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                        "paginaFinal" => "1012"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14999112"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Port Pneumol"
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                        "paginaFinal" => "128"
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                        "paginaFinal" => "1413"
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                        "tituloSerie" => "Boletim do HPV"
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                        "paginaFinal" => "175"
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                            2 => "D&#46; Stubbing"
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                        "tituloSerie" => "BC Decker inc"
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                        "volumen" => "6"
                        "paginaInicial" => "54"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15943867"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Reabilita&#231;&#227;o respirat&#243;ria&#46; Uma estrat&#233;gia para a sua implementa&#231;&#227;o"
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                        0 => array:2 [
                          "etal" => false
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                            1 => "P&#46; Almeida"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Port Pneumol"
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                        "volumen" => "XV"
                        "numero" => "Supl 1"
                        "paginaInicial" => "S93"
                        "paginaFinal" => "S118"
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                    ]
                  ]
                ]
              ]
            ]
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              "referencia" => array:1 [
                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Homebased exercise training as maintenance after outpatient pulmonary rehabilitation"
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                          "autores" => array:3 [
                            0 => "M&#46; Moulin"
                            1 => "K&#46; Taube"
                            2 => "K&#46; Wegscheider"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
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                        "tituloSerie" => "Respiration"
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                        "volumen" => "77"
                        "paginaInicial" => "139"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18667807"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
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                ]
              ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Suplemental oxygen during pulmonary rehabilitation in patients with COPD with exercise hypoxaemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46; Garrod"
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                            2 => "J&#46; Wedzicha"
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                      ]
                    ]
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                        "paginaInicial" => "539"
                        "paginaFinal" => "543"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10856310"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
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                ]
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                      "titulo" => "Rehabilitation for patients with chronic obstructive pulmonary disease&#59; meta-analisys of randomized controlled trials"
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                            4 => "D&#46; Calkins"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Gen Intern Med"
                        "fecha" => "2003"
                        "volumen" => "18"
                        "paginaInicial" => "213"
                        "paginaFinal" => "221"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12648254"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Exercise prescription and training in pulmonary rehabilitation An interdisciplinary approach edited by Rachel Garrod"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46; Clark"
                            1 => "L&#46; Cochrane"
                            2 => "S&#46; Conroy"
                          ]
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2004"
                        "editorial" => "Whurr Publishers"
                        "editorialLocalizacion" => "London and Philadelphia"
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                  ]
                ]
              ]
            ]
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              "identificador" => "bib18"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Interven&#231;&#227;o da fisioterapia em utentes com doen&#231;a pulmonar obstrutiva cr&#243;nica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "H&#46; Atalaia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "EssFisionline"
                        "fecha" => "2006"
                        "volumen" => "3"
                        "numero" => "2"
                        "paginaInicial" => "28"
                        "paginaFinal" => "40"
                      ]
                    ]
                  ]
                ]
              ]
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Community pulmonary rehabilitation after hospitalisation for acute exacerbations of chronic obstructive pulmonary disease&#58; randomised controlled study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "W&#46; Man"
                            1 => "M&#46; Polkey"
                            2 => "N&#46; Donaldson"
                            3 => "B&#46; Gray"
                            4 => "J&#46; Moxham"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2004"
                        "paginaInicial" => "1209"
                        "paginaFinal" => "1214"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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                      "titulo" => "A actividade fisica e o internamento por exacerba&#231;&#227;o da DPOC&#59;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
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                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Port Pneumol"
                        "fecha" => "2006"
                        "volumen" => "XII"
                        "numero" => "3"
                        "paginaInicial" => "312"
                        "paginaFinal" => "315"
                      ]
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                    0 => array:2 [
                      "titulo" => "Dynamic hyperinsuflation and tolerance to interval exercise in patients with advanced COPD"
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                          "etal" => true
                          "autores" => array:3 [
                            0 => "I&#46; Vogiatzis"
                            1 => "S&#46; Nanas"
                            2 => "E&#46; Kastanakis"
                          ]
                        ]
                      ]
                    ]
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                        "paginaInicial" => "385"
                        "paginaFinal" => "390"
                        "link" => array:1 [
                          0 => array:2 [
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Vol. 16. Issue 4.
Pages 649-658 (July - August 2010)
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Vol. 16. Issue 4.
Pages 649-658 (July - August 2010)
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Doença pulmonar obstrutiva crónica e exercício físico
Pulmonary obstructive chronic disease and physical exercise
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Carla António1,3, Ana Paula Gonçalves2, Alcina Tavares2
1 Interna de Pneumologia, Unidade Local de Saúde da Guarda, EPE
2 Assistentes Graduadas de Pneumologia, Unidade Local de Saúde da Guarda, EPE
3 Serviço de Pneumologia, Unidade Local de Saúde– Guarda, EPE, Av. Rainha D. Amélia S/N, 6300 Guarda
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Resumo

A doença pulmonar obstrutiva crónica (DPOC) é uma doença que se pode prevenir e tratar. Tem um componente pulmonar com efeitos sistémicos significativos que contribuem para a gravidade das manifestações clínicas. A DPOC provoca um conjunto de alterações, incluindo as que levam a uma limitação da tolerância ao exercício e que conduzem a uma deterioração progressiva da qualidade de vida do doente. A reabilitação respiratória (RR) constitui uma parte fundamental do tratamento. Os benefícios de RR são independentes do sexo, idade e gravidade da doença.No final do programa o doente deverá ter adquirido um estilo de vida o mais autónomo e saudável possível. Com este artigo as autoras pretendem fazer uma revisão sobre os benefícios do exercíosteocio físico na reabilitação do doente com DPOC e das modalidades de treino utilizadas no programa de reabilitação respiratória estabelecido para cada doente.

Palavras-chave:
Doenca pulmonar obstrutiva cronica
exercicio fisico
reabilitacao respiratoria
Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a disease that can be prevented and treated, with a pulmonary component and with significant systemic effects that contribute to the severity of clinical manifestations. COPD causes a number of changes, including those which lead to exercise tolerance limitation and to a progressive deterioration of life quality of the patients. Respiratory rehabilitation (RR) represents a key part of the treatment. The benefits of RR are independent of sex, age and disease severity. At the end of the program, the patient should have acquired a life style as independent and healthy as possible. With this article the authors intend to review the benefits of physical exercise in rehabilitation of patients with COPD and the different types of training used in the respiratory rehabilitation program established for each patient.

Key-words:
Pulmonary obstructive chronic disease
physical exercise
respiratory rehabilitation
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Bibliografia
[1.]
GOLD (Global Initiative for Chronic Obstructive Lung Disease) – Global strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonar Disease (update 2007).
[2.]
B. Celli, C. Cote, J. Marin, et al.
The body-mass index, airflow obstruction, dyspnea and exercise capacity index in chronic obstructive pulmonary disease.
N Engl J Med, 350 (2004), pp. 1005-1012
[3.]
P. Pamplona, L. Morais.
Treino de exercício na doença pulmonar crónica.
Rev Port Pneumol, XIII (2007), pp. 101-128
[4.]
N. Linda, C. Donner, E. Wouters, et al.
American Thoracic Society. European Respiratory Society Statement on Pulmonary Rehabilitation.
Am Journ Respir Criti Care Med, 173 (2006), pp. 1390-1413
[5.]
S. Clemente, I. Faria, F. Rodrigues.
O treino de exercício e o doente com DPOC.
Boletim do HPV, XIX (2006), pp. 169-175
[6.]
Gomes MJ, Sotto-Mayor R. Tratado de pneumologia; II:1783-1893.
[7.]
F. Maltais, S. Hershfield, D. Stubbing, et al.
Exercise training in patients with COPD. In comprehensive management of chronic obstructive pulmonary disease.
BC Decker inc, (2002), pp. 185-214
[8.]
D. Saey, F. Maltais.
Role of peripheral muscle function in rehabilitation.
Pulmonary rehabilitation., pp. 80-90
[9.]
Bartolome R, Celli M. Pulmonary rehabilitation in COPD. Pág. web: www.uptodate.com 2009; Maio: 1-14.
[10.]
A.L. Ries, G.S. Bauldoff, B.W. Carlin, et al.
Pulmonary Rehabilitation: Joint ACCP/AACVPR evidence-based clinical practice guidelines.
Chest, 131 (2007), pp. 4S-42S
[11.]
A.L. Ries, B.J. Make, S.M. Lee, et al.
The effects of pulmonary rehabilitation in the national emphysema treatment trial.
[12.]
A. Puhan, M. Scharplatz, T. Trooster, J. Steurer.
Respiratory rehabilitation after acude exacerbation of CODP may reduce risk for re-admission and mortality. a systematic review.
Respir Res, 6 (2005), pp. 54
[13.]
P. Simão, P. Almeida.
Reabilitação respiratória. Uma estratégia para a sua implementação.
Rev Port Pneumol, XV (2009), pp. S93-S118
[14.]
M. Moulin, K. Taube, K. Wegscheider, et al.
Homebased exercise training as maintenance after outpatient pulmonary rehabilitation.
Respiration, 77 (2009), pp. 139
[15.]
R. Garrod, E. Paul, J. Wedzicha.
Suplemental oxygen during pulmonary rehabilitation in patients with COPD with exercise hypoxaemia.
Thorax, 55 (2000), pp. 539-543
[16.]
F. Ghassan, M. Salman, M. Mosier, B. Beasley, D. Calkins.
Rehabilitation for patients with chronic obstructive pulmonary disease; meta-analisys of randomized controlled trials.
J Gen Intern Med, 18 (2003), pp. 213-221
[17.]
C. Clark, L. Cochrane, S. Conroy.
Exercise prescription and training in pulmonary rehabilitation An interdisciplinary approach edited by Rachel Garrod.
Whurr Publishers, (2004),
[18.]
H. Atalaia.
Intervenção da fisioterapia em utentes com doença pulmonar obstrutiva crónica.
EssFisionline, 3 (2006), pp. 28-40
[19.]
W. Man, M. Polkey, N. Donaldson, B. Gray, J. Moxham.
Community pulmonary rehabilitation after hospitalisation for acute exacerbations of chronic obstructive pulmonary disease: randomised controlled study.
BMJ, (2004), pp. 1209-1214
[20.]
F. Rodrigues.
A actividade fisica e o internamento por exacerbação da DPOC;.
Rev Port Pneumol, XII (2006), pp. 312-315
[21.]
I. Vogiatzis, S. Nanas, E. Kastanakis, et al.
Dynamic hyperinsuflation and tolerance to interval exercise in patients with advanced COPD.
Eur Respir J, 24 (2004), pp. 385-390
Copyright © 2010. Sociedade Portuguesa de Pneumologia
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