Força muscular periférica e respiratória na doença pulmonar obstrutiva crônica

Vieira, Rudolfo Hummel Gurgel; Nogueira, Ivan Daniel Bezerra; Queiroz, Natércia Ferreira; Cunha, Tamara Martins da; Araújo, Zênia Trindade de; Vieira, Wouber Hérickson de Brito; Nogueira, Patrícia Angélica de Miranda Silva

doi:10.5007/1980-0037.2018v20n2p125

Cited by 3 publications

(1 citation statement)

References 21 publications

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“…Para avaliação do pico de força de preensão palmar, foi utilizado o dinamômetro (handgrip), um método sensível e mais preciso para quantificar mudanças de força de preensão palmar (FPP) ao longo do tempo, particularmente em pacientes com força suficiente para vencer a gravidade (Vieira et al, 2018).…”

Section: Metodologiaunclassified

Força muscular e funcionalidade de pacientes hospitalizados admitidos por afecções respiratórias

Santos

et al. 2021

RSD

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Objetivo: Analisar a força muscular e a funcionalidade de pacientes hospitalizados admitidos por afecções respiratórias. Metodologia: Estudo transversal, realizado em pacientes diagnosticados e internados com doenças respiratórias. As avaliações foram realizadas por meio da Medical Research Council (MRC), Medida de independência funcional (MIF), World Health Disability Assessment Schedule (WHODAS), manovacuometria e dinamometria em pacientes internados no Hospital Universitário de Lagarto. Resultados: Participaram do respectivo estudo 97 pacientes, onde observou-se redução das forças musculares periféricas e respiratórias. Ao analisar a funcionalidade, notou-se moderada dificuldade funcional, sendo ambos instrumentos correlatos (r= -722; p<0,01). Ao analisar a relação entre média de MRC (MMSS) e FPP D e E, demostrou-se que houve correlação alta e positiva (p<0,01) entre as mesmas. Notou-se uma correlação alta e positiva (p< 0,01) entre MRC e MIF, e alta e negativa com o WHODAS (r= -598; p<0,01). Ao avaliar as médias da FPP e do MRC entre os grupos acima de 60 anos e abaixo de 60 anos, verificou-se que o fator idade contribui para a perda da força muscular e, consequentemente, da funcionalidade (p= 0.000). Conclusão: Os pacientes internados por afecções respiratórias agudas ou crônicas agudizadas apresentaram redução da força muscular periférica e respiratória. Esta realidade ressalta a importância de uma assistência fisioterapêutica precoce, pautada na funcionalidade e no ganho de força muscular desses pacientes.

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Section: Metodologiaunclassified

Força muscular e funcionalidade de pacientes hospitalizados admitidos por afecções respiratórias

Santos

et al. 2021

RSD

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Respiratory Oscillometry and Functional Performance in Different COPD Phenotypes

Teixeira,

Ribeiro,

Lopes

et al. 2024

COPD

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Skeletal muscle dysfunction, sarcopenia and sarcopenic obesity in patients with chronic obstructive pulmonary disease

Масик

Stepaniuk²,

Masik³

2022

PJS

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Background. Chronic obstructive pulmonary disease (COPD) is often associated with musculoskeletal dysfunction, including skeletal muscle dysfunction, sarcopenia, osteoporosis, and obesity. The purpose was to assess skeletal muscle status and determine the prevalence of sarcopenia and sarcopenic obesity in patients with COPD. Materials and methods. 66 patients with COPD and 35 healthy subjects had been examined. Sarcopenia was established using EWGSOP2 criteria, and sarcopenic obesity was defined in the presence of sarcopenia with a body mass index > 25 kg/m2. Results. In 59.1 % of the patients with COPD, a decrease in skeletal muscle strength was found, in particular, by 28.2 % in women and by 39.1 % in men at GOLD 4 in comparison with GOLD 1 and by 40.7 % and 54.3 %, respectively, compared to the control. A decrease in leg circumference (by 16.3 % in women and by 20.8 % in men) was determined at GOLD 4 compared to GOLD 1. A decrease in walking speed by 20 % in women and by 27.3 % in men was determined at GOLD 4 in comparison with GOLD 1 and a reliable correlation inverse connection between age and walking speed (r = –0.72 — in women and r = –0.61 — in men). A significant decrease in the lean mass of the limbs was established in COPD patients over 45 years old and with GOLD 2, lean and fat mass indices — with GOLD 3, appendicular lean mass — with GOLD 4 and over 60 years old. A direct correlation link was established between the severity of COPD and android type of obesity (r = 0.41; p < 0.05). Conclusions. Sarcopenia was diagnosed in 66.7 % of the patients with COPD and 5.7 % of the control group, and sarcopenic obesity was diagnosed in 27.3 % of the patients with COPD. An increase in the share of sarcopenia was observed with age (from 50 % among young people to 91.7 % among subjects over 60 years old) and sarcopenic obesity (from 25 % of subjects under 45 years old to 55.6 % over 60 years old) and with increasing severity of COPD (from 20 % with GOLD 1 to 100 % with GOLD 4 and from 42.9 % with GOLD 1 to 50 % with GOLD 4, respectively).

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Força muscular periférica e respiratória na doença pulmonar obstrutiva crônica

Cited by 3 publications

References 21 publications

Força muscular e funcionalidade de pacientes hospitalizados admitidos por afecções respiratórias

Força muscular e funcionalidade de pacientes hospitalizados admitidos por afecções respiratórias

Respiratory Oscillometry and Functional Performance in Different COPD Phenotypes

Skeletal muscle dysfunction, sarcopenia and sarcopenic obesity in patients with chronic obstructive pulmonary disease

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