Isokinetic muscle evaluation of quadriceps in patients with chronic obstructive pulmonary disease
Avaliação muscular isocinética do quadríceps em indivíduos com doença pulmonar obstrutiva crónica
Luciana Vieira1,
, Martim Bottaro2, Rodrigo Celes2, Carlos Alberto de Assis Viegas3, César Augusto Melo e Silva1
Corresponding author
lutavernard@yahoo.com.br
Correspondence to/Correspondência: SQS 402 Bloco R Apartamento 301 Asa Sul CEP: 70236-180 – Brasília/DF – Brasil Telefone: 55-61-35327956
Correspondence to/Correspondência: SQS 402 Bloco R Apartamento 301 Asa Sul CEP: 70236-180 – Brasília/DF – Brasil Telefone: 55-61-35327956
1 Fisioterapeuta, Centro de Fisioterapia, Hospital Universitário de Brasília/Physiotherapist, Physiotherapy Unit, Hospital Universitário de Brasília
2 Educador físico, Programa de Graduação em Educação Física, Universidade de Brasília/Physical Educator, Graduate Programme in Physical Education, Universidade de Brasília
3 Médico, Serviço de Pneumologia, Hospital Universitário de Brasília/Physician, Pulmonology Unit, Hospital Universitário de Brasília
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"email" => array:1 [ 0 => "lutavernard@yahoo.com.br" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Martim" "apellidos" => "Bottaro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Rodrigo" "apellidos" => "Celes" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Carlos" "apellidos" => "Alberto de Assis Viegas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0020" ] ] ] 4 => array:3 [ "nombre" => "César" "apellidos" => "Augusto Melo e Silva" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Fisioterapeuta, Centro de Fisioterapia, Hospital Universitário de Brasília/Physiotherapist, Physiotherapy Unit, Hospital Universitário de Brasília" "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Educador físico, Programa de Graduação em Educação Física, Universidade de Brasília/Physical Educator, Graduate Programme in Physical Education, Universidade de Brasília" "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Médico, Serviço de Pneumologia, Hospital Universitário de Brasília/Physician, Pulmonology Unit, Hospital Universitário de Brasília" "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Correspondence to</span>/Correspondência: SQS 402 Bloco R Apartamento 301 Asa Sul CEP: 70236-180 – Brasília/DF – Brasil Telefone: 55-61-35327956" ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Avaliação muscular isocinética do quadríceps em indivíduos com doença pulmonar obstrutiva crónica" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-06-02" "fechaAceptado" => "2010-06-08" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec161006" "palabras" => array:4 [ 0 => "Chronic obstructive pulmonary disease" 1 => "muscle strength" 2 => "isokinetic test" 3 => "reference standards" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras chave" "identificador" => "xpalclavsec161007" "palabras" => array:4 [ 0 => "Doença pulmonar obstrutiva crónica" 1 => "força muscular" 2 => "teste isocinético" 3 => "padrões de referência" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Rationale</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Muscle debility has a significant impact on health-related quality of life in subjects with chronic obstructive pulmonary disease (COPD), and is correlated to exacerbation and even mortality. Assessing muscle strength is extremely relevant. Lack of standardisation in numbers of sets and rest interval in isokinetic test protocol can lead to distinct results, making com prehension and comparisons among studies difficult.</p> <span class="elsevierStyleSectionTitle">Aim</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">To analyse the effect of two sets and three different rest intervals on isokinetic strength measurement of quadriceps tests, in order to define the adequate test protocol.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Subjects with severe or very severe COPD underwent three isokinetic tests to evaluate knee extensor muscle strength, at an angular velocity of 60°·s<span class="elsevierStyleSup">-1</span>, with rest intervals of 30, 60 and 120 seconds. Each test consisted of two sets of five repetitions, during which peak torque, total work and fatigue index were measured.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">In 20 studied subjects (66.1<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>7.4 years, 70<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>10.8kg, 167.4<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>6.2cm, FEV1 36.5<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>10.1%), there were no significant differences in peak torque, total work and fatigue index, independent of number of sets or rest interval between sets.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">In subjects with severe or very severe COPD, quadriceps muscle strength can be evaluated by an isokinetic protocol with one set of five repetitions. If two sets are performed, a rest interval of 30 seconds is enough to ensure muscle recovery between sets.</p>" ] "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span class="elsevierStyleSectionTitle">Contexto</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A debilidade muscular tem impacto significativo na qualidade de vida do indivíduo com doenca pulmonar obstrutiva cronica (DPOC), correlacio nando-se com o numero de exacerbacoes e a mortalidade. Medir a forca muscular torna-se, portanto, de extrema importancia. A ausencia de padronizacao quanto ao numero de series e intervalo de recuperacao no protocolo de avaliacao isocinetica pode gerar resultados dispares, dificultando a compreensao e a comparacao a entre os estudos.</p> <span class="elsevierStyleSectionTitle">Objectivo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Analise do efeito de duas series e tres intervalos de repouso na medida de forca isocinetica do quadriceps, a fim de identificar o protocolo adequado para a realizacao do teste.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Individuos com DPOC grave ou muito grave realizaram tres testes isocineticos para avaliacao da musculatura extensora do joelho, a velocidade angular de 60°·s<span class="elsevierStyleSup">-1</span>, com intervalos de recuperacao de 30, 60 ou 120 segundos. Cada teste consistiu em duas series de cinco repeticoes, nas quais foram mensurados pico de torque, trabalho total e indice de fadiga.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Nos 20 individuos estudados (66,1<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>7,4 anos, 70<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>10,8 kg, 167,4<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span> 6,2<span class="elsevierStyleHsp" style=""></span>cm, VEF1 36,5<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>10,1% do predito) nao houve diferenca significativa nos valores de pico de torque, trabalho total e indice de fadiga, independente do numero de series ou da duracao do intervalo de recuperacao entre elas.</p> <span class="elsevierStyleSectionTitle">Conclusão</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Em individuos com DPOC grave ou muito grave, a forca muscular do quadriceps pode ser avaliada por meio de protocolo isocinetico composto por uma serie de contraccoes com cinco repeticoes; se forem realizadas duas series, 30 segundos de intervalo entre elas e suficiente para garantir a recuperacao muscular.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliography/Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:57 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
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| 2024 November | 4 | 2 | 6 |
| 2024 October | 31 | 29 | 60 |
| 2024 September | 31 | 26 | 57 |
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| 2024 May | 21 | 34 | 55 |
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| 2023 September | 47 | 33 | 80 |
| 2023 August | 43 | 15 | 58 |
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