The Impact of Noninvasive Ventilation During the Physical Training in Patients With Moderate-to-Severe Chronic Obstructive Pulmonary Disease (Copd)

Toledo, Aline Martins de; Borghi‐Silva, Audrey; Sampaio, Luciana Maria Malosá; Ribeiro, Karla; Baldissera, Vilmar; Costa, Dirceu

doi:10.1590/s1807-59322007000200004

Cited by 38 publications

(27 citation statements)

References 22 publications

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“…Conversely, differences in endurance exercise capacity, assessed with a constant work rate exercise ergometer test, failed to reach statistical significance between the intervention and control groups. 106 Likewise, training with NIV did not affect the 6-min walk distance, 103 exercise dyspnea, 97,102,103 or QOL. 98,103 Dropouts were similar between ventilated and nonventilated subjects.…”

Section: Ventilatory Support During Exercise Trainingmentioning

confidence: 89%

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Hot Topics in Noninvasive Ventilation: Report of a Working Group at the International Symposium on Sleep-Disordered Breathing in Leuven, Belgium

et al. 2015

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During the last few decades, attention has increasingly focused on noninvasive ventilation (NIV) in the treatment of chronic respiratory failure. The University of Leuven and the University Hospitals Leuven therefore chose this topic for a 2-day working group session during their International Symposium on Sleep-Disordered Breathing. Numerous European experts took part in this session and discussed (1) NIV in amyotrophic lateral sclerosis (when to start NIV, NIV and sleep, secretion management, and what to do when NIV fails), (2) recent insights in NIV and COPD (high-intensity NIV, NIV in addition to exercise training, and NIV during exercise training), (3) monitoring of NIV (monitoring devices, built-in ventilator software, leaks, and asynchronies) and identifying events during NIV; and (4) recent and future developments in NIV (target-volume NIV, electromyography-triggered NIV, and autoregulating algorithms)

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Section: Ventilatory Support During Exercise Trainingmentioning

confidence: 89%

“…[96][97][98][99][100][101][102][103] This topic has been further addressed in 3 systematic reviews. [104][105][106] In all studies, the included study population was small (generally 7-10 per group and study).…”

Section: Ventilatory Support During Exercise Trainingmentioning

confidence: 99%

Hot Topics in Noninvasive Ventilation: Report of a Working Group at the International Symposium on Sleep-Disordered Breathing in Leuven, Belgium

et al. 2015

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“…In the articles selected, patients were trained with treadmill exercises 16,17,19 or cycle ergometer [12][13][14] with comparable outcome variables and measurement methods. Therefore, the characteristics of the rehabilitation programs were almost similar, and no evidence of biases due to any relevant difference in training method was considered as a potential confounder.…”

Section: Discussionmentioning

confidence: 99%

“…Toledo et al 19 observed that, after 12 weeks of training, the group that trained with NIV had a significant improvement in heart rate, systolic blood pressure, and V O 2 after training compared with the control group. A significant reduction in blood lactate was observed at identical levels of exercise in the NIV group compared with the control group.…”

Section: Introductionmentioning

confidence: 99%

Physical Training and Noninvasive Ventilation in COPD Patients: A Meta-Analysis

et al. 2013

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BACKGROUND: Exercise training improves both exercise tolerance and quality of life in patients with COPD. The intensity of exercise training is crucial to achieve a true physiologic effect. However, in COPD patients, exertional dyspnea and leg fatigue mean that the patient cannot maintain intensity of training for enough time to yield a physiologic training effect. The use of noninvasive ventilation (NIV) support has been proposed as an alternative strategy to improve exercise tolerance and respiratory and cardiovascular performances. The first aim of our meta-analysis was to evaluate exercise training with NIV in terms of physiologic effects after the completion of a pulmonary rehabilitation program. The second aim was to investigate the dose-response relationship between physical improvement and training intensity. METHODS: Literature research was performed using MEDLINE, Embase, and CINAHL. Meta-analysis and meta-regressions were performed using random effects models. RESULTS: Eight studies provided a proper description of a training schedule in stable COPD patients. A similar effect between NIV and placebo was observed for the outcomes considered despite differences between studies. However, subjects experienced a relevant and statistically significant improvement after rehabilitation for almost all of the outcomes considered. Heart rate (6 beats/min [95% CI 0.94 -11.01], P ‫؍‬ .02), work load (9.73 W [95% CI 3.78 -15.67], P < .001), and oxygen consumption (242.11 mL/min [95% CI 154.93-329.9], P < .001) significantly improved after training. Improvements in heart rate and work load were significantly correlated to training intensity. CONCLUSIONS: Given the small number of available studies, the small sample sizes, and the complete absence of power calculation, we think that this topic deserves a more in-depth investigation. Randomized clinical trials with larger sample sizes based on statistical power calculations and designed to investigate the effect of training duration and intensity on rehabilitation are needed to confirm results in this important field.

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“…Cabrita et al 24 In a prospective study, we treated 68 infected hip arthroplasties with discharging sinuses and bone loss, comparing 30 patients treated in two stages without the use of a spacer (control group) and 38 patients treated with a vancomycin-loaded spacer (study group), concluding that the use of an antibioticloaded spacer in the 2-stage treatment of infected hip arthroplasties provides better infection control with good functional results and is superior to surgery in 2 stages without a spacer. Toledo et al 25 evaluated the influence of physical training with and without noninvasive ventilation at two levels of pressure in the airways (BiPAP ® ), in patients with chronic obstructive pulmonary disease. For both groups, there was a significant improvement in dyspnea and peripheral oxygen saturation at identical levels of physical exercise, in distance walked during the physical training, and in respiratory muscular strength (p<0.05).…”

Section: Discussionmentioning

confidence: 99%

Revisão de artigos de ortopedia e medicina esportiva publicados em periódicos brasileiros

Camargo¹

2009

Acta ortop. bras.

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The purpose of this review is to present the most relevant articles on Orthopaedics and Sports Medicine published in Brazilian non-orthopedic medical journals indexed by ISI. These papers represent the most important contributions to this area of knowledge over the last two years. A total of thirty-eight papers were located for this period, published in different Brazilian journals and with different research designs. It is clear that better divulgation of papers on Orthopedics and Sports Medicine in general journals is needed, to give specialists a better source of reference and research.

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The Impact of Noninvasive Ventilation During the Physical Training in Patients With Moderate-to-Severe Chronic Obstructive Pulmonary Disease (Copd)

Cited by 38 publications

References 22 publications

Hot Topics in Noninvasive Ventilation: Report of a Working Group at the International Symposium on Sleep-Disordered Breathing in Leuven, Belgium

Hot Topics in Noninvasive Ventilation: Report of a Working Group at the International Symposium on Sleep-Disordered Breathing in Leuven, Belgium

Physical Training and Noninvasive Ventilation in COPD Patients: A Meta-Analysis

Revisão de artigos de ortopedia e medicina esportiva publicados em periódicos brasileiros

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