Analysis of Autonomic Modulation in Response to a Session of Aerobic Exercise at Different Intensities in Patients With Moderate and Severe COPD

Leite, Marceli Rocha; Ramos, Ercy Mara Cípulo; Freire, Ana Paula Coelho Figueira; Silva, Bruna Spolador de Alencar; Nicolino, J; Vanderlei, Luiz Carlos Marques; Ramos, Dionei

doi:10.1080/15412555.2018.1529744

Cited by 2 publications

(2 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Several studies already proved a better results after following a rehabilitation program with a personalized coaching, modulating in intensity of exercise, starting from mild to high rate practice, especially if the patient was included in a group of patients (Casaburi and ZuWallack, 2009;Leite et al, 2018;Ciavaglia et al, 2014). Building a team enables all members within it to move forward quicker toward high rate exercises with no hesitation.…”

Section: Primary Health Care Research and Developmentmentioning

confidence: 99%

Feasibility of a home-designed respiratory rehabilitation program for chronic obstructive pulmonary disease

Belloumi,

Habouria,

Bachouch

et al. 2024

Prim Health Care Res Dev

View full text Add to dashboard Cite

Background: According to international guidelines, respiratory rehabilitation (RR) for patients with chronic obstructive pulmonary disease (COPD) is a cornerstone of standard non-pharmacological treatment. Aims: To evaluate feasibility of a home-designed RR program and analyze its medium-term impact on respiratory parameters and quality of life. Methods: This was a prospective study involving 74 COPD patients enrolled in January 2019 and put on inhaled bronchodilator treatment associated with RR at home following a written protocol, for 16 weeks. The comparative statistical analysis highlights the difference before and after RR in terms of clinical and functional respiratory parameters as well as in terms of quality of life (assessed on the short form 36 (SF-36) questionnaire). The comparison involves RR-adherent patients versus non-adherent patients. Results: Mean age was 66.7 ± 8.3 years with a median of 67 years. All patients were smokers, out of which 42 patients (57%) did not quit yet. Forty-one percent of patients were frequent exacerbators. The average COPD assessment test (CAT) score in our patients was 23. The average 6-minutes walk distance (MWD) was 304 m. The BODE index in our patients was 4.11 on average. The RR program was followed by 36 patients (48%). Thirty patients (40%) applied it at least twice a week. RR-adherent patients had an average CAT score decreasing from 23 to 14.5 (P = 0.011). Their average 6-MWD was 444.6 m by the end of the study, which would be 64.2% of the calculated theoretical value. The average FEV1 increase after RR was 283 mL. The majority (69%) of RR-adherent patients were ranked as quartile 1; BODE index ≤2. The average scores of physical, psycho-social, and general dimensions assessed on the SF-36 questionnaire improved in RR-adherent patients. Conclusions: RR is a key non-pharmacological treatment for COPD. Its interest originates from its multidisciplinary nature, hence its effectiveness in several respiratory parameters. Our study reflects the feasibility of home-designed protocols in the absence of contraindications. We highlight also the positive impact on quality of life after RR at home.

show abstract

Section: Primary Health Care Research and Developmentmentioning

confidence: 99%

Feasibility of a home-designed respiratory rehabilitation program for chronic obstructive pulmonary disease

Belloumi,

Habouria,

Bachouch

et al. 2024

Prim Health Care Res Dev

View full text Add to dashboard Cite

show abstract

“…É constatado que alterações no comportamento da VFC é capaz de proporcionar um indicador sensível e precoce de danos a saúde, como a arritmia relacionada a mortalidade, infarto agudo do miocárdio e insuficiência cardíaca em estágio inicial. Sendo assim, a VFC se caracteriza como um sinal de boa adaptação, possível de caracterizar um indivíduo saudável com presença de mecanismos autônomos eficientes, já a baixa VFC pode ser um indicador de alterações e insuficiência na adaptação do SNA, podendo sugerir a presença de um funcionamento fisiológico ruim (LEITE, et al;2018).…”

Section: Introductionunclassified

Resposta Fractal Da Variabilidade Da Frequência Cardíaca No Teste Do Degrau De 6 Minutos Em Pacientes Com Doença Pulmonar Obstrutiva Crônica

Brinques

Martins

Souza

et al. 2021

RJP

View full text Add to dashboard Cite

Introdução: Pacientes DPOC apresentam alterações na variabilidade da frequência cardíaca (VFC) podendo ser avaliados pelos índices Alpha1 (α1) e Alpha2 (α2) de propriedade fractal. Objetivo: Avaliar a resposta da VFC pela análise não linear frente ao teste do degrau de 6 minutos (TD6m) em pacientes DPOC. Métodos: Estudo transversal, incluiu 11 pacientes DPOC de moderado a muito grave sem arritmia cardíaca. A FC foi registrada com cardiofrequencímetro Polar® durante o repouso (rep=5 minutos) e recuperação (rec=5 minutos pós-teste). Os dados foram analisados no software Kubios-2.2. Para determinar a retomada vagal calculou-se delta de variação entre a FC_pico subtraindo a FC_recuperação no 1º minuto pós_teste (FCRec=FC_pico - FC_recuperada). No TD6m utilizou-se um degrau de 20cm de altura e os pacientes foram orientados a descer e subir o maior número de degraus em cadência livre. Os resultados foram analisados no SPSS-23.0, considerando significativo p≤0,05. Resultados: Os pacientes subiram 80,2±19,6 degraus no TD6m. Nenhuma diferença entre repouso e recuperação para α1 (p=0,117) e α2 (p=0,199). Identificamos diferenças na FC_repouso para FC_pico do TD6m (rep=78,9±10,5 vs pico=109,0±13,9 bpm, p

show abstract

Analysis of Autonomic Modulation in Response to a Session of Aerobic Exercise at Different Intensities in Patients With Moderate and Severe COPD

Cited by 2 publications

References 50 publications

Feasibility of a home-designed respiratory rehabilitation program for chronic obstructive pulmonary disease

Feasibility of a home-designed respiratory rehabilitation program for chronic obstructive pulmonary disease

Resposta Fractal Da Variabilidade Da Frequência Cardíaca No Teste Do Degrau De 6 Minutos Em Pacientes Com Doença Pulmonar Obstrutiva Crônica

Contact Info

Product

Resources

About