title: Effects of Aerobic Exercise Applied Early After Coronary Artery Bypass Grafting on Pulmonary Function, Respiratory Muscle Strength, and Functional Capacity: A Randomized Controlled Trial.
abstract: Physical activity is beneficial in several clinical situations and recommended for patients with ischemic heart disease, as well as for those undergoing cardiac surgery.
  
  
  
  In a randomized controlled trial, 34 patients underwent coronary artery bypass grafting. A randomized control group (n = 15) submitted to conventional physiotherapy. The intervention group (n = 19) received the same protocol plus additional aerobic exercise with cycle ergometer. Pulmonary function by spirometry, respiratory muscle strength by manovacuometry, and functional capacity through 6-minute walking test was assessed before surgery and at hospital discharge.
  
  
  
  There was significant reduction in pulmonary function in both groups. In both groups, inspiratory muscle strength was maintained while expiratory muscle strength significantly decreased. Functional capacity was maintained in the intervention group (364.5 [324.5 to 428] vs. 348 [300.7 to 413.7] meters, P = .06), but it decreased significantly in control group patients (320 [288.5 to 393.0] vs. 292 [237.0 to 336.0] meters, P = .01). A significant difference in functional capacity was also found in intergroup analyses at hospital discharge (P = .03).
  
  
  
  Aerobic exercise applied early on coronary artery bypass grafting patients may promote maintenance of functional capacity, with no impact on pulmonary function and respiratory muscle strength when compared with conventional physiotherapy.
authors.forename: Daniel L
authors.initials: DL
authors.lastname: Borges
authors.forename: Mayara Gabrielle
authors.initials: MG
authors.lastname: Silva
authors.forename: Luan Nascimento
authors.initials: LN
authors.lastname: Silva
authors.forename: João Vyctor
authors.initials: JV
authors.lastname: Fortes
authors.forename: Erika Thalita
authors.initials: ET
authors.lastname: Costa
authors.forename: Rebeca Pessoa
authors.initials: RP
authors.lastname: Assunção
authors.forename: Carlos Magno
authors.initials: CM
authors.lastname: Lima
authors.forename: Vinícius José
authors.initials: VJ
authors.lastname: da Silva Nina
authors.forename: Mário
authors.initials: M
authors.lastname: Bernardo-Filho
authors.forename: Danúbia Sá
authors.initials: DS
authors.lastname: Caputo
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass; D016552:Ergometry / Q000379:methods; D015444:Exercise; D005080:Exercise Test / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D053580:Muscle Strength / Q000502:physiology*; D026741:Physical Therapy Modalities; D011336:Probability; D011446:Prospective Studies; D012129:Respiratory Function Tests; D012132:Respiratory Muscles / Q000502:physiology*; D012306:Risk; D013147:Spirometry
keywords: cardiac surgery; cycle ergometer; physiotherapy; rehabilitation