ARTIGO ORIGINAL
Efeitos do apoio dos membros superiores sobre a força muscular respiratória e função pulmonar de doentes com doença pulmonar obstrutiva crónica
Effects of arm bracing posture on respiratory muscle strength and pulmonary function in patients with chronic obstructive pulmonary disease
a Laboratório de Pesquisa em Fisioterapia Pulmonar (LFIP), Departamento de Fisioterapia, Universidade Estadual de Londrina, Paraná, Brasil
b Programa de Mestrado em Fisioterapia, Departamento de Fisioterapia, UNESP – Universidade Estadual Paulista, Presidente Prudente SP, Brasil
c Departamento de Fisioterapia, Universidade do Norte do Paraná (UNOPAR), Londrina, Paraná, Brasil
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A avaliação com apoio dos membros superiores foi realizada em posição ortostática, com o apoio dos membros superiores na altura do processo estilóide da ulna, flexão de cotovelos e tronco inclinado à frente, ambos em aproximadamente 30 graus, de modo a promover descarga de peso em membros superiores. A avaliação sem apoio de membros superiores foi realizada também em posição ortostática, porém com os membros superiores relaxados ao lado do corpo. O intervalo entre as avaliações foi de uma semana.</p></span> <span id="as0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0020">Resultados</span><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">A PImax, PEmax e Ventilação Voluntária Máxima (VVM) foram maiores com a utilização do apoio do que sem o apoio (PImax 64 ± 22 cmH<span class="elsevierStyleInf">2</span>O <span class="elsevierStyleItalic">versus</span> 54 ± 24 cmH<span class="elsevierStyleInf">2</span>O, p = 0,00001; PEmax 104 ± 37 cmH<span class="elsevierStyleInf">2</span>O <span class="elsevierStyleItalic">versus</span> 92 ± 37 cmH<span class="elsevierStyleInf">2</span>O, p = 0,00001 e VVM 42 ± 20 L/min <span class="elsevierStyleItalic">versus</span> 38 ± 20 L/min, p = 0,003). As demais variáveis não apresentaram diferenças estatisticamente significativas.</p></span> <span id="as0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0025">Conclusão</span><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">O apoio de membros superiores resultou em maior capacidade de gerar força e <span class="elsevierStyleItalic">endurance</span> dos músculos respiratórios em pacientes com DPOC.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "as0005" "titulo" => "Objetivo" ] 1 => array:2 [ "identificador" => "as0010" "titulo" => "Métodos" ] 2 => array:2 [ "identificador" => "as0015" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "as0020" "titulo" => "Conclusão" ] ] ] "en" => array:3 [ "titulo" => "Abstract" "resumen" => "<span id="as0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0035">Objective</span><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">To analyze the effect of arm bracing posture on respiratory muscle strength and pulmonary function in patients with Chronic Obstructive Pulmonary Disease (COPD).</p></span> <span id="as0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0040">Methods</span><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">20 patients with COPD (11 male; 67 ± 8 years; BMI 24 ± 3 Kg · m<span class="elsevierStyleSup">−<span class="elsevierStyleHsp" style=""></span>2</span>) were submitted to assessments of Maximal Inspiratory and Expiratory Pressures (MIP and MEP, respectively) and spirometry with and without arm bracing in a random order. The assessment with arm bracing was done on standing position and the height of the support was adjusted at the level of the ulnar styloid process with elbow flexion and trunk anterior inclination of 30 degrees promoting weight discharge in the upper limbs. Assessment without arm bracing was also performed on standing position, however with the arms relaxed alongside the body. The time interval between assessments was one week.</p></span> <span id="as0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0045">Results</span><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall">MIP, MEP and maximal voluntary ventilation (MVV) were higher with arm bracing than without arm bracing (MIP 64 ± 22 cmH<span class="elsevierStyleInf">2</span>O <span class="elsevierStyleItalic">versus</span> 54 ± 24 cmH<span class="elsevierStyleInf">2</span>O, p = 0,00001; MEP 104 ± 37 cmH<span class="elsevierStyleInf">2</span>O <span class="elsevierStyleItalic">versus</span> 92 ± 37 cmH<span class="elsevierStyleInf">2</span>O, p = 0,00001 and MVV 42 ± 20 L/min <span class="elsevierStyleItalic">versus</span> 38 ± 20 L/min, p = 0,003). Other variables did not show statistical signifi cant difference.</p></span> <span id="as0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0050">Conclusion</span><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall">The arm bracing posture resulted in higher capacity to generate force and endurance of the respiratory muscles in patients with COPD.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "as0030" "titulo" => "Objective" ] 1 => array:2 [ "identificador" => "as0035" "titulo" => "Methods" ] 2 => array:2 [ "identificador" => "as0040" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "as0045" "titulo" => "Conclusion" ] ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bs0005" "bibliografiaReferencia" => array:19 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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ISSN: 08732159Original language: Portuguese
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| 2015 December | 34 | 21 | 55 |
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| 2014 December | 30 | 6 | 36 |
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| 2014 May | 46 | 12 | 58 |
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| 2014 March | 44 | 8 | 52 |
| 2014 February | 28 | 4 | 32 |
| 2014 January | 35 | 6 | 41 |
| 2013 December | 33 | 12 | 45 |
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| 2013 October | 51 | 8 | 59 |
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| 2013 June | 28 | 15 | 43 |
| 2013 May | 55 | 17 | 72 |
| 2013 April | 57 | 22 | 79 |
| 2013 March | 73 | 25 | 98 |
| 2013 February | 41 | 29 | 70 |
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| 2012 December | 42 | 17 | 59 |
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