Dynamic hyperinflation induced by the 6-minute pegboard and ring test in hospitalized patients with exacerbated COPD
Autor: | Kelly Cristina Albanezi Nucci, Rosimeire Marcos Felisberto, Christina May Moran de Brito, Elaine Paulin, André Luis Pereira de Albuquerque, Cassia Fabiane de Barros, Wellington Pereira Yamaguti |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Male
Exacerbation Pulmonology Hemodynamics Pulmonary Function Blood Pressure Vascular Medicine Pulmonary Disease Chronic Obstructive Medical Conditions Forced Expiratory Volume Medicine and Health Sciences Dynamic hyperinflation Fatigue COPD Multidisciplinary Hematology Hospitals Respiratory Function Tests Chemistry Anesthesia Physical Sciences Medicine Female Anatomy Inspiratory Capacity Research Article Chemical Elements Respiratory rate Science Chronic Obstructive Pulmonary Disease Diastole Respiratory Disorders Signs and Symptoms Respiratory Rate Heart rate medicine Humans Aged business.industry Biology and Life Sciences medicine.disease Oxygen Dyspnea Cross-Sectional Studies Body Limbs Clinical Medicine business Respiratory minute volume |
Zdroj: | PLoS ONE PLoS ONE, Vol 15, Iss 11, p e0241639 (2020) |
ISSN: | 1932-6203 |
Popis: | Background The six-minute pegboard and ring test (6-PBRT) has been used to evaluate functional capacity of the upper limbs in stable chronic obstructive pulmonary disease (COPD) patients. To the best of our knowledge, no studies have evaluated dynamic hyperinflation (DH) during exercise with upper limbs in the hospital setting. The aim of this study was to evaluate physiological responses and DH induced by 6-PBRT in hospitalized patients with acute exacerbation of COPD (AECOPD). Methods A cross-sectional study was conducted in a tertiary hospital enrolling patients who were hospitalized due to AECOPD. All included participants underwent an evaluation of lung function and 6-PBRT when they reached minimum clinical criteria. Ventilatory and hemodynamics parameters were monitored during 6-PBRT and until 6 minutes of rest after the test. Symptoms of dyspnea and upper limb fatigue were also measured. Results Eighteen patients (71.3±5.1 years) with a mean FEV1 of 43.2±18.3% were included in the study (11 females). Prevalence of DH after 6-PBRT was 50% (considering the drop of 150 ml or 10% of inspiratory capacity, immediately after the end of the test). There was a significant increase in respiratory rate, minute volume, dyspnea, and upper limb fatigue after the end of 6-PBRT (p |
Databáze: | OpenAIRE |
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