Impact of Intensive Physiotherapy on Cognitive Function after Coronary Artery Bypass Graft Surgery

• Autor(a) principal: Cavalcante, Elder dos Santos [UNIFESP]
• Data de Publicação: 2014
• Outros Autores: Magario, Rosmeiri, Conforti, César Augusto, Cipriano Junior, Gerson [UNIFESP], Arena, Ross, Carvalho, Antonio Carlos [UNIFESP], Buffolo, Enio [UNIFESP], Luna Filho, Bráulio [UNIFESP]
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.5935/abc.20140161; http://repositorio.unifesp.br/handle/11600/8647
• topic: Myocardial Revascularization / rehabilitation; Postoperative Care; Physical Therapy Speciality; Revascularização Miocárdica / reabilitação; Cuidados Pós-Operatórios; Fisioterapia

Background: Coronary artery bypass graft (CABG) is a standard surgical option for patients with diffuse and significant arterial plaque. This procedure, however, is not free of postoperative complications, especially pulmonary and cognitive disorders. Objective: This study aimed at comparing the impact of two different physiotherapy treatment approaches on pulmonary and cognitive function of patients undergoing CABG. Methods: Neuropsychological and pulmonary function tests were applied, prior to and following CABG, to 39 patients randomized into two groups as follows: Group 1 (control) - 20 patients underwent one physiotherapy session daily; and Group 2 (intensive physiotherapy) - 19 patients underwent three physiotherapy sessions daily during the recovery phase at the hospital. Non-paired and paired Student t tests were used to compare continuous variables. Variables without normal distribution were compared between groups by using Mann-Whitney test, and, within the same group at different times, by using Wilcoxon test. The chi-square test assessed differences of categorical variables. Statistical tests with a p value ≤ 0.05 were considered significant. Results: Changes in pulmonary function were not significantly different between the groups. However, while Group 2 patients showed no decline in their neurocognitive function, Group 1 patients showed a decline in their cognitive functions (P ≤ 0.01). Conclusion: Those results highlight the importance of physiotherapy after CABG and support the implementation of multiple sessions per day, providing patients with better psychosocial conditions and less morbidity.