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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Aim</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to evaluate the impact a specific inspiratory muscle training &#40;IMT&#41; protocol had on dyspnoea&#44; lung function&#44; respiratory muscle pressure&#44; tolerance to exercise and quality of life in a group of patients with ch ronic obstructive pulmonary disease &#40;COPD&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Population</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We studied 13 patients with moderate to very severe COPD divided into a control group &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>5&#41; with an average FEV1 43&#46;9<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>10&#46;1&#37; of predicted value and an IMT group &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8&#41; with FEV1 57&#46;8<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>12&#46;1<span class="elsevierStyleHsp" style=""></span>&#37; of predicted value&#46; While this study group underwent IMT for five consecutive weeks&#44; the control group did not undergo any kind of training&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Using a specific IMT protocol significantly improved maximal inspiratory pressure &#40;MIP&#41; in the study group &#40;initial MIP &#8211; 83&#46;3<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>21&#46;4 versus final MIP- 98&#46;4<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>17&#46;8 cmH2O&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;01&#41;&#46; The same result was seen with the St&#46; George Respiratory Question-naire &#40;SGRQ&#41; score in the study group &#40;initial score 58<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>2&#46;2 versus final score 50<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>2&#46;1&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46; No changes were recorded in the variables studied in the control group&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The use of IMT in patients with moderate to very severe COPD induced an improvement in inspiratory muscle force with a consequent improvement in the quality of life in relation to symptoms&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objectivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Pretendemos investigar os efeitos de um protocolo espec&#237;fico de treino dos m&#250;sculos inspirat&#243;rios &#40;TMI&#41; no comportamento da dispneia&#44; da fun&#231;&#227;o pulmonar&#44; da for&#231;a dos m&#250;sculos respirat&#243;rios&#44; da toler&#226;ncia ao exerc&#237;cio e da qualidade de vida&#44; num grupo de doentes com doen&#231;a pulmonar obstrutiva cr&#243;nica &#40;DPOC&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Amostra</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Constitu&#237;da por treze doentes com DPOC moderada a muito grave distribu&#237;dos por um grupo de controlo &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>5&#41; com um valor m&#233;dio de FEV1 de 43&#44;9<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>10&#44;1&#37; do valor te&#243;rico e um grupo experimental &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8&#41; com um valor m&#233;dio de FEV1 de 57&#44;8<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>&#177; 12&#44;1<span class="elsevierStyleHsp" style=""></span>&#37; do valor te&#243;rico&#46;</p><p id="spar0011" class="elsevierStyleSimplePara elsevierViewall">O grupo experimental foi sujeito a TMI por cinco semanas consecutivas e o grupo de controlo n&#227;o efectuou qualquer tipo de treino&#44; sendo apenas aconselhado a continuar com as actividades di&#225;rias at&#233; ent&#227;o praticadas&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A aplica&#231;&#227;o do protocolo espec&#237;fico de TMI melhorou significativamente a press&#227;o m&#225;xima inspirat&#243;ria &#40;PImax&#41; no grupo experimental &#40;Pimax inicial - 83&#44;3<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>21&#44;4 <span class="elsevierStyleItalic">versus</span> Pimax final-98&#44;4<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>17&#44;8 cmH2O&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41;&#46; O mesmo aconteceu com o <span class="elsevierStyleItalic">score</span> de sintomas do St&#46; George Respiratory Questionnaire &#40;SGRQ&#41; no grupo experimental &#40;<span class="elsevierStyleItalic">score</span> inicial 58&#177;2&#44;2 <span class="elsevierStyleItalic">versus score</span> final 50&#177;2&#44;1&#59; p&#60;0&#44;05&#41;&#44; n&#227;o se tendo verificado qualquer altera&#231;&#227;o nas vari&#225;veis avaliadas no grupo de controlo&#46;</p> <span class="elsevierStyleSectionTitle">Conclus&#245;es</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A aplica&#231;&#227;o do treino de m&#250;sculos inspirat&#243;rios em doentes com DPOC moderada a muito grave induziu melhoria da for&#231;a dos m&#250;sculos inspirat&#243;rios com repercuss&#227;o na melhoria da qualidade de vida no que diz respeito aos sintomas&#46;</p>"
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Inspiratory muscle training in COPD patients
Treino de músculos inspiratórios em doentes com DPOC
Susana Garcia1, Margarida Rocha2, Paula Pinto3, António M.F. Lopes4, Cristina Bárbara5
1 Fisioterapeuta da Unidade de Readaptação Funcional Respiratória do Hospital de Pulido Valente (HPV) / Physiotherapist, Respiratory Rehabilitation Unit, Hospital de Pulido Valente (HPV)
2 Técnica de cardiopneumologia da Unidade de Fisiopatologia Respiratória do HPV / Cardiopulmonology technician, Respiratory Physiopathology Unit, HPV
3 Mestre em Patologia Respiratória. Assistente Hospitalar do HPV. Assistente Convidada da Faculdade de Ciências Médicas de Lisboa (FCML). Investigadora do Centro de Estudos de Patologia Respiratória da FCML / MA in Respiratory Pathology. Consultant, HPV. Guest Consultant, Lisbon School of Medical Sciences (FCML). Researcher, FCML Centre for Respiratory Pathology Studies
4 Mestre em Fisioterapia. Professor Auxiliar Convidado da Escola Superior de Saúde do Alcoitão / MA in Physiotherapy. Guest Assistant Professor, Alcoitão Escola Superior de Saúde
5 Coordenadora da Unidade de Fisiopatologia Respiratória do HPV. Assistente Hospitalar Graduada do HPV. Professora Auxiliar Convidada da FCML. Investigadora do Centro de Estudos de Patologia Respiratória da FCML / Head, Respiratory Physiopathology Unit, HPV. Specialist Consultant, HPV. Guest Assistant Professor, FCML. Researcher, FCML Centre for Respiratory Pathology Studies
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        "resumen" => "<span class="elsevierStyleSectionTitle">Aim</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to evaluate the impact a specific inspiratory muscle training &#40;IMT&#41; protocol had on dyspnoea&#44; lung function&#44; respiratory muscle pressure&#44; tolerance to exercise and quality of life in a group of patients with ch ronic obstructive pulmonary disease &#40;COPD&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Population</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We studied 13 patients with moderate to very severe COPD divided into a control group &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>5&#41; with an average FEV1 43&#46;9<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>10&#46;1&#37; of predicted value and an IMT group &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8&#41; with FEV1 57&#46;8<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>12&#46;1<span class="elsevierStyleHsp" style=""></span>&#37; of predicted value&#46; While this study group underwent IMT for five consecutive weeks&#44; the control group did not undergo any kind of training&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Using a specific IMT protocol significantly improved maximal inspiratory pressure &#40;MIP&#41; in the study group &#40;initial MIP &#8211; 83&#46;3<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>21&#46;4 versus final MIP- 98&#46;4<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>17&#46;8 cmH2O&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;01&#41;&#46; The same result was seen with the St&#46; George Respiratory Question-naire &#40;SGRQ&#41; score in the study group &#40;initial score 58<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>2&#46;2 versus final score 50<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>2&#46;1&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46; No changes were recorded in the variables studied in the control group&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The use of IMT in patients with moderate to very severe COPD induced an improvement in inspiratory muscle force with a consequent improvement in the quality of life in relation to symptoms&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objectivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Pretendemos investigar os efeitos de um protocolo espec&#237;fico de treino dos m&#250;sculos inspirat&#243;rios &#40;TMI&#41; no comportamento da dispneia&#44; da fun&#231;&#227;o pulmonar&#44; da for&#231;a dos m&#250;sculos respirat&#243;rios&#44; da toler&#226;ncia ao exerc&#237;cio e da qualidade de vida&#44; num grupo de doentes com doen&#231;a pulmonar obstrutiva cr&#243;nica &#40;DPOC&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Amostra</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Constitu&#237;da por treze doentes com DPOC moderada a muito grave distribu&#237;dos por um grupo de controlo &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>5&#41; com um valor m&#233;dio de FEV1 de 43&#44;9<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>10&#44;1&#37; do valor te&#243;rico e um grupo experimental &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8&#41; com um valor m&#233;dio de FEV1 de 57&#44;8<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>&#177; 12&#44;1<span class="elsevierStyleHsp" style=""></span>&#37; do valor te&#243;rico&#46;</p><p id="spar0011" class="elsevierStyleSimplePara elsevierViewall">O grupo experimental foi sujeito a TMI por cinco semanas consecutivas e o grupo de controlo n&#227;o efectuou qualquer tipo de treino&#44; sendo apenas aconselhado a continuar com as actividades di&#225;rias at&#233; ent&#227;o praticadas&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A aplica&#231;&#227;o do protocolo espec&#237;fico de TMI melhorou significativamente a press&#227;o m&#225;xima inspirat&#243;ria &#40;PImax&#41; no grupo experimental &#40;Pimax inicial - 83&#44;3<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>21&#44;4 <span class="elsevierStyleItalic">versus</span> Pimax final-98&#44;4<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>17&#44;8 cmH2O&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41;&#46; O mesmo aconteceu com o <span class="elsevierStyleItalic">score</span> de sintomas do St&#46; George Respiratory Questionnaire &#40;SGRQ&#41; no grupo experimental &#40;<span class="elsevierStyleItalic">score</span> inicial 58&#177;2&#44;2 <span class="elsevierStyleItalic">versus score</span> final 50&#177;2&#44;1&#59; p&#60;0&#44;05&#41;&#44; n&#227;o se tendo verificado qualquer altera&#231;&#227;o nas vari&#225;veis avaliadas no grupo de controlo&#46;</p> <span class="elsevierStyleSectionTitle">Conclus&#245;es</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A aplica&#231;&#227;o do treino de m&#250;sculos inspirat&#243;rios em doentes com DPOC moderada a muito grave induziu melhoria da for&#231;a dos m&#250;sculos inspirat&#243;rios com repercuss&#227;o na melhoria da qualidade de vida no que diz respeito aos sintomas&#46;</p>"
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ISSN: 21735115
Original language: English
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Pulmonology

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