A cycle ergometer exercise program improves exercise capacity and inspiratory muscle function in hospitalized patients awaiting heart transplantation: a pilot study

• Autor(a) principal: Forestieri, Patricia [UNIFESP]
• Data de Publicação: 2016
• Outros Autores: Guizilini, Solange [UNIFESP], Peres, Monique [UNIFESP], Bublitz, Caroline [UNIFESP], Bolzan, Douglas Willian [UNIFESP], Rocco, Isadora Salvador [UNIFESP], Santos, Vinicius Batista [UNIFESP], Moreira, Rita Simone Lopes [UNIFESP], Breda, João Roberto [UNIFESP], Almeida, Dirceu Rodrigues de [UNIFESP], Carvalho, Antonio Carlos de Camargo [UNIFESP], Arena, Ross, Gomes, Walter José [UNIFESP]
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: https://repositorio.unifesp.br/handle/11600/49314; https://cdn.publisher.gn1.link/bjcvs.org/pdf/v31n5a10.pdf
• topic: Heart Failure; Heart Transplantation; Respiratory Mechanics; Muscle Strength/(Star)Physiology; Respiratory Therapy/(Star)MethodsFailure; Abnormalities

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.