%0 Journal Article
%T Effect of respiratory muscle training in patients undergoing cholecystectomy Efeito do treinamento muscular respirat車rio em pacientes submetidos 角 colecistectomia
%A Claudiane Pedro Rodrigues
%A Nair Simone de Toledo Costa
%A Luiz Antonio Alves
%A Cristiane Golias Gonˋalves
%J Semina : Ci那ncias Biol車gicas e da Sa迆de
%D 2010
%I Universidade Estadual de Londrina
%X The upper abdominal surgeries such as cholecystectomy, tend to evolve postoperatively with restrictive ventilatory disorders. The aim of this study was to evaluate the evolution of inspiratory muscle strength after training the respiratory muscles through the use of linear load device with pressure in patients undergoing conventional cholecystectomy. We studied 10 female patients with indication for cholecystectomy who underwent assessment of inspiratory muscle strength by means of the Maximal Inspiratory Pressure (MIP). Of these, six were evaluated preoperatively and postoperatively (G1 - group 1) and conducted Respiratory Muscle Training (RMT) using the Theshold   (twice a day on the 1st and 2nd postoperative day using 40% MIP) and four patients were observed in the post-surgery as a control group (G2 - group 2). The results indicate that despite the decrease in MIP postoperatively, there was recovery of inspiratory muscle strength on the first day of RMT, from 36.7 ㊣ 13.7 cmH2O to 48.0 ㊣ 13.7 cmH2O, and this increase was statistically significant (p <0.05), which did not occur in the control group. We conclude that there is a reduction in respiratory muscle strength after cholecystectomy and that the RMT was considered satisfactory in the improvement of the respiratory muscle strength. As cirurgias abdominais altas, como as colecistectomias, tendem a evoluir no p車s operat車rio com dist迆rbios ventilat車rios restritivos. O objetivo deste trabalho foi avaliar a evolu  o da for a muscular inspirat車ria ap車s o treinamento da musculatura respirat車ria, por meio do uso de aparelho com carga linear press車rica em pacientes submetidos 角 colecistectomia convencional. Foram estudados 10 pacientes do sexo feminino, com indica  o de colecistectomia, e elas realizaram avalia  o da for a muscular inspirat車ria atrav谷s da medida da Press o Inspirat車ria M芍xima (PIm芍x). Deles, seis foram avaliados no pr谷 e p車s-operat車rio (G1 每 grupo 1) e realizaram o Treinamento Muscular Respirat車rio (TMR) com uso do Theshold  (2 vezes ao dia no 1o e no 2o p車s-operat車rio utilizando 40% da PIm芍x), e quatro pacientes foram acompanhados no p車s-oper芍torio como grupo controle (G2 每 grupo 2). Os resultados indicam que, apesar da diminui  o da PIm芍x no p車s-operat車rio, houve recupera  o da for a muscular inspirat車ria j芍 no primeiro dia de TRM, de 36,7 ㊣ 13,7 cmH2O para 48,0 ㊣ 13,7 cmH2O e este aumento foi estatisticamente significante (p<0,05), o que n o ocorreu no grupo controle. Conclui-se que h芍 uma redu  o na for a muscular respirat車ria ap車s colecistectomia e que o TMR foi satisfat車rio na melho
%K Colecistectomia
%K Treinamento muscular respirat車rio
%K Fisioterapia.
%U http://www.uel.br/revistas/uel/index.php/seminabio/article/view/8795