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Avaliação da força de preensão palmar e dos volumes pulmonares de pacientes hospitalizados por condições não cirúrgicas Evaluation of handgrip strength and lung volumes inpatients hospitalized for nonsurgical conditions

This article has been withdrawn for editorial reasons because the journal will be published only in English. In order to avoid duplicated records, this article can be found at http://dx.doi.org/10.1016/j.rppnen.2014.05.005. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy.

No abstract

Exceto onde especificado diferentemente, a matéria publicada neste periódico é licenciada sob forma de uma licença Creative Commons -Atribuição 4. respectively)

O não produziu alteração na taxa de depuração. Backgound and Objectives:Positive airway pressure continues (CPAP) produces significant hemodynamic changes that may influence the variability of breathing pattern and heart rate, acting as an additional therapy to prevent atelectasis and to combat hypoxia. The rate of inhaled 99m Technetium-diethylenetriaminepentaacetic acid ( 99m Tc-DTPA), along with changes in the lung epithelium cause an increase in the rate of clearance of this compound. The aim of this study was evaluate the pulmonary clearance rate of 99m Technetium-Diethylenetriaminepentaacetic acid ( 99m Tc-DTPA) through the use of different levels of CPAP. Methods: It was a quasi-experimental study involving 17 healthy individuals with normal lung functional. Tc-DTPA clearance moreover, 10 cmH 2 O did not alter its clearance rate. RESUMO ABSTRACT

Justificativa e objetivo: A DPOC é caracterizada pela limitação progressiva do fluxo aéreo associada a uma resposta inflamatória. O objetivo do estudo foi avaliar a influência e a associação das variáveis respiratórias sobre a capacidade de exercício em portadores de DPOC. Métodos: Estudo transversal avaliou 39 portadores de DPOC para obtenção do volume expiratório forçado no primeiro segundo (VEF1) e a capacidade vital forçada (CVF). A força muscular respiratória (FMR) avaliada em seus componentes de pressão inspiratória máxima (PImax) e pressão expiratória máxima (PEmax). Capacidade de exercício avaliada pelo Teste de Caminhada de Seis Minutos (TC6m) e Incremental Shuttle Walking Test (ISWT). Resultados: O VEF1 (% 39,8±15,3) e CVF (% 60,2±17,1) se encontram reduzidos em relação ao predito classificando-os em estadiamento grau II (21%), III (51%) e IV (28%). A PImax (92,7±14,6 % predito) e PEmax (97,6±19,0 % predito) se encontram dentro dos valores previsto para os sujeitos. Evidenciada correlação moderada entre a distância percorrida no ISWT vs VEF1 (r=0,35; p=0,02) e ISWT vs CVF (r=0,42; p

This study aims to assess the effect of short-time low frequency inspiratory muscle trainer (Threshold IMT) on inspiratory muscle strength and electromyographic activity of the sternocleidomastoid (SCM) muscle in people with chronic obstructive pulmonary disease (COPD). People with COPD participating in a lung rehabilitation program were allocated to a control or inspiratory muscle training (IMT) group. The control group participated in the usual rehabilitation, whereas the other group received IMT (performed with a load of 50% maximal inspiratory pressure (MIP) adjusted weekly). Both interventions lasted for 2 months. Outcomes included electromyographic analysis of the SCM and MIP. In total, ten participants were allocated to each group. The IMT group presented an increase in absolute (p<0.001) and predicted (p<0.001) values of MIP and also in pre- and post-intervention variation between groups (p=0.003 and p=0.008, respectively). Such differences were not found in the control group. The SCM muscle activity decreased in the IMT post intragroup evaluation (p=0.008). IMT provided a reduction of the electromyographic activity of SCM in COPD patients, also increasing inspiratory muscle strength in the study participants.