Correlation between mild hypoxaemia and limb skeletal muscle function in chronic obstructive pulmonary disease – Pilot study
Correlação entre hipoxemia moderada e função muscular esquelética periférica na doença pulmonar obstrutiva crónica – Estudo-piloto
Sérgio Leite Rodrigues1,8,
, César Augusto Melo e Silva2, César Ferreira Amorim3, Terezinha Lima4, Fernanda Almeida Ribeiro5, Carlos Alberto de Assis Viegas6, Verônica Amado7
1 Fisioterapeuta, Mestre em Ciências da Saúde, Universidade de Brasília – UnB / Physiotherapist, MsC, Health Sciences, Universidade de Brasília – UnB
2 Fisioterapeuta, Doutor em Ciências Médicas, Universidade de Brasília – UnB / Physiotherapist, Doctor of Medical Sciences, Universidade de Brasília – UnB
3 Engenheiro electrónico, Mestre em Engenharia Biomédica, Universidade do Vale do Paraíba – UNIVAP / Electronic Engineer, MsC, Biomedical Engineering, Universidade do Vale do Paraíba – UNIVAP
4 Médica, Mestre em Ciências da Saúde, Universidade de Brasília / Physician, MsC, Health Sciences, Universidade de Brasília
5 Fisioterapeuta, Especialista em Fisioterapia Pneumofuncional, Universidade de Brasília / Physiotherapist, Respiratory Physiotherapy specialist, Universidade de Brasília
6 Médico, Doutor da Universidade de Brasília – UnB, Universidade de Brasília – UnB / Physician, Doctor at the Universidade de Brasília – UnB, Universidade de Brasília – UnB
7 Chefe do Serviço de Pneumologia / Head, Pulmonology Unit: Hospital Universitário de Brasília – HUB Rua L2 Norte Quadras 605 CEP 70840-901 Brasília – DF Brasil
8 Chefe do Centro de Fisioterapia / Head, Physiotherapy Unit: Sérgio Leite Rodrigues Hospital Universitário de Brasília – HUB Rua L2 Norte Quadras 605 CEP 70840-901 Brasília – DF Brasil
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hipoxemia moderada e função muscular esquelética periférica na doença pulmonar obstrutiva crónica – Estudo-piloto" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-10-18" "fechaAceptado" => "2008-07-23" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec159798" "palabras" => array:6 [ 0 => "Six-minute walk test" 1 => "muscle strength" 2 => "hypoxaemia" 3 => "COPD" 4 => "pulmonary rehabilitation" 5 => "electromyography" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec159799" "palabras" => array:6 [ 0 => "Teste de caminhada de seis minutos" 1 => "força muscular" 2 => "hipoxemia" 3 => "DPOC" 4 => "reabilitação pulmonar" 5 => "electromiografia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Rationale</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Exercise capacity in COPD patients depends on the degree of airflow obstruction, the severity of the hypoxaemia and skeletal muscle function. Muscle atrophy and weakness are considered systemic consequences of COPD and are associated with reduced exercise capacity.</p> <span class="elsevierStyleSectionTitle">Aims</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">To investigate the correlation between mild hypoxaemia and muscular strength, muscular fatigue and functional capacity in COPD patients.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Ten patients enrolled on a PRP at the Hospital Universitário de Brasília – HUB were included in this study. Lung function was evaluated by spirometry and arterial blood gas analysis. Functional evaluation was made using the 6MWT and using isometric contraction of deltoid and quadriceps muscles.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">There were positive correlations between PaO<span class="elsevierStyleInf">2</span>, quadriceps strength (r<span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.61 and p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.007) and PaO<span class="elsevierStyleInf">2</span> and the 6MWT (r<span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.96, p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.001). There were negative correlations between PaO<span class="elsevierStyleInf">2</span> and median frequency of quadriceps (r<span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>-0.42 and p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.04). We observed significant correlation between quadriceps strength and the 6MWT (r<span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.67 and p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.001). There was negative correlation between median frequency of quadriceps and the 6MWT (r<span class="elsevierStyleSup">2</span> = -0.42 and p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.04). We did not observe any correlation between PaO<span class="elsevierStyleInf">2</span> and strength or median frequency of deltoid muscle.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">PaO<span class="elsevierStyleInf">2</span> has important correlations with muscular function variables. The main negative impact of mild hypoxaemia and precocious limb muscular disability on COPD patients is decreased functional capacity.</p>" ] "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span class="elsevierStyleSectionTitle">Introdução</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A capacidade de exercício em portadores de DPOC depende da gravidade da limitação ao fluxo aéreo, do grau de hipoxemia e da função muscular esquelética. Nesses doentes, a atrofia e a fraqueza da musculatura periférica são consideradas consequências sistémicas da DPOC e estão associadas à redução da capacidade de exercício.</p> <span class="elsevierStyleSectionTitle">Objectivos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Investigar a possível correlação entre hipoxemia moderada e o comprometimento muscular periférico na DPOC.</p> <span class="elsevierStyleSectionTitle">Doentes e métodos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Dez doentes encaminhados ao Programa de Reabilitação Pulmonar do Hospital Universitário de Brasília foram incluídos neste estudo. A função pulmonar foi avaliada por espirometria, gasometria arterial e avaliação funcional pelo teste de caminhada de seis minutos, sinal electromiográfico e força de deltóide e quadricípetes.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">As correlações entre PaO<span class="elsevierStyleInf">2</span> e a força quadricíptica (r<span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,61 e p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,007) e a distância percorrida no TC6 (r<span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,96 e p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,001) foram positivas e significativas. Houve correlação negativa e significativa entre PaO<span class="elsevierStyleInf">2</span> e a frequência mediana de quadricípetes (r<span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>-0,42 e p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,04). Observámos também correlação significativa entre força de quadricípetes e o TC6 (r<span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,67 e p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,001). Assim como houve correlação negativa e significativa entre a frequência mediana de quadricípetes, e o TC6 (r<span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>-0,42 e p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,04). Não encontrámos correlação significativa entre a PaO<span class="elsevierStyleInf">2</span> e força ou frequência mediana do músculo deltóide.</p> <span class="elsevierStyleSectionTitle">Conclusão</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A PaO<span class="elsevierStyleInf">2</span> tem correlação importante e significativa com variáveis de função muscular periférica. A hipoxemia moderada e a disfunção muscular periférica precoce possuem como principal impacto negativo a deterioração da capacidade funcional de portadores de DPOC.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Trabalho realizado no Serviço de Pneumologia do Hospital Universitário de Brasília e no Centro de Fisioterapia e Reabilitação do Hospital Universitário de Brasília / <span class="elsevierStyleItalic">Work carried out at the Serviço de Pneumologia do Hospital Universitário de Brasília and at the Centro de Fisioterapia e Reabilitação do Hospital Universitário de Brasília</span>.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliography/Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:27 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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