As doenças respiratórias crônicas são alterações presentes tanto nas vias aéreas superiores como nas inferiores, como principais estão: Asma e Doença Pulmonar Obstrutiva Crônica (DPOC). Uma das alternativas de tratamento é o Programa de Reabilitação Pulmonar (PRP), que gera benefícios aos pacientes, observando melhoras nos aspectos funcionais, sociais e psicológicos.Uma alternativa viável e eficaz aos atendimentos presenciais é o PRP não supervisionado (RPNS), que tem como objetivo principal exercitar pacientes sob supervisão indireta. Os indivíduos são encorajados a utilizarem estratégias que aprenderam no Programa de Reabilitação Pulmonar Supervisionada (RPS) e realizarem os exercícios físicos nos seus domicílios. A mais recente ameaça à saúde global tem sido o surto em curso da doença infecciosa causada por um Coronavírus recém descoberto. Este novo Coronavírus denominado SARS-Cov-2, causador da doença COVID-19. Os objetivos desta pesquisa são avaliar o impacto do isolamento pela quarentena do COVID -19 na qualidade de vida, na capacidade funcional e nos aspectos psicológicos recorrentes em pacientes com doenças respiratórias crônicas e observar estes aspectos associados ao RPNS.

Objective To evaluate self-esteem and self-image of respiratory diseases patients in a Pulmonary Rehabilitation Program, who participated in socialization and physical fitness activities, and of patients who participated only in physical fitness sessions.Methods A descriptive cross-sectional exploratory study. Out of a total of 60 patients analyzed, all enrolled in the Pulmonary Rehabilitation Program, 42 participated in at least one of the proposed activities, 10 did not participate in any activity and 8 were excluded (7 were discharged and 1 died).Results When the two groups were compared, despite the fact that both demonstrated low self-esteem and self-image, the difference between them was relevant (p<0.05) regarding self-esteem, indicating that those who participated in the proposed socialization activities had better self-esteem than the individuals who only did the physical fitness sessions. Regarding self-image, the difference between the groups was not relevant (p>0.05).Conclusion The Pulmonary Rehabilitation Program patients evaluated presented low self-esteem and self-image; however, those carrying out some socialization activity proposed had better self-esteem as compared to the individuals who did only the physical fitness sessions.

Objective To evaluate the influence of the altitude on the 6-minute walking test in patients with moderate to severe pulmonary disease.Methods Twenty-nine patients performed the 6-minute walk test at a pulmonary rehabilitation clinic in Santo André (above sea level), in São Paulo State, and at the Enseada Beach, in Guarujá (at sea level), also in São Paulo State. Of these 29 patients, 8 did the test both on hard sand and on asphalt to analyze if there were differences in performance during the tests. Data such as heart rate, oxygen saturation, test distance, and Borg scale were compared.Results We found no statistical difference in relation to oxygen saturation at rest before the beginning of the walking test in Santo André 94.67±2.26% and at sea level 95.56±2% (p=0.71). The minimum saturation measured during the test was 87.27±6.54% in Santo André and 89.10±5.41% in Guarujá (p=0.098). There were no differences in the performed distance between the different kinds of terrains; the distance on sand was 387.75±5.02m and on asphalt it was 375.00±6.54m (p=0.654). Regarding oxygen saturation during walking, the pulse oximetry on sand was 95.12±1.80% and on asphalt it was 96.87±1.64% (p=1.05).Conclusion Altitude did not affect the performance of the walking test in patients with moderate to severe pulmonary disease and the results were similar in both cases, on sand and on asphalt.

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Objective: To evaluate the effect of high intensity physical training on a supervised Pulmonary Rehabilitation Program (PRP) in patients with Chronic Obstructive Pulmonary Disease (COPD). Methods: Interventional study with 30 patients with COPD, randomly divided into 2 groups: Control Group (CG) submitted to physical training of a traditional PRP and Experimental Group (EG) with bodybuilders with duration of 30 sessions in days alternates. All submitted to pre and post-intervention evaluation with the following variables: (I) pulse oximetry (SpO2); (II) 6 'walk test (6MWT); (III) Saint George's Quality of Life Questionnaire (SGRQ); (IV) DPOC assessment test (CAT); (V) cardiopulmonary exercise test; and (VI) 1 maximal repetition test (MRI). Results: Pre and post-intervention values were compared and the GE group presented a significant difference in the following parameters: increase 30.53 meters in the distance covered (p 0.021) improvement in all scores: CAT score for 12 points (p 0.001), Score Saint George from 27 to 19 points (p 0.005), and in the improvement of the maximum physical capacity with increase 14 to 18 of (VO2 (%) (p 0.007) and 0,87 to 1,12 VO2 (L/min) (p 0.01) Conclusions: There was a significant improvement in exercise capacity and quality of life of the GE group, suggesting that high intensity physical training is the most efficient alternative in the treatment of patients with moderate COPD will be severe.

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