Strategy for respiratory exercise pattern associated with upper limb movements in COPD patients
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/19307 |
Resumo: | INTRODUCTION: Upper limb exercises are frequently used in respiratory physiotherapy, with UL elevation and controlled inspiratory timing. However, the use of expiration during upper limb elevation appears to be a strategy that could minimize the action of accessory muscles in patients with chronic obstructive pulmonary disease. In this context, little is known about the synchrony of upper limb (UL) movements associated with breathing. The aim of this study was to investigate the respiratory pattern of chronic obstructive pulmonary disease patients during different UL exercises associated with respiratory exercises. METHODS: Fifteen chronic obstructive pulmonary disease patients participated in this study. Respiratory pattern analysis by inductance plethysmography was performed during four types of upper limb exercises, two shoulder flexion-extension (one associated with inspiratory time during the concentric phase and the other associated with expiratory time) and two shoulder abduction-adduction (same timing as above). Statistical analysis was performed by the Kolmogorov-Smirnov test and ANOVA with Tukey tests (p< 0.05). RESULTS: The thoracoabdominal coordination measurements increased in the two exercises using both inspiration during shoulder flexion (PhRIB: 172%; PhREB: 131%; PhRTB: 142% and PhAng: 238%) as well as in shoulder horizontal abduction (PhRIB: 145%; PhREB: 109%; PhRTB: 130% and PhAng: 229%), differing from the exercises with expiration at the time of shoulder flexion and horizontal abduction. CONCLUSION: The exercises performed with inverted respiratory time produced less asynchrony and can be used as important strategies during physical exercise programs in these patients. |
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Clinics |
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Strategy for respiratory exercise pattern associated with upper limb movements in COPD patients Chronic obstructive pulmonary diseaseBreathing exercisesPhysiotherapyUpper extremityPlethysmography INTRODUCTION: Upper limb exercises are frequently used in respiratory physiotherapy, with UL elevation and controlled inspiratory timing. However, the use of expiration during upper limb elevation appears to be a strategy that could minimize the action of accessory muscles in patients with chronic obstructive pulmonary disease. In this context, little is known about the synchrony of upper limb (UL) movements associated with breathing. The aim of this study was to investigate the respiratory pattern of chronic obstructive pulmonary disease patients during different UL exercises associated with respiratory exercises. METHODS: Fifteen chronic obstructive pulmonary disease patients participated in this study. Respiratory pattern analysis by inductance plethysmography was performed during four types of upper limb exercises, two shoulder flexion-extension (one associated with inspiratory time during the concentric phase and the other associated with expiratory time) and two shoulder abduction-adduction (same timing as above). Statistical analysis was performed by the Kolmogorov-Smirnov test and ANOVA with Tukey tests (p< 0.05). RESULTS: The thoracoabdominal coordination measurements increased in the two exercises using both inspiration during shoulder flexion (PhRIB: 172%; PhREB: 131%; PhRTB: 142% and PhAng: 238%) as well as in shoulder horizontal abduction (PhRIB: 145%; PhREB: 109%; PhRTB: 130% and PhAng: 229%), differing from the exercises with expiration at the time of shoulder flexion and horizontal abduction. CONCLUSION: The exercises performed with inverted respiratory time produced less asynchrony and can be used as important strategies during physical exercise programs in these patients. Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2011-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/1930710.1590/S1807-59322011000200020Clinics; Vol. 66 No. 2 (2011); 299-305 Clinics; v. 66 n. 2 (2011); 299-305 Clinics; Vol. 66 Núm. 2 (2011); 299-305 1980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/19307/21370Costa, DirceuCancelliero, Karina MariaIke, DanielaLaranjeira, Thais LimaPantoni, Camila Bianca FalascoBorghi-Silva, Audreyinfo:eu-repo/semantics/openAccess2012-05-23T16:33:18Zoai:revistas.usp.br:article/19307Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2012-05-23T16:33:18Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Strategy for respiratory exercise pattern associated with upper limb movements in COPD patients |
title |
Strategy for respiratory exercise pattern associated with upper limb movements in COPD patients |
spellingShingle |
Strategy for respiratory exercise pattern associated with upper limb movements in COPD patients Costa, Dirceu Chronic obstructive pulmonary disease Breathing exercises Physiotherapy Upper extremity Plethysmography |
title_short |
Strategy for respiratory exercise pattern associated with upper limb movements in COPD patients |
title_full |
Strategy for respiratory exercise pattern associated with upper limb movements in COPD patients |
title_fullStr |
Strategy for respiratory exercise pattern associated with upper limb movements in COPD patients |
title_full_unstemmed |
Strategy for respiratory exercise pattern associated with upper limb movements in COPD patients |
title_sort |
Strategy for respiratory exercise pattern associated with upper limb movements in COPD patients |
author |
Costa, Dirceu |
author_facet |
Costa, Dirceu Cancelliero, Karina Maria Ike, Daniela Laranjeira, Thais Lima Pantoni, Camila Bianca Falasco Borghi-Silva, Audrey |
author_role |
author |
author2 |
Cancelliero, Karina Maria Ike, Daniela Laranjeira, Thais Lima Pantoni, Camila Bianca Falasco Borghi-Silva, Audrey |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Costa, Dirceu Cancelliero, Karina Maria Ike, Daniela Laranjeira, Thais Lima Pantoni, Camila Bianca Falasco Borghi-Silva, Audrey |
dc.subject.por.fl_str_mv |
Chronic obstructive pulmonary disease Breathing exercises Physiotherapy Upper extremity Plethysmography |
topic |
Chronic obstructive pulmonary disease Breathing exercises Physiotherapy Upper extremity Plethysmography |
description |
INTRODUCTION: Upper limb exercises are frequently used in respiratory physiotherapy, with UL elevation and controlled inspiratory timing. However, the use of expiration during upper limb elevation appears to be a strategy that could minimize the action of accessory muscles in patients with chronic obstructive pulmonary disease. In this context, little is known about the synchrony of upper limb (UL) movements associated with breathing. The aim of this study was to investigate the respiratory pattern of chronic obstructive pulmonary disease patients during different UL exercises associated with respiratory exercises. METHODS: Fifteen chronic obstructive pulmonary disease patients participated in this study. Respiratory pattern analysis by inductance plethysmography was performed during four types of upper limb exercises, two shoulder flexion-extension (one associated with inspiratory time during the concentric phase and the other associated with expiratory time) and two shoulder abduction-adduction (same timing as above). Statistical analysis was performed by the Kolmogorov-Smirnov test and ANOVA with Tukey tests (p< 0.05). RESULTS: The thoracoabdominal coordination measurements increased in the two exercises using both inspiration during shoulder flexion (PhRIB: 172%; PhREB: 131%; PhRTB: 142% and PhAng: 238%) as well as in shoulder horizontal abduction (PhRIB: 145%; PhREB: 109%; PhRTB: 130% and PhAng: 229%), differing from the exercises with expiration at the time of shoulder flexion and horizontal abduction. CONCLUSION: The exercises performed with inverted respiratory time produced less asynchrony and can be used as important strategies during physical exercise programs in these patients. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/19307 10.1590/S1807-59322011000200020 |
url |
https://www.revistas.usp.br/clinics/article/view/19307 |
identifier_str_mv |
10.1590/S1807-59322011000200020 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/19307/21370 |
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 |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 66 No. 2 (2011); 299-305 Clinics; v. 66 n. 2 (2011); 299-305 Clinics; Vol. 66 Núm. 2 (2011); 299-305 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222756747345920 |