Doença pulmonar obstrutiva crónica e exercício físico

António, Carla; Paula Gonçalves, Ana; Tavares, Alcina

doi:10.1016/S2173-5115(10)70066-X

Article information

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

http://dx.doi.org/10.1056/NEJMoa021322 | Medline

[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

http://dx.doi.org/10.1378/chest.06-2418 | Medline

[11.]

A.L. Ries, B.J. Make, S.M. Lee, et al.

The effects of pulmonary rehabilitation in the national emphysema treatment trial.

Chest, 128 (2005), pp. 3799

http://dx.doi.org/10.1378/chest.128.6.3799 | Medline

[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

http://dx.doi.org/10.1186/1465-9921-6-54 | Medline

[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

http://dx.doi.org/10.1159/000150315 | Medline

[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

Medline

[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

Medline

[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

http://dx.doi.org/10.1183/09031936.04.00128903 | Medline