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A Cycle Ergometer Exercise Program Improves Exercise Capacity and Inspiratory Muscle Function in Hospitalized Patients Awaiting Heart Transplantation: a Pilot Study

OBJECTIVE: The purpose of this study was to evaluate the effect of a cycle ergometer exercise program on exercise capacity and inspiratory muscle function in hospitalized patients with heart failure awaiting heart transplantation with intravenous inotropic support. METHODS: Patients awaiting heart t...

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Autores principales: Forestieri, Patrícia, Guizilini, Solange, Peres, Monique, Bublitz, Caroline, Bolzan, Douglas W., Rocco, Isadora S., Santos, Vinícius B., Moreira, Rita Simone L., Breda, João R., de Almeida, Dirceu R., Carvalho, Antonio Carlos de C., Arena, Ross, Gomes, Walter J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cirurgia Cardiovascular 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5144561/
https://www.ncbi.nlm.nih.gov/pubmed/27982348
http://dx.doi.org/10.5935/1678-9741.20160078
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author Forestieri, Patrícia
Guizilini, Solange
Peres, Monique
Bublitz, Caroline
Bolzan, Douglas W.
Rocco, Isadora S.
Santos, Vinícius B.
Moreira, Rita Simone L.
Breda, João R.
de Almeida, Dirceu R.
Carvalho, Antonio Carlos de C.
Arena, Ross
Gomes, Walter J.
author_facet Forestieri, Patrícia
Guizilini, Solange
Peres, Monique
Bublitz, Caroline
Bolzan, Douglas W.
Rocco, Isadora S.
Santos, Vinícius B.
Moreira, Rita Simone L.
Breda, João R.
de Almeida, Dirceu R.
Carvalho, Antonio Carlos de C.
Arena, Ross
Gomes, Walter J.
author_sort Forestieri, Patrícia
collection PubMed
description OBJECTIVE: The purpose of this study was to evaluate the effect of a cycle ergometer exercise program on exercise capacity and inspiratory muscle function in hospitalized patients with heart failure awaiting heart transplantation with intravenous inotropic support. METHODS: Patients awaiting heart transplantation were randomized and allocated prospectively into two groups: 1) Control Group (n=11) - conventional protocol; and 2) Intervention Group (n=7) - stationary cycle ergometer exercise training. Functional capacity was measured by the six-minute walk test and inspiratory muscle strength assessed by manovacuometry before and after the exercise protocols. RESULTS: Both groups demonstrated an increase in six-minute walk test distance after the experimental procedure compared to baseline; however, only the intervention group had a significant increase (P=0.08 and P=0.001 for the control and intervention groups, respectively). Intergroup comparison revealed a greater increase in the intervention group compared to the control (P<0.001). Regarding the inspiratory muscle strength evaluation, the intragroup analysis demonstrated increased strength after the protocols compared to baseline for both groups; statistical significance was only demonstrated for the intervention group, though (P=0.22 and P<0.01, respectively). Intergroup comparison showed a significant increase in the intervention group compared to the control (P<0.01). CONCLUSION: Stationary cycle ergometer exercise training shows positive results on exercise capacity and inspiratory muscle strength in patients with heart failure awaiting cardiac transplantation while on intravenous inotropic support.
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spelling pubmed-51445612016-12-09 A Cycle Ergometer Exercise Program Improves Exercise Capacity and Inspiratory Muscle Function in Hospitalized Patients Awaiting Heart Transplantation: a Pilot Study Forestieri, Patrícia Guizilini, Solange Peres, Monique Bublitz, Caroline Bolzan, Douglas W. Rocco, Isadora S. Santos, Vinícius B. Moreira, Rita Simone L. Breda, João R. de Almeida, Dirceu R. Carvalho, Antonio Carlos de C. Arena, Ross Gomes, Walter J. Braz J Cardiovasc Surg Original Articles OBJECTIVE: The purpose of this study was to evaluate the effect of a cycle ergometer exercise program on exercise capacity and inspiratory muscle function in hospitalized patients with heart failure awaiting heart transplantation with intravenous inotropic support. METHODS: Patients awaiting heart transplantation were randomized and allocated prospectively into two groups: 1) Control Group (n=11) - conventional protocol; and 2) Intervention Group (n=7) - stationary cycle ergometer exercise training. Functional capacity was measured by the six-minute walk test and inspiratory muscle strength assessed by manovacuometry before and after the exercise protocols. RESULTS: Both groups demonstrated an increase in six-minute walk test distance after the experimental procedure compared to baseline; however, only the intervention group had a significant increase (P=0.08 and P=0.001 for the control and intervention groups, respectively). Intergroup comparison revealed a greater increase in the intervention group compared to the control (P<0.001). Regarding the inspiratory muscle strength evaluation, the intragroup analysis demonstrated increased strength after the protocols compared to baseline for both groups; statistical significance was only demonstrated for the intervention group, though (P=0.22 and P<0.01, respectively). Intergroup comparison showed a significant increase in the intervention group compared to the control (P<0.01). CONCLUSION: Stationary cycle ergometer exercise training shows positive results on exercise capacity and inspiratory muscle strength in patients with heart failure awaiting cardiac transplantation while on intravenous inotropic support. Sociedade Brasileira de Cirurgia Cardiovascular 2016 /pmc/articles/PMC5144561/ /pubmed/27982348 http://dx.doi.org/10.5935/1678-9741.20160078 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Forestieri, Patrícia
Guizilini, Solange
Peres, Monique
Bublitz, Caroline
Bolzan, Douglas W.
Rocco, Isadora S.
Santos, Vinícius B.
Moreira, Rita Simone L.
Breda, João R.
de Almeida, Dirceu R.
Carvalho, Antonio Carlos de C.
Arena, Ross
Gomes, Walter J.
A Cycle Ergometer Exercise Program Improves Exercise Capacity and Inspiratory Muscle Function in Hospitalized Patients Awaiting Heart Transplantation: a Pilot Study
title A Cycle Ergometer Exercise Program Improves Exercise Capacity and Inspiratory Muscle Function in Hospitalized Patients Awaiting Heart Transplantation: a Pilot Study
title_full A Cycle Ergometer Exercise Program Improves Exercise Capacity and Inspiratory Muscle Function in Hospitalized Patients Awaiting Heart Transplantation: a Pilot Study
title_fullStr A Cycle Ergometer Exercise Program Improves Exercise Capacity and Inspiratory Muscle Function in Hospitalized Patients Awaiting Heart Transplantation: a Pilot Study
title_full_unstemmed A Cycle Ergometer Exercise Program Improves Exercise Capacity and Inspiratory Muscle Function in Hospitalized Patients Awaiting Heart Transplantation: a Pilot Study
title_short A Cycle Ergometer Exercise Program Improves Exercise Capacity and Inspiratory Muscle Function in Hospitalized Patients Awaiting Heart Transplantation: a Pilot Study
title_sort cycle ergometer exercise program improves exercise capacity and inspiratory muscle function in hospitalized patients awaiting heart transplantation: a pilot study
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5144561/
https://www.ncbi.nlm.nih.gov/pubmed/27982348
http://dx.doi.org/10.5935/1678-9741.20160078
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