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Previous issue date: 2013-12-13 / Asthma treatment aims to achieve and maintain the control of the disease for prolonged periods. Inspiratory muscle training (IMT) may be an alternative in the care of patients with asthma, and it is used as a complementary therapy to the pharmacological treatment. Thus, the aim of this study was to investigate the effects of a domiciliary program of IMT on the electromyographic activity of the respiratory muscles in adults with asthma. This is a clinical trial in which ten adults with asthma and ten healthy adults were randomized into two groups (control and training). The electrical activity of inspiratory muscles (sternocleidomastoid (ECM) and diaphragm) was obtained by a surface electromyography. Furthermore, we assessed lung function (spirometry), maximal inspiratory pressure - MIP - (manometer). The functional capacity was evaluated by six minute walk test. Participants were assessed before and after the IMT protocol of 6 weeks with POWERbreathe? device. The training and the control groups underwent IMT with 50% and 15 % of MIP, respectively. The sample data were analyzed using SPSS 20.0, attributing significance of 5 %. Were used t test, ANOVA one way and Pearson correlation. It was observed an increase in MIP, after IMT, in both training groups and in healthy sham group (P < 0.05), which was accompanied by a significant increase in ECM activity during MIP in healthy training group (1488 %) and in asthma training group (ATG) (1186.4%). The ATG also showed a significant increase in diaphragm activity in basal respiration (48.5%). Functional capacity increased significantly in the asthma sham group (26.5 m) and in the asthma training group (45.2 m). These findings suggest that IMT promoted clinical improvements in all groups, especially the ATG, which makes it an important complementary treatment for patients with asthma / O tratamento da asma visa obter e manter o controle da doen?a por per?odos prolongados. O Treinamento Muscular Inspirat?rio (TMI) pode ser uma alternativa na assist?ncia ao paciente asm?tico, sendo utilizado como tratamento complementar ao farmacol?gico Assim, o objetivo deste estudo foi investigar os efeitos de um programa domiciliar de TMI sobre a atividade eletromiogr?fica dos m?sculos respirat?rios em adultos asm?ticos. Trata-se de um ensaio cl?nico em que dez adultos asm?ticos e dez saud?veis foram randomizados em dois grupos (sham e treinamento). A atividade el?trica dos m?sculos inspirat?rios (esternocleidomast?ideo (ECM) e diafragma) foi obtida pela eletromiografia de superf?cie. Al?m disso, foram avaliados a fun??o pulmonar, press?o inspirat?ria m?xima (PIm?x) e capacidade funcional. Os participantes foram avaliados antes e ap?s um protocolo de TMI de 6 semanas. Os grupos treinamento e sham realizaram o TMI com 50% e 15% da PIm?x, respectivamente. Observou-se aumento da PIm?x, ap?s o TMI, nos grupos treinamento e no saud?veis sham (P< 0,05), que foi acompanhado pelo aumento significativo da atividade do ECM durante a PIm?x no grupo treinamento saud?veis (1488%) e no grupo treinamento asm?tico (GTA) (1186,4%). O GTA tamb?m apresentou um aumento significativo da atividade do diafragma na respira??o basal (48,5%). A capacidade funcional aumentou significativamente no grupo sham asm?ticos (26,5m) e no grupo treinamento asm?tico (45,2m). Esses achados sugerem que o TMI promoveu melhoras cl?nicas em todos os grupos, com destaque para o GTA, sendo um op??o n?o farmacol?gica importante para indiv?duos asm?ticos
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/16743 |
| Date | 13 December 2013 |
| Creators | Delgado, Renata N?brega |
| Contributors | CPF:21268843334, http://lattes.cnpq.br/4934425482168899, S?, Joceline C?ssia Ferezini de, CPF:16793121898, http://lattes.cnpq.br/7269633182667176, Bruno, Selma Sousa, CPF:44456042400, http://lattes.cnpq.br/4056770607573210, 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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