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  1. Article: Role of Transcutaneous Electric Nerve Stimulation in Pain and Pulmonary Function in Patients after Bariatric Surgery.

    Luchesa, Cesar Antonio / Lopes, Agnaldo José

    Rehabilitation research and practice

    2022  Volume 2022, Page(s) 9138602

    Abstract: Background: Changes in lifestyle, a carbohydrate-rich diet, and decreased physical activity are part of the context that led to an obesity pandemic. Treating obesity is a task that requires multidisciplinary care; however, in many cases, conventional ... ...

    Abstract Background: Changes in lifestyle, a carbohydrate-rich diet, and decreased physical activity are part of the context that led to an obesity pandemic. Treating obesity is a task that requires multidisciplinary care; however, in many cases, conventional therapy has no effect, requiring surgical intervention. This, in turn, is not without risks and causes important changes in lung function. Therefore, the aim of this study is to evaluate the effect of electroanalgesia through conventional transcutaneous electrical nerve stimulation (TENS) on the pain and lung function in the postoperative period of bariatric surgery.
    Methods: This is a controlled and blinded clinical trial with 66 subjects who underwent bariatric surgery. The participants were randomized into 2 groups as follows: an intervention group treated with TENS (
    Results: There were no differences between the 2 groups regarding time of surgery and time of mechanical ventilation. Compared to placebo, TENS reduced pain in the intervention group (
    Conclusion: Electroanalgesia reduces pain in patients who underwent bariatric surgery. Importantly, in these patients, the MIP is maintained between the preoperative and postoperative periods. However, electroanalgesia does not contribute to improvements in spirometric data. This trial is registered with NCT04800640.
    Language English
    Publishing date 2022-06-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2587420-2
    ISSN 2090-2875 ; 2090-2867
    ISSN (online) 2090-2875
    ISSN 2090-2867
    DOI 10.1155/2022/9138602
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Book ; Online: Role of Transcutaneous Electric Nerve Stimulation in Pain and Pulmonary Function in Patients after Bariatric Surgery

    Luchesa, Cesar Antonio / Lopes, Agnaldo José

    Rehabil Res Pract

    2022  

    Abstract: BACKGROUND: Changes in lifestyle, a carbohydrate-rich diet, and decreased physical activity are part of the context that led to an obesity pandemic. Treating obesity is a task that requires multidisciplinary care; however, in many cases, conventional ... ...

    Abstract BACKGROUND: Changes in lifestyle, a carbohydrate-rich diet, and decreased physical activity are part of the context that led to an obesity pandemic. Treating obesity is a task that requires multidisciplinary care; however, in many cases, conventional therapy has no effect, requiring surgical intervention. This, in turn, is not without risks and causes important changes in lung function. Therefore, the aim of this study is to evaluate the effect of electroanalgesia through conventional transcutaneous electrical nerve stimulation (TENS) on the pain and lung function in the postoperative period of bariatric surgery. METHODS: This is a controlled and blinded clinical trial with 66 subjects who underwent bariatric surgery. The participants were randomized into 2 groups as follows: an intervention group treated with TENS (n = 33) and a placebo group (n = 33). The participants underwent 4 TENS sessions, and the effect on pain was assessed using a visual analogue scale (VAS pain). Lung function was measured by spirometry. RESULTS: There were no differences between the 2 groups regarding time of surgery and time of mechanical ventilation. Compared to placebo, TENS reduced pain in the intervention group (p = 0.001). Regarding the effect of electroanalgesia on pulmonary function, the spirometric parameters were similar between the groups. However, regarding muscle strength between the preoperative and postoperative periods, maximal inspiratory pressure (MIP) was maintained in the intervention group and decreased in the placebo group (p = 0.03). Compared with that in the intervention group, the respiratory rate in the placebo group increased during the application of TENS (p = 0.003). CONCLUSION: Electroanalgesia reduces pain in patients who underwent bariatric surgery. Importantly, in these patients, the MIP is maintained between the preoperative and postoperative periods. However, electroanalgesia does not contribute to improvements in spirometric data. This trial is registered with NCT04800640.
    Keywords Research Article
    Subject code 796
    Language English
    Publishing date 2022-06-02
    Publisher Hindawi
    Publishing country us
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Reference Value for the Distance Walked in the Six-Minute Walk Test in Obese Brazilian Men in the Preoperative Period of Bariatric Surgery.

    Luchesa, Cesar Antonio / Mafort, Thiago Thomaz / Rodrigues da Silva, Rafael / Paro, Isabela Cristina / Micheli de Souza, Fernanda / Lopes, Agnaldo José

    Journal of obesity

    2021  Volume 2021, Page(s) 9577412

    Abstract: Background: Obesity has several effects on the mechanics of the rib cage that may impair the exercise performance of obese individuals and therefore impact the assessment of surgical risk. This study aimed to establish a reference value for the 6-minute ...

    Abstract Background: Obesity has several effects on the mechanics of the rib cage that may impair the exercise performance of obese individuals and therefore impact the assessment of surgical risk. This study aimed to establish a reference value for the 6-minute walk distance (6 MWD) in obese Brazilian men in the preoperative period of bariatric surgery that considers the effect of lung function.
    Methods: This was a cross-sectional study in which 104 obese men underwent the six-minute walk test (6 MWT) before bariatric surgery. They also underwent the spirometry test and respiratory muscle strength measurement before the 6 MWT.
    Results: The 6 MWD was correlated with age (
    Conclusion: In this sample of obese Brazilian men, lung function contributed to poor performance in the 6 MWT. In these individuals, BMI, FVC, and age were the variables that composed the reference equation for the 6 MWD. Thus, in several clinical settings, such as in the evaluation before bariatric surgery, pulmonary function data are important to determine the reference value for the 6 MWD.
    MeSH term(s) Bariatric Surgery ; Cross-Sectional Studies ; Exercise Test ; Humans ; Male ; Obesity/surgery ; Preoperative Period ; Reference Values ; Walk Test
    Language English
    Publishing date 2021-07-08
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2573566-4
    ISSN 2090-0716 ; 2090-0708
    ISSN (online) 2090-0716
    ISSN 2090-0708
    DOI 10.1155/2021/9577412
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Reference Value for the Distance Walked in the Six-Minute Walk Test in Obese Brazilian Men in the Preoperative Period of Bariatric Surgery

    Luchesa, Cesar Antonio / Mafort, Thiago Thomaz / Rodrigues da Silva, Rafael / Paro, Isabela Cristina / Micheli de Souza, Fernanda / Lopes, Agnaldo José

    Journal of obesity. 2021 July 8, v. 2021

    2021  

    Abstract: Background. Obesity has several effects on the mechanics of the rib cage that may impair the exercise performance of obese individuals and therefore impact the assessment of surgical risk. This study aimed to establish a reference value for the 6-minute ... ...

    Abstract Background. Obesity has several effects on the mechanics of the rib cage that may impair the exercise performance of obese individuals and therefore impact the assessment of surgical risk. This study aimed to establish a reference value for the 6-minute walk distance (6 MWD) in obese Brazilian men in the preoperative period of bariatric surgery that considers the effect of lung function. Methods. This was a cross-sectional study in which 104 obese men underwent the six-minute walk test (6 MWT) before bariatric surgery. They also underwent the spirometry test and respiratory muscle strength measurement before the 6 MWT. Results. The 6 MWD was correlated with age (r = −0.388, p=0.0005), weight (r = −0.365, p=0.0007), height (r = 0.285, p=0.022), body mass index (BMI) (r = −0.543, p<0.0001), forced vital capacity (FVC) (r = 0.472, p<0.0001), peak expiratory flow (r = 0.253, p=0.031), and maximal inspiratory pressure (r = 0.313, p=0.017). In the stepwise forward regression analysis, BMI, FVC, and age were the only variables that independently predicted the 6 MWD and explained 40% of its variability. The reference equation proposed for obese Brazilian men is 6 MWD (m) = 570.5 − (3.984 × BMIₖg/ₘ₂) + (1.093 × FVC%ₚᵣₑdᵢcₜₑd) − (0.836 × ageyᵣₛ). Conclusion. In this sample of obese Brazilian men, lung function contributed to poor performance in the 6 MWT. In these individuals, BMI, FVC, and age were the variables that composed the reference equation for the 6 MWD. Thus, in several clinical settings, such as in the evaluation before bariatric surgery, pulmonary function data are important to determine the reference value for the 6 MWD.
    Keywords athletic performance ; bariatric surgery ; body mass index ; cross-sectional studies ; equations ; lung function ; mechanics ; muscle strength ; obesity ; regression analysis ; ribs ; risk
    Language English
    Dates of publication 2021-0708
    Publishing place Hindawi
    Document type Article
    ZDB-ID 2573566-4
    ISSN 2090-0716 ; 2090-0708
    ISSN (online) 2090-0716
    ISSN 2090-0708
    DOI 10.1155/2021/9577412
    Database NAL-Catalogue (AGRICOLA)

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  5. Article: The role of electroanalgesia in patients undergoing coronary artery bypass surgery.

    Luchesa, Cesar Antonio / Greca, Fernando Hintz / Guarita-Souza, Luiz César / dos Santos, José Luiz Verde / Aquim, Esperidião Elias

    Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular

    2009  Volume 24, Issue 3, Page(s) 391–396

    Abstract: Objective: To assess the electroanalgesia as an effective method in the reduction of pain and consequent improvement in lung function in patients undergoing coronary artery bypass graft surgery.: Methods: During the period of one year were studied 30 ...

    Abstract Objective: To assess the electroanalgesia as an effective method in the reduction of pain and consequent improvement in lung function in patients undergoing coronary artery bypass graft surgery.
    Methods: During the period of one year were studied 30 patients undergoing surgery for treatment of the ischemic coronary disease. After randomization, 15 patients were allocated in the study group (that received electroanalgesia) and 15 patients from the controlled group (placebo). From the 1st until the 5th postoperative day were realized two applications of electroanalgesia or the placebo current, according the group where the patient was allocate.
    Results: There was a reduction in the levels of pain in the study group compared to the controlled group, evidenced by the value P<0.05; however, there isn't evidence of statistical difference of the spirometric variables between them.
    Conclusion: The group that did electroanalgesia presented reduction in the intensity of postoperative pain, which however did not mean improvement in respiratory function of these patients.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Coronary Artery Bypass/adverse effects ; Epidemiologic Methods ; Female ; Humans ; Lung/physiopathology ; Male ; Middle Aged ; Pain, Postoperative/physiopathology ; Pain, Postoperative/prevention & control ; Spirometry ; Transcutaneous Electric Nerve Stimulation/methods
    Language Portuguese
    Publishing date 2009-08-21
    Publishing country Brazil
    Document type Journal Article ; Randomized Controlled Trial
    DOI 10.1590/s0102-76382009000400020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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