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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introdu&#231;&#227;o&#58;</span> Considerada um problema de sa&#250;de p&#250;blica&#44; a asma &#233; uma doen&#231;a inflamat&#243;ria cr&#243;nica das vias a&#233;reas que induz uma obstru&#231;&#227;o ao fluxo a&#233;reo&#44; apresentando manifesta&#231;&#245;es cl&#237;nicas e respostas terap&#234;uticas heterog&#233;neas&#46; Essa obstru&#231;&#227;o presente nos doentes asm&#225;ticos leva a encurtamentos musculares que por compensa&#231;&#227;o podem promover altera&#231;&#245;es posturais&#44; prejudicando ainda mais a mec&#226;nica respirat&#243;ria&#46; Portanto&#44; faz-se necess&#225;rio sintetizar as evid&#234;ncias dispon&#237;veis na literatura sobre altera&#231;&#245;es da postura est&#225;tica em asm&#225;ticos&#44; a fim de ajudar a guiar a pr&#225;tica cl&#237;nica&#46; <span class="elsevierStyleBold">Material e m&#233;todos&#58;</span> Foi realizada uma revis&#227;o de literatura nas bases de dados MEDLINE&#44; LILACS e SCIELO&#44; referente aos anos de 1980 a 2008&#44; utilizando as palavras-chave&#58; <span class="elsevierStyleItalic">asthma</span>&#44; <span class="elsevierStyleItalic">posture</span> e suas correspondentes em portugu&#234;s&#59; al&#233;m da busca manual nas refer&#234;ncias dos artigos seleccionados&#46; <span class="elsevierStyleBold">Resultados&#58;</span> Quatro estudos foram identificados&#44; dos quais 2 &#40;dois&#41; encontraram diferen&#231;as significativas na postura est&#225;tica entre asm&#225;ticos e n&#227;o asm&#225;ticos&#44; enquanto os demais&#44; que avaliaram somente a coluna vertebral&#44; n&#227;o encontraram altera&#231;&#245;es posturais significativas&#46; <span class="elsevierStyleBold">Discuss&#227;o&#58;</span> Algumas altera&#231;&#245;es posturais foram identificadas em asm&#225;ticos&#58; maior incid&#234;ncia de protra&#231;&#227;o e eleva&#231;&#227;o da cintura escapular&#44; semiflex&#227;o do bra&#231;o&#44; protrac&#231;&#227;o da cabe&#231;a e rectifica&#231;&#227;o tor&#225;cica&#46; Por&#233;m&#44; as evid&#234;ncias s&#227;o contradit&#243;rias em rela&#231;&#227;o &#224; coluna vertebral&#44; o que pode estar atribu&#237;do &#224;s diferen&#231;as metodol&#243;gicas&#44; amostrais&#44; al&#233;m de outras vari&#225;veis n&#227;o verificadas em todos os estudos&#44; como a realiza&#231;&#227;o de actividade f&#237;sica&#44; tratamento fisioter&#225;pico&#44; frequ&#234;ncia das crises e interna&#231;&#245;es&#44; rinite&#44; respira&#231;&#227;o oral&#46; <span class="elsevierStyleBold">Conclus&#227;o&#58;</span> Os artigos sobre o assunto ainda s&#227;o insuficientes para chegar a uma conclus&#227;o&#44; sendo necess&#225;rios estudos cuidadosamente desenhados para esclarecer estas quest&#245;es&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010&#59; XVI &#40;3&#41;&#58; 471-476</span></p></span>"
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        "titulo" => "Abstract"
        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introduction&#58;</span> Considered a public health problem&#44; asthma is a chronic inflammatory disease of the airways that induces an airflow obstruction&#44; presenting clinical manifestations and heterogeneous therapeutic responses&#46; That obstruction present in asthma patients leads to muscle shortening&#44; which in compensation can promote postural changes&#44; further impairing respiratory mechanics&#46; Therefore&#44; is necessary to synthesize the evidence available in the literature about changes in static posture in asthma patients in order to help guide clinical practice&#46; <span class="elsevierStyleBold">Materials and methods</span>&#58; We performed a literature review in the databases MEDLINE&#44; LILACS and SciELO&#44; covering the years 1980 to 2008&#44; using the descriptors&#58; &#8220;asthma&#8221; and &#8220;posture&#8221; and its correspondents in Portuguese&#59; &#8220;<span class="elsevierStyleItalic">asthma</span>&#8221; and &#8220;<span class="elsevierStyleItalic">spinal</span>&#8221; and its correspondents in Portuguese&#44; besides the manual search in the references of selected articles&#46; <span class="elsevierStyleBold">Results</span>&#58; Four studies were identified of which two &#40;2&#41; found significant differences in static posture between asthmatic and non-asthmatics&#44; while others&#44; who evaluated only the spine&#44; found no significant postural changes&#46; <span class="elsevierStyleBold">Discussion</span>&#58; Some postural changes were identified in asthmatics&#58; higher incidence of elevation and protraction of the scapular girdle&#44; semi flexion of the arm&#44; protraction of the head and rectification of the thoracic spine&#46; However&#44; the evidence is contradictory on the spine&#44; which can be attributed to methodological and sample differences&#44; and other variables not found in all study how the performance of physical activity&#44; physiotherapy treatment&#44; frequency of seizures and hospitalizations&#44; rhinitis&#44; mouth breathing&#46; <span class="elsevierStyleBold">Conclusion&#58;</span> The articles about this are still insufficient to reach a conclusion&#59; carefully designed studies are needed to clarify these issues&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010&#59; XVI &#40;3&#41;&#58; 471-476</span></p></span>"
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Vol. 16. Issue 3.
Pages 471-476 (May - June 2010)
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Vol. 16. Issue 3.
Pages 471-476 (May - June 2010)
Artigo de Revisão/Review Article
Open Access
A asma promove alterações na postura estática? – Revisão sistemática
Does asthma promote changes in static posture? – Systematic review
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Juliana Albuquerque Baltar1, Maria do Socorro Brasileiro Santos2, Hilton Justino da Silva3
1 Fisioterapeuta, Mestranda em Patologia pela Universidade Federal de Pernambuco, Especialista em Fisioterapia Dermato-Funcional
2 Fisioterapeuta, Professora Adjunto do Departamento de Fisioterapia da Universidade Federal de Pernambuco, Doutora em Ciências
3 Fonoaudiólogo, Professor Adjunto do Departamento de Fonoaudiologia da Universidade Federal de Pernambuco, Doutor em Nutrição
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Resumo

Introdução: Considerada um problema de saúde pública, a asma é uma doença inflamatória crónica das vias aéreas que induz uma obstrução ao fluxo aéreo, apresentando manifestações clínicas e respostas terapêuticas heterogéneas. Essa obstrução presente nos doentes asmáticos leva a encurtamentos musculares que por compensação podem promover alterações posturais, prejudicando ainda mais a mecânica respiratória. Portanto, faz-se necessário sintetizar as evidências disponíveis na literatura sobre alterações da postura estática em asmáticos, a fim de ajudar a guiar a prática clínica. Material e métodos: Foi realizada uma revisão de literatura nas bases de dados MEDLINE, LILACS e SCIELO, referente aos anos de 1980 a 2008, utilizando as palavras-chave: asthma, posture e suas correspondentes em português; além da busca manual nas referências dos artigos seleccionados. Resultados: Quatro estudos foram identificados, dos quais 2 (dois) encontraram diferenças significativas na postura estática entre asmáticos e não asmáticos, enquanto os demais, que avaliaram somente a coluna vertebral, não encontraram alterações posturais significativas. Discussão: Algumas alterações posturais foram identificadas em asmáticos: maior incidência de protração e elevação da cintura escapular, semiflexão do braço, protracção da cabeça e rectificação torácica. Porém, as evidências são contraditórias em relação à coluna vertebral, o que pode estar atribuído às diferenças metodológicas, amostrais, além de outras variáveis não verificadas em todos os estudos, como a realização de actividade física, tratamento fisioterápico, frequência das crises e internações, rinite, respiração oral. Conclusão: Os artigos sobre o assunto ainda são insuficientes para chegar a uma conclusão, sendo necessários estudos cuidadosamente desenhados para esclarecer estas questões.

Rev Port Pneumol 2010; XVI (3): 471-476

Palavras-chave:
Asma
postura
mecânica respiratória
Abstract

Introduction: Considered a public health problem, asthma is a chronic inflammatory disease of the airways that induces an airflow obstruction, presenting clinical manifestations and heterogeneous therapeutic responses. That obstruction present in asthma patients leads to muscle shortening, which in compensation can promote postural changes, further impairing respiratory mechanics. Therefore, is necessary to synthesize the evidence available in the literature about changes in static posture in asthma patients in order to help guide clinical practice. Materials and methods: We performed a literature review in the databases MEDLINE, LILACS and SciELO, covering the years 1980 to 2008, using the descriptors: “asthma” and “posture” and its correspondents in Portuguese; “asthma” and “spinal” and its correspondents in Portuguese, besides the manual search in the references of selected articles. Results: Four studies were identified of which two (2) found significant differences in static posture between asthmatic and non-asthmatics, while others, who evaluated only the spine, found no significant postural changes. Discussion: Some postural changes were identified in asthmatics: higher incidence of elevation and protraction of the scapular girdle, semi flexion of the arm, protraction of the head and rectification of the thoracic spine. However, the evidence is contradictory on the spine, which can be attributed to methodological and sample differences, and other variables not found in all study how the performance of physical activity, physiotherapy treatment, frequency of seizures and hospitalizations, rhinitis, mouth breathing. Conclusion: The articles about this are still insufficient to reach a conclusion; carefully designed studies are needed to clarify these issues.

Rev Port Pneumol 2010; XVI (3): 471-476

Key-words:
Asthma
posture
respiratory mechanics
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