Efeitos do exercício passivo precoce em cicloergômetro na espessura muscular do quadríceps femoral de pacientes críticos: estudo-piloto randomizado controlado

• Autor(a) principal: Carvalho, Maurício Tatsch Ximenes
• Data de Publicação: 2019
• Outros Autores: Ludke, Everton, Cardoso, Dannuey Machado, Paiva, Dulciane Nunes, Soares, Janice Cristina, Albuquerque, Isabella Martins de
• Tipo de documento: Artigo
• Idioma: eng; por
• Título da fonte: Fisioterapia e Pesquisa
• Texto Completo: https://www.revistas.usp.br/fpusp/article/view/168324
• topic: Physical Therapy Modalities; Intensive Care Units; Ultrasonography; Exercise Therapy; Early Ambulation; Modalidades de Fisioterapia; Unidades de Cuidados Intensivos; Ultrasonografía; Terapia por Ejercicio; Ambulación Precoz; Modalidades de Fisioterapia; Unidades de Terapia Intensiva; Ultrassonografia; Terapia por Exercício; Deambulação Precoce

The objective of this study was to evaluate the effects of early passive cycling exercise on quadriceps femoris thickness (QFT) in critically ill patients admitted in the intensive care unit (ICU) of a tertiary care university hospital. A controlled randomized pilot study was conducted with a sample of 24 patients (51±18.11 years, 16 male), on mechanical ventilation (MV) from 24 to 48 hours, who were randomly divided into two groups: control group (n=12), receiving conventional physical therapy; and an intervention one (n=12), receiving passive cycle ergometer, once a day, throughout seven days of protocol, in addition to conventional physical therapy. The QFT was measured by ultrasonography. The first ultrasonographic measurement was performed within 48 hours after the start of MV, and the second at the end of the protocol. There were no significant differences in QFT of the left (27,29±5,86mm vs 25,95±10,89mm; p=0,558) and right (24,96±5,59mm vs 25,9±9,21mm; p=0,682) in the control group, and in QFT of the left (27,2±7,38mm vs 29,57±7,89mm; p=0,299) and right (26,67±8,16mm vs 28,65±8,04mm; p=0,381) in the intervention group. There were no significant betweengroups differences for left QFT (3,61±1,07mm; p=0,248) and right QFT (2,75±0,85mm; p=0,738). The results of this pilot study demonstrate that application of early passive cycle ergometer exercises has not significantly change the muscle layer thickness. However, our findings indicate that conventional physical therapy is able to preserve the quadriceps femoris thickness in critically ill patients admitted in ICU.