POSTOPERATIVE EFFECT OF PHYSICAL THERAPY RELATED TO FUNCTIONAL CAPACITY AND RESPIRATORY MUSCLE STRENGTH IN PATIENTS SUBMITTED TO BARIATRIC SURGERY.
Respiratory physiotherapy plays an important role preventing complications in bariatric surgery.



To assess the effects of out-patient physiotherapy during post-operative period through respiratory pressures and functional capacity in individuals submitted to bariatric surgery.



A prospective longitudinal and controlled study was done in adults with body mass index (BMI) equal or greater than 40 kg/m², who have been submitted to bariatric surgery. They were divided into two groups: intervention-group, who performed out-patient physiotherapy twice a week, from thirty to sixty days after surgery; and the control-group, who only followed home instructions. Both groups were evaluated before surgery and sixty days after surgery through manovacuometry, six-minute walk test and the Borg Scale of perceived exertion.



Twenty participants were included the intervention-group and twenty-three in the control-group. Both groups had significant and similar weight loss after surgery. The manovacuometry presented no differences comparing pre- and post-surgery and in the comparison between the groups. The result of the six-minute walk test for the intervention-group increased by 10.1% in the post-operative period in relation to pre-. The Borg scale of perceived exertion in the intervention-group in pre-surgery decreased by 13.5% in the post-surgery compared to pre-surgery. In the control-group there was no difference comparing pre- and post-operative values, as in the comparison with the intervention-group.



The low-intensity exercise program, carried out between the 30th and the 60th day after bariatric surgery provided better functional capacity; did not change respiratory muscle strength; and improved the perceived exertion rate.
Postgraduate Program in Surgical Clinics, Health Science Department, Clinic Hospital, Federal University of Paraná, Curitiba, PR, Brazil.
Josélia Jucirema Jarschel de
JJ
Oliveira
Postgraduate Program in Surgical Clinics, Health Science Department, Clinic Hospital, Federal University of Paraná, Curitiba, PR, Brazil.
Alexandre Coutinho Teixeira de
AC
Freitas
Postgraduate Program in Surgical Clinics, Health Science Department, Clinic Hospital, Federal University of Paraná, Curitiba, PR, Brazil.
Andréa Adriana de
AA
Almeida
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