Evidence derived from small trials suggests that preoperative physical therapy reduces postoperative pulmonary complications ( atelectasis and pneumonia ) and length of hospital stay in patients undergoing elective cardiac surgery .
There is a lack of evidence that preoperative physical therapy reduces postoperative pneumothorax , prolonged mechanical ventilation or all-cause deaths
BACKGROUND After cardiac surgery , physical therapy is a routine procedure delivered with the aim of preventing postoperative pulmonary complications .
OBJECTIVES To determine if preoperative physical therapy with an exercise component can prevent postoperative pulmonary complications in cardiac surgery patients , and to evaluate which type of patient benefits and which type of physical therapy is most effective .
Short-term effects of inspiratory muscle training in coronary artery bypass graft surgery: A randomized controlled trial
Abstract Objective . To investigate the efficiency of inspiratory muscle training ( IMT ) on postoperative respiratory muscle strength , functional capacity , quality of life , and psychosocial status in patients with coronary artery bypass graft ( CABG ) surgery . Design . Forty-three patients undergoing CABG surgery were r and omly assigned to the one of two groups . All subjects received usual care . In addition , subjects in the intervention group received IMT training pre- and postoperatively . Pulmonary function testing , six minute walk test ( 6MWT ) , quality of life and psychosocial parameters were assessed preoperatively and the fifth day after the surgery . Results . The mean inspiratory muscle strength increased from 82.64 cmH2O at baseline to 95.45 cmH2O five days postoperatively in the intervention group . The intervention group ( 319.55 ± 72.17 m before and 387.91 ± 65.69 m after surgery ) covered further distance during the 6MWT than usual care ( 355.43 ± 56.08 m before and 357.69 ± 43.42 m after surgery ) . The improvement in quality of life was greater in the intervention group for the dimension of sleep . The anxiety scores were significantly lower in the intervention group than the usual care group . The length of intensive care unit stay was significantly shorter in the intervention group than the usual care group ( p < 0.05 ) . Conclusion . IMT results in faster recovery of inspiratory muscle strength , functional capacity , intensive care unit stay , quality of life and psychosocial status after CABG
Evidence derived from small trials suggests that preoperative physical therapy reduces postoperative pulmonary complications ( atelectasis and pneumonia ) and length of hospital stay in patients undergoing elective cardiac surgery .
There is a lack of evidence that preoperative physical therapy reduces postoperative pneumothorax , prolonged mechanical ventilation or all-cause deaths
BACKGROUND After cardiac surgery , physical therapy is a routine procedure delivered with the aim of preventing postoperative pulmonary complications .
OBJECTIVES To determine if preoperative physical therapy with an exercise component can prevent postoperative pulmonary complications in cardiac surgery patients , and to evaluate which type of patient benefits and which type of physical therapy is most effective .