A eficácia da reabilitação pulmonar na capacidade de exercício, força da musculatura inspiratória e qualidade de vida de portadores de doença pulmonar obstrutiva crônica

Zanchet, Renata Claudia; Viegas, Carlos Alberto de Assis; Lima, Terezinha

doi:10.1590/s1806-37132005000200006

Cited by 26 publications

(21 citation statements)

References 23 publications

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“…It is known that patients with chronic obstructive pulmonary disease (COPD) present harm in their quality of life due to progressive worsening in pulmonary function, which determines lower tolerance to exercise and consequent decrease in performance in activities of daily living (ADLs) 1 . During exercise, the active musculature receives blood flow higher than when at rest, and therefore, the oxygen consumption (VO 2 ) is higher and is able to lead to early muscular fatigue, limiting physical activity 2 .…”

Section: Introductionmentioning

confidence: 99%

Comparação das variáveis fisiológicas no teste de caminhada de seis minutos e no teste da escada em portadores de doença pulmonar obstrutiva crônica

Mazzocchi

Costa

Canterle

et al. 2012

Rev Bras Med Esporte

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Introduction: Exercise intolerance interposes daily life activities in chronic obstructive pulmonary diseases (COPD); hence, the evaluation of this functional limitation becomes fundamental. Objective: To compare the six-minute walk test (HR 6peak ) with the stair-climbing test (SCT) in patients with COPD. Methods: prospective analysis of twenty-one patients with COPD who were part of the -Pulmonary Rehabilitation Program -(PRP). Patients were evaluated from July to October, 2008 when they performed the HR 6peak and SCT, analyzing the physiological variables (HR, PSO2), and the modified Borg scale before and after each test. The distance was measured at the end of the tests. Results: Comparing the timing (early versus late) of physiological and subjective perception of exertion (RPE) from Borg, we can observe that all changes were statistically significant (p <0.001) tests. However, when the physiological changes were compared, the PSO2 obtained presented similar reduction (p = 0.912) in both tests, the HR increased significantly in SCT (p = 0.006) and on Borg RPE (p <0.001). Regarding the walking distance performed, the HR 6peak (p <0.001), allowed participants to advance to a distance significantly longer than the SCT. Conclusion: the tests expressed important physiological and subjective perception of effort (RPE) from Borg (p <0.001).

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Section: Introductionmentioning

confidence: 99%

Comparação das variáveis fisiológicas no teste de caminhada de seis minutos e no teste da escada em portadores de doença pulmonar obstrutiva crônica

Mazzocchi

Costa

Canterle

et al. 2012

Rev Bras Med Esporte

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“…Grosbois e colaboradores, 26 Zanchet e colaboradores, 27 num ensaio clínico não randomizado, avaliaram a eficácia de um PRP, na capacidade de exercício, força da musculatura respiratória e QV em 27 pacientes com DPOC, ex-tabagistas estáveis clinicamente. A avaliação foi feita antes e após o programa, consistindo em avaliação das variáveis espirométricas, a pressão parcial de oxigênio e pressão parcial de dióxido de carbono no sangue arterial, saturação arterial de oxigênio, IMC, utilizou-se também o SGRQ, e manovacuometria realizada para aferir as pressões respiratórias máximas, dispneia foi avaliada através da Escala de Borg, e a capacidade funcional por meio do TC6M.…”

Section: Resultsunclassified

Treinamento de força muscular na reabilitação pulmonar em pacientes com DPOC: Uma revisão descritiva

et al. 2017

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Artigo de revisão ResumoIntrodução: A doença pulmonar obstrutiva crônica (DPOC) é uma patologia caracterizada pela obstrução progressiva do fluxo aéreo, parcialmente ou não totalmente reversível, causando prejuízos funcionais. Associado a tais limitações há também a disfunção muscular periférica. Existem evidências de que alterações musculoesqueléticas relacionadas à inatividade física repercutem negativamente no prognóstico dos pacientes com DPOC. Dessa forma, o fortalecimento muscular nestes indivíduos proporciona, além do aumento da força muscular, melhora da capacidade funcional e da qualidade de vida. Objetivos: Identificar os aparelhos utilizados para treinamento de força muscular e a eficácia dos programas de reabilitação pulmonar (PRP) em pacientes com DPOC. Métodos: Revisão narrativa com busca sistemática nas bases de dados Scielo, Pubmed, Medline e Tripdatabase, dos artigos publicados no período de 2005 a 2016. Resultados: Foram selecionados 24 estudos e descritos os tipos de equipamentos utilizados para o treino de força e os resultados dos programas de reabilitação. Conclusões: Os equipamentos de musculação são os mais utilizados para este fim, porém opções mais viáveis e mais versáteis produzem os mesmos resultados, além disso, em todos os estudos, os PRP produziram resultados significativos.Descritores: Doença pulmonar obstrutiva crônica (DPOC); Reabilitação pulmonar; Fortalecimento muscular; Disfunção muscular periférica; Aparelhos para treinamento muscular; Alta intensidade. AbstractMuscle strength training in pulmonary rehabilitation of COPD patients: A sistematic review Introduction: Chronic obstructive pulmonary disease (COPD) is characterized by progressive airflow obstruction, partially or not fully reversible, causing functional impairment. It is also associated with systemic limitations such as peripheral muscle disease; there is evidence that musculoskeletal disorders related to the physical inactivity presents a negative effect on the prognosis of COPD patients. Thus, peripheral muscles training in COPD patients can provide an increase in muscle strength, improving functional capacity and quality of life. Objectives: To identify the devices used for muscle strength training and the effectiveness of the pulmonary rehabilitation program (PRP) in patients with COPD. Method: The study is a systematic review in the databases such as Scielo, Pubmed, Medline and Tripdatabase, with publications from 2005 to 2016. We have selected 24 studies that described the types of equipment used for strength training, and the results of the pulmonary rehabilitation program. Results: Our analysis showed that the most frequent used equipment are the fitness equipment, however, more viable and more versatile options produce the same results, and in all studies, PRP produced significant results.

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“…different protocols with fewer training sessions, such as twice or three times a week 13,17,19,20 , have also proved to be efficient.…”

Section: Discussionmentioning

confidence: 99%

“…this improvement in both mIp and mEp occurred even without specific linear resistance training of the respiratory muscles. Zanchet et al 13 suggest that, in Copd patients, this increase may be due to an improvement to the patient's general conditioning. Furthermore, there was resisted diaphragm reeducation and abdominal exercises in the present study, which may have contributed to the results.…”

Section: Discussionmentioning

confidence: 99%

“…the duration and weekly frequency are varied and treatment location can be the patient's home, a hospital or a clinic 12,13 . the objective of this study was to evaluate the efficacy of once-weekly pulmonary rehabilitation in obstructive pulmonary disease patients with the use of the Chronic Respiratory Questionnaire (CRQ); also, to analyze maximal respiratory pressure variables, the distance covered in the six-minute walk test (6mwt) and the relationship of these variables with the CRQ.…”

Section: Introductionmentioning

confidence: 99%

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Eficácia da reabilitação pulmonar uma vez na semana em portadores de doença pulmonar obstrutiva

Roceto

Takara

Machado

et al. 2007

Rev. bras. fisioter.

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Background: obstructive pulmonary diseases may interfere negatively with patients' quality of life (Qol). Specific Qol questionnaires such as the Chronic Respiratory Questionnaire (CRQ) have been used to quantify the impact of the disease and measure the effects of different rehabilitation protocols. objective: to evaluate the effectiveness of pulmonary rehabilitation performed once a week in association with exercises at home among patients with obstructive pulmonary disease, by means of CRQ comparisons, maximum respiratory pressures (mIp and mEp) and six-minute walking distance test (6mwd), before and after treatment. methods: this study was developed in the physical therapy outpatient clinic of the hospital. thirty-four patients of both sexes with obstructive pulmonary disease were evaluated, and nineteen (mean age: 60.8 ± 14.2 years) were included in the study. these subjects all underwent physiotherapeutic evaluation and reevaluation with the CRQ and measurements of mIp, mEp and 6mwd. the physical therapy consisted of respiratory, aerobic and resistance exercises once a week for 12 weeks, together with home exercises twice a week. Results: the wilcoxon test and Spearman correlation were used. Statistically significant differences between evaluations before and after rehabilitation were found for all CRQ domains (p≤ 0.05), mIp (p= 0.01) and mEp (p= 0.002). Conclusion: the proposed program improved Qol and promoted increases in maximum respiratory pressures among these patients with obstructive pulmonary disease, even though the current literature suggests that higher frequency of training is needed.

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A eficácia da reabilitação pulmonar na capacidade de exercício, força da musculatura inspiratória e qualidade de vida de portadores de doença pulmonar obstrutiva crônica

Cited by 26 publications

References 23 publications

Comparação das variáveis fisiológicas no teste de caminhada de seis minutos e no teste da escada em portadores de doença pulmonar obstrutiva crônica

Comparação das variáveis fisiológicas no teste de caminhada de seis minutos e no teste da escada em portadores de doença pulmonar obstrutiva crônica

Treinamento de força muscular na reabilitação pulmonar em pacientes com DPOC: Uma revisão descritiva

Eficácia da reabilitação pulmonar uma vez na semana em portadores de doença pulmonar obstrutiva

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