Resistance Prehabilitation in Valvular Cardiac Surgery: A Clinical Trial Protocol
Introduction
Cardiovascular diseases (CVD) often require major surgery for treatment. Fast-track rehabilitation programs have shown promise in reducing postoperative complications and hospital stays. This study aims to assess whether adding resistance training (RT) to cardiac exercise-based prehabilitation can decrease intensive care unit (ICU) length of stay, postoperative complications, and overall hospital length of stay (LOS).
Methods
The prospective, parallel, randomized clinical trial will include 96 adult patients scheduled for valvular pathology surgery. Participants will be randomly assigned to two groups: a control group receiving ventilatory and respiratory muscle strengthening, and aerobic exercise, and an experimental group receiving additional RT for peripheral muscles. Main variables assessed will include hospital and ICU stays, along with secondary variables such as exercise capacity, quality of life, and respiratory values. Quantitative variables will be analyzed using T-Test, ANOVA, or Mann-Whitney tests.
Results and Conclusion
This study will be the first to focus on adding strength exercise to prehabilitation for valvular cardiac surgery. The results aim to improve rehabilitation and prehabilitation protocols, emphasizing the importance of maintaining pulmonary training and including peripheral exercises to enhance physical condition and quality of life for individuals with heart disease.
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