Efeitos de três programas de fisioterapia respiratória em portadores de DPOC

Detalhes bibliográficos
Autor(a) principal: Kunikoshita, Luciana Noemi
Data de Publicação: 2006
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório Institucional da UFSCAR
Texto Completo: https://repositorio.ufscar.br/handle/ufscar/5354
Resumo: The aim of the present study was to evaluate the effects of three respiratory physiotherapy programs constituted by physical training (PT) on a treadmill and/or respiratory muscle training (RMT) on pulmonary function, respiratory muscle strength (RMS), quality of life (QL), exercise capacity, ventilatory and metabolic variables and dyspnea at rest and during exercise, in patients with COPD, as well as to compare them to subjects of the same age and who have no respiratory disease. Twenty-five patients (68.8±8.3 years old) of both sexes, with moderate-to-severe COPD (FEV1<60% predicted), and ten volunteers who have no respiratory disease of both sexes (67.2±7.4 years old) participated of this study. The patients with COPD were randomized into three groups: the first group (RMTG) underwent 20 minutes sessions of RMT at a resistive load corresponding to 30% of the MIP obtained each week; the second group (PTG) underwent 30 minutes sessions of PT at a work rate corresponding to 70% of the highest heart rate achieved in the symptom-limited cardiorespiratory exercise testing (CRET); and the third group (RMT+PTG) associated 10 minutes of RMT to 15 minutes of PT with the same intensities previously mentioned. All of the programs were constituted by three sessions per week during six consecutive weeks. After treatment, it was observed significant increase of MIP and MEP in RMTG; significant increase of walk distance (WD) in the CRET, decreases of HR and minute ventilation at the same velocity in the CRET after treatment and improvement in the physical capacity domain in the QL questionnaire Short Form 36 (QLQ-SF36) in PTG; and significant increase of MIP, WD in the CRET, decrease of systolic arterial pressure and of blood lactate and improvement of total score of QLQ-SF36 in RMT+PTG. Those findings suggest that the PT associated with RMT seems to be the best alternative among the programs investigated in the present study because as well as providing an evident improvement of exercise capacity and of QL in the patients, it provided an additional effect in the physiological adaptation with better effectiveness in the clearance and/or less production of blood lactate during exercise.
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spelling Kunikoshita, Luciana NoemiJamami, Mauríciohttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=E463020http://plsql1.cnpq.br/sigef_imp/PRC_HIST_PROC?F_COD_RH=K4702470U535ca6979-f577-45b3-b414-d4ac3929a0e12016-06-02T20:19:28Z2007-08-162016-06-02T20:19:28Z2006-02-17KUNIKOSHITA, Luciana Noemi. Efects of three respiratory physiotherapy programs in patients with COPD.. 2006. 114 f. Dissertação (Mestrado em Ciências Biológicas) - Universidade Federal de São Carlos, São Carlos, 2006.https://repositorio.ufscar.br/handle/ufscar/5354The aim of the present study was to evaluate the effects of three respiratory physiotherapy programs constituted by physical training (PT) on a treadmill and/or respiratory muscle training (RMT) on pulmonary function, respiratory muscle strength (RMS), quality of life (QL), exercise capacity, ventilatory and metabolic variables and dyspnea at rest and during exercise, in patients with COPD, as well as to compare them to subjects of the same age and who have no respiratory disease. Twenty-five patients (68.8±8.3 years old) of both sexes, with moderate-to-severe COPD (FEV1<60% predicted), and ten volunteers who have no respiratory disease of both sexes (67.2±7.4 years old) participated of this study. The patients with COPD were randomized into three groups: the first group (RMTG) underwent 20 minutes sessions of RMT at a resistive load corresponding to 30% of the MIP obtained each week; the second group (PTG) underwent 30 minutes sessions of PT at a work rate corresponding to 70% of the highest heart rate achieved in the symptom-limited cardiorespiratory exercise testing (CRET); and the third group (RMT+PTG) associated 10 minutes of RMT to 15 minutes of PT with the same intensities previously mentioned. All of the programs were constituted by three sessions per week during six consecutive weeks. After treatment, it was observed significant increase of MIP and MEP in RMTG; significant increase of walk distance (WD) in the CRET, decreases of HR and minute ventilation at the same velocity in the CRET after treatment and improvement in the physical capacity domain in the QL questionnaire Short Form 36 (QLQ-SF36) in PTG; and significant increase of MIP, WD in the CRET, decrease of systolic arterial pressure and of blood lactate and improvement of total score of QLQ-SF36 in RMT+PTG. Those findings suggest that the PT associated with RMT seems to be the best alternative among the programs investigated in the present study because as well as providing an evident improvement of exercise capacity and of QL in the patients, it provided an additional effect in the physiological adaptation with better effectiveness in the clearance and/or less production of blood lactate during exercise.Este estudo teve o objetivo de avaliar os efeitos de três programas de fisioterapia respiratória constituídos por treinamento físico (TF) em esteira e/ou treinamento muscular respiratório (TMR) sobre a função pulmonar, força muscular respiratória (FMR), qualidade de vida (QV), tolerância ao esforço e variáveis ventilatórias, metabólicas e dispnéia no repouso e durante o esforço, em pacientes com DPOC, bem como compará-los com indivíduos da mesma faixa etária e sem patologia respiratória. Participaram deste estudo, 25 pacientes, de ambos os sexos (68,8±8,3 anos), com diagnóstico clínico e espirométrico de DPOC moderada-grave (VEF1<60% do previsto) e 10 indivíduos sem patologia respiratória e na mesma faixa etária dos pacientes (67,2±7,4 anos). Os pacientes foram divididos aleatoriamente em 3 grupos, sendo o primeiro grupo (GTMR) submetido a sessões de 20 minutos de TMR com 30% da PImax obtida a cada semana, o segundo grupo (GTF) submetido a 30 minutos de TF com 70% da freqüência cardíaca máxima atingida no teste de exercício cardiorrespiratório (TECR) sintoma-limitado e o terceiro grupo (GTMR+TF) associava 10 minutos de TMR e 15 minutos de TF com as mesmas intensidades citadas anteriormente. Todos os programas constituíram-se de 3 sessões semanais por 6 semanas consecutivas. Após tratamento, foram observados aumentos significativos da PImax e PEmax no GTMR; aumentos significativos da distância percorrida (DP) no TECR, redução da FC e da ventilação isovelocidade e melhora no domínio capacidade física do questionário de qualidade de vida Short Form 36 (QQV-SF36) no GTF e; aumento significativo da PImax, da DP no TECR, redução da pressão arterial sistólica e concentração sangüínea de lactato tanto isovelocidade quanto no pico do esforço e melhora na pontuação total do QQV-SF36 no GTMR+TF. Os resultados sugerem que o TF associado ao TMR, parece ser a melhor alternativa terapêutica dentre as investigadas no presente estudo, pois, além de proporcionar uma evidente melhora na capacidade funcional e na QV dos pacientes, promoveu um efeito adicional nas adaptações fisiológicas com uma maior eficácia na remoção e/ou menor produção de lactato sangüíneo durante o esforço. Palavras-chave: Treinamento físico, treinamento muscular respiratório, DPOC.Universidade Federal de Sao Carlosapplication/pdfporUniversidade Federal de São CarlosPrograma de Pós-Graduação em Fisioterapia - PPGFtUFSCarBRFisioterapia respiratóriaDPOCTreinamento físicoTreinamento muscular respiratórioPhysical trainingRespiratory muscle trainingCOPDCIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONALEfeitos de três programas de fisioterapia respiratória em portadores de DPOCEfects of three respiratory physiotherapy programs in patients with COPDinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-1-1bd0cbb98-978e-41d4-acd9-a1acaba0dedainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFSCARinstname:Universidade Federal de São Carlos (UFSCAR)instacron:UFSCARORIGINALDissLNK.pdfapplication/pdf1171474https://repositorio.ufscar.br/bitstream/ufscar/5354/1/DissLNK.pdff524111b3f383bbcfc7e0b8acef1f078MD51THUMBNAILDissLNK.pdf.jpgDissLNK.pdf.jpgIM Thumbnailimage/jpeg6615https://repositorio.ufscar.br/bitstream/ufscar/5354/2/DissLNK.pdf.jpgaef98af2b86a9552395c5ac122bea64eMD52ufscar/53542023-09-18 18:31:50.12oai:repositorio.ufscar.br:ufscar/5354Repositório InstitucionalPUBhttps://repositorio.ufscar.br/oai/requestopendoar:43222023-09-18T18:31:50Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR)false
dc.title.por.fl_str_mv Efeitos de três programas de fisioterapia respiratória em portadores de DPOC
dc.title.alternative.eng.fl_str_mv Efects of three respiratory physiotherapy programs in patients with COPD
title Efeitos de três programas de fisioterapia respiratória em portadores de DPOC
spellingShingle Efeitos de três programas de fisioterapia respiratória em portadores de DPOC
Kunikoshita, Luciana Noemi
Fisioterapia respiratória
DPOC
Treinamento físico
Treinamento muscular respiratório
Physical training
Respiratory muscle training
COPD
CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
title_short Efeitos de três programas de fisioterapia respiratória em portadores de DPOC
title_full Efeitos de três programas de fisioterapia respiratória em portadores de DPOC
title_fullStr Efeitos de três programas de fisioterapia respiratória em portadores de DPOC
title_full_unstemmed Efeitos de três programas de fisioterapia respiratória em portadores de DPOC
title_sort Efeitos de três programas de fisioterapia respiratória em portadores de DPOC
author Kunikoshita, Luciana Noemi
author_facet Kunikoshita, Luciana Noemi
author_role author
dc.contributor.authorlattes.por.fl_str_mv http://plsql1.cnpq.br/sigef_imp/PRC_HIST_PROC?F_COD_RH=K4702470U5
dc.contributor.author.fl_str_mv Kunikoshita, Luciana Noemi
dc.contributor.advisor1.fl_str_mv Jamami, Maurício
dc.contributor.advisor1Lattes.fl_str_mv http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=E463020
dc.contributor.authorID.fl_str_mv 35ca6979-f577-45b3-b414-d4ac3929a0e1
contributor_str_mv Jamami, Maurício
dc.subject.por.fl_str_mv Fisioterapia respiratória
DPOC
Treinamento físico
Treinamento muscular respiratório
topic Fisioterapia respiratória
DPOC
Treinamento físico
Treinamento muscular respiratório
Physical training
Respiratory muscle training
COPD
CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
dc.subject.eng.fl_str_mv Physical training
Respiratory muscle training
COPD
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
description The aim of the present study was to evaluate the effects of three respiratory physiotherapy programs constituted by physical training (PT) on a treadmill and/or respiratory muscle training (RMT) on pulmonary function, respiratory muscle strength (RMS), quality of life (QL), exercise capacity, ventilatory and metabolic variables and dyspnea at rest and during exercise, in patients with COPD, as well as to compare them to subjects of the same age and who have no respiratory disease. Twenty-five patients (68.8±8.3 years old) of both sexes, with moderate-to-severe COPD (FEV1<60% predicted), and ten volunteers who have no respiratory disease of both sexes (67.2±7.4 years old) participated of this study. The patients with COPD were randomized into three groups: the first group (RMTG) underwent 20 minutes sessions of RMT at a resistive load corresponding to 30% of the MIP obtained each week; the second group (PTG) underwent 30 minutes sessions of PT at a work rate corresponding to 70% of the highest heart rate achieved in the symptom-limited cardiorespiratory exercise testing (CRET); and the third group (RMT+PTG) associated 10 minutes of RMT to 15 minutes of PT with the same intensities previously mentioned. All of the programs were constituted by three sessions per week during six consecutive weeks. After treatment, it was observed significant increase of MIP and MEP in RMTG; significant increase of walk distance (WD) in the CRET, decreases of HR and minute ventilation at the same velocity in the CRET after treatment and improvement in the physical capacity domain in the QL questionnaire Short Form 36 (QLQ-SF36) in PTG; and significant increase of MIP, WD in the CRET, decrease of systolic arterial pressure and of blood lactate and improvement of total score of QLQ-SF36 in RMT+PTG. Those findings suggest that the PT associated with RMT seems to be the best alternative among the programs investigated in the present study because as well as providing an evident improvement of exercise capacity and of QL in the patients, it provided an additional effect in the physiological adaptation with better effectiveness in the clearance and/or less production of blood lactate during exercise.
publishDate 2006
dc.date.issued.fl_str_mv 2006-02-17
dc.date.available.fl_str_mv 2007-08-16
2016-06-02T20:19:28Z
dc.date.accessioned.fl_str_mv 2016-06-02T20:19:28Z
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dc.identifier.citation.fl_str_mv KUNIKOSHITA, Luciana Noemi. Efects of three respiratory physiotherapy programs in patients with COPD.. 2006. 114 f. Dissertação (Mestrado em Ciências Biológicas) - Universidade Federal de São Carlos, São Carlos, 2006.
dc.identifier.uri.fl_str_mv https://repositorio.ufscar.br/handle/ufscar/5354
identifier_str_mv KUNIKOSHITA, Luciana Noemi. Efects of three respiratory physiotherapy programs in patients with COPD.. 2006. 114 f. Dissertação (Mestrado em Ciências Biológicas) - Universidade Federal de São Carlos, São Carlos, 2006.
url https://repositorio.ufscar.br/handle/ufscar/5354
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