Efeitos do exercício progressivo em cicloergômetro na arquitetura muscular do quadríceps femoral de pacientes críticos: ensaio clínico randomizado
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Manancial - Repositório Digital da UFSM |
Texto Completo: | http://repositorio.ufsm.br/handle/1/20791 |
Resumo: | Muscle wasting is a commum problem in patients in intensive care unit (ICU), in this context, ciclyng exercise has been used for prevent of muscular atrophy in these patients. Considering these aspects, the purpouse of this present study is evaluate the effects that progressive ciclyng exercise on muscle architecture of quadriceps femoris in critically ill patients. Was performed a randomized clinical trial with blinded assessor. Were included patients of both genders, ≥ 18 years old, in the first 24 hours of mechanical ventilation (MV), with at a deep level of sedation and hemodynamically stable. The patients was randomly divided in control group (CG) was receive conventional physical therapy and intervention group (IG) was receive conventional physical therapy and engaging in progressive cycling exercise. Cycling exercise was realized during 30 minutes, initially in continuously and passively (classified patients with RASS – 4) and after in actively (classified patients with RASS 0). Primary outcome was muscle thickness of the quadriceps femoris. Secondary outcomes was rectus femoris cross-sectional area, vastus intermedius and rectus femoris echo intensity, peripheral muscle strength during ICU stay, gait speed and muscle strenght of the legs in hospital discharge and quality of life 3 months after hospital discharge. In the CG there were significant reduction of -0.5 cm in muscle thickness of the quadriceps femoris (p<0.005) and -2.7cm² in rectus femoris cross-sectional area (p=0.003). Rectus femoris echo intensity in patients in the CG was significantly higher when compared IG (34.9; P<0.001). Peripheral muscle strength show significant increase in the IG of 7.2 points (p<0.005) in the MRC score and CG of 4.3 points (p<0.005). There were no differences between groups in vastus intermedius echo intensity, gait speed, muscle strength of the legs and quality of life. Progressive cycling exercise preserves muscle thickness of the quadriceps femoris, rectus femoris cross-sectional area and rectus femoris muscle quality. Exercise program and conventional physical therapy preserves vastus intermedius quality and improve peripheral muscle strength in critically ill patients. |
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Efeitos do exercício progressivo em cicloergômetro na arquitetura muscular do quadríceps femoral de pacientes críticos: ensaio clínico randomizadoEffects that progressive cycling exercise have on muscle architecture of the quadriceps femoris in critically ill patients: a randomized clinical trialModalidades de fisioterapiaUnidades de terapia intensivaUltrassonografiaTerapia por exercícioDeambulação precocePhysical therapy modalitiesIntensive care unitsUltrasonographyExercise therapyEarly ambulationCNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONALMuscle wasting is a commum problem in patients in intensive care unit (ICU), in this context, ciclyng exercise has been used for prevent of muscular atrophy in these patients. Considering these aspects, the purpouse of this present study is evaluate the effects that progressive ciclyng exercise on muscle architecture of quadriceps femoris in critically ill patients. Was performed a randomized clinical trial with blinded assessor. Were included patients of both genders, ≥ 18 years old, in the first 24 hours of mechanical ventilation (MV), with at a deep level of sedation and hemodynamically stable. The patients was randomly divided in control group (CG) was receive conventional physical therapy and intervention group (IG) was receive conventional physical therapy and engaging in progressive cycling exercise. Cycling exercise was realized during 30 minutes, initially in continuously and passively (classified patients with RASS – 4) and after in actively (classified patients with RASS 0). Primary outcome was muscle thickness of the quadriceps femoris. Secondary outcomes was rectus femoris cross-sectional area, vastus intermedius and rectus femoris echo intensity, peripheral muscle strength during ICU stay, gait speed and muscle strenght of the legs in hospital discharge and quality of life 3 months after hospital discharge. In the CG there were significant reduction of -0.5 cm in muscle thickness of the quadriceps femoris (p<0.005) and -2.7cm² in rectus femoris cross-sectional area (p=0.003). Rectus femoris echo intensity in patients in the CG was significantly higher when compared IG (34.9; P<0.001). Peripheral muscle strength show significant increase in the IG of 7.2 points (p<0.005) in the MRC score and CG of 4.3 points (p<0.005). There were no differences between groups in vastus intermedius echo intensity, gait speed, muscle strength of the legs and quality of life. Progressive cycling exercise preserves muscle thickness of the quadriceps femoris, rectus femoris cross-sectional area and rectus femoris muscle quality. Exercise program and conventional physical therapy preserves vastus intermedius quality and improve peripheral muscle strength in critically ill patients.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESA perda de massa muscular é um problema frequente nos pacientes internados em Unidades de Terapia Intensiva (UTI), nesse contexto, o exercício em cicloergômetro vem sendo utilizado na profilaxia da atrofia muscular desses pacientes. Considerando esses aspectos, o propósito do presente estudo foi avaliar os efeitos do exercício progressivo em cicloergômetro na arquitetura muscular do quadríceps femoral de pacientes críticos. Dessa forma, foi conduzido um ensaio clínico randomizado, com cegamento de avaliadores de desfecho, onde os pacientes incluídos foram de ambos os sexos, ≥ 18 anos, nas primeiras 24 horas de ventilação mecânica (VM), com nível de sedação profundo e hemodinamicamente estáveis. Os pacientes foram divididos aleatoriamente em grupo controle (GC), que realizou a fisioterapia convencional e grupo intervenção (GI) caracterizado pela implementação do exercício progressivo em cicloergômetro associado à fisioterapia convencional. O exercício em cicloergômetro foi realizado durante 30 minutos, inicialmente no modo passivo (pacientes classificados em RASS – 4) e sequencialmente no modo ativo (pacientes classificados em RASS 0). O desfecho primário foi a espessura muscular do quadríceps femoral (EMQ). Os desfechos secundários foram a área de secção transversal do músculo reto femoral, a ecogenicidade dos músculos reto femoral e vasto intermédio, a força muscular periférica durante a internação na UTI, a velocidade de marcha e a força muscular de membros inferiores na alta hospitalar e a qualidade de vida 3 meses após a alta hospitalar. No GC houve redução significativa de -0,5cm na EMQ (p<0,005) e de -2,7cm² na área de secção transversal do reto femoral (p=0,003). A ecogenicidade do reto femoral nos pacientes do GC foi significativamente maior em comparação ao GI (34,9; p<0,001). A força muscular periférica apresentou um aumento significativo no GI de 7,2 pontos (p<0,005) no escore da escala MRC e no GC de 4,3 pontos (p<0,005). Não foram observadas diferenças entre os grupos em relação à ecogenicidade do vasto intermédio, velocidade de marcha, força muscular de membros inferiores e qualidade de vida 3 meses após a alta hospitalar. O exercício progressivo em cicloergômetro preservou a EMQ, a área de secção transversal do reto femoral e a qualidade muscular do reto femoral, além disso, o programa de mobilização precoce e a fisioterapia convencional preservaram a qualidade do músculo vasto intermédio e aumentaram a força muscular periférica de pacientes críticos.Universidade Federal de Santa MariaBrasilCiências da SaúdeUFSMPrograma de Pós-Graduação em Reabilitação FuncionalCentro de Ciências da SaúdeAlbuquerque, Isabella Martins dehttp://lattes.cnpq.br/5579735303815692Pasqualoto, Adriane SchmidtAnnoni, RaquelCarvalho, Mauricio Tatsch Ximenes2021-05-06T09:45:28Z2021-05-06T09:45:28Z2018-08-10info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://repositorio.ufsm.br/handle/1/20791porAttribution-NonCommercial-ShareAlike 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccessreponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSM2021-09-22T20:59:34Zoai:repositorio.ufsm.br:1/20791Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufsm.br/ONGhttps://repositorio.ufsm.br/oai/requestatendimento.sib@ufsm.br||tedebc@gmail.comopendoar:2021-09-22T20:59:34Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)false |
dc.title.none.fl_str_mv |
Efeitos do exercício progressivo em cicloergômetro na arquitetura muscular do quadríceps femoral de pacientes críticos: ensaio clínico randomizado Effects that progressive cycling exercise have on muscle architecture of the quadriceps femoris in critically ill patients: a randomized clinical trial |
title |
Efeitos do exercício progressivo em cicloergômetro na arquitetura muscular do quadríceps femoral de pacientes críticos: ensaio clínico randomizado |
spellingShingle |
Efeitos do exercício progressivo em cicloergômetro na arquitetura muscular do quadríceps femoral de pacientes críticos: ensaio clínico randomizado Carvalho, Mauricio Tatsch Ximenes Modalidades de fisioterapia Unidades de terapia intensiva Ultrassonografia Terapia por exercício Deambulação precoce Physical therapy modalities Intensive care units Ultrasonography Exercise therapy Early ambulation CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
title_short |
Efeitos do exercício progressivo em cicloergômetro na arquitetura muscular do quadríceps femoral de pacientes críticos: ensaio clínico randomizado |
title_full |
Efeitos do exercício progressivo em cicloergômetro na arquitetura muscular do quadríceps femoral de pacientes críticos: ensaio clínico randomizado |
title_fullStr |
Efeitos do exercício progressivo em cicloergômetro na arquitetura muscular do quadríceps femoral de pacientes críticos: ensaio clínico randomizado |
title_full_unstemmed |
Efeitos do exercício progressivo em cicloergômetro na arquitetura muscular do quadríceps femoral de pacientes críticos: ensaio clínico randomizado |
title_sort |
Efeitos do exercício progressivo em cicloergômetro na arquitetura muscular do quadríceps femoral de pacientes críticos: ensaio clínico randomizado |
author |
Carvalho, Mauricio Tatsch Ximenes |
author_facet |
Carvalho, Mauricio Tatsch Ximenes |
author_role |
author |
dc.contributor.none.fl_str_mv |
Albuquerque, Isabella Martins de http://lattes.cnpq.br/5579735303815692 Pasqualoto, Adriane Schmidt Annoni, Raquel |
dc.contributor.author.fl_str_mv |
Carvalho, Mauricio Tatsch Ximenes |
dc.subject.por.fl_str_mv |
Modalidades de fisioterapia Unidades de terapia intensiva Ultrassonografia Terapia por exercício Deambulação precoce Physical therapy modalities Intensive care units Ultrasonography Exercise therapy Early ambulation CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
topic |
Modalidades de fisioterapia Unidades de terapia intensiva Ultrassonografia Terapia por exercício Deambulação precoce Physical therapy modalities Intensive care units Ultrasonography Exercise therapy Early ambulation CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
description |
Muscle wasting is a commum problem in patients in intensive care unit (ICU), in this context, ciclyng exercise has been used for prevent of muscular atrophy in these patients. Considering these aspects, the purpouse of this present study is evaluate the effects that progressive ciclyng exercise on muscle architecture of quadriceps femoris in critically ill patients. Was performed a randomized clinical trial with blinded assessor. Were included patients of both genders, ≥ 18 years old, in the first 24 hours of mechanical ventilation (MV), with at a deep level of sedation and hemodynamically stable. The patients was randomly divided in control group (CG) was receive conventional physical therapy and intervention group (IG) was receive conventional physical therapy and engaging in progressive cycling exercise. Cycling exercise was realized during 30 minutes, initially in continuously and passively (classified patients with RASS – 4) and after in actively (classified patients with RASS 0). Primary outcome was muscle thickness of the quadriceps femoris. Secondary outcomes was rectus femoris cross-sectional area, vastus intermedius and rectus femoris echo intensity, peripheral muscle strength during ICU stay, gait speed and muscle strenght of the legs in hospital discharge and quality of life 3 months after hospital discharge. In the CG there were significant reduction of -0.5 cm in muscle thickness of the quadriceps femoris (p<0.005) and -2.7cm² in rectus femoris cross-sectional area (p=0.003). Rectus femoris echo intensity in patients in the CG was significantly higher when compared IG (34.9; P<0.001). Peripheral muscle strength show significant increase in the IG of 7.2 points (p<0.005) in the MRC score and CG of 4.3 points (p<0.005). There were no differences between groups in vastus intermedius echo intensity, gait speed, muscle strength of the legs and quality of life. Progressive cycling exercise preserves muscle thickness of the quadriceps femoris, rectus femoris cross-sectional area and rectus femoris muscle quality. Exercise program and conventional physical therapy preserves vastus intermedius quality and improve peripheral muscle strength in critically ill patients. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-08-10 2021-05-06T09:45:28Z 2021-05-06T09:45:28Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://repositorio.ufsm.br/handle/1/20791 |
url |
http://repositorio.ufsm.br/handle/1/20791 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
Attribution-NonCommercial-ShareAlike 4.0 International http://creativecommons.org/licenses/by-nc-sa/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NonCommercial-ShareAlike 4.0 International http://creativecommons.org/licenses/by-nc-sa/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Brasil Ciências da Saúde UFSM Programa de Pós-Graduação em Reabilitação Funcional Centro de Ciências da Saúde |
publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Brasil Ciências da Saúde UFSM Programa de Pós-Graduação em Reabilitação Funcional Centro de Ciências da Saúde |
dc.source.none.fl_str_mv |
reponame:Manancial - Repositório Digital da UFSM instname:Universidade Federal de Santa Maria (UFSM) instacron:UFSM |
instname_str |
Universidade Federal de Santa Maria (UFSM) |
instacron_str |
UFSM |
institution |
UFSM |
reponame_str |
Manancial - Repositório Digital da UFSM |
collection |
Manancial - Repositório Digital da UFSM |
repository.name.fl_str_mv |
Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM) |
repository.mail.fl_str_mv |
atendimento.sib@ufsm.br||tedebc@gmail.com |
_version_ |
1805922089802137600 |