Artigo Original/Original Article
Impacto do exercício físico combinado na percepção do estado de saúde da pessoa com doença pulmonar obstrutiva crónica
Impact of combined exercise on chronic obstructive pulmonary patients’ state of health
Ângela Maria Pereira1,
, Helena Santa-Clara2, Ernesto Pereira3, Sérgio Simões4, Índia Remédios5, João Cardoso6, José Brito7, Jan Cabri8, Bo Fernhall9
Corresponding author
amcfap@gmail.com
Correspondência/Correspondence to: Ângela Maria Pereira Telefone/Telephone: 968064277
Correspondência/Correspondence to: Ângela Maria Pereira Telefone/Telephone: 968064277
1 Faculdade de Motricidade Humana, Universidade Técnica de Lisboa e Hospital Garcia de Orta
2 Faculdade de Motricidade Humana, Universidade Técnica de Lisboa
3 Hospital Garcia de Orta
4 Escola Superior de Saúde Egas Moniz
5 Directora do Serviço de Medicina Física e de Reabilitação do Hospital Garcia de Orta/Head, Physical Medicine and Rehabilitation Unit, Hospital Garcia de Orta
6 Hospital de Santa Marta
7 Fundação da Universidade de Lisboa
8 Faculdade de Motricidade Humana, Universidade Técnica de Lisboa
9 Universidade de Illinois Urbana-Champaign, EUA/University of Illinois Urbana-Champaign, USA
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"etiqueta" => "8" "identificador" => "af0040" ] 8 => array:3 [ "entidad" => "Universidade de Illinois Urbana-Champaign, EUA/University of Illinois Urbana-Champaign, USA" "etiqueta" => "9" "identificador" => "af0045" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cr0005" "etiqueta" => "*" "correspondencia" => "<span class="elsevierStyleBold">Correspondência/<span class="elsevierStyleItalic">Correspondence to:</span></span> Ângela Maria Pereira Telefone/Telephone: 968064277" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Impact of combined exercise on chronic obstructive pulmonary patients’ state of health" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-06-15" "fechaAceptado" => "2010-05-24" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570257" "palabras" => array:5 [ 0 => "Doença pulmonar obstrutiva crónica" 1 => "exercício aeróbio" 2 => "exercício de força" 3 => "fisioterapia respiratória" 4 => "estado de saúde" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec570256" "palabras" => array:5 [ 0 => "Chronic obstructive pulmonary disease" 1 => "respiratory physiotherapy" 2 => "endurance exercise" 3 => "strength exercise" 4 => "health state" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivo</span>: O objectivo do estudo consistiu em avaliar a eficácia de um programa de treino combinado (exercícios aeróbios e exercícios de força muscular dinâmica) comparativamente com um programa de treino aeróbio, e de fisioterapia respiratória, ao nível do estado de saúde de indivíduos com DPOC, durante 10 semanas. <span class="elsevierStyleBold">Métodos</span>: Cinquenta indivíduos com DPOC moderada e grave foram distribuídos aleatoriamente por dois grupos. Grupo CG (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>25) submetido a treino combinado, grupo AG (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>25) submetido a treino aeróbio, os quais foram comparados com cinquenta indivíduos com DPOC, que realizaram exercícios de reeducação respiratória e técnicas de desobstrução brônquica, grupo FR (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>50). Foi avaliado o estado de saúde através de Questionário do Hospital St. George na Doença Respiratória (SGRQ) e do Questionário SF-36 no início da intervenção e 10 semanas após. <span class="elsevierStyleBold">Resultados</span>: O grupo CG apresentou diferenças (p<0,0001) nas taxas de modificação no estado de saúde relativamente, aos grupos AG e FR, nos domínios da actividade (64<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>9%; 19<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>7%; 1<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>15%), impacto (35<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>5%; 20<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>18%; 1<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>14%), e total (41<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>9%; 26<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>17%; 1<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>15%), avaliados pelo SGRQ; e nas dimensões da função física (109<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>74%; 22<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>12%; 0,1<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>18%), desempenho físico (52<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>36%; 11<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>15%; 1,3<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>21%) e vitalidade (83<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>39%; 14<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>38%) avaliadas pelo SF-36. <span class="elsevierStyleBold">Conclusão</span>: Estes resultados sugerem que o treino combinado, em indivíduos com DPOC, parece ser um método mais eficaz, que promoveu alterações clinicamente significativas, com uma melhoria ao nível da percepção do estado de saúde.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (5): 737-757</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Aim:</span> The aim of the study was to evaluate the effectiveness of a 10-week combined training programme (aerobic and strength exercise) compared to an aerobic training programme, and respiratory physiotherapy on COPD patients’ health. <span class="elsevierStyleBold">Methods:</span> Fifty subjects with moderate to severe COPD were randomly assigned to two groups. Combined group (CG, n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>25) who underwent combined training, and aerobic group (AG, n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>25) who underwent aerobic training. These were compared with fifty COPD subjects who underwent respiratory physiotherapy, breathing control and bronchial clearance techniques (RP group, n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>50). We evaluated health state through two questionnaires, St. George’s Respiratory Questionnaire (SGRQ) and SF-36, at the beginning and at the end of the programme. <span class="elsevierStyleBold">Results:</span> The CG group showed differences (p<0.0001) in modification rates in state of health compared to the AG and RP groups in the activity (64<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>9%, 19<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>7%, 1<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>15%), impact (35<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>5%, 20<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>18%, 1<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>14%) and total (41<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>9%, 26<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>17%, 1<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>15%) domains assessed by the SGRQ, and the physical function (109<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>74%, 22<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>12%, 0.1<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>18%), physical role (52<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>36%, 11<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>15%, 1.3<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>21%) and vitality (83<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>39%, 14<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>38%) domains assessed by SF-36. <span class="elsevierStyleBold">Conclusion:</span> These results suggest that combined training in subjects with COPD appears to be a more effective method, with better clinical changes, and improvements in health state perception.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (5): 737-757</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia/Bibliography</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:55 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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Article information
ISSN: 08732159Original language: Portuguese
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