EVALUATION OF PHYSICAL CAPACITY IN THE SUPERVISED AND UNSUPERVISED REHABILITATION

Abstract

Classification(s): Cardiac Rehabilitation; Exercise Training Introduction: The term rehabilitation the set of activities that bring to the patient the best physical condition, mental and social. As for unsupervised rehabilitation, there is an effective means of treating and have low cost for the population, presenting characteristics very close to what is the objective of public health strategies. The literature has indicated studies on the physical training of the patients, but few studies have shown assessments of the functional capacity and level of physical activity in the program of rehabilitation unsupervised, in this population. Purpose: To evaluate the level of physical activity of the patients in the cardiac rehabilitation program of cardiovascular unsupervised and check what changes occur to the patient during walking six minutes test. Design: The design of the research will be a clinical study, conducted with patients from the Ambulatory Heart Surgery Hospital of São Paulo and referred to the Cardiovascular Rehabilitation Program, in the period between September and December of 2007. Methods: The patient was evaluated from the Clinic for Heart Surgery of Hospital São Paulo and the Hospital da Aeronautica de Sao Paulo. Physical evaluation was conducted; the level of physical activity of the program of cardiovascular rehabilitation was evaluated through IPAQ and physical capacity evaluated by walking six minutes test, according to the ATS. The data were represented by parametric mean and standard deviation and compared by analysis of variance for not repeated measures (one way ANOVA) with post-test difference of minimal significance (DMS) compared only two groups was used t Student to measures not repeated. Data were compared by the Newman-Keuls test with taking as statistically significant P < .05. Results: The comparison of the distance was ÷ DP end of 9911 was supervised with P < .001 and was unsupervised 11,140 with P < .001. The classification of IPAQ was active for supervised and inadequately active for unsupervised. The average distance covered in six-minutes walk test was 415.1 ± 193.8 to supervised and 432.2 ± 98.54 to unsupervised with significance P < .0001. Conclusions: The supervised rehabilitation has proved more effective because of providing a more direct monitoring to the patient. The E6MWT has proved an effective and simple method of measuring the functional capacity for patient of supervised and unsupervised rehabilitation.