Effects of Conventional Physiotherapy and Thoracoabdominal Rebalancing in Post-operative of Myocardial Revascularization

Change in Downes and Raphaelly respiratory distress scale

When it comes to cardiovascular diseases, surgical or clinical treatment can be cited, and
 cardiac surgery is considered a complex and large treatment where it involves important
 organic repercussions that alter the physiological and hemodynamic mechanisms of patients,
 which can lead to a critical state postoperatively, leading to possible complications that
 require intensive care at that time. Respiratory complications usually occur frequently in
 the postoperative period of these surgeries, causing a functional lung capacity to decrease
 by up to 20%, which may result in atelectasis, pneumonia, pleural effusion, among others. For
 this reason, physiotherapy usually plays an important role in the treatment of these
 patients, as it helps to reduce or treat these complications, in addition to promoting motor
 rehabilitation of patients before myocardial revascularization surgery. For this reason, this
 study aims to compare the effect of conventional physiotherapy techniques with the management
 of thoracoabdominal rebalancing in postoperative patients of coronary artery bypass graft.
 This is a randomized pilot trial in which patients who underwent coronary artery bypass
 surgery at the Institute of Cardiology of Rio Grande do Sul participate in the study.
 Patients selected for the control group (conventional physiotherapy) will be exposed to
 respiratory physiotherapy techniques such as vibrocompression, passive manual expiratory
 therapy, acceleration of expiratory flow, fractional inspiration in times, diaphragmatic
 breaths and aspiration when necessary, and patients selected for the intervention group, will
 appear on the management of thoracoabdominal rebalancing as abdominal supports and / or in
 the ileo-costal space, inspiratory aid, release of the scapular waist, thoracic swing,
 release of the pectoralis major and deltoid muscles together with aspiration, if necessary.