Article information
Abstract
Aim
The 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.
Keywords:
Chronic obstructive pulmonary disease
respiratory physiotherapy
endurance exercise
strength exercise
health state
Resumo
Objectivo
O 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.
Palavras-chave:
Doença pulmonar obstrutiva crónica
exercício aeróbio
exercício de força
fisioterapia respiratória
estado de saúde
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