Práce posuzuje možnosti využití chůzových testů u pacientů s koxartrózou. Na skupině třiceti pacientů se třetím stupněm koxartrózy kyčelního kloubu bylo provedeno měření pěti různých testů: dotazník Harris Hip Score, Timed Up And Go Test (TUG), Ten Meter Walk Test - desetimetrový test chůze (10MWT), Two Minute Walk Test - dvouminutový test chůze (2MWT) a Six Minute Walk Test - šestiminutový test chůze (6MWT). Následně byly porovnány výsledky jednotlivých testů a zjištěny jejich specifické výpovědní vlastnosti. Cílem studie bylo zjistit jejich vzájemné souvislosti, limity v použití, případně navrhnout jejich úpravu a doporučit cílové skupiny pacientů pro jednotlivé druhy testů. Během měření a při zpracování studie byly zjištěny statisticky významné skutečnosti, pomocí kterých by bylo možné zpřesnit hodnocení kvality terapie a zvýšit efektivitu vyšetřování pacientů s koxartrózou. Byla prokázána shodná výpovědní hodnota testu 2MWT ve srovnání s delšími testy (6MWT) a také výhody provedení testu TUG, jako zdroje doplňujících informací k vyšetření pomocí dotazníku Harris a běžných chůzových testů.

Title: Possibilities of evaluation and development of aerobic fitness of obese individuals Aim of diploma thesis: The aim of the research was to verify the 2km walking test to asses aerobic fitness of individuals who are overweight or obese. Furthemore, whether physical activity lasting two month has a significant effect on the reduction of weight and % body fat of overweight and obese individuals. Methods:. The 2 km walking test was performed at the beginning and end of the intervention. Meanwhile, a group of 6 overweight ( BMI > 25 kg.m-2 ) or obese, grade I, II (BMI < 40 kg.m-2 ) adult men and women (aged 21-56) performed the prescribed physical aktivity based on walking on the "treadmill" and "ride" on the stationary bike in the Reconditioning Center (at VŠTJ Medicina Praha). Description of physical activity: the duration of at least 40 min., 3 times a week for 2 months, moderate intensity (60 % VO2max) measured by a Sport tester. To calculate the index of aerobic fitness of the walk test, we used the predictive equation of Eurofit for adults, weight and body composition was measured using bioimpedance bipedal Tanita scales, we used a survey to assess the level of lifelong physical activity and for an overall health assesment we used PAR-Q questionnaire. Results of the study: 2 km walking test...

Orientador: Eduardo Kokubun / Banca: Fabio Yuzo Nakamura / Banca: Sebastião Gobbi / Resumo: Atualmente avaliação da aptidão física constitui importante ferramenta para prevenção e detecção de problemas físicos que podem interferir na autonomia e independência nas atividades da vida diária. Parâmetros de aptidão física estão direta e indiretamente relacionados com indicadores de saúde como atividade física habitual, qualidade de vida e avaliação antropométrica. O modelo de potência crítica nos fornece, de forma simples e não invasiva, dois parâmetros físicos, um aeróbio e outro anaeróbio. Este tem sido classicamente utilizado para descrever desempenho em atletas e não foi validado a testes não exaustivos, o que ampliaria sua aplicabilidade a populações com contra-indicação a testes máximos. Dois objetivos nortearam esse estudo. 1) Examinar se os testes de caminhada com intensidade autoselecionada fornecem estimativas confiáveis dos parâmetros do modelo e consistentes com a predição do modelo. 2) Examinar a relação entre os parâmetros do modelo da velocidade crítica com indicadores de atividade física relacionada à saúde. Um total de 39 indivíduos (32 a 80 anos) realizaram: 1) testes de caminhada de 3, 6 ou 9 minutos, ou até a exaustão em ritmo préfixado, para a determinação da velocidade crítica de caminhada (VCC) e capacidade de caminhada anaeróbia (CCA), 2) teste de caminhada na VCC e superior; 3) avaliação da qualidade de vida relacionada à saúde; 4) testes de aptidão física relacionada à saúde; 5) monitoramento da atividade física habitual (pedometria). Os resultados demonstraram bons ajustes do modelo aos testes de caminhada... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Evaluation of physical fitness is an important tool to detect and prevent physical disabilities, which can impair the autonomy and the daily life activities. Components of physical fitness are related to health indexes much as physical activity, quality of life and anthropometrics measures. The critical power model provide two physical parameters (aerobic and anaerobic) in an easy and non-invasive way. Even it has been used to describe performance in athletes, it still has not validated to non-exhausted tests, which could be usefull to apply to people with contraindication on exhaustive tests. Two main objectives conducted this study: 1) To exam if self-paced walk tests could estimated reliable parameters of critical power and in accordance to prediction of the model; 2) To exam the relationship between the parameters provided by the critical power model with health related physical activity indexes. A total of 39 volunteers performed: 1) walking tests of 3, 6, or 9 minutes, or until exhaustion in a pre-determined pace. These tests aimed to determine the critical walking velocity (CWV) and the anaerobic walking capacity (AWC); 2) walking tests at and above CWV; 3) health related quality of life assessment; 4) health related physical fitness tests, and; 5) monitoring of habitual physical activity (by pedometers). The results showed good agreement of self-selected walking speed tests to the model (r2 = 0,996 + 0,005), and no difference between the strategies of data collection was detected. The test-retest intraclass... (Complete abstract click electronic access below) / Mestre

<p>The overall aims of the studies were to investigate the effects of different training modalities on exercise capacity and health-related quality of life (HRQoL) in patients with moderate or severe COPD and, further, to explore two of the physical tests used in pulmonary rehabilitation.</p><p>In <b>study I</b>, the 12-minute walking distance (12MWD) did not increase on retesting in patients with exercise-induced hypoxemia (EIH) whereas 12MWD increased significantly on retesting in the non-EIH patients. In <b>study II</b>, we found that the incremental shuttle walking test was as good a predictor of peak exercise capacity (W peak) as peak oxygen uptake (VO₂ peak) is. In <b>study III</b>, we investigated the effects of two different combination training programmes when training twice a week for eight weeks. One programme was mainly based on endurance training (group A) and the other on resistance training and callisthenics (group B). W peak and 12MWD increased in group A but not in group B. HRQoL, anxiety and depression were unchanged in both groups. Ratings of perceived exertion at rest were significantly lower in group A than in group B after training and during 12 months of follow-up. Twelve months post-training, 12MWD was back to baseline in group A, but significantly shorter than at baseline in group B. Thus, a short endurance training intervention delayed decline in 12MWD for at least one year. Patients with moderate and severe COPD responded to training in the same way. In <b>study IV</b>, both interval and continuous endurance training increased W peak, VO₂ peak, peak exhaled carbon dioxide (VCO₂ peak) and 12MWD. Likewise, HRQoL, dyspnoea during activities of daily life, anxiety and depression improved similarly in both groups. At a fixed, submaximal workload (isotime), the interval training reduced oxygen cost and ventilatory demand significantly more than the continuous training did.</p>

The overall aims of the studies were to investigate the effects of different training modalities on exercise capacity and health-related quality of life (HRQoL) in patients with moderate or severe COPD and, further, to explore two of the physical tests used in pulmonary rehabilitation. In study I, the 12-minute walking distance (12MWD) did not increase on retesting in patients with exercise-induced hypoxemia (EIH) whereas 12MWD increased significantly on retesting in the non-EIH patients. In study II, we found that the incremental shuttle walking test was as good a predictor of peak exercise capacity (W peak) as peak oxygen uptake (VO2 peak) is. In study III, we investigated the effects of two different combination training programmes when training twice a week for eight weeks. One programme was mainly based on endurance training (group A) and the other on resistance training and callisthenics (group B). W peak and 12MWD increased in group A but not in group B. HRQoL, anxiety and depression were unchanged in both groups. Ratings of perceived exertion at rest were significantly lower in group A than in group B after training and during 12 months of follow-up. Twelve months post-training, 12MWD was back to baseline in group A, but significantly shorter than at baseline in group B. Thus, a short endurance training intervention delayed decline in 12MWD for at least one year. Patients with moderate and severe COPD responded to training in the same way. In study IV, both interval and continuous endurance training increased W peak, VO2 peak, peak exhaled carbon dioxide (VCO2 peak) and 12MWD. Likewise, HRQoL, dyspnoea during activities of daily life, anxiety and depression improved similarly in both groups. At a fixed, submaximal workload (isotime), the interval training reduced oxygen cost and ventilatory demand significantly more than the continuous training did.

Made available in DSpace on 2014-06-11T19:22:51Z (GMT). No. of bitstreams: 0 Previous issue date: 2007-02-05Bitstream added on 2014-06-13T20:49:24Z : No. of bitstreams: 1 ribeiro_pab_me_rcla.pdf: 730907 bytes, checksum: c4b0c64a8d54c7184bf1b7c74ea8ea7f (MD5) / Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) / Atualmente avaliação da aptidão física constitui importante ferramenta para prevenção e detecção de problemas físicos que podem interferir na autonomia e independência nas atividades da vida diária. Parâmetros de aptidão física estão direta e indiretamente relacionados com indicadores de saúde como atividade física habitual, qualidade de vida e avaliação antropométrica. O modelo de potência crítica nos fornece, de forma simples e não invasiva, dois parâmetros físicos, um aeróbio e outro anaeróbio. Este tem sido classicamente utilizado para descrever desempenho em atletas e não foi validado a testes não exaustivos, o que ampliaria sua aplicabilidade a populações com contra-indicação a testes máximos. Dois objetivos nortearam esse estudo. 1) Examinar se os testes de caminhada com intensidade autoselecionada fornecem estimativas confiáveis dos parâmetros do modelo e consistentes com a predição do modelo. 2) Examinar a relação entre os parâmetros do modelo da velocidade crítica com indicadores de atividade física relacionada à saúde. Um total de 39 indivíduos (32 a 80 anos) realizaram: 1) testes de caminhada de 3, 6 ou 9 minutos, ou até a exaustão em ritmo préfixado, para a determinação da velocidade crítica de caminhada (VCC) e capacidade de caminhada anaeróbia (CCA), 2) teste de caminhada na VCC e superior; 3) avaliação da qualidade de vida relacionada à saúde; 4) testes de aptidão física relacionada à saúde; 5) monitoramento da atividade física habitual (pedometria). Os resultados demonstraram bons ajustes do modelo aos testes de caminhada... / Evaluation of physical fitness is an important tool to detect and prevent physical disabilities, which can impair the autonomy and the daily life activities. Components of physical fitness are related to health indexes much as physical activity, quality of life and anthropometrics measures. The critical power model provide two physical parameters (aerobic and anaerobic) in an easy and non-invasive way. Even it has been used to describe performance in athletes, it still has not validated to non-exhausted tests, which could be usefull to apply to people with contraindication on exhaustive tests. Two main objectives conducted this study: 1) To exam if self-paced walk tests could estimated reliable parameters of critical power and in accordance to prediction of the model; 2) To exam the relationship between the parameters provided by the critical power model with health related physical activity indexes. A total of 39 volunteers performed: 1) walking tests of 3, 6, or 9 minutes, or until exhaustion in a pre-determined pace. These tests aimed to determine the critical walking velocity (CWV) and the anaerobic walking capacity (AWC); 2) walking tests at and above CWV; 3) health related quality of life assessment; 4) health related physical fitness tests, and; 5) monitoring of habitual physical activity (by pedometers). The results showed good agreement of self-selected walking speed tests to the model (r2 = 0,996 + 0,005), and no difference between the strategies of data collection was detected. The test-retest intraclass... (Complete abstract click electronic access below)