Impacto da mobilização passiva como estratégia reabilitadora na função endotelial de pacientes críticos com diagnóstico de sepse
Autor(a) principal: | |
---|---|
Data de Publicação: | 2018 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFSCAR |
Texto Completo: | https://repositorio.ufscar.br/handle/ufscar/11904 |
Resumo: | Endothelial dysfunction (ED) plays a key role in the pathogenesis of sepsis and the exercise stimulus influence the vascular endothelium. As a rehabilitative strategy, early mobilization is beneficial when performed in critically ill patients. However, there is still a lack of evidence regarding the acute effects of passive mobilization (PM) on endothelial function (EF). Objective: to investigate EF response after a protocol of PM in patients with sepsis. Methods: 25 patients diagnosed with sepsis and septic shock, admitted to an intensive care unit participated in the study. EF was assessed by flow-mediated dilatation (FMD) of the brachial artery before and immediately after the PM protocol, considering relative, absolute and normalized FMD variables. The peak flow velocity at baseline and during reactive hyperemia (RH) and the shear rate were also considered. The PM protocol consisted of 3 sets of 10 repetitions of mobilization of the following joints: ankles, knees, hips, wrists, elbows and shoulders. The paired t-test was used for the comparisons with p <0.05. Results: The relative FMD increased after performing the PM (5.07±8.97% to 17.07±8.08%, respectively) (p <0.001). Similarly, absolute (0.17±0.31mm to 0.57±0.22mm) and normalized FMD (0.0013±0.0031mm/s to 0.0024±0.0015mm/s) also showed higher values after PM. The peak flow velocity after RH (71.85±29.34cm/s to 95.32±32.28cm/s) and the shear rate (210.82±110.43s to 288.48±140.88s) were also higher after PM (p <0.001). Conclusion: The stimulation of passive mobilization as a rehabilitation strategy applied to critical patients with a diagnosis of sepsis was able to increase acute endothelial function. |
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Silva, Tamara Rodrigues daMendes, Renata Gonçalveshttp://lattes.cnpq.br/9634590922242052Olenscki, Daniela Kuguimoto Andakuhttp://lattes.cnpq.br/4549550283590627http://lattes.cnpq.br/801251546876780492ab472b-d859-423a-9678-c256baff4d622019-09-30T11:38:25Z2019-09-30T11:38:25Z2018-02-06SILVA, Tamara Rodrigues da. Impacto da mobilização passiva como estratégia reabilitadora na função endotelial de pacientes críticos com diagnóstico de sepse. 2018. Dissertação (Mestrado em Fisioterapia) – Universidade Federal de São Carlos, São Carlos, 2018. Disponível em: https://repositorio.ufscar.br/handle/ufscar/11904.https://repositorio.ufscar.br/handle/ufscar/11904Endothelial dysfunction (ED) plays a key role in the pathogenesis of sepsis and the exercise stimulus influence the vascular endothelium. As a rehabilitative strategy, early mobilization is beneficial when performed in critically ill patients. However, there is still a lack of evidence regarding the acute effects of passive mobilization (PM) on endothelial function (EF). Objective: to investigate EF response after a protocol of PM in patients with sepsis. Methods: 25 patients diagnosed with sepsis and septic shock, admitted to an intensive care unit participated in the study. EF was assessed by flow-mediated dilatation (FMD) of the brachial artery before and immediately after the PM protocol, considering relative, absolute and normalized FMD variables. The peak flow velocity at baseline and during reactive hyperemia (RH) and the shear rate were also considered. The PM protocol consisted of 3 sets of 10 repetitions of mobilization of the following joints: ankles, knees, hips, wrists, elbows and shoulders. The paired t-test was used for the comparisons with p <0.05. Results: The relative FMD increased after performing the PM (5.07±8.97% to 17.07±8.08%, respectively) (p <0.001). Similarly, absolute (0.17±0.31mm to 0.57±0.22mm) and normalized FMD (0.0013±0.0031mm/s to 0.0024±0.0015mm/s) also showed higher values after PM. The peak flow velocity after RH (71.85±29.34cm/s to 95.32±32.28cm/s) and the shear rate (210.82±110.43s to 288.48±140.88s) were also higher after PM (p <0.001). Conclusion: The stimulation of passive mobilization as a rehabilitation strategy applied to critical patients with a diagnosis of sepsis was able to increase acute endothelial function.A disfunção endotelial (DE) desempenha um papel fundamental na patogênese da sepse e o estímulo do exercício exerce influência no endotélio vascular. Como estratégia reabilitadora, a mobilização precoce é benéfica quando realizada em doentes críticos. Porém, ainda se carece de evidência quanto aos efeitos agudos da mobilização passiva (MP) sobre a função endotelial (FE). Objetivo: investigar a resposta da FE após um protocolo de mobilização passiva em pacientes com sepse. Métodos: participaram do estudo, 25 pacientes com diagnóstico de sepse e choque séptico, internados em uma unidade de terapia intensiva. A FE foi avaliada pelo método da dilatação mediada pelo fluxo (DMF) da artéria braquial antes e imediatamente após o protocolo de MP considerando as variáveis de DMF relativa, absoluta e normalizada. A velocidade do pico de fluxo basal e durante a hiperemia reativa (HR) e o shear-rate também foram consideradas. O protocolo de MP consistiu em 3 séries de 10 repetições de mobilização das articulações: tornozelos, joelhos, quadris, punhos, cotovelos e ombros. Utilizou-se o teste t pareado para as comparações, p <0,05. Resultados: A DMF relativa aumentou após a realização da MP (5,07±8,97% para 17,07±8,08%) (p <0,001). De maneira similar, a DMF absoluta (0,17±0,31mm para 0,57±0,22mm) e normalizada (0,0013±0,0031mm/s para 0,0024±0,0015mm/s) também mostraram maiores valores após a MP. A velocidade do pico de fluxo após a HR (71,85±29,34cm/s para 95,32±32,28cm/s) e o shear-rate (210,82±110,43s para 288,48±140,88s) também aumentaram após a MP (p < 0,001). Conclusão: O estímulo da mobilização passiva como estratégia reabilitadora, aplicado aos pacientes críticos com diagnóstico de sepse, foi capaz de estimular e aumentar agudamente a função endotelial.Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)CNPq: Projeto Universal Nº 428073/2016-6porUniversidade Federal de São CarlosCâmpus São CarlosPrograma de Pós-Graduação em Fisioterapia - PPGFtUFSCarSepseFunção endotelialDilatação mediada pelo fluxoMobilização passivaEndothelial functionSepsisFlow-mediated dilationPassive mobilizationCIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONALImpacto da mobilização passiva como estratégia reabilitadora na função endotelial de pacientes críticos com diagnóstico de sepseEarly passive mobilization increases vascular endothelium function in critically ill patients with sepsis in ICU.info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisOnline600600da66150a-7d7a-490b-8123-0ee997a3c433info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFSCARinstname:Universidade Federal de São Carlos (UFSCAR)instacron:UFSCARORIGINALDissertação Tamara Rodrigues da Silva.pdfDissertação Tamara Rodrigues da Silva.pdfapplication/pdf915106https://repositorio.ufscar.br/bitstream/ufscar/11904/7/Disserta%c3%a7%c3%a3o%20Tamara%20Rodrigues%20da%20Silva.pdf0fccf9c945b1bf8f0af13d171c41ac1fMD57carta-comprovanteLOGOdosPPGs (1)-signed.pdfcarta-comprovanteLOGOdosPPGs (1)-signed.pdfCarta comprovanteapplication/pdf512750https://repositorio.ufscar.br/bitstream/ufscar/11904/3/carta-comprovanteLOGOdosPPGs%20%281%29-signed.pdf95cf57b8dd40a55615c0fe19c5cccba4MD53LICENSElicense.txtlicense.txttext/plain; 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dc.title.por.fl_str_mv |
Impacto da mobilização passiva como estratégia reabilitadora na função endotelial de pacientes críticos com diagnóstico de sepse |
dc.title.alternative.eng.fl_str_mv |
Early passive mobilization increases vascular endothelium function in critically ill patients with sepsis in ICU. |
title |
Impacto da mobilização passiva como estratégia reabilitadora na função endotelial de pacientes críticos com diagnóstico de sepse |
spellingShingle |
Impacto da mobilização passiva como estratégia reabilitadora na função endotelial de pacientes críticos com diagnóstico de sepse Silva, Tamara Rodrigues da Sepse Função endotelial Dilatação mediada pelo fluxo Mobilização passiva Endothelial function Sepsis Flow-mediated dilation Passive mobilization CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
title_short |
Impacto da mobilização passiva como estratégia reabilitadora na função endotelial de pacientes críticos com diagnóstico de sepse |
title_full |
Impacto da mobilização passiva como estratégia reabilitadora na função endotelial de pacientes críticos com diagnóstico de sepse |
title_fullStr |
Impacto da mobilização passiva como estratégia reabilitadora na função endotelial de pacientes críticos com diagnóstico de sepse |
title_full_unstemmed |
Impacto da mobilização passiva como estratégia reabilitadora na função endotelial de pacientes críticos com diagnóstico de sepse |
title_sort |
Impacto da mobilização passiva como estratégia reabilitadora na função endotelial de pacientes críticos com diagnóstico de sepse |
author |
Silva, Tamara Rodrigues da |
author_facet |
Silva, Tamara Rodrigues da |
author_role |
author |
dc.contributor.authorlattes.por.fl_str_mv |
http://lattes.cnpq.br/8012515468767804 |
dc.contributor.author.fl_str_mv |
Silva, Tamara Rodrigues da |
dc.contributor.advisor1.fl_str_mv |
Mendes, Renata Gonçalves |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/9634590922242052 |
dc.contributor.advisor-co1.fl_str_mv |
Olenscki, Daniela Kuguimoto Andaku |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/4549550283590627 |
dc.contributor.authorID.fl_str_mv |
92ab472b-d859-423a-9678-c256baff4d62 |
contributor_str_mv |
Mendes, Renata Gonçalves Olenscki, Daniela Kuguimoto Andaku |
dc.subject.por.fl_str_mv |
Sepse Função endotelial Dilatação mediada pelo fluxo Mobilização passiva |
topic |
Sepse Função endotelial Dilatação mediada pelo fluxo Mobilização passiva Endothelial function Sepsis Flow-mediated dilation Passive mobilization CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
dc.subject.eng.fl_str_mv |
Endothelial function Sepsis Flow-mediated dilation Passive mobilization |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
description |
Endothelial dysfunction (ED) plays a key role in the pathogenesis of sepsis and the exercise stimulus influence the vascular endothelium. As a rehabilitative strategy, early mobilization is beneficial when performed in critically ill patients. However, there is still a lack of evidence regarding the acute effects of passive mobilization (PM) on endothelial function (EF). Objective: to investigate EF response after a protocol of PM in patients with sepsis. Methods: 25 patients diagnosed with sepsis and septic shock, admitted to an intensive care unit participated in the study. EF was assessed by flow-mediated dilatation (FMD) of the brachial artery before and immediately after the PM protocol, considering relative, absolute and normalized FMD variables. The peak flow velocity at baseline and during reactive hyperemia (RH) and the shear rate were also considered. The PM protocol consisted of 3 sets of 10 repetitions of mobilization of the following joints: ankles, knees, hips, wrists, elbows and shoulders. The paired t-test was used for the comparisons with p <0.05. Results: The relative FMD increased after performing the PM (5.07±8.97% to 17.07±8.08%, respectively) (p <0.001). Similarly, absolute (0.17±0.31mm to 0.57±0.22mm) and normalized FMD (0.0013±0.0031mm/s to 0.0024±0.0015mm/s) also showed higher values after PM. The peak flow velocity after RH (71.85±29.34cm/s to 95.32±32.28cm/s) and the shear rate (210.82±110.43s to 288.48±140.88s) were also higher after PM (p <0.001). Conclusion: The stimulation of passive mobilization as a rehabilitation strategy applied to critical patients with a diagnosis of sepsis was able to increase acute endothelial function. |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018-02-06 |
dc.date.accessioned.fl_str_mv |
2019-09-30T11:38:25Z |
dc.date.available.fl_str_mv |
2019-09-30T11:38:25Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
SILVA, Tamara Rodrigues da. Impacto da mobilização passiva como estratégia reabilitadora na função endotelial de pacientes críticos com diagnóstico de sepse. 2018. Dissertação (Mestrado em Fisioterapia) – Universidade Federal de São Carlos, São Carlos, 2018. Disponível em: https://repositorio.ufscar.br/handle/ufscar/11904. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufscar.br/handle/ufscar/11904 |
identifier_str_mv |
SILVA, Tamara Rodrigues da. Impacto da mobilização passiva como estratégia reabilitadora na função endotelial de pacientes críticos com diagnóstico de sepse. 2018. Dissertação (Mestrado em Fisioterapia) – Universidade Federal de São Carlos, São Carlos, 2018. Disponível em: https://repositorio.ufscar.br/handle/ufscar/11904. |
url |
https://repositorio.ufscar.br/handle/ufscar/11904 |
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por |
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openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de São Carlos Câmpus São Carlos |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Fisioterapia - PPGFt |
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UFSCar |
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Universidade Federal de São Carlos Câmpus São Carlos |
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