Teste de caminhada de seis minutos vs shuttle walk teste endurance: responsividade ao broncodilatador em pacientes com bronquiectasia
Autor(a) principal: | |
---|---|
Data de Publicação: | 2015 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da Uninove |
Texto Completo: | http://bibliotecatede.uninove.br/handle/tede/1339 |
Resumo: | Introduction: As a consequence of the structural changes in the pulmonary parenchyma, the main impact of bronchiectasis (BCT) is the worsening in lung function, characterized by the obstructive spirometric pattern and, in a subgroup of patients, restrictive. In obstructive patients, it is common the use of bronchodilator (BD). Aims: To investigate which field test, six-minute walk test (6MWT) or endurance shuttle walk test (ESWT), is more responsive to detect functional improvement after BD, to compare the physiological responses between 6MWT and incremental SWTI and to verify the differences in the physiological responses in the 6MWT and ESWT among patients presenting with obstructive and restrictive ventilatory disorders (OVD and DVR, respectively). Methods: This is a randomized, double blind, placebo (PL) controlled crossover study, in which 32 patients with BCT performed, on separate days (48 hours), the ISWT, 6MWT and ESWT, preceded by either PL or BD (400 ??g of salbutamol). The cardiopulmonary and metabolic parameters were monitored during all tests by a telemetry system of the expired gases. Results: There was no statistically significant difference in distance walked between the ESWT-BD and 6MWT in the PL and BD conditions (910 ?? 589 m, 526 ?? 80 m, 527 ?? 86 m). The distance walked and the time duration time of the test in the 6MWT and ISWT were statistically different (527 ?? 86 m and 6 ?? 0 min vs. 443 ?? 119m and 7 ?? 1 min, respectively). Patients with OVD and RVD presented with similar physiological responses at the peak of exercise. Conclusion: ESWT is the most suitable test to assess the acute effects of BD on functional response; the 6MWT and ISWT elicit similar physiological responses at peak exercise and the type of ventilatory disorder cannot be differentiated by the performance on the ESWT and 6MWT. |
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Dal Corso, Simonehttp://lattes.cnpq.br/9690847988531306Dal Corso, Simonehttp://lattes.cnpq.br/9690847988531306Chiavegato, Luciana Diashttp://lattes.cnpq.br/6275262557452273Lanza, Fernanda de Cordobahttp://lattes.cnpq.br/5288152697269527http://lattes.cnpq.br/3865075845784774Boldorini, Jacqueline Cristina2016-05-25T14:39:25Z2015-04-27Boldorini, Jacqueline Cristina. Teste de caminhada de seis minutos vs shuttle walk teste endurance: responsividade ao broncodilatador em pacientes com bronquiectasia. 2015. 64 f. Disserta????o( Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o) - Universidade Nove de Julho, S??o Paulo.http://bibliotecatede.uninove.br/handle/tede/1339Introduction: As a consequence of the structural changes in the pulmonary parenchyma, the main impact of bronchiectasis (BCT) is the worsening in lung function, characterized by the obstructive spirometric pattern and, in a subgroup of patients, restrictive. In obstructive patients, it is common the use of bronchodilator (BD). Aims: To investigate which field test, six-minute walk test (6MWT) or endurance shuttle walk test (ESWT), is more responsive to detect functional improvement after BD, to compare the physiological responses between 6MWT and incremental SWTI and to verify the differences in the physiological responses in the 6MWT and ESWT among patients presenting with obstructive and restrictive ventilatory disorders (OVD and DVR, respectively). Methods: This is a randomized, double blind, placebo (PL) controlled crossover study, in which 32 patients with BCT performed, on separate days (48 hours), the ISWT, 6MWT and ESWT, preceded by either PL or BD (400 ??g of salbutamol). The cardiopulmonary and metabolic parameters were monitored during all tests by a telemetry system of the expired gases. Results: There was no statistically significant difference in distance walked between the ESWT-BD and 6MWT in the PL and BD conditions (910 ?? 589 m, 526 ?? 80 m, 527 ?? 86 m). The distance walked and the time duration time of the test in the 6MWT and ISWT were statistically different (527 ?? 86 m and 6 ?? 0 min vs. 443 ?? 119m and 7 ?? 1 min, respectively). Patients with OVD and RVD presented with similar physiological responses at the peak of exercise. Conclusion: ESWT is the most suitable test to assess the acute effects of BD on functional response; the 6MWT and ISWT elicit similar physiological responses at peak exercise and the type of ventilatory disorder cannot be differentiated by the performance on the ESWT and 6MWT.Introdu????o: Como consequ??ncia das altera????es estruturais no par??nquima pulmonar, o principal impacto da bronquiectasia (BCQ) ?? a altera????o da fun????o pulmonar, caracterizada por obstru????o e, num subgrupo de pacientes, por restri????o. Nos pacientes obstrutivos, ?? comum o uso de broncodilatador (BD). Objetivos: Avaliar qual teste cl??nico de campo, teste da caminhada de seis minutos (TC6) ou shuttle walk teste endurance (SWTE), ?? mais responsivo em detectar a melhora funcional ap??s o uso de BD; avaliar o comportamento das vari??veis cardiopulmonares, metab??licas e de percep????o do esfor??o entre TC6 e o shuttle walk teste incremental (SWTI) e, verificar se h?? diferen??a no perfil de resposta cardiorrespirat??ria e metab??lica em ambos os testes (TC6 e SWTE) entre os pacientes que apresentam dist??rbio ventilat??rio obstrutivo (DVO) e restritivo (DVR) na espirometria. M??todos: Este ?? um estudo randomizado, duplo cego, placebo controlado e cruzado, no qual 32 pacientes com BCQ realizaram o SWTI, o TC6 e o SWTE, em dias separados (48h), precedidos por placebo (PL) ou BD (400 ???g de salbutamol). Os par??metros cardiopulmonares e metab??licos forma monitorizados em todos os testes por sistema de telemetria dos gases expirados. Resultados: Houve diferen??a estatisticamente significante quando comparada a dist??ncia percorrida entre SWTE-BD e o TC6 nas condi????es PL e BD (910 ?? 589 m; 526 ?? 80 m e 527 ?? 86 m). A diferen??a na dist??ncia percorrida e no tempo de dura????o do SWTI e TC6 foram estatisticamente significantes (TC6: 527 ?? 86 m, 6 ?? 0 min. vs SWTI: 443 ?? 119 m, 7 ?? 1 min). Os pacientes com DVO e DVR apresentaram respostas fisiol??gicas similares no pico do exerc??cio. Conclus??o: O SWTE ?? o teste mais indicado para avaliar a resposta funcional ao uso agudo do broncodilatador, o TC6 e SWTI elicitam respostas fisiol??gicas similares no pico do exerc??cio e o tipo de dist??rbio ventilat??rio espirom??trico n??o p??de ser diferenciado pelo desempenho no SWTE e TC6.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2016-05-25T14:39:25Z No. of bitstreams: 1 Jacqueline Cristina Boldorini.pdf: 957761 bytes, checksum: 6169068bc003f505074c3812dc35d652 (MD5)Made available in DSpace on 2016-05-25T14:39:25Z (GMT). No. of bitstreams: 1 Jacqueline Cristina Boldorini.pdf: 957761 bytes, checksum: 6169068bc003f505074c3812dc35d652 (MD5) Previous issue date: 2015-04-27application/pdfporUniversidade Nove de JulhoPrograma de P??s-Gradua????o em Ci??ncias da Reabilita????oUNINOVEBrasilSa??debronquiectasiarespostas fisiol??gicascapacidade funcionalbroncodilatadoresbronchiectasisphysiological responsesfunctional capacitybronchodilatorCIENCIAS DA SAUDETeste de caminhada de seis minutos vs shuttle walk teste endurance: responsividade ao broncodilatador em pacientes com bronquiectasiaSix minute walk test vs shuttle walk endurance test: responsiveness to bronchodilators in patients with bronchiectasisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALJacqueline Cristina Boldorini.pdfJacqueline Cristina Boldorini.pdfapplication/pdf957761http://localhost:8080/tede/bitstream/tede/1339/2/Jacqueline+Cristina+Boldorini.pdf6169068bc003f505074c3812dc35d652MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/1339/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/13392016-05-25 11:39:25.474oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2016-05-25T14:39:25Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Teste de caminhada de seis minutos vs shuttle walk teste endurance: responsividade ao broncodilatador em pacientes com bronquiectasia |
dc.title.alternative.por.fl_str_mv |
Six minute walk test vs shuttle walk endurance test: responsiveness to bronchodilators in patients with bronchiectasis |
title |
Teste de caminhada de seis minutos vs shuttle walk teste endurance: responsividade ao broncodilatador em pacientes com bronquiectasia |
spellingShingle |
Teste de caminhada de seis minutos vs shuttle walk teste endurance: responsividade ao broncodilatador em pacientes com bronquiectasia Boldorini, Jacqueline Cristina bronquiectasia respostas fisiol??gicas capacidade funcional broncodilatadores bronchiectasis physiological responses functional capacity bronchodilator CIENCIAS DA SAUDE |
title_short |
Teste de caminhada de seis minutos vs shuttle walk teste endurance: responsividade ao broncodilatador em pacientes com bronquiectasia |
title_full |
Teste de caminhada de seis minutos vs shuttle walk teste endurance: responsividade ao broncodilatador em pacientes com bronquiectasia |
title_fullStr |
Teste de caminhada de seis minutos vs shuttle walk teste endurance: responsividade ao broncodilatador em pacientes com bronquiectasia |
title_full_unstemmed |
Teste de caminhada de seis minutos vs shuttle walk teste endurance: responsividade ao broncodilatador em pacientes com bronquiectasia |
title_sort |
Teste de caminhada de seis minutos vs shuttle walk teste endurance: responsividade ao broncodilatador em pacientes com bronquiectasia |
author |
Boldorini, Jacqueline Cristina |
author_facet |
Boldorini, Jacqueline Cristina |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Dal Corso, Simone |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/9690847988531306 |
dc.contributor.referee1.fl_str_mv |
Dal Corso, Simone |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/9690847988531306 |
dc.contributor.referee2.fl_str_mv |
Chiavegato, Luciana Dias |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/6275262557452273 |
dc.contributor.referee3.fl_str_mv |
Lanza, Fernanda de Cordoba |
dc.contributor.referee3Lattes.fl_str_mv |
http://lattes.cnpq.br/5288152697269527 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3865075845784774 |
dc.contributor.author.fl_str_mv |
Boldorini, Jacqueline Cristina |
contributor_str_mv |
Dal Corso, Simone Dal Corso, Simone Chiavegato, Luciana Dias Lanza, Fernanda de Cordoba |
dc.subject.por.fl_str_mv |
bronquiectasia respostas fisiol??gicas capacidade funcional broncodilatadores |
topic |
bronquiectasia respostas fisiol??gicas capacidade funcional broncodilatadores bronchiectasis physiological responses functional capacity bronchodilator CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
bronchiectasis physiological responses functional capacity bronchodilator |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Introduction: As a consequence of the structural changes in the pulmonary parenchyma, the main impact of bronchiectasis (BCT) is the worsening in lung function, characterized by the obstructive spirometric pattern and, in a subgroup of patients, restrictive. In obstructive patients, it is common the use of bronchodilator (BD). Aims: To investigate which field test, six-minute walk test (6MWT) or endurance shuttle walk test (ESWT), is more responsive to detect functional improvement after BD, to compare the physiological responses between 6MWT and incremental SWTI and to verify the differences in the physiological responses in the 6MWT and ESWT among patients presenting with obstructive and restrictive ventilatory disorders (OVD and DVR, respectively). Methods: This is a randomized, double blind, placebo (PL) controlled crossover study, in which 32 patients with BCT performed, on separate days (48 hours), the ISWT, 6MWT and ESWT, preceded by either PL or BD (400 ??g of salbutamol). The cardiopulmonary and metabolic parameters were monitored during all tests by a telemetry system of the expired gases. Results: There was no statistically significant difference in distance walked between the ESWT-BD and 6MWT in the PL and BD conditions (910 ?? 589 m, 526 ?? 80 m, 527 ?? 86 m). The distance walked and the time duration time of the test in the 6MWT and ISWT were statistically different (527 ?? 86 m and 6 ?? 0 min vs. 443 ?? 119m and 7 ?? 1 min, respectively). Patients with OVD and RVD presented with similar physiological responses at the peak of exercise. Conclusion: ESWT is the most suitable test to assess the acute effects of BD on functional response; the 6MWT and ISWT elicit similar physiological responses at peak exercise and the type of ventilatory disorder cannot be differentiated by the performance on the ESWT and 6MWT. |
publishDate |
2015 |
dc.date.issued.fl_str_mv |
2015-04-27 |
dc.date.accessioned.fl_str_mv |
2016-05-25T14:39:25Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Boldorini, Jacqueline Cristina. Teste de caminhada de seis minutos vs shuttle walk teste endurance: responsividade ao broncodilatador em pacientes com bronquiectasia. 2015. 64 f. Disserta????o( Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o) - Universidade Nove de Julho, S??o Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/1339 |
identifier_str_mv |
Boldorini, Jacqueline Cristina. Teste de caminhada de seis minutos vs shuttle walk teste endurance: responsividade ao broncodilatador em pacientes com bronquiectasia. 2015. 64 f. Disserta????o( Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o) - Universidade Nove de Julho, S??o Paulo. |
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http://bibliotecatede.uninove.br/handle/tede/1339 |
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por |
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por |
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Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o |
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