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Influência da mobilização precoce na força muscular periférica em pacientes na Unidade Coronariana

Influence of early mobilization in peripheral muscle strength in the Coronary Care Unit patients

Márcio André Modesto Mussalem, Ana Carolina de Santana Vicente da Silva, Lívia Cataria Lopes Vianna Couto, Luana Marinho, Aline Souto Maior Florencio, Vandreza Sales Araújo, Noberto Fernandes da Silva

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Resumo

Introdução: Nos últimos anos, as doenças coronarianas vêm aumentando, provocando um maior número de cirurgias cardíacas. Devido a esse fator, várias complicações cardiorrespiratórias e musculoesqueléticas, somadas ao estado anterior da doença, prejudicam a reabilitação do paciente cirurgiado. Então, com intuito de combater essas complicações, o fisioterapeuta aparece como peça fundamental na recuperação do paciente. Objetivo: Através de um levantamento bibliográfico retrospectivo de artigos científicos publicados e indexados, descrever a importância da mobilização precoce nos pacientes coronarianos e identificar os seus benefícios. Método: Os artigos foram obtidos nas bases de dados PubMed, SciELO e PEDro, através das palavras chaves Fisioterapia, Mobilização Precoce e Força Muscular, nas línguas portuguesa, inglesa e espanhola, pelos últimos 10 anos. Resultado: Foram encontrados 81 artigos, porém, apenas 11 chegaram a ser utilizados, depois de submetidos aos critérios de inclusão e exclusão. Conclusão: Apesar de existirem poucos estudos com boa qualidade metodológica avaliada pela escala de PEDro, que relacione a mobilização precoce com os benefícios nos pacientes críticos, foi verificada melhora, nos pontos de vista físico, psicológico e na qualidade de vida do paciente.

Palavras-chave

Fisioterapia; Mobilização Precoce; Força Muscular.

Abstract

Background: In recent years coronary heart diseases have been increased, resulting in a greater number of cardiac surgeries. Due to this factor, several cardiorespiratory and musculoskeletal complications added to the previous state of the disease affect the patient’s rehabilitation. Then, in order to combat these complications the physiotherapist appears as a cornerstone in the recovery of the patient. Objective: Through a retrospective bibliography of scientific articles published and indexed, to describe the importance of early mobilization in coronary patients, and to identify the benefits of it. Method: Articles were obtained in the databases PubMed, SciELO and PEDro using the words Physiotherapy, Early Mobilization and Muscle Strength in Portuguese, English and Spanish, for the past 10 years. Results: We found 81 articles, but only 11 were used after undergoing the inclusion and exclusion criteria. Conclusion: Although there are few studies with good methodological quality assessed by the PEDro scale, which relate early mobilization to the benefits in critically ill patients, an improvement was verified in physical, psychological and quality of life of patients.

Keywords

Physical Therapy; Early Mobilization; Muscle Strength.

Referências

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