EFFECT OF INSPIRATORY MUSCLE TRAINING ASSOCIATED WITH PHYSICAL REHABILITATION AFTER PROLONGED HOSPITAL: CASE SERIES

Abstract

Introduction: sarcopenia, polyneuropathy of critically ill patients and respiratory muscle weakness are some of the possible conditions responsible for this disability after prolonged hospitalization. Objective: To report the effect of inspiratory muscle training and exercise program on functional and respiratory muscular capacity of a series of cases of patients post - hospitalization. Methods: Serie cases, the use of TMI and home physical rehabilitation in patients deshospitalização. Respiratory protocol employed approximate charge of 50% of maximal inspiratory pressure (MIP), held in two sets of 30 repetitions a day for seven days a week. The variables measured before and after the interventions were Pimax, Vital Capacity (VC) PFI (inspiratory peak flow), peripheral muscle strength (MRC) and functional independence (full Barthel Index and mobility field of Functional Independence Measure (FIM). Results: The sample consisted of ten patients with a mean age 73.7 ± 13.6 years and length of hospital stay 18.6 ± 10.9 days, and adherence interventions was 82.0% In the 459 sessions. TMI there were 25 adverse events occurred during the loading adjustments, but without exclusion after returning the previous inspiratory load. After four weeks of intervention, there was a significant increase in MIP, PFI and CV, as well as gains in peripheral muscle strength and functional capacity. Conclusion: The TMI associated with physical rehabilitation in critically ill patients after hospitalization promoted gains in respiratory function and functional capacity after four weeks of intervention.