Effects of high intensity physical training in patients with Chronic Obstructive Pulmonary disease in a Pulmonary Rehabilitation Program / Efeitos do treino físico de alta intensidade em doentes com doença pulmonar obstrutiva crónica num Programa de Reabilitação Pulmonar

Authors

  • Priscila Kessar Cordoni Brazilian Journals Publicações de Periódicos, São José dos Pinhais, Paraná
  • Vivian Taciana Simioni Santana
  • Leandro Nobeschi
  • Selma Denis Squassoni
  • Juliana Kessar Cordoni
  • Cecilia Melo Rosa Tavares
  • Monica S. Lapa
  • Elie Fiss

DOI:

https://doi.org/10.34119/bjhrv5n3-272

Keywords:

pulmonary rehabilitation program (prp), chronic obstructive pulmonary disease (copd), physical training, cardiopulmonary exercise test quality of life.

Abstract

Objective: To evaluate the effect of high intensity physical training on a supervised Pulmonary Rehabilitation Program (PRP) in patients with Chronic Obstructive Pulmonary Disease (COPD). Methods: Interventional study with 30 patients with COPD, randomly divided into 2 groups: Control Group (CG) submitted to physical training of a traditional PRP and Experimental Group (EG) with bodybuilders with duration of 30 sessions in days alternates. All submitted to pre and post-intervention evaluation with the following variables: (I) pulse oximetry (SpO2); (II) 6 'walk test (6MWT); (III) Saint George's Quality of Life Questionnaire (SGRQ); (IV) DPOC assessment test (CAT); (V) cardiopulmonary exercise test; and (VI) 1 maximal repetition test (MRI). Results: Pre and post-intervention values were compared and the GE group presented a significant difference in the following parameters: increase 30.53 meters in the distance covered (p 0.021) improvement in all scores: CAT score for 12 points (p < 0.001), Score Saint George from 27 to 19 points (p 0.005), and in the improvement of the maximum physical capacity with increase 14 to 18 of (VO2 (%) (p 0.007) and 0,87 to 1,12 VO2 (L/min) (p 0.01) Conclusions: There was a significant improvement in exercise capacity and quality of life of the GE group, suggesting that high intensity physical training is the most efficient alternative in the treatment of patients with moderate COPD will be severe.

References

Rabe KF. Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. GOLD executive summary. Am J Respir Crit Care Med. 2007;176:532-55.

Nici L, Donner C, Wouters E, Zuwallack R, Ambrosino N, Bourbeau J, et al. American thoracic society/European respiratory society statement on pulmonary rehabilitation. American journal of respiratory and critical care medicine. 2006;173(12):1390-413.

Silva EGd, Dourado VZ. Treinamento de força para pacientes com doença pulmonar obstrutiva crônica. Rev bras med esporte. 2008;14(3):231-8.

dos Santos K, Karloh M, Mayer AF. Influência da força muscular periférica e respiratória na limitação das atividades de vida diária em pacientes com doença pulmonar obstrutiva crônica-relato de casos. Arquivos de Ciências da Saúde da UNIPAR. 2010;14(3).

Ferreira EVM. Teste cardiopulmonar de exercício na DPOC: indo além do consumo máximo de oxigênio. Jornal Brasileiro de Pneumologia. 2012.

Baba R, Nagashima M, Goto M, Nagano Y, Yokota M, Tauchi N, et al. Oxygen uptake efficiency slope: a new index of cardiorespiratory functional reserve derived from the relation between oxygen uptake and minute ventilation during incremental exercise. Journal of the American College of Cardiology. 1996;28(6):1567-72.

De Vos NJ, Singh NA, Ross DA, Stavrinos TM, Orr R, Fiatarone Singh MA. Optimal load for increasing muscle power during explosive resistance training in older adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2005;60(5):638-47.

Wehrmeister FC, Knorst MM, Jardim JRdB, Macedo SEC, Noal RB, Mesa JM, et al. Programas de reabilitação pulmonar em pacientes com DPOC. Jornal brasileiro de pneumologia Brasília Vol 37, n 4 (jul/ago 2011), p 544-555. 2011.

Ike D, Jamami M, Marino DM, Ruas G, Pessoa BV, Di Lorenzo VAP. Efeitos do exercício resistido de membros superiores na força muscular periférica e na capacidade funcional do paciente com DPOC. Fisioterapia em Movimento. 2017;23(3).

Maia EC, Pinheiro AN, da Silva SdCS, Barreto Filho FS, Navarro F, de Oliveira Junior MNS. Protocolos clínicos de reabilitação pulmonar em pacientes com DPOC. Saúde em Revista. 2012;12(32):55-67.

Aquino ES, Mourão FAG, Souza RKV, Glicério BM, Coelho CC. Análise comparativa do teste de caminhada de seis minutos em crianças e adolescentes saudáveis. Revista Brasileira de Fisioterapia. 2010;14(1).

Green RH, Singh SJ, Williams J, Morgan MDL. A randomised controlled trial of four weeks versus seven weeks of pulmonary rehabilitation in chronic obstructive pulmonary disease. Thorax. 2001;56(2):143-5.

Lindoso VRP, Valois VM, da Silva Paes FG, Corrêa RdGCF, da Silva Ramos MdR. Aplicação do Questionário de Saint George na avaliação da qualidade de vida em pacientes com bronquiectasia/application questionnaire saint george in assessing the quality of life in patients with bronchiectasis. Revista de Pesquisa em Saúde. 2013;14(1).

Silva GPF, Morano M, Viana CMS, Magalhães CBA, Pereira EDB. Validação do Teste de Avaliação da DPOC em português para uso no Brasil. J Bras Pneumol. 2013;39(4):402-8.

Cordoni PK, Berton DC, Squassoni SD, Scuarcialupi MEA, Neder JA, Fiss E. Comportamento da hiperinsuflação dinâmica em teste em esteira rolante em pacientes com DPOC moderada a grave. J Bras Pneumol. 2012;38(1):13-23.

Materko W, Neves CEB, Santos EL. Modelo de predição de uma repetição máxima (1RM) baseado nas características antropométricas de homens e mulheres. 2007.

Morales J, Sobonya S. Use of submaximal repetition tests for predicting 1-RM strength in class athletes. The Journal of Strength & Conditioning Research. 1996;10(3):186-9.

Ferreira IM, Jardim JR. Reabilitação pulmonar: fatores relacionados ao ganho aeróbio de pacientes com DPOC. Jornal Brasileiro de Pneumologia. 1997;23(3):115.

Casaburi R, ZuWallack R. Pulmonary rehabilitation for management of chronic obstructive pulmonary disease. New England Journal of Medicine. 2009;360(13):1329-35.

Almeida P, Rodrigues F. Exercise training modalities and strategies to improve exercise performance in patients with respiratory disease. Revista Portuguesa de Pneumologia (English Edition). 2014;20(1):36-41.

Puhan MA, Scharplatz M, Troosters T, Steurer J. Respiratory rehabilitation after acute exacerbation of COPD may reduce risk for readmission and mortality–a systematic review. Respiratory research. 2005;6(1):54.

Houchen L, Steiner MC, Singh SJ. How sustainable is strength training in chronic obstructive pulmonary disease? Physiotherapy. 2009;95(1):1-7.

Nyberg A, Lindström B, Rickenlund A, Wadell K. Low‐load/high‐repetition elastic band resistance training in patients with COPD: a randomized, controlled, multicenter trial. The clinical respiratory journal. 2015;9(3):278-88.

Schulz KF, Altman DG, Moher D. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMC medicine. 2010;8(1):18.

Fatouros IG, Tournis S, Leontsini D, Jamurtas AZ, Sxina M, Thomakos P, et al. Leptin and adiponectin responses in overweight inactive elderly following resistance training and detraining are intensity related. The Journal of Clinical Endocrinology & Metabolism. 2005;90(11):5970-7.

Fatouros IG, Kambas A, Katrabasas I, Leontsini D, Chatzinikolaou A, Jamurtas AZ, et al. Resistance training and detraining effects on flexibility performance in the elderly are intensity-dependent. The Journal of Strength & Conditioning Research. 2006;20(3):634-42.

Cronin J, McNair P, Marshall R. The effects of bungy weight training on muscle function and functional performance. Journal of sports sciences. 2003;21(1):59-71.

Zanchet RC, Viegas CAA, Lima T. A eficácia da reabilitação pulmonar na capacidade de exercício, força da musculatura inspiratória e qualidade de vida de portadores de doença pulmonar obstrutiva crônica. J Bras Pneumol. 2005;31(2):118-24.

Spruit MA, Pitta F, Garvey C, ZuWallack RL, Roberts CM, Collins EG, et al. ERS Rehabilitation and Chronic Care, and Physiotherapists Scientific Groups; American Association of Cardiovascular and Pulmonary Rehabilitation; ATS Pulmonary Rehabilitation Assembly and the ERS COPD Audit team. Differences in content and organisational aspects of pulmonary rehabilitation programmes. Eur Respir J. 2014;43(5):1326-37.

Yohannes AM, Connolly MJ. Pulmonary rehabilitation programmes in the UK: a national representative survey. Clinical rehabilitation. 2004;18(4):444-9.

Wadell K, Ferreira TJ, Arne M, Lisspers K, Ställberg B, Emtner M. Hospital-based pulmonary rehabilitation in patients with COPD in Sweden–a national survey. Respiratory medicine. 2013;107(8):1195-200.

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Published

2022-06-08

How to Cite

CORDONI, P. K.; SANTANA, V. T. S.; NOBESCHI, L.; SQUASSONI, S. D.; CORDONI, J. K.; TAVARES, C. M. R.; LAPA, M. S.; FISS, E. Effects of high intensity physical training in patients with Chronic Obstructive Pulmonary disease in a Pulmonary Rehabilitation Program / Efeitos do treino físico de alta intensidade em doentes com doença pulmonar obstrutiva crónica num Programa de Reabilitação Pulmonar. Brazilian Journal of Health Review, [S. l.], v. 5, n. 3, p. 45071–45090, 2022. DOI: 10.34119/bjhrv5n3-272. Disponível em: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/49164. Acesso em: 29 mar. 2024.

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Original Papers