Influência da função pulmonar e da força muscular na capacidade funcional de portadores de doença pulmonar obstrutiva crónica

Rodrigues, Sérgio Leite; Silva, César Augusto Melo e; Lima, Tereza; Viegas, Carlos Alberto de Assis; Rodrigues, Marcelo Palmeira; Ribeiro, Fernanda

doi:10.1016/s0873-2159(15)30127-6

Cited by 8 publications

(9 citation statements)

References 29 publications

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“…Previous studies have shown a correlation between limb muscle strength and functional capacity in both ULs and LLs in people with COPD. 6 , 9 – 12 Three studies found moderate to strong correlations between maximal quadriceps strength and LL functional capacity 6 , 9 , 10 measured using the 6-minute walk test (6MWT), the timed up-and-go test (TUG), the timed stair climb power test, and the 30-second sit-to-stand test (STS). Janaudis-Ferreira and colleagues 11 found a moderate to strong correlation between limb muscle strength and UL functional capacity measured using the unsupported UL exercise test (UULEX) and the 6-minute pegboard and ring test (6PBRT).…”

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confidence: 99%

Correlation between Limb Muscle Endurance, Strength, and Functional Capacity in People with Chronic Obstructive Pulmonary Disease

Nyberg

Törnberg

Wadell

2016

Physiotherapy Canada

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Purpose: To examine the correlation between limb muscle function (endurance and strength) and functional capacity in upper limbs (ULs) and lower limbs (LLs) of people with chronic obstructive pulmonary disease (COPD). Method: This article describes a secondary analysis of data from a randomized controlled trial. A stationary dynamometer was used to measure isokinetic muscle strength and endurance; the 6-minute walk test, the 6-minute pegboard and ring test, and the unsupported UL exercise test were used to measure functional capacity. Results: Participants were 44 adults with COPD. Muscle strength and endurance in ULs and LLs demonstrated a moderate to strong correlation with functional capacity. When controlling for muscle strength, muscle endurance was moderately correlated with functional capacity in ULs and LLs, but when controlling for muscle endurance, there was no positive and significant correlation between muscle strength and functional capacity for the ULs or LLs. Conclusions: Functional capacity seems to be more closely related to limb muscle endurance than to limb muscle strength in people with COPD.

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Correlation between Limb Muscle Endurance, Strength, and Functional Capacity in People with Chronic Obstructive Pulmonary Disease

Nyberg

Törnberg

Wadell

2016

Physiotherapy Canada

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“…A avaliação do nível de gravidade da DPOC nesses pacientes foi analisada, tendo como base a medida do VEF 1 pós o uso do broncodilatador, sendo estabelecida a graduação da obstrução de acordo com a preconizada pela GOLD 14 , uma vez que, "a espirometria é um teste funcional amplamente utilizado, e seus parâmetros, sobretudo o VEF 1 , apresentam boa reprodutibilidade" [2][3][4][5][6][7][8][9][10][11][12][13][14] .…”

Section: Discussionunclassified

“…Sendo assim, este trabalho vai ao encontro do estudo sobre a correlação entre as provas funcionais respiratórias e o teste de caminhada, em que é afirmado que o estímulo verbal adotado pelos examinadores pode ser o responsável pela melhor performance física apresentada pelos pacientes16, ou seja, "durante o TC6m, a estimulação verbal determina melhor rendimento físico em pacientes portadores de enfermidades cardiopulmonares" [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] .…”

Section: Discussionunclassified

“…Entre os meios utilizados para avaliar a capacidade funcional, tem-se o teste de caminhada de seis minutos (TC6m) que proporciona uma análise global dos sistemas respiratório, cardíaco e metabólico 5 ; já a espirometria é recomendada como forma de triagem para todos os indivíduos com sintomas e/ou exposição de risco à DPOC 6 . Estudos realizados 7 mostram que, na avaliação das enfermidades pulmonares crônicas somadas aos testes estáticos (espirometria), os testes dinâmicos (teste submáximo -TC6m) são cada vez mais prevalentes. Essas formas de análise funcional, segundo esses autores, contribuem tanto para a compreensão do impacto da doença e do seu estadiamento clínico, como para a elaboração de prognóstico 11 .…”

Section: Introductionunclassified

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Correlação entre capacidade funcional e capacidade pulmonar em pacientes com doença pulmonar obstrutiva crônica

Bastos¹,

Oliveira²,

Lima³

et al. 2018

J Health Biol Sci.

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Introdução: o a avaliação da capacidade pulmonar é realizada por meio da espirometria, que permite avaliar os principais parâmetros respiratórios. Entre as formas de avaliar a capacidade funcional, tem-se o teste de caminhada de seis minutos que proporciona uma análise global dos sistemas. Essas formas de análise funcional contribuem tanto para a compreensão do impacto da doença e do seu estadiamento clínico, como para a elaboração de prognóstico. Objetivo: correlacionar a capacidade funcional e a capacidade pulmonar em pacientes com DPOC. Métodos: tratou-se de uma pesquisa transversal, quantitativa, na qual foi aplicada a espirometria e o TC6m em pacientes atendidos pelo Programa Respira Bahia, inserido na Polimeg de Guanambi, entre os meses de abril a novembro de 2016. Resultados: observou-se correlação moderada positiva da variável VEF1 em relação ao TC6m. Conclusão: conclui-se que, nos pacientes com DPOC analisados, o comprometimento da função pulmonar está diretamente relacionado com a piora da capacidade funcional.

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“…However, O'Donnell et al 39 demonstrated that FEV 1 is limited when the intent is to predict the capacity for physical efforts because it does not evaluate this condition in a systemic manner, and this finding has since been confirmed by the results of other studies. Moreover, because a decline in the DW in the 6MWT is observed among more serious patients, the DW has been shown to be a more sensitive variable for the detection of clinical changes associated with COPD as compared to the pulmonary function test, thus highlighting its importance for monitoring these patients 40 , 41 .…”

Section: Discussionmentioning

confidence: 99%

Determination of exacerbation predictors in patients with COPD in physical therapy - a longitudinal study

Marino¹,

Marrara²,

Arcuri³

et al. 2014

Braz. J. Phys. Ther.

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BackgroundChronic obstructive pulmonary disease (COPD) typically presents the characteristic clinical condition of exacerbation, with more intense symptoms associated with greater functional loss and consequently lower chances of patient survival. Objectives This study sought to determine the predictors of exacerbation, alone or in combination, in patients with chronic obstructive pulmonary disease (COPD) who received physical therapeutic treatment over 6 months. Method This was an observational, longitudinal and prospective study in which 63 COPD patients residing within the municipality of São Carlos, SP, Brazil were evaluated. These patients had COPD stages II and III and were entered into a physical therapy program, consisting of 3 periods of assessment over 6 months. We evaluated the occurrence of acute exacerbation as well as the patients' body mass index (BMI), fat-free mass (FFM), fat-free mass index, forced expiratory volume in 1 second (FEV1), dyspnea, distance walked (DW) in the 6-minute walk test (6MWT) and handgrip strength. Results When applying Cox settings with each covariate separately, the results revealed 5% significance only for the DW in the 6MWT, which demonstrated an interaction between BMI and FFM. Comparison of the 3 periods of assessment across the covariates measured showed a significant difference only for the DW between evaluations in the 3rd and 6th months. Conclusion Upon analyzing the predictors of risk over 6 months of follow-up in patients with COPD, we found that the DW in the 6MWT was associated with the risk of exacerbation, although this risk also depended on the covariates BMI and FFM.

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Influência da função pulmonar e da força muscular na capacidade funcional de portadores de doença pulmonar obstrutiva crónica

Abstract: Our results showed the importance of lower limb muscle strength in submaximal exercise testing. We conclude that femoral quadriceps muscle strength is the only one of the variables studied which can predict the distance COPD patients walk in the 6MWT.

Cited by 8 publications

References 29 publications

Correlation between Limb Muscle Endurance, Strength, and Functional Capacity in People with Chronic Obstructive Pulmonary Disease

Correlation between Limb Muscle Endurance, Strength, and Functional Capacity in People with Chronic Obstructive Pulmonary Disease

Correlação entre capacidade funcional e capacidade pulmonar em pacientes com doença pulmonar obstrutiva crônica

Determination of exacerbation predictors in patients with COPD in physical therapy - a longitudinal study

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