Functional Capacity of Exercise and Lung Function in Patients Submitted Early Rehabilitation

Instituto do Coracao

Status: Completed

Conditions: Funnel Chest

Treatments: Other: Early rehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT02441452

InCor Heart Institute

Details and patient eligibility

About

The aim of this study was to compare the functional capacity of exercise by six-minute walk test and lung function by spirometry, before and after Nuss procedure in subjects who have undergone the early rehabiliation program with those who were under conventional care. Researchers want to find out if early rehabilitation is a strategy to enhance recovery after Nuss procedure.

Full description

The replacement of some traditional approaches in surgical care has demonstrated that surgical recovery can be accelerated and convalescence decreased. These multimodal approaches focuses on enhancing recovery and reducing morbidity by reduction of surgical stress,minimal invasive surgery, optimized pain relief, early nutrition and ambulation.

In postoperative, the bed rest leads to the increase in muscle loss and weakness, impairs pulmonary function, predisposes to venous stasis and thromboembolism, increases infection complications and reduces functional capacity even in patients who are not restricted to bed.

However, few studies have focused on when start the mobilization and which effects on functional capacity of exercise and lung function during hospital stay.

In this trial the investigators will consider early rehabilitation to be safe and feasible in Nuss procedure.

Enrollment: 40 patients

Sex: All

Ages: 14 to 30 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• children who are scheduled to undergo a surgical procedure for the correction of pectus excavatum
• sign the informed consent form
• independent ambulation
• ability to understand and follow instructions
• ability to perform lung function test

Exclusion criteria

• contraindications for epidural catheter placement
• patients undergoing the open surgical repair of pectus excavatum
• refusal to do physical exercises on postoperative
• patients did not perform the six-minute walk test and lung function test on postoperative

Trial design

40 participants in 2 patient groups

Early rehabilitation

Active Comparator group

Description:

one day before surgery, patients and their families were instructed by physiotherapists than explained the importance to perform physical exercises and breath exercises in postoperative. At the postoperative recovery room, after extubation and fully awake, patients started physiotherapy exercises, as physical exercises of moving up upper and lower extremities accompanied by deep breathing exercises. After than, the patients standed up beside the bed and if there was no complications, patients performed ambulation.

Treatment:

Other: Early rehabilitation

Conventional care

No Intervention group

Description:

Usual care routine postoperative.