Validation of the Portuguese version of the London Chest Activity of Daily Living Scale (LCADL) in chronic obstructive pulmonary disease patients
Validação da versão em português da escala London Chest Activity of Daily Living (LCADL) em doentes com doença pulmonar obstrutiva crónica
Fábio Pitta1,5,
, Vanessa S. Probst2,5, Demétria Kovelis3,5, Nicoli O. Segretti3,5, Aline M.T. Leoni3,5, Rachel Garrod4,5, Antonio F. Brunetto1,5
Corresponding author
fabiopitta@uol.com.br
Correspondence/Correspondência: Departamento de Fisioterapia – CCS, Hospital Universitário – Universidade Estadual de Londrina, Av. Robert Koch, 60 – Vila Operária, 86038-440 Londrina – PR – Brasil, Telefone: +55 43 3371 2288.
Correspondence/Correspondência: Departamento de Fisioterapia – CCS, Hospital Universitário – Universidade Estadual de Londrina, Av. Robert Koch, 60 – Vila Operária, 86038-440 Londrina – PR – Brasil, Telefone: +55 43 3371 2288.
1 Laboratório de Pesquisa em Fisioterapia Pulmonar (LFIP), Docente do Departamento de Fisioterapia, Universidade Estadual de Londrina, PR, Brasil / PhD, Pulmonary Physiotherapy Research Laboratory (LFIP), Reader in Physiotherapy, School of Physiotherapy, Universidade Estadual de Londrina, PR, Brazil
2 Bolsista de Pós-Doutorado Junior pelo CNPq, Pós-doutoranda do Laboratório de Pesquisa em Fisioterapia Pulmonar (LFIP), Departamento de Fisioterapia, Universidade Estadual de Londrina, PR, Brasil / PhD, Junior post-doctorate CNPq scholarship holder, post-doctorate at the Pulmonary Physiotherapy Research Laboratory (LFIP), School of Physiotherapy, Universidade Estadual de Londrina, PR, Brazil
3 Graduando em Fisioterapia, Departamento de Fisioterapia, Universidade Estadual de Londrina, PR, Brasil / Physiotherapy graduate, School of Physiotherapy, Universidade Estadual de Londrina, PR, Brazil
4 Reader in Physiotherapy, School of Physiotherapy, St George's, University of London & Kingston University, United Kingdom
5 Trabalho realizado no Laboratório de Pesquisa em Fisioterapia Pulmonar (LFIP), Departamento de Fisioterapia – Centro de Ciências da Saúde (CCS), Hospital Universitário Regional Norte do Paraná, Universidade Estadual de Londrina, PR, Brasil. / Work undertaken atthe Pulmonary Physiotherapy Research Laboratory (LFIP), School of Physiotherapy, Health Sciences Unit (CCS), Hospital Universitário Regional Norte do Paraná, Universidade Estadual de Londrina, PR, Brazil
Read
1123
Timeswas read the article
622
Total PDF
501
Total HTML
Share statistics
array:24 [ "pii" => "S2173511509702428" "issn" => "21735115" "doi" => "10.1016/S2173-5115(09)70242-8" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "70242" "copyright" => "Sociedade Portuguesa de Pneumologia" "copyrightAnyo" => "2008" "documento" => "article" "crossmark" => 0 "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Rev Port Pneumol. 2008;14:27-47" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3542 "formatos" => array:3 [ "EPUB" => 203 "HTML" => 1844 "PDF" => 1495 ] ] "itemSiguiente" => array:19 [ "pii" => "S217351150970243X" "issn" => "21735115" "doi" => "10.1016/S2173-5115(09)70243-X" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "70243" "copyright" => "Sociedade Portuguesa de Pneumologia" "documento" => "article" "crossmark" => 0 "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Rev Port Pneumol. 2008;14:49-53" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4171 "formatos" => array:3 [ "EPUB" => 199 "HTML" => 2717 "PDF" => 1255 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Weaning from non-invasive positive pressure ventilation: Experience with progressive periods of withdraw" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "49" "paginaFinal" => "53" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Desmame de ventilação não invasiva: Experiência com períodos de descontinuação" ] ] "contieneResumen" => array:2 [ "en" => true "pt" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "C. Damas, C. Andrade, J.P. Araújo, J. Almeida, P. Bettencourt" "autores" => array:5 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Damas" ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Andrade" ] 2 => array:2 [ "nombre" => "J.P." "apellidos" => "Araújo" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Almeida" ] 4 => array:2 [ "nombre" => "P." "apellidos" => "Bettencourt" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217351150970243X?idApp=UINPBA00004E" "url" => "/21735115/0000001400000001/v1_201305151449/S217351150970243X/v1_201305151449/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173511509702416" "issn" => "21735115" "doi" => "10.1016/S2173-5115(09)70241-6" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "70241" "copyright" => "Sociedade Portuguesa de Pneumologia" "documento" => "article" "crossmark" => 0 "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Rev Port Pneumol. 2008;14:5-26" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2960 "formatos" => array:3 [ "EPUB" => 198 "HTML" => 1729 "PDF" => 1033 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "The clinical course of <span class="elsevierStyleItalic">Burkholderia cepacia</span> complex bacteria respiratory infection in cystic fibrosis patients" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "5" "paginaFinal" => "26" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Infecção respiratória por bactérias do complexo <span class="elsevierStyleItalic">Burkholderia cepacia</span>: Evolução clínica em doentes com fibrose quística" ] ] "contieneResumen" => array:2 [ "en" => true "pt" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Susana Correia, Catarina Nascimento, Luísa Pereira, Mónica V. Cunha, Isabel Sá-Correia, Celeste Barreto" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Susana" "apellidos" => "Correia" ] 1 => array:2 [ "nombre" => "Catarina" "apellidos" => "Nascimento" ] 2 => array:2 [ "nombre" => "Luísa" "apellidos" => "Pereira" ] 3 => array:2 [ "nombre" => "Mónica V." "apellidos" => "Cunha" ] 4 => array:2 [ "nombre" => "Isabel" "apellidos" => "Sá-Correia" ] 5 => array:2 [ "nombre" => "Celeste" "apellidos" => "Barreto" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511509702416?idApp=UINPBA00004E" "url" => "/21735115/0000001400000001/v1_201305151449/S2173511509702416/v1_201305151449/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "titulo" => "Validation of the Portuguese version of the London Chest Activity of Daily Living Scale (LCADL) in chronic obstructive pulmonary disease patients" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "27" "paginaFinal" => "47" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Fábio Pitta, Vanessa S. Probst, Demétria Kovelis, Nicoli O. Segretti, Aline M.T. Leoni, Rachel Garrod, Antonio F. Brunetto" "autores" => array:7 [ 0 => array:4 [ "nombre" => "Fábio" "apellidos" => "Pitta" "email" => array:1 [ 0 => "fabiopitta@uol.com.br" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">5</span>" "identificador" => "aff0025" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Vanessa S." "apellidos" => "Probst" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">5</span>" "identificador" => "aff0025" ] ] ] 2 => array:3 [ "nombre" => "Demétria" "apellidos" => "Kovelis" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">5</span>" "identificador" => "aff0025" ] ] ] 3 => array:3 [ "nombre" => "Nicoli O." "apellidos" => "Segretti" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">5</span>" "identificador" => "aff0025" ] ] ] 4 => array:3 [ "nombre" => "Aline M.T." "apellidos" => "Leoni" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">5</span>" "identificador" => "aff0025" ] ] ] 5 => array:3 [ "nombre" => "Rachel" "apellidos" => "Garrod" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "aff0020" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">5</span>" "identificador" => "aff0025" ] ] ] 6 => array:3 [ "nombre" => "Antonio F." "apellidos" => "Brunetto" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">5</span>" "identificador" => "aff0025" ] ] ] ] "afiliaciones" => array:5 [ 0 => array:3 [ "entidad" => "Laboratório de Pesquisa em Fisioterapia Pulmonar (LFIP), Docente do Departamento de Fisioterapia, Universidade Estadual de Londrina, PR, Brasil / <span class="elsevierStyleItalic">PhD, Pulmonary Physiotherapy Research Laboratory (LFIP), Reader in Physiotherapy, School of Physiotherapy, Universidade Estadual de Londrina, PR, Brazil</span>" "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Bolsista de Pós-Doutorado Junior pelo CNPq, Pós-doutoranda do Laboratório de Pesquisa em Fisioterapia Pulmonar (LFIP), Departamento de Fisioterapia, Universidade Estadual de Londrina, PR, Brasil / <span class="elsevierStyleItalic">PhD, Junior post-doctorate CNPq scholarship holder, post-doctorate at the Pulmonary Physiotherapy Research Laboratory (LFIP), School of Physiotherapy, Universidade Estadual de Londrina, PR, Brazil</span>" "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Graduando em Fisioterapia, Departamento de Fisioterapia, Universidade Estadual de Londrina, PR, Brasil / <span class="elsevierStyleItalic">Physiotherapy graduate, School of Physiotherapy, Universidade Estadual de Londrina, PR, Brazil</span>" "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Reader in Physiotherapy, School of Physiotherapy, St George's, University of London & Kingston University, United Kingdom" "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "<span class="elsevierStyleBold">Trabalho realizado no</span> Laboratório de Pesquisa em Fisioterapia Pulmonar (LFIP), Departamento de Fisioterapia – Centro de Ciências da Saúde (CCS), Hospital Universitário Regional Norte do Paraná, Universidade Estadual de Londrina, PR, Brasil. / <span class="elsevierStyleBold">Work undertaken at</span><span class="elsevierStyleItalic">the Pulmonary Physiotherapy Research Laboratory (LFIP), School of Physiotherapy, Health Sciences Unit (CCS), Hospital Universitário Regional Norte do Paraná, Universidade Estadual de Londrina, PR, Brazil</span>" "etiqueta" => "<span class="elsevierStyleSup">5</span>" "identificador" => "aff0025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondence/Correspondência: Departamento de Fisioterapia – CCS, Hospital Universitário – Universidade Estadual de Londrina, Av. Robert Koch, 60 – Vila Operária, 86038-440 Londrina – PR – Brasil, Telefone: +55 43 3371 2288." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Validação da versão em português da escala <span class="elsevierStyleItalic">London Chest Activity of Daily Living</span> (LCADL) em doentes com doença pulmonar obstrutiva crónica" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-11-10" "fechaAceptado" => "2007-10-04" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec159376" "palabras" => array:5 [ 0 => "Chronic Obstructive Pulmonary Disease" 1 => "activities of daily living" 2 => "London Chest Activity of Daily Living Scale" 3 => "quality of life" 4 => "Saint George Respiratory Questionnaire" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec159375" "palabras" => array:5 [ 0 => "Doença pulmonar obstrutiva crónica" 1 => "actividade da vida diária" 2 => "<span class="elsevierStyleItalic">London Chest Activity of Daily Living Scal</span>e" 3 => "qualidade de vida" 4 => "Saint George respiratory questionnaire" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">While there are several subjective English tools, such as the London Chest Activity of Daily Living scale (LCADL), aimed at assessing dyspnoea during activities of daily living (ADL) in patients with Chronic Obstructive Pulmonary Disease (COPD), none of these questionnaires has ever been translated into Portuguese. The aim of this study was to investigate the validity and reproducibility of the LCADL's Portuguese version in patients with COPD.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">31 patients with COPD (17 male; 69<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>7 years; FEV1 44<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>15%predicted) completed the Portuguese version of the LCADL twice with a 1-week interval. The traditional Saint George Respiratory Questionnaire (SGRQ), already validated in Portuguese, was used as the criterion method.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">There were no significant differences between test and retest of the LCADL. Intraclass Correlation Coefficient between test and retest concerning the different scale components was Self-care r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.96; Domestic r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.99; Physical r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.92; Leisure r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.95; Total Score r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.98. There were significant correlations of the LCADL Total Score with the SGRQ's different components and total score (0.36<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>r<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.74; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.05 for all). The LCADL Total Score was also significantly correlated with the 6-minute walking distance test (r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span> -0.48; p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.006).</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The Portuguese version of the LCADL is valid and reproducible in patients with COPD, making this study a new and important tool for assessing the limitations of performing ADL in this population.</p>" ] "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span class="elsevierStyleSectionTitle">Introdução</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Diversos questionários desenvolvidos em língua inglesa visam avaliar especificamente a limitação pela dispnéia durante actividades da vida diá ria (AVD) em doentes com doença pulmonar obstrutiva crónica (DPOC), como a escala London Chest Activity of Daily Living (LCADL). No entanto, nenhum destes questionários foi ainda traduzido para a língua portuguesa. O objectivo desse estudo foi verificar a validade e a reprodutibilidade da versão em português da LCADL em pacientes com DPOC.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Trinta e um doentes com DPOC (17 homens; 69<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>7 anos; FEV1 44<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>15% predito) responderam por duas vezes à versão em português da LCADL com intervalo de uma semana. O tradicional questionário Saint George na doença respiratória (SGRQ), já validado em português, foi utilizado como critério de validação.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Não foram observadas diferenças significativas entre a aplicação e a reaplicação da LCADL. O coeficiente de correlação intraclasse dos domínios da escala entre o dia 1 e dia 2 foi de: Cuidado pessoal r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,96; doméstico r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,99; actividade física r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,92; lazer r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,95; escore total r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,98. Foram observadas correlações significativas do escore total da LCADL com os domínios e o escore total do SGRQ (0,36<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>r<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,74; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05 para todos). O escore total da LCADL correlacionou-se também significativamente com a distância percorrida no teste da caminhada de 6 minutos (r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>−0,48; p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,006).</p> <span class="elsevierStyleSectionTitle">Conclusões</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A versão em língua portuguesa da LCADL demonstrou ser reprodutível e válida em pacientes com DPOC. Portanto, o presente estudo fornece uma nova e importante ferramenta para avaliar a limitação na capacidade de realizar AVD nessa população.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliography/Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:31 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "From the Global Strategy for the Diagnosis, Management and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2006. Available from: <a class="elsevierStyleInterRef" href="http://www.goldcopd.org/">http://www.goldcopd.org</a>." ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "B.R. Celli" 1 => "W. MacNee" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "2004" "volumen" => "23" "paginaInicial" => "932" "paginaFinal" => "946" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15219010" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evaluation of a movement detector to measure daily activity in patients with chronic lung disease" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "B. Schonhofer" 1 => "P. Ardes" 2 => "M. Geibel" 3 => "D. Kohler" 4 => "P.W. Jones" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "1997" "volumen" => "10" "paginaInicial" => "2814" "paginaFinal" => "2819" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9493666" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Characteristics of physical activities in daily life in chronic obstructive pulmonary disease" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "F. Pitta" 1 => "T. Troosters" 2 => "M.A. Spruit" 3 => "V.S. Probst" 4 => "M. Decramer" 5 => "R. Gosselink" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/rccm.200407-855OC" "Revista" => array:6 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "2005" "volumen" => "171" "paginaInicial" => "972" "paginaFinal" => "977" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15665324" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Functional status instruments: outcome measure in the evaluation of patients with chronic obstructive pulmonary disease" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S.C. Lareau" 1 => "E.H. Breslin" 2 => "P.M. Meek" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Heart Lung" "fecha" => "1996" "volumen" => "25" "paginaInicial" => "212" "paginaFinal" => "224" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8635922" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Physical activity and hospitalization for exacerbation of COPD" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "F. Pitta" 1 => "T. Troosters" 2 => "V.S. Probst" 3 => "M.A. Spruit" 4 => "M. Decramer" 5 => "R. Gosselink" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1378/chest.129.3.536" "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "2006" "volumen" => "129" "paginaInicial" => "536" "paginaFinal" => "544" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16537849" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Possíveis conseqüências de não se atingir a mínima atividade física diária recomendada em pacientes com doença pulmonar obstrutiva cronica estável" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "F. Pitta" 1 => "T. Troosters" 2 => "V.S. Probst" 3 => "S. Lucas" 4 => "M. Decramer" 5 => "R. Gosselink" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Bras Pneumol" "fecha" => "2006" "volumen" => "32" "paginaInicial" => "301" "paginaFinal" => "308" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17268729" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Regular physical activity reduces hospital admission and mortality in chronic obstructive pulmonary disease: a population based cohort study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J. Garcia-Aymerich" 1 => "P. Lange" 2 => "M. Benet" 3 => "P. Schnohr" 4 => "J.M. Anto" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/thx.2006.060145" "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "2006" "volumen" => "61" "paginaInicial" => "772" "paginaFinal" => "778" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16738033" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mortality predictors in disabling chronic obstructive pulmonary disease in old age" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A.M. Yohannes" 1 => "R.C. Baldwin" 2 => "M. Connolly" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Age Ageing" "fecha" => "2002" "volumen" => "31" "paginaInicial" => "137" "paginaFinal" => "140" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11937477" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Quantifying physical activity in daily life with questionnaires and motion sensors in COPD" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "F. Pitta" 1 => "T. Troosters" 2 => "V.S. Probst" 3 => "M.A. Spruit" 4 => "M. Decramer" 5 => "R. Gosselink" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1183/09031936.06.00064105" "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "2006" "volumen" => "27" "paginaInicial" => "1040" "paginaFinal" => "1055" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16707399" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The Manchester Respiratory Activities of Daily Living questionnaire: Development, reliability, validity, and responsiveness to pulmonary rehabilitation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A.M. Yohannes" 1 => "J. Roomi" 2 => "S. Winn" 3 => "M.J. Connolly" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Am Geriatr Soc" "fecha" => "2000" "volumen" => "48" "paginaInicial" => "1496" "paginaFinal" => "1500" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11083331" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The development and psychometric evaluation of the Pulmonary Functional Status Scale: an instrument to assess functional status in pulmonary disease" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "T.E. Weaver" 1 => "G.L. Narsavage" 2 => "M.J. Guilfoyle" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Cardiopulm Rehabil" "fecha" => "1998" "volumen" => "18" "paginaInicial" => "105" "paginaFinal" => "111" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9559447" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Development and testing of the Pulmonary Functional Status and Dyspnea Questionnaire (PFSDQ)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S.C. Lareau" 1 => "V. Carrieri-Kohlman" 2 => "S. Janson-Bjerklie" 3 => "P.J. Roos" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Heart Lung" "fecha" => "1994" "volumen" => "23" "paginaInicial" => "242" "paginaFinal" => "250" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8039994" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib14" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Development and testing of the modified version of the pulmonary functional status and dyspnea questionnaire (PFSDQ-M)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S.C. Lareau" 1 => "P.M. Meek" 2 => "P.J. Roos" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Heart Lung" "fecha" => "1998" "volumen" => "27" "paginaInicial" => "159" "paginaFinal" => "168" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9622402" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib15" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Development and validation of a standardized measure of activity of daily living in patients with severe COPD: the London Chest Activity of Daily Living scale (LCADL)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "R. Garrod" 1 => "J.C. Bestall" 2 => "E.A. Paul" 3 => "J.A. Wedzicha" 4 => "P.W. Jones" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1053/rmed.2000.0786" "Revista" => array:6 [ "tituloSerie" => "Respir Med" "fecha" => "2000" "volumen" => "94" "paginaInicial" => "589" "paginaFinal" => "596" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10921765" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib16" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An evaluation of the reliability and sensitivity of the London Chest Activity of Daily Living Scale (LCADL)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R. Garrod" 1 => "E.A. Paul" 2 => "J.A. Wedzicha" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Respir Med" "fecha" => "2002" "volumen" => "96" "paginaInicial" => "725" "paginaFinal" => "730" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12243319" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib17" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Supplemental oxygen during pulmonary rehabilitation in patients with COPD with exercise hypoxaemia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R. Garrod" 1 => "E.A. Paul" 2 => "J.A. Wedzicha" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "2000" "volumen" => "55" "paginaInicial" => "539" "paginaFinal" => "543" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10856310" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib18" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "F. Guillemin" 1 => "C. Bombardier" 2 => "D. Beaton" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Clin Epidemiol" "fecha" => "1993" "volumen" => "46" "paginaInicial" => "1417" "paginaFinal" => "1432" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8263569" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib19" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Avaliação da qualidade de vida pelo Questionário do Hospital Saint George na Doença Respiratória em portadores de doença pulmonar obstrutiva crônica: validação de uma nova versão para o Brasil" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A. Camelier" 1 => "F.W. Rosa" 2 => "C. Salmi" 3 => "O.A. Nascimento" 4 => "F. Cardoso" 5 => "J.R. Jardim" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Bras Pneumol" "fecha" => "2006" "volumen" => "32" "paginaInicial" => "114" "paginaFinal" => "122" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17273580" "web" => "Medline" ] ] ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib20" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Validação do questionário do Hospital St. George da doença respiratória em pacientes portadores de doença pulmonar obstrutiva crônica no Brasil" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "T.C. Souza" 1 => "J.R. Jardim" 2 => "P. Jones" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Pneumol" "fecha" => "2000" "volumen" => "26" "paginaInicial" => "119" "paginaFinal" => "125" ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib21" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A self-complete measure of health status for chronic airflow limitation. The St. George's Respiratory Questionnaire" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "P.W. Jones" 1 => "F.H. Quirk" 2 => "C.M. Baveystock" 3 => "P. Littlejohns" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm/145.6.1321" "Revista" => array:6 [ "tituloSerie" => "Am Rev Respir Dis" "fecha" => "1992" "volumen" => "145" "paginaInicial" => "1321" "paginaFinal" => "1327" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1595997" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib22" "etiqueta" => "22." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "American Thoracic Society" "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "Lung function testing: selection of reference values and interpretative strategies" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm/144.5.1202" "Revista" => array:6 [ "tituloSerie" => "Am Rev Respir Dis" "fecha" => "1991" "volumen" => "144" "paginaInicial" => "1202" "paginaFinal" => "1218" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1952453" "web" => "Medline" ] ] ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib23" "etiqueta" => "23." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The maximal expiratory flow-volume curve. Normal standards, variability, and effects of age" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R.J. Knudson" 1 => "R.C. Slatin" 2 => "M.D. Lebowitz" 3 => "B. Burrows" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/arrd.1976.113.5.587" "Revista" => array:6 [ "tituloSerie" => "Am Rev Respir Dis" "fecha" => "1976" "volumen" => "113" "paginaInicial" => "587" "paginaFinal" => "600" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1267262" "web" => "Medline" ] ] ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib24" "etiqueta" => "24." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "ATS statement on six-minute walk test" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D. Brooks" 1 => "S. Solway" 2 => "W.J. Gibbons" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm.167.9.952" "Revista" => array:5 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "2003" "volumen" => "167" "paginaInicial" => "1287" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12714345" "web" => "Medline" ] ] ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib25" "etiqueta" => "25." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Six minute walking distance in healthy elderly subjects" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "T. Troosters" 1 => "R. Gosselink" 2 => "M. Decramer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "1999" "volumen" => "14" "paginaInicial" => "270" "paginaFinal" => "274" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10515400" "web" => "Medline" ] ] ] ] ] ] ] ] 25 => array:3 [ "identificador" => "bib26" "etiqueta" => "26." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "French-Canadian version of the Chronic Respiratory and St George's Respiratory questionnaires: an assessment of their psychometric properties in patients with chronic obstructive pulmonary disease" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J. Bourbeau" 1 => "F. Maltais" 2 => "M. Rouleau" 3 => "C. Guimont" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Can Respir J" "fecha" => "2004" "volumen" => "11" "paginaInicial" => "480" "paginaFinal" => "486" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15505701" "web" => "Medline" ] ] ] ] ] ] ] ] 26 => array:3 [ "identificador" => "bib27" "etiqueta" => "27." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "American translation, modification, and validation of the St. George's Respiratory Questionnaire" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J.T. Barr" 1 => "G.E. Schumacher" 2 => "S. Freeman" 3 => "M. LeMoine" 4 => "A.W. Bakst" 5 => "P.W. Jones" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0149-2918(00)80089-2" "Revista" => array:6 [ "tituloSerie" => "Clin Ther" "fecha" => "2000" "volumen" => "22" "paginaInicial" => "1121" "paginaFinal" => "1145" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11048909" "web" => "Medline" ] ] ] ] ] ] ] ] 27 => array:3 [ "identificador" => "bib28" "etiqueta" => "28." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Validity of the St George's respiratory questionnaire at acute exacerbation of chronic bronchitis: comparison with the Nottingham health profile" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "H. Doll" 1 => "I. Duprat-Lomon" 2 => "E. Ammerman" 3 => "P.P. Sagnier" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Qual Life Res" "fecha" => "2003" "volumen" => "12" "paginaInicial" => "117" "paginaFinal" => "132" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12639059" "web" => "Medline" ] ] ] ] ] ] ] ] 28 => array:3 [ "identificador" => "bib29" "etiqueta" => "29." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Correlates of physical activity in chronic obstructive pulmonary disease" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "B. Belza" 1 => "B.G. Steele" 2 => "J. Hunziker" 3 => "S. Lakshminaryan" 4 => "L. Holt" 5 => "D.M. Buchner" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Nurs Res" "fecha" => "2001" "volumen" => "50" "paginaInicial" => "195" "paginaFinal" => "202" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11480528" "web" => "Medline" ] ] ] ] ] ] ] ] 29 => array:3 [ "identificador" => "bib30" "etiqueta" => "30." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Out-patient rehabilitation improves activities of daily living, quality of life and exercise tolerance in chronic obstructive pulmonary disease" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "K.E. Bendstrup" 1 => "J.J. Ingemann" 2 => "S. Holm" 3 => "B. Bengtsson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "1997" "volumen" => "10" "paginaInicial" => "2801" "paginaFinal" => "2806" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9493664" "web" => "Medline" ] ] ] ] ] ] ] ] 30 => array:3 [ "identificador" => "bib31" "etiqueta" => "31." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Physical activity and its determinants in severe chronic obstructive pulmonary disease" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J. Garcia-Aymerich" 1 => "M.A. Felez" 2 => "J. Escarrabill" 3 => "R.M. Marrades" 4 => "J. Morera" 5 => "R. Elosua" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Med Sci Sports Exerc" "fecha" => "2004" "volumen" => "36" "paginaInicial" => "1667" "paginaFinal" => "1673" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15595285" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735115/0000001400000001/v1_201305151449/S2173511509702428/v1_201305151449/en/main.assets" "Apartado" => array:4 [ "identificador" => "9552" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Original Article/Artigo Original" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735115/0000001400000001/v1_201305151449/S2173511509702428/v1_201305151449/en/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511509702428?idApp=UINPBA00004E" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 5 | 5 | 10 |
| 2024 October | 34 | 36 | 70 |
| 2024 September | 54 | 35 | 89 |
| 2024 August | 48 | 45 | 93 |
| 2024 July | 48 | 44 | 92 |
| 2024 June | 31 | 27 | 58 |
| 2024 May | 47 | 48 | 95 |
| 2024 April | 29 | 39 | 68 |
| 2024 March | 30 | 28 | 58 |
| 2024 February | 22 | 33 | 55 |
| 2024 January | 12 | 29 | 41 |
| 2023 December | 14 | 34 | 48 |
| 2023 November | 21 | 33 | 54 |
| 2023 October | 9 | 32 | 41 |
| 2023 September | 18 | 29 | 47 |
| 2023 August | 16 | 20 | 36 |
| 2023 July | 15 | 33 | 48 |
| 2023 June | 13 | 21 | 34 |
| 2023 May | 21 | 38 | 59 |
| 2023 April | 14 | 13 | 27 |
Show all
