Impact of combined exercise on chronic obstructive pulmonary patients’ state of health

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"identificador" => "aff0035" ] ] ] 7 => array:3 [ "nombre" => "Jan" "apellidos" => "Cabri" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "8" "identificador" => "aff0040" ] ] ] 8 => array:3 [ "nombre" => "Bo" "apellidos" => "Fernhall" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "9" "identificador" => "aff0045" ] ] ] ] "afiliaciones" => array:9 [ 0 => array:3 [ "entidad" => "Faculdade de Motricidade Humana, Universidade Técnica de Lisboa e Hospital Garcia de Orta" "etiqueta" => "1" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Faculdade de Motricidade Humana, Universidade Técnica de Lisboa" "etiqueta" => "2" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Hospital Garcia de Orta" "etiqueta" => "3" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Escola Superior de Saúde Egas Moniz" "etiqueta" => "4" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Directora do Serviço de Medicina Física e de Reabilitação do Hospital Garcia de Orta/Head, Physical Medicine and Rehabilitation Unit, Hospital Garcia de Orta" "etiqueta" => "5" "identificador" => "aff0025" ] 5 => array:3 [ "entidad" => "Hospital de Santa Marta" "etiqueta" => "6" "identificador" => "aff0030" ] 6 => array:3 [ "entidad" => "Fundação da Universidade de Lisboa" "etiqueta" => "7" "identificador" => "aff0035" ] 7 => array:3 [ "entidad" => "Faculdade de Motricidade Humana, Universidade Técnica de Lisboa" "etiqueta" => "8" "identificador" => "aff0040" ] 8 => array:3 [ "entidad" => "Universidade de Illinois Urbana-Champaign, EUA/University of Illinois Urbana-Champaign, USA" "etiqueta" => "9" "identificador" => "aff0045" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondence to/Correspondência: Ângela Maria Pereira Telefone/Telephone: 968064277." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Impacto do eercício físico combinado na percepção do estado de saúde da pessoa com doença pulmonar obstrutiva crónica" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-06-15" "fechaAceptado" => "2010-05-24" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec161018" "palabras" => array:5 [ 0 => "Chronic obstructive pulmonary disease" 1 => "respiratory physiotherapy" 2 => "endurance exercise" 3 => "strength exercise" 4 => "health state" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec161019" "palabras" => array:5 [ 0 => "Doença pulmonar obstrutiva crónica" 1 => "exercício aeróbio" 2 => "exercício de força" 3 => "fisioterapia respiratória" 4 => "estado de saúde" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "AimThe aim of the study was to evaluate the effectiveness of a 10-week combined training programme (aerobic and strength exercise) compared to an aerobic training programme, and respiratory physiotherapy on COPD patients’ health. MethodsFifty subjects with moderate to severe COPD were randomly assigned to two groups. Combined group (CG, n=25) who underwent combined training, and aerobic group (AG, n=25) who underwent aerobic training. These were compared with fifty COPD subjects who underwent respiratory physiotherapy, breathing control and bronchial clearance techniques (RP group, n=50). We evaluated health state through two questionnaires, St. George's Respiratory Questionnaire (SGRQ) and SF-36, at the beginning and at the end of the programme. ResultsThe CG group showed differences (p<0.0001) in modification rates in state of health compared to the AG and RP groups in the activity (64±9%, 19±7%, 1±15%) , impact (35±5%, 20±18%, 1±14%) and total (41±9%, 26±17%, 1±15%) domains assessed by the SGRQ, and the physical function (109±74%, 22±12%, 0.1±18%), physical role (52±36%, 11±15%, 1.3±21%) and vitality (83±39%, 14±38%) domains assessed by SF-36. ConclusionThese results suggest that combined training in subjects with COPD appears to be a more effective method, with better clinical changes, and improvements in health state perception." ] "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "ObjectivoO objectivo do estudo consistiu em avaliar a eficácia de um programa de treino combinado (exercícios aeróbios e exercícios de força muscular dinâmica) comparativamente com um programa de treino aeróbio, e de fisioterapia respiratória, ao nível do estado de saúde de indivíduos com DPOC, durante 10 semanas. MétodosCinquenta indivíduos com DPOC moderada e grave foram distribuídos aleatoriamente por dois grupos. Grupo CG (n=25) submetido a treino combinado, grupo AG (n=25) submetido a treino aeróbio, os quais foram comparados com cinquenta indivíduos com DPOC, que realizaram exercícios de reeducação respiratória e técnicas de desobstrução brônquica, grupo FR (n=50). Foi avaliado o estado de saúde através de Questionário do Hospital St. George na Doença Respiratória (SGRQ) e do Questionário SF-36 no início da intervenção e 10 semanas após. ResultadosO grupo CG apresentou diferenças (p<0,0001) nas taxas de modificação no estado de saúde relativamente, aos grupos AG e FR, nos domínios da actividade (64±9%; 19±7%; 1±15%), impacto (35±5%; 20±18%; 1±14%), e total (41±9%; 26±17%; 1±15%), avaliados pelo SGRQ; e nas dimensões da função física (109±74%; 22±12%; 0,1±18%), desempenho físico (52±36%; 11±15%; 1,3±21%) e vitalidade (83±39%; 14±38%) avaliadas pelo SF-36. ConclusãoEstes resultados sugerem que o treino combinado, em indivíduos com DPOC, parece ser um método mais eficaz, que promoveu alterações clinicamente significativas, com uma melhoria ao nível da percepção do estado de saúde." ] ] "bibliografia" => array:2 [ "titulo" => "Bibliography/Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:55 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "K.F. Rabe" 1 => "S. Hurd" 2 => "A. Anzueto" 3 => "P.J. Barnes" 4 => "S.A. Buist" 5 => "P. 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Impacto do eercício físico combinado na percepção do estado de saúde da pessoa com doença pulmonar obstrutiva crónica

Ângela Maria Pereira1,

Corresponding author

amcfap@gmail.com

Correspondence to/Correspondência: Ângela Maria Pereira Telefone/Telephone: 968064277.

, Helena Santa-Clara2, Ernesto Pereira3, Sérgio Simões4, Índia Remédios5, João Cardoso6, José Brito7, Jan Cabri8, Bo Fernhall9

1 Faculdade de Motricidade Humana, Universidade Técnica de Lisboa e Hospital Garcia de Orta

2 Faculdade de Motricidade Humana, Universidade Técnica de Lisboa

3 Hospital Garcia de Orta

4 Escola Superior de Saúde Egas Moniz

5 Directora do Serviço de Medicina Física e de Reabilitação do Hospital Garcia de Orta/Head, Physical Medicine and Rehabilitation Unit, Hospital Garcia de Orta

6 Hospital de Santa Marta

7 Fundação da Universidade de Lisboa

8 Faculdade de Motricidade Humana, Universidade Técnica de Lisboa

9 Universidade de Illinois Urbana-Champaign, EUA/University of Illinois Urbana-Champaign, USA

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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Aim</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The aim of the study was to evaluate the effectiveness of a 10-week combined training programme &#40;aerobic and strength exercise&#41; compared to an aerobic training programme&#44; and respiratory physiotherapy on COPD patients&#8217; health&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Fifty subjects with moderate to severe COPD were randomly assigned to two groups&#46; Combined group &#40;CG&#44; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>25&#41; who underwent combined training&#44; and aerobic group &#40;AG&#44; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>25&#41; who underwent aerobic training&#46; These were compared with fifty COPD subjects who underwent respiratory physiotherapy&#44; breathing control and bronchial clearance techniques &#40;RP group&#44; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>50&#41;&#46; We evaluated health state through two questionnaires&#44; St&#46; George&#39;s Respiratory Questionnaire &#40;SGRQ&#41; and SF-36&#44; at the beginning and at the end of the programme&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The CG group showed differences &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;0001&#41; in modification rates in state of health compared to the AG and RP groups in the activity &#40;64<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>9&#37;&#44; 19<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>7&#37;&#44; 1<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>15&#37;&#41; &#44; impact &#40;35<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>5&#37;&#44; 20<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>18&#37;&#44; 1<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>14&#37;&#41; and total &#40;41<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>9&#37;&#44; 26<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>17&#37;&#44; 1<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>15&#37;&#41; domains assessed by the SGRQ&#44; and the physical function &#40;109<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>74&#37;&#44; 22<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>12&#37;&#44; 0&#46;1<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>18&#37;&#41;&#44; physical role &#40;52<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>36&#37;&#44; 11<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>15&#37;&#44; 1&#46;3<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>21&#37;&#41; and vitality &#40;83<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>39&#37;&#44; 14<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>38&#37;&#41; domains assessed by SF-36&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">These results suggest that combined training in subjects with COPD appears to be a more effective method&#44; with better clinical changes&#44; and improvements in health state perception&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objectivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">O objectivo do estudo consistiu em avaliar a efic&#225;cia de um programa de treino combinado &#40;exerc&#237;cios aer&#243;bios e exerc&#237;cios de for&#231;a muscular din&#226;mica&#41; comparativamente com um programa de treino aer&#243;bio&#44; e de fisioterapia respirat&#243;ria&#44; ao n&#237;vel do estado de sa&#250;de de indiv&#237;duos com DPOC&#44; durante 10 semanas&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Cinquenta indiv&#237;duos com DPOC moderada e grave foram distribu&#237;dos aleatoriamente por dois grupos&#46; Grupo CG &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>25&#41; submetido a treino combinado&#44; grupo AG &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>25&#41; submetido a treino aer&#243;bio&#44; os quais foram comparados com cinquenta indiv&#237;duos com DPOC&#44; que realizaram exerc&#237;cios de reeduca&#231;&#227;o respirat&#243;ria e t&#233;cnicas de desobstru&#231;&#227;o br&#244;nquica&#44; grupo FR &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>50&#41;&#46; Foi avaliado o estado de sa&#250;de atrav&#233;s de Question&#225;rio do Hospital St&#46; George na Doen&#231;a Respirat&#243;ria &#40;SGRQ&#41; e do Question&#225;rio SF-36 no in&#237;cio da interven&#231;&#227;o e 10 semanas ap&#243;s&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">O grupo CG apresentou diferen&#231;as &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41; nas taxas de modifica&#231;&#227;o no estado de sa&#250;de relativamente&#44; aos grupos AG e FR&#44; nos dom&#237;nios da actividade &#40;64<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>9&#37;&#59; 19<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>7&#37;&#59; 1<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>15&#37;&#41;&#44; impacto &#40;35<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>5&#37;&#59; 20<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>18&#37;&#59; 1<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>14&#37;&#41;&#44; e total &#40;41<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>9&#37;&#59; 26<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>17&#37;&#59; 1<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>15&#37;&#41;&#44; avaliados pelo SGRQ&#59; e nas dimens&#245;es da fun&#231;&#227;o f&#237;sica &#40;109<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>74&#37;&#59; 22<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>12&#37;&#59; 0&#44;1<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>18&#37;&#41;&#44; desempenho f&#237;sico &#40;52<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>36&#37;&#59; 11<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>15&#37;&#59; 1&#44;3<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>21&#37;&#41; e vitalidade &#40;83<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>39&#37;&#59; 14<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>38&#37;&#41; avaliadas pelo SF-36&#46;</p> <span class="elsevierStyleSectionTitle">Conclus&#227;o</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Estes resultados sugerem que o treino combinado&#44; em indiv&#237;duos com DPOC&#44; parece ser um m&#233;todo mais eficaz&#44; que promoveu altera&#231;&#245;es clinicamente significativas&#44; com uma melhoria ao n&#237;vel da percep&#231;&#227;o do estado de sa&#250;de&#46;</p>"
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Article information

ISSN: 21735115
Original language: English

DOI:10.1016/S2173-5115(10)70075-0

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