O teste do degrau de seis minutos avalia a capacidade funcional aeróbia de pacientes com Doença Pulmonar Obstrutiva Crônica?

Detalhes bibliográficos
Autor(a) principal: Takara, Glaucia Nency
Data de Publicação: 2011
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório Institucional da UFSCAR
Texto Completo: https://repositorio.ufscar.br/handle/ufscar/5274
Resumo: Objective: To assess the six-minute step test (6MST) in terms of its ability to evaluate the aerobic functional capacity of COPD patients. In addition to compare, correlate and verify if there is an agreement between the metabolic (oxygen uptake-VO2), ventilatory (minute ventilation-VE) and cardiovascular variables (heart rate-HR), and perceived exertion of the 6MST and the incremental cardiopulmonary exercise test (ICPET). Methods: Metabolic and ventilatory variables, heart rate, dyspnea and lower limb (LL) fatigue were recorded from 18 COPD patients (five had mild COPD, five moderate, six severe and two very severe) performing the 6MST and the submaximal ICPET on cycle ergometer (work rate was increased by 5-10 watts) on different and not consecutive days. Results: There were no significant differences between VO2, HR, VE, dyspnea and LL fatigue mean values at the peak of both tests. Moderate correlations were found between the 6MST performance and ICPET s VO2 (r=0.49;p=0.05) and performance (r=0.63;p=0.005), high correlations were found between both VO2 (L/min and mL/kg/min) (r=0.76 and r=0.77;p=0.001), and moderate correlations were found between HR (r=0.68;p=0.002) and LL fatigue (r=0.59;p=0.011) between the tests. There was no agreement between VO2, HR and LL fatigue values between the tests. Conclusion: The 6MST has the ability to assess aerobic functional capacity and presents cardiorespiratory responses and perceived exertion similar to the ICPET in magnitude, however it cannot replace the ICPET, since the 6MST assesses and demands greater and more localized work from peripheral muscles, thus not reflecting the same ICPET cardiorespiratory capacity.
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spelling Takara, Glaucia NencyJamami, Mauríciohttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=E463020http://lattes.cnpq.br/0574115282252013d75dedb4-b08b-4e36-96fa-53888b4fc6fb2016-06-02T20:19:15Z2011-03-172016-06-02T20:19:15Z2011-02-28TAKARA, Glaucia Nency. O teste do degrau de seis minutos avalia a capacidade funcional aeróbia de pacientes com doença pulmonar obstrutiva crônica?. 2011. 61 f. Dissertação (Mestrado em Ciências Biológicas) - Universidade Federal de São Carlos, São Carlos, 2011.https://repositorio.ufscar.br/handle/ufscar/5274Objective: To assess the six-minute step test (6MST) in terms of its ability to evaluate the aerobic functional capacity of COPD patients. In addition to compare, correlate and verify if there is an agreement between the metabolic (oxygen uptake-VO2), ventilatory (minute ventilation-VE) and cardiovascular variables (heart rate-HR), and perceived exertion of the 6MST and the incremental cardiopulmonary exercise test (ICPET). Methods: Metabolic and ventilatory variables, heart rate, dyspnea and lower limb (LL) fatigue were recorded from 18 COPD patients (five had mild COPD, five moderate, six severe and two very severe) performing the 6MST and the submaximal ICPET on cycle ergometer (work rate was increased by 5-10 watts) on different and not consecutive days. Results: There were no significant differences between VO2, HR, VE, dyspnea and LL fatigue mean values at the peak of both tests. Moderate correlations were found between the 6MST performance and ICPET s VO2 (r=0.49;p=0.05) and performance (r=0.63;p=0.005), high correlations were found between both VO2 (L/min and mL/kg/min) (r=0.76 and r=0.77;p=0.001), and moderate correlations were found between HR (r=0.68;p=0.002) and LL fatigue (r=0.59;p=0.011) between the tests. There was no agreement between VO2, HR and LL fatigue values between the tests. Conclusion: The 6MST has the ability to assess aerobic functional capacity and presents cardiorespiratory responses and perceived exertion similar to the ICPET in magnitude, however it cannot replace the ICPET, since the 6MST assesses and demands greater and more localized work from peripheral muscles, thus not reflecting the same ICPET cardiorespiratory capacity.Objetivo: Verificar se o teste do degrau de seis minutos (TD6) permite avaliar a capacidade funcional aeróbia de pacientes com doença pulmonar obstrutiva crônica (DPOC) além de comparar, correlacionar e verificar se há concordância entre as variáveis metabólica (consumo de oxigênio-VO2), ventilatória (ventilação minuto-VE), cardiovascular (frequência cardíaca- FC) e de percepção de esforço entre o TD6 e o teste de exercício cardiopulmonar incremental (TECPI). Métodos: 18 pacientes com DPOC (cinco com obstrução leve, cinco moderada, seis grave e dois muito grave) executaram o TD6 e o TECPI submáximo em cicloergômetro (incrementos de 5 a 10W) em dias não coincidentes e não consecutivos. O TD6 foi realizado em um degrau cuja altura media 20cm e durante seis minutos os pacientes foram orientados a subir o mais rápido possível em cadência livre. Durante os testes foram avaliados o VO2, a VE, a FC, a sensação de dispneia (SD) e a sensação de fadiga de membros inferiores (SFMMII), por meio da escala de Borg. Resultados: Não houve diferenças significativas entre as médias dos valores de VO2, FC, VE, SD e SFMMII no pico de ambos os testes. Observaram-se correlações moderadas entre o desempenho no TD6 (número total de subidas no degrau) e o VO2 no TECPI (r=0,49;p=0,05) e entre o desempenho no TD6 com o desempenho no TECPI (r=0,63;p=0,005); correlações fortes entre os VO2 (L/min e mL/kg/min) (r=0,76 e r=0,77;p=0,001) e correlações moderadas das FC (r=0,68;p=0,002) e das SFMMII (r=0,59;p=0,011) entre os testes. Não se observou concordância entre os valores de VO2, FC e SFMMII entre os testes. Conclusão: O TD6 pode avaliar a capacidade funcional aeróbia e apresenta respostas cardiorrespiratórias e de percepção de esforço semelhantes ao TECPI em magnitude, porém não substitui o TECPI, uma vez que o TD6 não reflete a mesma capacidade cardiorrespiratória do TECPI por ser um teste que avalia e exige um trabalho maior e mais localizado da musculatura periférica.Financiadora de Estudos e Projetosapplication/pdfporUniversidade Federal de São CarlosPrograma de Pós-Graduação em Fisioterapia - PPGFtUFSCarBRDoença Pulmonar Obstrutiva Crônica (DPOC)Teste de esforçoTolerância ao exercícioFadiga muscularConsumo de oxigênioDispnéiaChronic obstructive pulmonary diseaseExercise testExercise toleranceMuscle fatigueOxygen consumptionDyspneaCIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONALO teste do degrau de seis minutos avalia a capacidade funcional aeróbia de pacientes com Doença Pulmonar Obstrutiva Crônica?info: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:UFSCARORIGINAL3462.pdfapplication/pdf1115624https://repositorio.ufscar.br/bitstream/ufscar/5274/1/3462.pdf922f1de495cfca273a837f049f67e6f2MD51THUMBNAIL3462.pdf.jpg3462.pdf.jpgIM Thumbnailimage/jpeg6908https://repositorio.ufscar.br/bitstream/ufscar/5274/2/3462.pdf.jpga54ffcb45c6bd88e55fab81ced2812d2MD52ufscar/52742023-09-18 18:32:21.818oai:repositorio.ufscar.br:ufscar/5274Repositório InstitucionalPUBhttps://repositorio.ufscar.br/oai/requestopendoar:43222023-09-18T18:32:21Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR)false
dc.title.por.fl_str_mv O teste do degrau de seis minutos avalia a capacidade funcional aeróbia de pacientes com Doença Pulmonar Obstrutiva Crônica?
title O teste do degrau de seis minutos avalia a capacidade funcional aeróbia de pacientes com Doença Pulmonar Obstrutiva Crônica?
spellingShingle O teste do degrau de seis minutos avalia a capacidade funcional aeróbia de pacientes com Doença Pulmonar Obstrutiva Crônica?
Takara, Glaucia Nency
Doença Pulmonar Obstrutiva Crônica (DPOC)
Teste de esforço
Tolerância ao exercício
Fadiga muscular
Consumo de oxigênio
Dispnéia
Chronic obstructive pulmonary disease
Exercise test
Exercise tolerance
Muscle fatigue
Oxygen consumption
Dyspnea
CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
title_short O teste do degrau de seis minutos avalia a capacidade funcional aeróbia de pacientes com Doença Pulmonar Obstrutiva Crônica?
title_full O teste do degrau de seis minutos avalia a capacidade funcional aeróbia de pacientes com Doença Pulmonar Obstrutiva Crônica?
title_fullStr O teste do degrau de seis minutos avalia a capacidade funcional aeróbia de pacientes com Doença Pulmonar Obstrutiva Crônica?
title_full_unstemmed O teste do degrau de seis minutos avalia a capacidade funcional aeróbia de pacientes com Doença Pulmonar Obstrutiva Crônica?
title_sort O teste do degrau de seis minutos avalia a capacidade funcional aeróbia de pacientes com Doença Pulmonar Obstrutiva Crônica?
author Takara, Glaucia Nency
author_facet Takara, Glaucia Nency
author_role author
dc.contributor.authorlattes.por.fl_str_mv http://lattes.cnpq.br/0574115282252013
dc.contributor.author.fl_str_mv Takara, Glaucia Nency
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 d75dedb4-b08b-4e36-96fa-53888b4fc6fb
contributor_str_mv Jamami, Maurício
dc.subject.por.fl_str_mv Doença Pulmonar Obstrutiva Crônica (DPOC)
Teste de esforço
Tolerância ao exercício
Fadiga muscular
Consumo de oxigênio
Dispnéia
topic Doença Pulmonar Obstrutiva Crônica (DPOC)
Teste de esforço
Tolerância ao exercício
Fadiga muscular
Consumo de oxigênio
Dispnéia
Chronic obstructive pulmonary disease
Exercise test
Exercise tolerance
Muscle fatigue
Oxygen consumption
Dyspnea
CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
dc.subject.eng.fl_str_mv Chronic obstructive pulmonary disease
Exercise test
Exercise tolerance
Muscle fatigue
Oxygen consumption
Dyspnea
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
description Objective: To assess the six-minute step test (6MST) in terms of its ability to evaluate the aerobic functional capacity of COPD patients. In addition to compare, correlate and verify if there is an agreement between the metabolic (oxygen uptake-VO2), ventilatory (minute ventilation-VE) and cardiovascular variables (heart rate-HR), and perceived exertion of the 6MST and the incremental cardiopulmonary exercise test (ICPET). Methods: Metabolic and ventilatory variables, heart rate, dyspnea and lower limb (LL) fatigue were recorded from 18 COPD patients (five had mild COPD, five moderate, six severe and two very severe) performing the 6MST and the submaximal ICPET on cycle ergometer (work rate was increased by 5-10 watts) on different and not consecutive days. Results: There were no significant differences between VO2, HR, VE, dyspnea and LL fatigue mean values at the peak of both tests. Moderate correlations were found between the 6MST performance and ICPET s VO2 (r=0.49;p=0.05) and performance (r=0.63;p=0.005), high correlations were found between both VO2 (L/min and mL/kg/min) (r=0.76 and r=0.77;p=0.001), and moderate correlations were found between HR (r=0.68;p=0.002) and LL fatigue (r=0.59;p=0.011) between the tests. There was no agreement between VO2, HR and LL fatigue values between the tests. Conclusion: The 6MST has the ability to assess aerobic functional capacity and presents cardiorespiratory responses and perceived exertion similar to the ICPET in magnitude, however it cannot replace the ICPET, since the 6MST assesses and demands greater and more localized work from peripheral muscles, thus not reflecting the same ICPET cardiorespiratory capacity.
publishDate 2011
dc.date.available.fl_str_mv 2011-03-17
2016-06-02T20:19:15Z
dc.date.issued.fl_str_mv 2011-02-28
dc.date.accessioned.fl_str_mv 2016-06-02T20:19:15Z
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 TAKARA, Glaucia Nency. O teste do degrau de seis minutos avalia a capacidade funcional aeróbia de pacientes com doença pulmonar obstrutiva crônica?. 2011. 61 f. Dissertação (Mestrado em Ciências Biológicas) - Universidade Federal de São Carlos, São Carlos, 2011.
dc.identifier.uri.fl_str_mv https://repositorio.ufscar.br/handle/ufscar/5274
identifier_str_mv TAKARA, Glaucia Nency. O teste do degrau de seis minutos avalia a capacidade funcional aeróbia de pacientes com doença pulmonar obstrutiva crônica?. 2011. 61 f. Dissertação (Mestrado em Ciências Biológicas) - Universidade Federal de São Carlos, São Carlos, 2011.
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