JBMT Article: Pilates method on pulmonary function and range of motion after coronary artery bypass grafting: A clinical trial

Photo credit: Blausen Medical Communications, Inc., CC BY 3.0 <https://creativecommons.org/licenses/by/3.0>, via Wikimedia Commons

Ana Carolline Pinto Souza, Lidiane da Silva Barbosa, Sheila da Cruz Nascimento Cruz, Ludmilla dos Santos Lins Souza, André Raimundo França Guimarães, Matheus Souza de Jesus, André Luiz Lisboa Cordeiro

Published:September 25, 2021

Link to full article and detailed methodology/results: https://www.bodyworkmovementtherapies.com/article/S1360-8592(21)00206-0/fulltext

 

Abstract

Introduction

Coronary artery bypass grafting (CABG) can compromise pulmonary function and range of motion (ROM) of the shoulder and knee joints due to median sternotomy and saphenectomy, the Pilates method being a strategy for reducing loss.

Objective

To evaluate the effect of applying the Pilates method on pulmonary function and ROM in patients undergoing CABG.

Methodology:

This is a clinical trial. Patients were evaluated preoperatively at discharge from the hospital for shoulder flexion and abduction and knee flexion-extension. In addition, vital capacity(VC), maximum inspiratory pressure(MIP), expiratory pressure(MEP) and peak expiratory flow(PEF) were evaluated. Upon discharge from the Intensive Care Unit (ICU), they were divided into a control group(CG) that received conventional assistance and Pilates(PG) was increased with Pilates method techniques.

Results

40 patients were analyzed, 25 were men(61%), with a mean age of 66 ± 7 years. At the end, the left shoulder abduction in the CG was 105±9vs115 ± 8 in the PG(p = 0.03), the right shoulder abduction in the CG 104 ± 11vs116 ± 10 in the PG(p < 0.001) and right knee flexion in the CG 78 ± 13vs92 ± 9 in the PG(0.002). In relation to MIP, the CG had a loss of 32 ± 8 while the PG 18 ± 10cmH2O(p < 0.001), the worsening MEP was 31 ± 9(CG)vs29 ± 11cmH2O(PG)(p = 0.53), the VC in the CG reduced 8±9vs6±8 in the PG(p = 0.23) and the PEF reduced 107 ± 5 in the GCvs83 ± 88 in the PG(p = 0.09).

Conclusion

It is concluded that the Pilates method decreased the loss of ROM and maximum inspiratory pressure in patients undergoing coronary artery bypass grafting.

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