ARTIGO ORIGINAL
Força muscular respiratória e qualidade de vida em pacientes com distrofia miotónica
Respiratory muscle strength and quality of life in myotonic dystrophy patients
T. Lucena Araújoa, V. Regiane Resquetib, S. Brunoc, I. Guerra Azevedod, M.E. Dourado Júniore, G. Fregonezif
a Physiotherapy
b Physiotherapy, Fellow in PneumoCardioVascular Physical Therapy Laboratory, Department of Physical Therapy, Universidade Federal do Rio Grande do Norte, Natal, Brasil
c Physiotherapy, Master Degree Physical Therapy Program, PneumoCardioVascular Physical Therapy Laboratory, Department of Physical Therapy, Universidade Federal do Rio Grande do Norte, Natal, Brasil
d Physiotherapy
e Physician Neurology. Electroneuromyography Service and Neuromuscular Disease Ambulatory, Onofre Lopes University Hospital, Universidade Federal do Rio Grande do Norte, Natal, Brasil
f Physiotherapy, Master Degree Physical Therapy Program, PneumoCardioVascular Physical Therapy Laboratory, Department of Physical Therapy, Universidade Federal do Rio Grande do Norte, Natal, Brasil
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"apellidos" => "Lucena Araújo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "af0005" ] ] ] 1 => array:3 [ "nombre" => "V." "apellidos" => "Regiane Resqueti" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "af0010" ] ] ] 2 => array:3 [ "nombre" => "S." "apellidos" => "Bruno" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "af0015" ] ] ] 3 => array:3 [ "nombre" => "I." "apellidos" => "Guerra Azevedo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "af0020" ] ] ] 4 => array:3 [ "nombre" => "M.E." "apellidos" => "Dourado Júnior" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "af0025" ] ] ] 5 => array:4 [ "nombre" => "G." "apellidos" => "Fregonezi" "email" => array:1 [ 0 => "fregonezi@ufrnet.br" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">f</span>" "identificador" => "af0030" ] ] ] ] "afiliaciones" => array:6 [ 0 => array:3 [ "entidad" => "Physiotherapy" "etiqueta" => "a" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Physiotherapy, Fellow in PneumoCardioVascular Physical Therapy Laboratory, Department of Physical Therapy, Universidade Federal do Rio Grande do Norte, Natal, Brasil" "etiqueta" => "b" "identificador" => "af0010" ] 2 => array:3 [ "entidad" => "Physiotherapy, Master Degree Physical Therapy Program, PneumoCardioVascular Physical Therapy Laboratory, Department of Physical Therapy, Universidade Federal do Rio Grande do Norte, Natal, Brasil" "etiqueta" => "c" "identificador" => "af0015" ] 3 => array:3 [ "entidad" => "Physiotherapy" "etiqueta" => "d" "identificador" => "af0020" ] 4 => array:3 [ "entidad" => "Physician Neurology. Electroneuromyography Service and Neuromuscular Disease Ambulatory, Onofre Lopes University Hospital, Universidade Federal do Rio Grande do Norte, Natal, Brasil" "etiqueta" => "e" "identificador" => "af0025" ] 5 => array:3 [ "entidad" => "Physiotherapy, Master Degree Physical Therapy Program, PneumoCardioVascular Physical Therapy Laboratory, Department of Physical Therapy, Universidade Federal do Rio Grande do Norte, Natal, Brasil" "etiqueta" => "f" "identificador" => "af0030" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Respiratory muscle strength and quality of life in myotonic dystrophy patients" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-03-24" "fechaAceptado" => "2010-06-16" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "PALAVRAS-CHAVE" "identificador" => "xpalclavsec570237" "palabras" => array:5 [ 0 => "Pressões respiratórias máximas" 1 => "Sniff teste" 2 => "Doença neuromuscular" 3 => "SF-36" 4 => "Músculos respiratórios" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "KEYWORDS" "identificador" => "xpalclavsec570236" "palabras" => array:5 [ 0 => "Maximal respiratory pressures" 1 => "Sniff test" 2 => "Neuromuscular disease" 3 => "SF-36" 4 => "Respiratory muscles" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:3 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0010">Introdução</span><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Na distrofia miotónica (DM) estudos sobre qualidade de vida relacionada à saúde (QVRS) ainda são escassos e a sua relação com a força muscular respiratória não foi determinada. Este estudo teve como objetivo a avaliação da força muscular respiratória e da QVRS, além de determinar as relações entre estas variáveis na DM.</p></span> <span id="as0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0015">Métodos</span><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Foi avaliada a função pulmonar, as pressões respiratórias máximas inspiratórias e expiratórias (PImáx e PEmáx, respectivamente), pressão nasal inspiratória de <span class="elsevierStyleItalic">sniff</span> (SNIP), e a QVRS através do questionário genérico SF-36 em 23 pacientes (13 homens, idade 40 ± 16 anos) com DM.</p></span> <span id="as0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0020">Resultados</span><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Os valores encontrados da força muscular respiratória foram de 71 ± 20 cmH<span class="elsevierStyleInf">2</span>O (64<span class="elsevierStyleHsp" style=""></span>% preditivo), 76 ± 32 cmH<span class="elsevierStyleInf">2</span>O (70<span class="elsevierStyleHsp" style=""></span>% preditivo), e 79 ± 28 cmH<span class="elsevierStyleInf">2</span>O (80<span class="elsevierStyleHsp" style=""></span>% preditivo) para PEmax, PImax e SNIP respectivamente. Encontramos diferenças significativas nos domínios de SF-36 de função física 58,7 ± 31,4 <span class="elsevierStyleItalic">vs</span>. 84,5 ± 23 (p < 0,01, 95<span class="elsevierStyleHsp" style=""></span>% CI = 1,6-39,9) e problemas físicos 43,4 ± 35,2 <span class="elsevierStyleItalic">vs</span>. 81,2 ± 34 (p < 0,001, 95<span class="elsevierStyleHsp" style=""></span>% CI = 19,4-6,1) comparado com os valores de referência. A análise de regressão linear demonstrou que a PImax explica 29<span class="elsevierStyleHsp" style=""></span>% da variação da função física, 18<span class="elsevierStyleHsp" style=""></span>% dos problemas físicos e 20<span class="elsevierStyleHsp" style=""></span>% da vitalidade.</p></span> <span id="as0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0025">Conclusão</span><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">Indivíduos com DM têm uma redução da força muscular expiratória. A QVRS pode ser mais prejudicada em alguns domínios da atividade física, o que pode sofrer influência das variações da força muscular inspiratória.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "as0005" "titulo" => "Introdução" ] 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">Introduction</span><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">Studies on quality of life in myotonic dystrophy (MD) are scarce and the relationship between respiratory muscle strength and health-related quality of life (HRQoL) has yet to be determined. The present study aims to investigate respiratory muscle strength and HRQoL and their relationship in MD patients.</p></span> <span id="as0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0040">Methods</span><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall">Twenty-three patients (13 men, aged 40 ± 16 years) with MD were evaluated for pulmonary function, maximal inspiratory and expiratory pressure (MIP and MEP, respectively), sniff nasal inspiratory pressure (SNIP) and HRQoL using the Short Form (SF-36) quality of life questionnaire.</p></span> <span id="as0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0045">Results</span><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall">Respiratory muscle strength values were 71 ± 20 cmH<span class="elsevierStyleInf">2</span>O (64<span class="elsevierStyleHsp" style=""></span>% predicted), 76 ± 32 cmH<span class="elsevierStyleInf">2</span>O (70<span class="elsevierStyleHsp" style=""></span>% predicted), and 79 ± 28 cmH<span class="elsevierStyleInf">2</span>O (80<span class="elsevierStyleHsp" style=""></span>% predicted) for MEP, MIP, and SNIP respectively. Signifi cant differences were found in the SF-36 domains of physical functioning 58.7 ± 31.4 <span class="elsevierStyleItalic">vs</span>. 84.5 ± 23 (p < 0.01, 95<span class="elsevierStyleHsp" style=""></span>% CI = 1.6-39.9) and physical problems 43.4 ± 35.2 <span class="elsevierStyleItalic">vs</span>. 81.2 ± 34 (p < 0.001, 95<span class="elsevierStyleHsp" style=""></span>% CI = 19.4-6.1) when compared with the reference values. According to single linear regression analysis, MIP explains 29<span class="elsevierStyleHsp" style=""></span>% of the variance in physical functioning, 18<span class="elsevierStyleHsp" style=""></span>% of physical problems and 20<span class="elsevierStyleHsp" style=""></span>% of vitality.</p></span> <span id="as0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0050">Conclusions</span><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall">Individuals with MD have reduced expiratory muscle strength. HRQoL may be more impaired in some physical domains, which might be influenced by variations in inspiratory muscle strength.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "as0030" "titulo" => "Introduction" ] 1 => array:2 [ "identificador" => "as0035" "titulo" => "Methods" ] 2 => array:2 [ "identificador" => "as0040" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "as0045" "titulo" => "Conclusions" ] ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bs0005" "bibliografiaReferencia" => array:31 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Maladie de Steinert" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "F. Bouhour" 1 => "M. Bost" 2 => "C. 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Article information
ISSN: 08732159Original language: Portuguese
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| 2019 November | 52 | 15 | 67 |
| 2019 October | 40 | 15 | 55 |
| 2019 September | 42 | 26 | 68 |
| 2019 August | 60 | 19 | 79 |
| 2019 July | 47 | 12 | 59 |
| 2019 June | 43 | 10 | 53 |
| 2019 May | 52 | 41 | 93 |
| 2019 April | 69 | 24 | 93 |
| 2019 March | 107 | 17 | 124 |
| 2019 February | 90 | 11 | 101 |
| 2019 January | 126 | 19 | 145 |
| 2018 December | 20 | 9 | 29 |
| 2018 November | 7 | 0 | 7 |
| 2018 October | 8 | 6 | 14 |
| 2018 September | 18 | 25 | 43 |
| 2018 August | 42 | 64 | 106 |
| 2018 July | 36 | 47 | 83 |
| 2018 June | 57 | 39 | 96 |
| 2018 May | 54 | 69 | 123 |
| 2018 April | 56 | 69 | 125 |
| 2018 March | 57 | 35 | 92 |
| 2018 February | 29 | 25 | 54 |
| 2018 January | 45 | 17 | 62 |
| 2017 December | 64 | 24 | 88 |
| 2017 November | 39 | 23 | 62 |
| 2017 October | 30 | 15 | 45 |
| 2017 September | 30 | 18 | 48 |
| 2017 August | 16 | 17 | 33 |
| 2017 July | 21 | 18 | 39 |
| 2017 June | 26 | 27 | 53 |
| 2017 May | 28 | 9 | 37 |
| 2017 April | 15 | 9 | 24 |
| 2017 March | 16 | 3 | 19 |
| 2017 February | 16 | 11 | 27 |
| 2017 January | 14 | 7 | 21 |
| 2016 December | 23 | 4 | 27 |
| 2016 November | 8 | 4 | 12 |
| 2016 October | 12 | 7 | 19 |
| 2016 September | 7 | 3 | 10 |
| 2016 August | 3 | 1 | 4 |
| 2016 July | 3 | 4 | 7 |
| 2016 June | 0 | 8 | 8 |
| 2016 May | 0 | 6 | 6 |
| 2016 April | 43 | 51 | 94 |
| 2016 March | 56 | 28 | 84 |
| 2016 February | 55 | 38 | 93 |
| 2016 January | 61 | 30 | 91 |
| 2015 December | 80 | 29 | 109 |
| 2015 November | 45 | 30 | 75 |
| 2015 October | 61 | 31 | 92 |
| 2015 September | 51 | 20 | 71 |
| 2015 August | 52 | 7 | 59 |
| 2015 July | 55 | 11 | 66 |
| 2015 June | 42 | 1 | 43 |
| 2015 May | 71 | 1 | 72 |
| 2015 April | 72 | 3 | 75 |
| 2015 March | 55 | 6 | 61 |
| 2015 February | 55 | 2 | 57 |
| 2015 January | 47 | 2 | 49 |
| 2014 December | 48 | 8 | 56 |
| 2014 November | 54 | 5 | 59 |
| 2014 October | 61 | 3 | 64 |
| 2014 September | 67 | 3 | 70 |
| 2014 August | 60 | 5 | 65 |
| 2014 July | 46 | 7 | 53 |
| 2014 June | 46 | 16 | 62 |
| 2014 May | 35 | 7 | 42 |
| 2014 April | 58 | 2 | 60 |
| 2014 March | 63 | 10 | 73 |
| 2014 February | 48 | 6 | 54 |
| 2014 January | 54 | 9 | 63 |
| 2013 December | 62 | 3 | 65 |
| 2013 November | 61 | 10 | 71 |
| 2013 October | 54 | 6 | 60 |
| 2013 September | 60 | 8 | 68 |
| 2013 August | 44 | 15 | 59 |
| 2013 July | 60 | 13 | 73 |
| 2013 June | 45 | 24 | 69 |
| 2013 May | 60 | 18 | 78 |
| 2013 April | 81 | 27 | 108 |
| 2013 March | 52 | 22 | 74 |
| 2013 February | 61 | 26 | 87 |
| 2013 January | 59 | 25 | 84 |
| 2012 December | 50 | 22 | 72 |
| 2012 November | 68 | 28 | 96 |
| 2012 October | 69 | 21 | 90 |
| 2012 September | 31 | 10 | 41 |
| 2012 January | 630 | 0 | 630 |
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