title: Effectiveness of an early mobilization program on functional capacity after coronary artery bypass surgery: A randomized controlled trial protocol.
abstract: BACKGROUND
  Muscle atrophy and prolonged inactivity are associated with an increased sensation of fatigue and reduced functional capacity in the postoperative period in patients undergoing coronary artery bypass grafting. Cardiac rehabilitation after hospital discharge is highly recommended and contributes to improvement in functional capacity and quality of life. However, few studies have evaluated the effectiveness of early mobilization protocols during hospitalization on the patterns of physical activity and functional capacity after coronary artery bypass grafting.
  
  
  OBJECTIVE
  To investigate the effectiveness of an early mobilization program on the functional capacity of patients undergoing coronary artery bypass grafting in the short and long term.
  
  
  METHODS
  This is a prospective, randomized, controlled, single-blind trial protocol that will evaluate 66 consecutive patients undergoing coronary artery bypass grafting. Patients will be randomized into two training groups: the control group (N = 33), which will perform breathing exercises and the intervention group (N = 33), which will perform breathing exercises and aerobic exercises. The groups will receive treatment from first to the seventh postoperative day, twice daily. In the preoperative period, the following outcomes will be assessed: physical activity level (Baecke Questionnaire), Functional Independence Measure, and functional capacity (6-min walking test). Functional capacity will be reassessed after the 7th and 60th postoperative day. Pulmonary complications and length of hospital stay will also be evaluated. Statistical analysis will be calculated using linear mixed models and will be based on intention-to-treat. The level of significance will be set at α = 5%.
authors.affiliation: Universidade Cidade de São Paulo, São Paulo, Brazil.
authors.forename: Daniel
authors.initials: D
authors.lastname: da Costa Torres
authors.affiliation: Universidade Cidade de São Paulo, São Paulo, Brazil.
authors.forename: Priscila Maria Ramos
authors.initials: PM
authors.lastname: Dos Santos
authors.affiliation: Hospital de Clinicas Gaspar Vianna, Belem, Brazil.
authors.forename: Helder José Lima
authors.initials: HJ
authors.lastname: Reis
authors.affiliation: Hospital do Coração, São Paulo, Brazil.
authors.forename: Denise Moraes
authors.initials: DM
authors.lastname: Paisani
authors.affiliation: Universidade Cidade de São Paulo, São Paulo, Brazil.
authors.forename: Luciana Dias
authors.initials: LD
authors.lastname: Chiavegato
keywords: Early ambulation; coronary artery bypass grafting; exercise; length of stay; rehabilitation