Efeitos de um treinamento resistido com tubos elásticos sobre a força muscular, qualidade de vida e dispneia de pacientes com doença pulmonar obstrutiva crônica

Abstract

RESUMOO objetivo deste estudo foi analisar os efeitos do treinamento resistido com tubos elásticos e aparelhos de musculação (convencional) sobre a força muscular, qualidade de vida e dispneia em pacientes com doença pulmonar obstrutiva crônica (DPOC). Pacientes alocados em grupos de treinamento com tubos elásticos (ETG, n=9) e convencional (CRG, n=10) foram avaliados por força isométrica e questionários de qualidade de vida (CRQ) e dispneia (MRC). A força isométrica aumentou em ~25% em ambos os grupos em todos os movimentos (p<0,05). MRC e o domínio dispneia de CRQ apresentaram melhoras de -28,70% e -6,05 % no ETG, e -33,33% e -16,23% no CRG, respectivamente. Força de flexão de ombro e cotovelo apresentaram correlação negativa com a variável MRC (p<0,05) para CRG. Ambas intervenções foram benéficas para aumento da força e redução do MRC, com aumento da força de membros superiores correlacionado à redução da sensação de dispneia nos pacientes com DPOC. Palavras-chave: Exercício. Doença pulmonar obstrutiva crônica. Qualidade de vida. ABSTRACTThe objective of this study was to analyze the effects of resistance training with elastic tubes and weight machines (conventional) on muscle strength, quality of life and dyspnea in patients with chronic obstructive pulmonary disease (COPD). Patients were allocated in training groups with elastic tubes (ETG, n = 9) and conventional (CRG, n = 10) and evaluated by isometric strength and quality of life questionnaire (CRQ) and dyspnea (MRC). Isometric strength increased by ~25% in both groups in all movements (p <0.05). MRC and the CRQ dyspnea domain showed improvement of -28.70% and -6.05% in the ETG, and -33.33% and -16.23% at CRG, respectively. Shoulder and elbow flexion showed a negative and significant correlation with MRC (p <0.05), for CRG. Both interventions were beneficial for increasing the strength and reducing the MRC score, and increased strength of upper limbs correlated to the reduction of the sensation of dyspnea in patients with COPD.

Exercise Training in Patients with Chronic Respiratory Diseases: Are Cardiovascular Comorbidities and Outcomes Taken into Account?—A Systematic Review

“…The 180 studies included were conducted between 1987 and 2019. In total, 156 studies included patients with COPD [23,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83,84,85,86,87,88,89,90,91,92,93,94,95,96,97,98,99,100,101,102,103,104...…”

“…Forty-four different exclusion criteria were found in studies with patients with COPD (Figure 2). From these, exercise-limiting conditions [34,36,40,53,60,61,89,92,104,114,125,134,135,138,148,157,166,167,168,169,170,173,174,179,181,183,184] ( n = 27; 17.3%) was the most reported exclusion criterion, followed by general cardiovascular disease [32,39,44,70,74,75,94,100,103,107,109,112,130,152,153,160,164,171] ( n = 18; 11.5%) and unstable cardiovascular disease [38,47,53,65,66,98,99,101,108,116,117,118,119,133,137,146,147,180] ( n = 18; 11.5%). Thirty-four (21.8%) of the studies [23,48,50,55,63,<...>…”

The perceptions of physical therapists about facilitators and challenges in the use of different tools for resistance training in COPD patients: a mixed-method study

“…The same muscle groups (shoulder flexion, elbow flexion, shoulder abduction, knee extension, and knee flexion) were trained in all three types of training, using the same muscle strengthening protocol. Training with bands and elastic tubes occurred in chairs especially designed for the exercises (containing hooks that allowed the fixing of elastic bands and tubes) 12 .…”

“…To perform the three types of training, the patients worked with a protocol of maximum number of repetitions in each set. The protocol was based on a previous study of our research group 7,12 .…”

Efeitos do treinamento resistido na capacidade funcional de pacientes com DPOC hospitalizados: revisão sistemática

“…Atualmente é crescente o número de evidências que abordam a importância do exercício, especialmente a modalidade de treino resistido como meio de favorecer o aumento da capacidade física, da massa e força muscular periférica, além da qualidade de vida nesse perfil de pacientes 4,12,13 . Contudo, observa-se que a introdução desta modalidade de exercício como parte da reabilitação pulmonar (RP) é iniciada somente após a alta hospitalar, postergando os benefícios conseguidos com o tratamento e intensificando o comprometimento funcional do paciente 6 .…”