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Previous issue date: 2009-07-31 / Physical Exercise (PE) is a necessary component in the management in COPD patients, where respiratory symptoms are associated with reduced functional capacity. Even with the increase in the number of studies that have been published and the therapeutics success using aquatic therapy approach, studies using PE in water in COPD patients are so few. Objective: the aim of this present study was to analyze the effects of low intensity water exercise in COPD patients, developed in two different places aquatic and ground. Methods: This is a randomized clinical trial study, 42 patients with moderate to very severe DPOC were recruited for the study, mean age of 63,2 ? 10,9 years old. Randomized in 3 groups: Control Group (CG), Land Group (LG) and Water Group (WG). The PE protocol was performed in a period of 8 weeks, with frequency of 3 times per week. The CG participated in an educational program. All the patients were assessed twice through spirometry, respiratory muscular strength, the 6-min walk test, the quality of life (SF-36 and SGRQ), the LCADL, the MRC, the BODE index and the upper limbs (UP) incremental test. Results: There was a significant difference after the approaches in DP6 from the WG (p=0,02); in VEF1 in LG (p=0,00) and WG (p=0,01); in MIP in LG (p=0,01) and WG (p=0,02); in MEP in LG (p=0,02) and WG (p=0,01); the MRC decreases in WG (p=0,00). there was an increase of the weight supported by the UP in LG (p=0,00) and WG (p=0,01). The LG showed an increase of the quality of life represented by the SGRQ total score (p=0,00). The BODE index decreased in LG (p=0,00) and WG (p=0,01). In LCDAL, the LG showed a decrease. Conclusion: This data in this present study suggest that both approaches of low intensity exercise showed to be beneficial in moderate to very severe COPD patients. The WG showed additional benefits in physical function, pointing to a new therapeutic modality for COPD patients / Introdu??o: O exerc?cio f?sico (EF) ? um componente necess?rio no manejo de pacientes com DPOC, nos quais os sintomas respirat?rios est?o associados ? diminui??o da capacidade funcional. Mesmo com aumento observado na quantidade de estudos e sucessos terap?uticos relacionados ao meio aqu?tico, trabalhos envolvendo o EF neste meio em pacientes com DPOC s?o incomuns. Objetivo: avaliar o impacto do exerc?cio f?sico de baixa intensidade na DPOC, desenvolvido em diferentes meios - aqu?tico e solo. M?todos: ensaio cl?nico randomizado, com 42 indiv?duos com DPOC moderada a muito grave, idade m?dia de 63,2 ? 10,9 anos. Alocados em 3 grupos: Grupo Controle (GC), Grupo Solo (GS) e Grupo Aqu?tico (GA). O protocolo de EF foi realizado durante 8 semanas, com frequ?ncia de 3 vezes por semana. O GC participou do programa educacional. Em dois momentos, todos os pacientes foram avaliados atrav?s da espirometria, da for?a muscular respirat?ria, do teste de caminhada de seis minutos, da qualidade de vida (SF-36 e SGRQ), da LCADL, da MRC, do ?ndice BODE e do teste incremental para os membros superiores (MMSS). Resultados: observou-se diferen?a ap?s interven??o na DP6 do GA (p=0,02); no VEF1 no GS (p=0,00) e GA (p=0,01); na Pim?x do GS (p=0,01) e GA (p=0,02); na Pemax do GS (p=0,02) e GA (p=0,01); a MRC diminui no GA (p=0,00). Houve aumento da carga sustentada pelos MMSS no GS (p=0,00) e GA (p=0,01). O GS apresentou melhoria na qualidade de vida representada pela pontua??o total do SGRQ (p=0,00). O ?ndice BODE diminui no GS (p=0,00) e GA (p=0,01). Na LCDAL, o GS revelou diminui??o. Conclus?o: Os resultados encontrados no presente estudo sugerem que as ambas modalidades de EF de baixa intensidade mostraram ser ben?ficas para pacientes com DPOC moderada e muito grave. O GA mostrou benef?cios adicionais na capacidade f?sica, apontando para uma nova modalidade terap?utica para os pacientes DPOC
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/16676 |
| Date | 31 July 2009 |
| Creators | Ara?jo, Z?nia Trindade de Souto |
| Contributors | CPF:21268843334, http://lattes.cnpq.br/4934425482168899, Nogueira, Patr?cia Ang?lica de Miranda Silva, CPF:02545172421, http://lattes.cnpq.br/1788918737416095, Rodrigues, S?rgio Leite, CPF:87686627420, http://lattes.cnpq.br/9901578260841730, Ferreira, Gard?nia Maria Holanda |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Fisioterapia, UFRN, BR, Movimento e Sa?de |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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