title: Randomized and comparative study between two intra-hospital exercise programs for heart transplant patients.
abstract: OBJECTIVE
  To compare the effects of two physical therapy exercise in-hospital programs in pulmonary function and functional capacity of patients in the postoperative period of heart transplantation.
  
  
  METHODS
  Twenty-two heart transplanted patients were randomized to the control group (CG, n=11) and training group (TG, n=11). The control group conducted the exercise program adopted as routine in the institution and the training group has had a protocol consisting of 10 stages, with incremental exercises: breathing exercises, resistance training, stretching and walking. The programs began on the first day after extubation and stretched until hospital discharge. Assessed pulmonary function, distance walked in six minutes walk test (6MWT) and peripheral muscle strength by one repetition maximum test (1RM).
  
  
  RESULTS
  Similar behavior was observed between the two groups treated, with statistically significant increases between the first and second test of the following variables: FVC (59% in CG and 35.2% in TG); MIP (8.6% in CG and 53.5% in TG), MEP (28.8% in CG and 40.7% in TG) and 6MWT (44.5% in CG and 31.4% in TG). There was an increase of peripheral strength by 1RM test, over time, to the muscle groups of the elbow flexors, shoulder flexors, hip abductors and knee flexors.
  
  
  CONCLUSIONS
  Heart transplant patients benefit from exercise programs in hospital, regardless of the program type applied. A new training proposal did not result in superiority compared to routine programme applied. Exercise protocols provided improves in ventilatory variables and functional capacity of this population.
authors.forename: Tatiana Satie
authors.initials: TS
authors.lastname: Kawauchi
authors.forename: Patricia Oliva de
authors.initials: PO
authors.lastname: Almeida
authors.forename: Karen Rodrigues
authors.initials: KR
authors.lastname: Lucy
authors.forename: Edimar Alcides
authors.initials: EA
authors.lastname: Bocchi
authors.forename: Maria Ines Zanetti
authors.initials: MI
authors.lastname: Feltrim
authors.forename: Emilia
authors.initials: E
authors.lastname: Nozawa
mesh_terms: D000328:Adult; D001945:Breathing Exercises; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D016027:Heart Transplantation / Q000534:rehabilitation*; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D053580:Muscle Strength / Q000502:physiology; D011237:Predictive Value of Tests; D011446:Prospective Studies; D012016:Reference Values; D012129:Respiratory Function Tests; D012132:Respiratory Muscles / Q000502:physiology; D013318:Stroke Volume / Q000502:physiology; D013997:Time Factors; D016896:Treatment Outcome; D016138:Walking; D055815:Young Adult