ABSTRACT
Abstract Background The European Heart Surgery Risk Assessment System (EuroSCORE) and InsCor have been used to predict complications of cardiac surgery. However, their application to predict lung function and functionality is still uncertain. Objective To correlate surgical risk scales with functional independence and pulmonary function in patients undergoing coronary artery bypass grafting. Methods This was a prospective cohort study. In the preoperative period, the two surgical scales were applied, the maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), and peak expiratory flow (PEF) were measured, and functionality was assessed using the functional independence measure (FIM). On the seventh postoperative day, the pulmonary function and functionality variables were reevaluated, compared with the preoperative values (delta) and correlated with the risk scales. Correlations of pulmonary function, functional independence and muscle strength variables with the surgical scales were made by Pearson correlation test. The significance level adopted was 5%. Results Thirty-one patients were studied; most were male (77%), with a mean age of 56±8 years. Mean EuroSCORE was 2.3±0.5 and mean InsCOR was 1.2±0.5. MIP, MEP, and PEF reduced 30% (p<0.001), 33% (p<0.001) and 10% (p=0.23), respectively. The EuroSCORE correlated with MIP (r-0.78; p = 0.02) and FIM (r-0.79; p <0.01), and the InsCor correlated with MIP (r-0.77), MEP (r-0.73) and MIF (r-0.89; p=0.02). Conclusion The EuroSCORE showed a strong negative correlation with MIP and FIM, while InsCor had a strong negative correlation with MIP, MEP and FIM. (Int J Cardiovasc Sci. 2020; [online].ahead print, PP.0-0)
Subject(s)
Humans , Male , Middle Aged , Risk Assessment/methods , Functional Status , Myocardial Revascularization , Postoperative Period , Preoperative Care , Cardiovascular Diseases/surgery , Maximal Voluntary Ventilation , Prospective Studies , Muscle StrengthABSTRACT
Introdução: A paralisia cerebral (PC) é uma condição permanente causada por uma lesão encefálica estática, multifatorial e não progressiva dos movimentos e postura. A equoterapia aparece como método terapêutico e educacional que utiliza o cavalo para melhoria do desenvolvimento de pessoas portadoras de necessidades especiais. Objetivos: Revisar sistematicamente os efeitos da equoterapia sobre o desempenho funcional em crianças com paralisia cerebral. Métodos: Trata-se de uma revisão sistemática revisada por dois revisores independentes, conforme recomendações PRISMA, nas bases de dados PubMed e Biblioteca Cochrane. Incluídos estudos originais que utilizaram a equoterapia em pacientes com paralisia cerebral publicados em português e na língua inglesa. A Escala PEDro foi utilizada para analisar a qualidade metodológica dos estudos e a Cochrane Collaboration para análise de risco de viés. Resultados: Foram incluídos cinco artigos, publicados entre os anos 2012 e 2019. Todos estudos evidenciaram resultados satisfatórios em pacientes com paralisia cerebral após o tratamento com a equoterapia, melhorando a marcha, o equilíbrio, o tônus, a simetria e a qualidade de vida independente se ela foi associada a outro método. Conclusão: A equoterapia é uma modalidade terapêutica eficaz no tratamento das crianças com paralisia cerebral, melhorando os déficits motores e neurológicos, além da espasticidade muscular. (AU)
Introduction: Cerebral palsy (CP) is a permanent condition caused by a static, multifactorial and non-progressive brain injury of the movements and posture. Equine therapy is a therapeutic and educational method that uses horse to improve the development of people with special needs. Methods: This is a systematic review reviewed by two independent reviewers, according to PRISMA recommendations, in the PubMed and Cochrane Library databases. Including original studies that used equine therapy in patients with cerebral palsy published in Portuguese and in the English language. The PEDro Scale was used to analyze the methodological quality of the studies and the Cochrane Collaboration for bias risk analysis. Results: Five articles published between the years 2012 and 2019 were included. All studies showed satisfactory results in patients with cerebral palsy after treatment with equine therapy, improving gait, balance, tone, symmetry and quality of life whether it was associated with another method. Conclusion: Equine therapy is an effective therapeutic modality in the treatment of children with cerebral palsy, improving motor and neurological deficits, as well as muscle spasticity, favors balance, postural control, reduction of joint deformities and gross motor function. (AU)
Subject(s)
Humans , Cerebral Palsy , Child , Equine-Assisted Therapy , Physical Functional Performance , Postural Balance , Muscle TonusABSTRACT
A esclerose múltipla (EM) é uma doença autoimune degenerativa, com incidência desigualmente distribuída em todo o mundo. O método Pilates tem grande relevância no tratamento de pacientes com EM aumentando a capacidade funcional e contribuindo para uma melhoria significativa na qualidade de vida. OBJETIVO: Revisar sistematicamente o efeito do Pilates em pacientes com esclerose múltipla. MÉTODOS: Revisão sistemática de ensaios clínicos randomizados, analisados por dois revisores independentes, conforme recomendado pela plataforma Prisma nas bases de dados PubMed e Cochrane Library. Foram incluídos estudos originais utilizando o método Pilates sobre a força muscular, fadiga e equilíbrio em pacientes com EM. A escala de Cochane foi usada para analisar a qualidade metodológica e a análise de risco de viés. RESULTADOS: Foram incluídos cinco estudos publicados entre 2014 e 2017. O Método Pilates interveio na melhora da fadiga, equilíbrio e força muscular, quando comparado a outros grupos onde exercícios físicos e fisioterapia padrão foram aplicados em pacientes com EM. CONCLUSÃO: Conclui-se que o método Pilates é uma opção eficaz para o tratamento da funcionalidade em pacientes com esclerose múltipla.
Multiple sclerosis (MS) is a degenerative autoimmune disease with an unevenly distributed incidence worldwide. The Pilates method has great relevance in treating MS patients, increasing functional capacity and contributing to a significant improvement in quality of life. OBJECTIVE: To systematically review the effect of Pilates in Multiple Sclerosis patients. METHODS: Systematic review of randomized controlled trials, reviewed by two independent reviewers, as recommended by the Prisma platform in the PubMed and Cochrane Library databases. Provision of original studies using the Pilates method, muscle strength, fatigue and balance in MS patients. The Cochane scale was used to analyze methodological quality and bias risk analysis. RESULTS: Five studies were included, published between 2014 and 2017. The Pilates Method intervened in the improvement of fatigue, balance and muscle strength, when compared to other groups where standard exercise and physical therapy were applied in MS patients. CONCLUSION: It is concluded that the Pilates Method is an effective option for the treatment of functionality in patients with Multiple Sclerosis.