{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T10:06:23Z","timestamp":1753869983083,"version":"3.41.2"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T00:00:00Z","timestamp":1743379200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background and Purpose<\/jats:title><jats:p>TAR method recommends reorganizing ventilatory muscle synergism, reducing respiratory effort, removing secretions from the lungs and upper airways, in addition to promoting diaphragmatic juxtaposition and increasing respiratory muscle strength and adjusting muscle tone. However, there are few scientific publications on this method in cardiac patients CABG. To evaluate the effects of the TAR method on hemodynamic variables, respiratory distress and pulmonary complications in patients after CABG surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a single\u2010blind, randomized, clinical trial. Adults (&gt;\u00a035\u00a0years old), hemodynamically stable, who had undergone CABG (&lt;\u00a024\u00a0h) and with a prescription for physiotherapy were included. Patients were randomized into two groups: IG \u2010 TAR; CG\u2014standard physiotherapeutic approach. Interventions were carried out in two days (twice\/day), totaling 04 sessions. The following parameters were evaluated pre\u2010 and post\u2010intervention: HR, RR, SpO2, MAP, respiratory distress scale. The pulmonary complications scale was applied at the end of the interventions. The sample consisted of 58 patients, 30 in the CG and 28 in the IG. Results: There was no significant difference (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05) in sample characteristics, clinical and perioperative data between groups. There was a significant increase (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05) in RR and MAP after the intervention in CG and IG. Only in GI there was a significant reduction in the respiratory distress score (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.001). Furthermore, there was a lower score (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.0001) on the scale of pulmonary complications at the end of the interventions in the IG group, compared to the CG.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The TAR method reduced respiratory distress and pulmonary complications in patients after CABG surgery. Given our findings, it becomes feasible to aim for the applicability of the method in other populations, expanding it to other elective or non\u2010elective surgical conditions, in oncology, traumatology, and neurology, making the recovery process more effective. Keywords: Physiotherapy; Cardiology; Thoracic\u2010abdominal rebalancing.<\/jats:p><\/jats:sec><jats:sec><jats:label\/><jats:p><jats:bold>Trial Registration:<\/jats:bold> NTC 04631198<\/jats:p><\/jats:sec>","DOI":"10.1002\/pri.70050","type":"journal-article","created":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T20:13:38Z","timestamp":1743538418000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Thoracic\u2010Abdominal Rebalancing Method is Superior in Terms of Decreasing Respiratory Distress, Postoperative Pulmonary Complications and Hemodynamic Variables When Compared to Conventional Physiotherapy in Postoperative Patients of Coronary Artery Bypass Grafting Surgery: Randomized Clinical Trial"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0627-1015","authenticated-orcid":false,"given":"Karolini Reis","family":"Branco","sequence":"first","affiliation":[{"name":"Master's Student in the Graduate Program in Health Sciences: Cardiology Institute of Cardiology of Rio Grande Do Sul (IC\/FUC)  Porto Alegre Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernanda dos Santos","family":"Silveira","sequence":"additional","affiliation":[{"name":"Neonatologist and Pediatric Physiotherapist Preceptor in Neurofunctional Rehabilitation and Aquatic Physiotherapy at the Lutheran University of Brazil in Canoas  Canoas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Let\u00edcia","family":"Ferronato","sequence":"additional","affiliation":[{"name":"Physiotherapist Master in Rehabilitation Sciences: Federal University of Santa Catarina (PPGCR\/UFSC)  Florian\u00f3polis Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simone Cristina","family":"Jabuonski","sequence":"additional","affiliation":[{"name":"Physiotherapist Specialist in Intensive Care: Brazilian Association of Cardiorespiratory Physiotherapy and Intensive Care (ASSOBRAFIR)  Porto Alegre Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vin\u00edcius Serra","family":"Peringer","sequence":"additional","affiliation":[{"name":"Physical Therapist Coordinator of the Multiprofessional and Integrated Residency Program in Health: Cardiology at the Institute of Cardiology of Rio Grande do Sul (IC\/FUC)  Porto Alegre Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariangela Pinheiro","family":"de Lima","sequence":"additional","affiliation":[{"name":"Physiotherapist Creator of the Thoraco\u2010abdominal Rebalancing Method and Founder of the Brazilian School of RTA and Respiratory Biomechanics  Florian\u00f3polis Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o Paulo","family":"Heinzmann\u2010Filho","sequence":"additional","affiliation":[{"name":"Teaching Physiotherapist at Centro Universit\u00e1rio Cenecista de Os\u00f3rio (UNICNEC)  Os\u00f3rio Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1005-3611","authenticated-orcid":false,"given":"Bruna","family":"Eibel","sequence":"additional","affiliation":[{"name":"Physical Therapist Coordinator of the Multiprofessional and Integrated Residency Program in Health: Cardiology at the Institute of Cardiology of Rio Grande do Sul (IC\/FUC)  Porto Alegre Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,31]]},"reference":[{"issue":"46","key":"e_1_2_8_2_1","article-title":"Profile of Patients Who Evolved With Stroke in the Postoperative Period of Cardiac Surgery","volume":"22","author":"Abreu A. 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