%0 Journal Article
%T Influ那ncia da mobiliza  o precoce na for a muscular perif谷rica e respirat車ria em pacientes cr赤ticos Influence of early mobilization on respiratory and peripheral muscle strength in critically ill patients
%A Camila Moura Dantas
%A Priscila Figueiredo dos Santos Silva
%A Fabio Henrique Tavares de Siqueira
%A Rodrigo Marinho Falcˋo Pinto
%J Revista Brasileira de Terapia Intensiva
%D 2012
%I Associa??o de Medicina Intensiva Brasileira
%R 10.1590/s0103-507x2012000200013
%X OBJETIVO: Avaliar os efeitos de um protocolo de mobiliza  o precoce na musculatura perif谷rica e respirat車ria de pacientes cr赤ticos. M谷TODOS: Ensaio cl赤nico, controlado e randomizado realizado em 59 pacientes de ambos os g那neros, em ventila  o mecanica. Os pacientes foram divididos em grupo fisioterapia convencional - grupo controle, n=14, que realizou a fisioterapia do setor, e grupo mobiliza  o precoce, n=14, que recebeu um protocolo sistem芍tico de mobiliza  o precoce. A for a muscular perif谷rica foi avaliada por meio do Medical Research Council e a for a muscular respirat車ria (dada por press o inspirat車ria m芍xima e press o expirat車ria m芍xima) foi mensurada pelo manovacu metro com uma v芍lvula unidirecional. A mobiliza  o precoce sistem芍tica foi realizada em cinco n赤veis. RESULTADOS: Para os valores de press o inspirat車ria m芍xima e do Medical Research Council, foram encontrados ganhos significativos no grupo mobiliza  o precoce. Entretanto, a press o expirat車ria m芍xima e o tempo de ventila  o mecanica (dias), tempo de internamento na unidade de terapia intensiva (dias), e tempo de internamento hospitalar (dias) n o apresentaram significancia estat赤stica. CONCLUS O: Houve ganho da for a muscular inspirat車ria e perif谷rica para a popula  o estudada quando submetida a um protocolo de mobiliza  o precoce e sistematizado. OBJECTIVE:To evaluate the effects of an early mobilization protocol on respiratory and peripheral muscles in critically ill patients. METHODS: A randomized controlled clinical trial was conducted with 59 male and female patients on mechanical ventilation. The patients were divided into a conventional physical therapy group (control group, n=14) that received the sector's standard physical therapy program and an early mobilization group (n=14) that received a systematic early mobilization protocol. Peripheral muscle strength was assessed with the Medical Research Council score, and respiratory muscle strength (determined by the maximal inspiratory and expiratory pressures) was measured using a vacuum manometer with a unidirectional valve. Systematic early mobilization was performed on five levels. RESULTS: Significant increases were observed for values for maximal inspiratory pressure and the Medical Research Council score in the early mobilization group. However, no statistically significant improvement was observed for maximal expiratory pressure or MV duration (days), length of stay in the intensive care unit (days), and length of hospital stay (days). CONCLUSION: The early mobilization group showed gains in inspiratory and peripheral musc
%K Exerc赤cios respirat車rios
%K M迆sculos respirat車rios
%K Unidades de terapia intensiva
%K Breathing exercises
%K Respiratory muscles
%K Intensive care units
%U http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-507X2012000200013