Study of the effect of whole body vibration exercise in cardiac surgery postoperative care: a protocol proposition
DOI:
https://doi.org/10.12957/rhupe.2018.39167Abstract
Abstract
Introduction: Cardiac surgery is of great importance in the
treatment of cardiovascular disease, which contribute to
the increase of morbimortality. The mechanical vibration
generated by an oscillating/vibratory platform causes the
production of whole body vibration and can be used as a
physical exercise modality (WBVE). Objective: To present a
protocol for evaluation of WBVE effects in postoperative patients
of cardiac surgery. Methods: Adult subjects undergoing
cardiac surgery post-op who are discharged from the Intensive
Care Unit on up to the fourth day will be randomly assigned
to two groups: the control group (CG) who will receive conventional
physiotherapeutic care; the intervention group
(IG), in addition to the conventional care, will be submitted
to the WBVE. IG patients will remain with their knees flexed
at 15° on the side-alternating oscillating/vibratory platform.
They will perform three rounds of 1 min (for 1 min rest) at 5
Hz and 8 mm of peak-to-peak displacement, twice a day. Each
day, the sessions will increase, reaching a maximum of seven
series of 1 min and 9 Hz, on the seventh postoperative day. We
will evaluate respiratory muscle strength, lung function, peripheral
muscle strength, functional capacity and sensation of
pain through manovacuometry, spirometry, dynamometry,
Time Up and Go (TUG), Functional Independence Measure
(FIM), Visual Analog Pain Scale (VAS), and POWERbreathe
K5. Discussion: Studies have demonstrated beneficial effects
with EVCI in different clinical conditions, and it’s a promising
form of intervention during the rehabilitation of patients
in the postoperative period of cardiac surgery. Conclusion:
The application of this protocol will provide evidence that
justifies a rehabilitation program with WBVE for individuals
undergoing cardiac surgery.
Keywords: Whole body vibration exercises; Exercise therapy;
Intensive Care Unit, Heart surgery.
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