %) in CG(p = 0.02).
Conclusion
Postoperative physiotherapeutic guidance was effective in reducing the loss of functional capacity, functionality and the atelectasis rate. On the other hand, quality of life and other complications had no difference.
期刊介绍:
The Journal of Bodywork and Movement Therapies brings you the latest therapeutic techniques and current professional debate. Publishing highly illustrated articles on a wide range of subjects this journal is immediately relevant to everyday clinical practice in private, community and primary health care settings. Techiques featured include: • Physical Therapy • Osteopathy • Chiropractic • Massage Therapy • Structural Integration • Feldenkrais • Yoga Therapy • Dance • Physiotherapy • Pilates • Alexander Technique • Shiatsu and Tuina