Avalia????o neurofisiol??gica e funcional em pacientes com doen??a pulmonar obstrutiva cr??nica e com asma de dif??cil controle
Autor(a) principal: | |
---|---|
Data de Publicação: | 2010 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da Uninove |
Texto Completo: | http://bibliotecatede.uninove.br/tede/handle/tede/828 |
Resumo: | The influence on lung diseases and physical inactivity can lead to compromising the neurophysiological activity of normal skeletal muscles. Objective: To examine the neuropsychological effectiveness of the sit-ups test, comparing it to the six-minute walk test (6MWT) in patients with chronic obstructive pulmonary disease (COPD) and evaluate the neurophysiological aspects and functional capacity in individuals with difficult to control asthma. Method: Two studies were performed: in the first one, two methods were used, the sit-ups test and 6MWT; with arterial blood collection for measurement of blood lactate concentration and electromyography in this way. In the second study, patients were divided into two groups plus a control group who underwent completion of sit-ups test and the 6MWT to evaluate the functional capacity of reflex latency of the monosynaptic patellar reflex and Achilles which was assessed with surface electromyography; the assessment of peripheral muscle strength of the quadriceps using the load cell, and finally the static equilibrium was analyzed by the oscillating pressure center by the force platform. Results: The blood lactate concentration at rest and end of functional activities as well as the angular coefficients (AC) obtained from the median frequency showed a statistically significant difference (p = 0.0005) between baseline and end of the sit-ups test individuals with COPD, in patients with ADC, which make use of oral corticosteroids (ADCC) and making use of Omalizumab (ADCO) compared with the control group (CG) reflex latency time and static balance are within normal limits, while the functional capacity is reduced in relation to peripheral muscle strength only on group ADCC presented below. Conclusion: We found a correlation between the two neurophysiological functional tests, and we suggest that the sit-ups test can determine the functional status as easily as the 6MWT in terms of neurophysiological effectiveness. Patients with ADC show a reduction in functional capacity seen in 6MWT and sit-ups test (p <0.05), and patients who use oral corticosteroids showed a reduction of quadriceps strength compared to control (p < 0.05). |
id |
NOVE_c6afc40ede1ebc803e2cb7da726fb0c3 |
---|---|
oai_identifier_str |
oai:localhost:tede/828 |
network_acronym_str |
NOVE |
network_name_str |
Biblioteca Digital de Teses e Dissertações da Uninove |
repository_id_str |
|
spelling |
Corr??a, Jo??o Carlos FerrariCPF:00000000000http://lattes.cnpq.br/7430706253523346Sampaio, Luciana Maria Malos??http://lattes.cnpq.br/2970138065407046Stirbulov, Robertohttp://lattes.cnpq.br/7405136359510218Costa, Dirceuhttp://lattes.cnpq.br/7541914413496897CPF:33538284865Canuto, Fabiana Freitas2015-04-22T17:20:27Z2011-07-042010-12-16CANUTO, Fabiana Freitas. Evaluation Neurofisiol??gica and Funcional in Patients with Pulmonary Illness Chronic Obstrutiva and Asthma of Difficult Control.. 2010. 83 f. Disserta????o (Mestrado em Sa??de) - Universidade Nove de Julho, S??o Paulo, 2010.http://bibliotecatede.uninove.br/tede/handle/tede/828The influence on lung diseases and physical inactivity can lead to compromising the neurophysiological activity of normal skeletal muscles. Objective: To examine the neuropsychological effectiveness of the sit-ups test, comparing it to the six-minute walk test (6MWT) in patients with chronic obstructive pulmonary disease (COPD) and evaluate the neurophysiological aspects and functional capacity in individuals with difficult to control asthma. Method: Two studies were performed: in the first one, two methods were used, the sit-ups test and 6MWT; with arterial blood collection for measurement of blood lactate concentration and electromyography in this way. In the second study, patients were divided into two groups plus a control group who underwent completion of sit-ups test and the 6MWT to evaluate the functional capacity of reflex latency of the monosynaptic patellar reflex and Achilles which was assessed with surface electromyography; the assessment of peripheral muscle strength of the quadriceps using the load cell, and finally the static equilibrium was analyzed by the oscillating pressure center by the force platform. Results: The blood lactate concentration at rest and end of functional activities as well as the angular coefficients (AC) obtained from the median frequency showed a statistically significant difference (p = 0.0005) between baseline and end of the sit-ups test individuals with COPD, in patients with ADC, which make use of oral corticosteroids (ADCC) and making use of Omalizumab (ADCO) compared with the control group (CG) reflex latency time and static balance are within normal limits, while the functional capacity is reduced in relation to peripheral muscle strength only on group ADCC presented below. Conclusion: We found a correlation between the two neurophysiological functional tests, and we suggest that the sit-ups test can determine the functional status as easily as the 6MWT in terms of neurophysiological effectiveness. Patients with ADC show a reduction in functional capacity seen in 6MWT and sit-ups test (p <0.05), and patients who use oral corticosteroids showed a reduction of quadriceps strength compared to control (p < 0.05).As doen??as pulmonares influenciam na inatividade f??sica e podem levar a altera????es neurofisiol??gicas comprometendo a atividade normal da musculatura esquel??tica. Objetivo: examinar a efetividade neurofisiol??gica do teste senta-levanta (TSL) comparando-o ao teste da caminhada de seis minutos (TC6 ) em indiv??duos com doen??a pulmonar obstrutiva cr??nica (DPOC) e avaliar os aspectos neurofisiol??gicos e da capacidade funcional em indiv??duos com asma de dif??cil controle (ADC). M??todo: Dois trabalhos foram realizados: no primeiro estudo foram utilizados dois, o TSL e o TC6 ; sendo realizado coleta de sangue arterializado para dosagem da concentra????o de lactato sangu??neo e a eletromiografia de forma concomitante. No segundo estudo os pacientes foram divididos em dois grupos mais um grupo controle que foram submetidos a realiza????o do TSL e o TC6 para avaliar a capacidade funcional, do tempo de lat??ncia reflexa dos reflexos monossin??pticos patelar e aquileu que foi avaliado com a eletromiografia de superf??cie; a avalia????o da for??a muscular perif??rica do quadr??ceps com utiliza????o da c??lula de carga; e por fim, o equil??brio est??tico que foi analisado por meio do centro oscilat??rio de press??o pela plataforma de for??a . Resultados: a concentra????o de lactato sangu??neo, no repouso e t??rmino das atividades funcionais bem como dos coeficientes angulares (CA), obtidos da frequ??ncia mediana mostraram que houve diferen??a estatisticamente significante (p=0,0005) entre os valores iniciais e finais do TSL nos indiv??duos com DPOC; nos indiv??duos com ADC, que fazem uso de cortic??ide por via oral (ADCC) e que fazem uso do Omalizumab (ADCO) quando comparados com o grupo controle (GC) o tempo de lat??ncia reflexo e o equil??brio est??tico encontram-se dentro dos padr??es de normalidade, enquanto que a capacidade funcional apresenta-se reduzida, em rela????o a for??a muscular perif??rica apenas o grupo ADCC apresentou valores inferiores. Conclus??o: encontramos uma correla????o neurofisiol??gica entre os dois testes funcionais, que nos faz sugerir que o TSL pode determinar o status funcional t??o facilmente quanto o TC6M do ponto de vista da efetividade neurofisiol??gica. Os pacientes com ADC apresentam redu????o da capacidade funcional, vistos no TC6 e no TSL (p<0,05), e os pacientes que fazem uso do cortic??ide por via oral apresentam uma redu????o da for??a do quadr??ceps em rela????o ao controle (p<0,05).Made available in DSpace on 2015-04-22T17:20:27Z (GMT). No. of bitstreams: 1 B_Fabiana Freitas Canuto.pdf: 2496751 bytes, checksum: 5c2bc47b9e08878d34cfe55147dda6d6 (MD5) Previous issue date: 2010-12-16application/pdfporUniversidade Nove de JulhoPrograma de P??s-Gradua????o em Ci??ncias da Reabilita????oUNINOVEBRSa??deDPOCneurofisiologiatestes funcionais.COPDasthmaneurophysiologyfunctional testsCIENCIAS DA SAUDEAvalia????o neurofisiol??gica e funcional em pacientes com doen??a pulmonar obstrutiva cr??nica e com asma de dif??cil controleEvaluation neurofisiol??gica and funcional in patients with pulmonary illness chronic obstrutiva and asthma of difficult control.info: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:UNINOVEORIGINALB_Fabiana Freitas Canuto.pdfapplication/pdf2496751http://localhost:8080/tede/bitstream/tede/828/1/B_Fabiana+Freitas+Canuto.pdf5c2bc47b9e08878d34cfe55147dda6d6MD51tede/8282018-06-15 12:46:48.052oai:localhost:tede/828Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2018-06-15T15:46:48Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Avalia????o neurofisiol??gica e funcional em pacientes com doen??a pulmonar obstrutiva cr??nica e com asma de dif??cil controle |
dc.title.alternative.eng.fl_str_mv |
Evaluation neurofisiol??gica and funcional in patients with pulmonary illness chronic obstrutiva and asthma of difficult control. |
title |
Avalia????o neurofisiol??gica e funcional em pacientes com doen??a pulmonar obstrutiva cr??nica e com asma de dif??cil controle |
spellingShingle |
Avalia????o neurofisiol??gica e funcional em pacientes com doen??a pulmonar obstrutiva cr??nica e com asma de dif??cil controle Canuto, Fabiana Freitas DPOC neurofisiologia testes funcionais. COPD asthma neurophysiology functional tests CIENCIAS DA SAUDE |
title_short |
Avalia????o neurofisiol??gica e funcional em pacientes com doen??a pulmonar obstrutiva cr??nica e com asma de dif??cil controle |
title_full |
Avalia????o neurofisiol??gica e funcional em pacientes com doen??a pulmonar obstrutiva cr??nica e com asma de dif??cil controle |
title_fullStr |
Avalia????o neurofisiol??gica e funcional em pacientes com doen??a pulmonar obstrutiva cr??nica e com asma de dif??cil controle |
title_full_unstemmed |
Avalia????o neurofisiol??gica e funcional em pacientes com doen??a pulmonar obstrutiva cr??nica e com asma de dif??cil controle |
title_sort |
Avalia????o neurofisiol??gica e funcional em pacientes com doen??a pulmonar obstrutiva cr??nica e com asma de dif??cil controle |
author |
Canuto, Fabiana Freitas |
author_facet |
Canuto, Fabiana Freitas |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Corr??a, Jo??o Carlos Ferrari |
dc.contributor.advisor1ID.fl_str_mv |
CPF:00000000000 |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/7430706253523346 |
dc.contributor.advisor-co1.fl_str_mv |
Sampaio, Luciana Maria Malos?? |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/2970138065407046 |
dc.contributor.referee1.fl_str_mv |
Stirbulov, Roberto |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/7405136359510218 |
dc.contributor.referee2.fl_str_mv |
Costa, Dirceu |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/7541914413496897 |
dc.contributor.authorID.fl_str_mv |
CPF:33538284865 |
dc.contributor.author.fl_str_mv |
Canuto, Fabiana Freitas |
contributor_str_mv |
Corr??a, Jo??o Carlos Ferrari Sampaio, Luciana Maria Malos?? Stirbulov, Roberto Costa, Dirceu |
dc.subject.por.fl_str_mv |
DPOC neurofisiologia testes funcionais. |
topic |
DPOC neurofisiologia testes funcionais. COPD asthma neurophysiology functional tests CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
COPD asthma neurophysiology functional tests |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
The influence on lung diseases and physical inactivity can lead to compromising the neurophysiological activity of normal skeletal muscles. Objective: To examine the neuropsychological effectiveness of the sit-ups test, comparing it to the six-minute walk test (6MWT) in patients with chronic obstructive pulmonary disease (COPD) and evaluate the neurophysiological aspects and functional capacity in individuals with difficult to control asthma. Method: Two studies were performed: in the first one, two methods were used, the sit-ups test and 6MWT; with arterial blood collection for measurement of blood lactate concentration and electromyography in this way. In the second study, patients were divided into two groups plus a control group who underwent completion of sit-ups test and the 6MWT to evaluate the functional capacity of reflex latency of the monosynaptic patellar reflex and Achilles which was assessed with surface electromyography; the assessment of peripheral muscle strength of the quadriceps using the load cell, and finally the static equilibrium was analyzed by the oscillating pressure center by the force platform. Results: The blood lactate concentration at rest and end of functional activities as well as the angular coefficients (AC) obtained from the median frequency showed a statistically significant difference (p = 0.0005) between baseline and end of the sit-ups test individuals with COPD, in patients with ADC, which make use of oral corticosteroids (ADCC) and making use of Omalizumab (ADCO) compared with the control group (CG) reflex latency time and static balance are within normal limits, while the functional capacity is reduced in relation to peripheral muscle strength only on group ADCC presented below. Conclusion: We found a correlation between the two neurophysiological functional tests, and we suggest that the sit-ups test can determine the functional status as easily as the 6MWT in terms of neurophysiological effectiveness. Patients with ADC show a reduction in functional capacity seen in 6MWT and sit-ups test (p <0.05), and patients who use oral corticosteroids showed a reduction of quadriceps strength compared to control (p < 0.05). |
publishDate |
2010 |
dc.date.issued.fl_str_mv |
2010-12-16 |
dc.date.available.fl_str_mv |
2011-07-04 |
dc.date.accessioned.fl_str_mv |
2015-04-22T17:20:27Z |
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 |
CANUTO, Fabiana Freitas. Evaluation Neurofisiol??gica and Funcional in Patients with Pulmonary Illness Chronic Obstrutiva and Asthma of Difficult Control.. 2010. 83 f. Disserta????o (Mestrado em Sa??de) - Universidade Nove de Julho, S??o Paulo, 2010. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/tede/handle/tede/828 |
identifier_str_mv |
CANUTO, Fabiana Freitas. Evaluation Neurofisiol??gica and Funcional in Patients with Pulmonary Illness Chronic Obstrutiva and Asthma of Difficult Control.. 2010. 83 f. Disserta????o (Mestrado em Sa??de) - Universidade Nove de Julho, S??o Paulo, 2010. |
url |
http://bibliotecatede.uninove.br/tede/handle/tede/828 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.cnpq.fl_str_mv |
8765449414823306929 |
dc.relation.confidence.fl_str_mv |
600 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Nove de Julho |
dc.publisher.program.fl_str_mv |
Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o |
dc.publisher.initials.fl_str_mv |
UNINOVE |
dc.publisher.country.fl_str_mv |
BR |
dc.publisher.department.fl_str_mv |
Sa??de |
publisher.none.fl_str_mv |
Universidade Nove de Julho |
dc.source.none.fl_str_mv |
reponame:Biblioteca Digital de Teses e Dissertações da Uninove instname:Universidade Nove de Julho (UNINOVE) instacron:UNINOVE |
instname_str |
Universidade Nove de Julho (UNINOVE) |
instacron_str |
UNINOVE |
institution |
UNINOVE |
reponame_str |
Biblioteca Digital de Teses e Dissertações da Uninove |
collection |
Biblioteca Digital de Teses e Dissertações da Uninove |
bitstream.url.fl_str_mv |
http://localhost:8080/tede/bitstream/tede/828/1/B_Fabiana+Freitas+Canuto.pdf |
bitstream.checksum.fl_str_mv |
5c2bc47b9e08878d34cfe55147dda6d6 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 |
repository.name.fl_str_mv |
Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE) |
repository.mail.fl_str_mv |
bibliotecatede@uninove.br||bibliotecatede@uninove.br |
_version_ |
1811016863146049536 |