Functional status and dyspnea as performance of activities of daily living after physical and inspiratory muscle training in patients with chronic obstructive pulmonary disease

Autor: Regueiro, Eloisa Maria Gatti
Jazyk: portugalština
Rok vydání: 2013
Předmět:
Zdroj: Repositório Institucional da UFSCARUniversidade Federal de São CarlosUFSCAR.
Druh dokumentu: Doctoral Thesis
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Universidade Federal de Sao Carlos
Background: Exercise training improves exercise capacity, the performance of activities of daily living, decreases dyspnea, and enhances the inspiratory muscle strength in patients with COPD. Less is known on ventilatory and metabolic responses ( E, O2) during the execution activities of daily life (ADL) in patients going through physical training with additional or non-additional inspiratory muscle training (IMT). Aim: This study aims to compare changes on E and O2 responses, dyspnea, oxygen saturation and ADL time during a standard set of ADL tasks after two different training programs. Methods: A set of 5 ADL using a metabolic system (making bed, taking shower, brushing teeth and combing hair, lifting and lowering containers on a shelf above eye level and below the pelvic waist) was performed by 28 patients with COPD before and after the whole protocol. Patients were divided into two groups. One performed aerobic training, lower limbs (LL) resistive exercise and respiratory exercise (GPT) and the other aerobic training, resistive exercise of LL and an additional IMT (GPT+IMT). 13 composing the GPT (age 67.1±7.3yrs, FEV1 43.0±4.0%pred) and 15 patients composing the GPT+IMT (age 67.4±11.7yrs, FEV1 51.0±3.0%pred). Results: Both groups had a significant reduction (p
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