Inclusion Criteria:  Patients submitted to elective cardiac surgery (valvular or coronary bypass surgery by sternotomy) Both male and female a score of 15 on the Glasgow Coma Scale musculoskeletal, and cardiopulmonary conditions suitable for the accomplishment of the proposed activities absence of neurological sequelae and/or neurodegenerative diseases  Exclusion Criteria:  Those who had difficulty understanding the activities involved in the study. those with any motor or neurological impairment that would prevent them from using a cycle ergometer. those who discontinued the protocol on the ward for return to the ICU previous cardiac surgeries hemodynamic instability that prevented protocol performance breathing discomfort invasive ventilatory support oxygen saturation below 90% (even with complementary oxygen therapy) coagulation disorders infections in any of the systems nonperformance of the whole protocol