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Rev Bras Cir Cardiovasc. 2014 Jul-Sep;29(3):355-9.

Evaluation of peripheral muscle strength of patients undergoing elective cardiac surgery: a longitudinal study.

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Universidade Federal de Sergipe, Aracaju, SE, Brazil.
Universidade Tiradentes, Aracaju, SE, Brazil.



Peripheral muscle strength has been little explored in the literature in the context of cardiac rehabilitation.


To evaluate the peripheral muscle strength of patients undergoing elective cardiac surgery.


This was a longitudinal observational study. The peripheral muscle strength was measured using isometric dynamometry lower limb (knee extensors and flexors) at three different times: preoperatively (M1), the day of discharge (M2) and hospital discharge (M3). Participants received physiotherapy pre and postoperatively during the days of hospitalization during the morning and afternoon.


Twenty-two patients were evaluated. The values of peripheral muscle strength of knee extensors preoperative found were about 50% lower than those predicted for the healthy population. When comparing muscle strength prior (M1), with the remaining evaluation, found himself in a fall of 29% for the movement of knee extension and 25% for knee flexion in M2 and a decrease of 10% movement for knee extension and 13% for knee flexion in M3 when comparing with M1.


The values of peripheral muscle strength prior of the study patients were lower than predicted for the healthy population of the same age. After the surgical event this reduction is even more remarkable, being reestablished until the time of discharge, to values close to baseline.

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