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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivo&#58;</span> Pretendemos investigar os efeitos de um protocolo espec&#237;fico de treino dos m&#250;sculos inspirat&#243;rios &#40;TMI&#41; no comportamento da dispneia&#44; da fun&#231;&#227;o pulmonar&#44; da for&#231;a dos m&#250;sculos respirat&#243;rios&#44; da toler&#226;ncia ao exerc&#237;cio e da qualidade de vida&#44; num grupo de doentes com doen&#231;a pulmonar obstrutiva cr&#243;nica &#40;DPOC&#41;&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Amostra&#58;</span> Constitu&#237;da por treze doentes com DPOC moderada a muito grave distribu&#237;dos por um grupo de controlo &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>5&#41; com um valor m&#233;dio de FEV1 de 43&#44;9<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>10&#44;1&#37; do valor te&#243;rico e um grupo experimental &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8&#41; com um valor m&#233;dio de FEV1 de 57&#44;8<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>&#177; 12&#44;1 &#37; do valor te&#243;rico&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">O grupo experimental foi sujeito a TMI por cinco semanas consecutivas e o grupo de controlo n&#227;o efectuou qualquer tipo de treino&#44; sendo apenas aconselhado a continuar com as actividades di&#225;rias at&#233; ent&#227;o praticadas&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados&#58;</span> A aplica&#231;&#227;o do protocolo espec&#237;fico de TMI melhorou significativamente a press&#227;o m&#225;xima inspirat&#243;ria &#40;PImax&#41; no grupo experimental &#40;Pimax inicial - 83&#44;3<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>21&#44;4 <span class="elsevierStyleItalic">versus</span> Pimax final- 98&#44;4<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>17&#44;8 cmH2O&#59; p&#60;0&#44;01&#41;&#46; O mesmo aconteceu com o <span class="elsevierStyleItalic">score</span> de sintomas do St&#46; George Respiratory Questionnaire &#40;SGRQ&#41; no grupo experimental &#40;<span class="elsevierStyleItalic">score</span> inicial 58<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>2&#44;2 <span class="elsevierStyleItalic">versus score</span> final 50<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>2&#44;1&#59; p&#60;0&#44;05&#41;&#44; n&#227;o se tendo verificado qualquer altera&#231;&#227;o nas vari&#225;veis avaliadas no grupo de controlo&#46;</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclus&#245;es&#58;</span> A aplica&#231;&#227;o do treino de m&#250;sculos inspirat&#243;rios em doentes com DPOC moderada a muito grave induziu melhoria da for&#231;a dos m&#250;sculos inspirat&#243;rios com repercuss&#227;o na melhoria da qualidade de vida no que diz respeito aos sintomas&#46;</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIV &#40;2&#41;&#58; 177-194</span></p></span>"
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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall">Aim&#58; The aim of this study was to evaluate the impact a specific inspiratory muscle training &#40;IMT&#41; protocol had on dyspnoea&#44; lung function&#44; respiratory muscle pressure&#44; tolerance to exercise and quality of life in a group of patients with ch ronic obstructive pulmonary disease &#40;COPD&#41;</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall">Population&#58; We studied 13 patients with moderate to very severe COPD divided into a control group &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>5&#41; with an average FEV1 43&#46;9<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>10&#46;1&#37; of predicted value and an IMT group &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8&#41; with FEV1 57&#46;8<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>12&#46;1 &#37; of predicted value&#46; While this study group underwent IMT for five consecutive weeks&#44; the control group did not undergo any kind of training&#46;</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall">Results&#58; Using a specific IMT protocol significantly improved maximal inspiratory pressure &#40;MIP&#41; in the study group &#40;initial MIP &#8211; 83&#46;3<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>21&#46;4 versus final MIP- 98&#46;4<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>17&#46;8 cmH2O&#59; p&#60;0&#46;01&#41;&#46; The same result was seen with the St&#46; George Respiratory Questionnaire &#40;SGRQ&#41; score in the study group &#40;initial score 58<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>2&#46;2 versus final score 50<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>2&#46;1&#59; p&#60;0&#46;05&#41;&#46; No changes were recorded in the variables studied in the control group&#46;</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall">Conclusions&#58; The use of IMT in patients with moderate to very severe COPD induced an improvement in inspiratory muscle force with a consequent improvement in the quality of life in relation to symptoms&#46;</p><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIV &#40;2&#41;&#58; 177-194</span></p></span>"
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Vol. 14. Issue 2.
Pages 177-194 (March - April 2008)
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Vol. 14. Issue 2.
Pages 177-194 (March - April 2008)
Artigo Original/Original Article
Open Access
Treino de músculos inspiratórios em doentes com DPOC
Inspiratory muscle training in COPD patients
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Susana Garcia1, Margarida Rocha2, Paula Pinto3, António M.F. Lopes4, Cristina Bárbara5
1 Fisioterapeuta da Unidade de Readaptação Funcional Respiratória do Hospital de Pulido Valente (HPV) / Physiotherapist, Respiratory Rehabilitation Unit, Hospital de Pulido Valente (HPV).
2 Técnica de cardiopneumologia da Unidade de Fisiopatologia Respiratória do HPV / Cardiopulmonology technician, Respiratory Physiopathology Unit, HPV.
3 Mestre em Patologia Respiratória. Assistente Hospitalar do HPV. Assistente Convidada da Faculdade de Ciências Médicas de Lisboa (FCML). Investigadora do Centro de Estudos de Patologia Respiratória da FCML / MA in Respiratory Pathology. Consultant, HPV. Guest Consultant, Lisbon School of Medical Sciences (FCML). Researcher, FCML Centre for Respiratory Pathology Studies.
4 Mestre em Fisioterapia. Professor Auxiliar Convidado da Escola Superior de Saúde do Alcoitão / MA in Physiotherapy. Guest Assistant Professor, Alcoitão Escola Superior de Saúde.
5 Coordenadora da Unidade de Fisiopatologia Respiratória do HPV. Assistente Hospitalar Graduada do HPV. Professora Auxiliar Convidada da FCML. Investigadora do Centro de Estudos de Patologia Respiratória da FCML / Head, Respiratory Physiopathology Unit, HPV. Specialist Consultant, HPV. Guest Assistant Professor, FCML. Researcher, FCML Centre for Respiratory Pathology Studies.
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Resumo

Objectivo: Pretendemos investigar os efeitos de um protocolo específico de treino dos músculos inspiratórios (TMI) no comportamento da dispneia, da função pulmonar, da força dos músculos respiratórios, da tolerância ao exercício e da qualidade de vida, num grupo de doentes com doença pulmonar obstrutiva crónica (DPOC).

Amostra: Constituída por treze doentes com DPOC moderada a muito grave distribuídos por um grupo de controlo (n=5) com um valor médio de FEV1 de 43,9±10,1% do valor teórico e um grupo experimental (n=8) com um valor médio de FEV1 de 57,8±± 12,1 % do valor teórico.

O grupo experimental foi sujeito a TMI por cinco semanas consecutivas e o grupo de controlo não efectuou qualquer tipo de treino, sendo apenas aconselhado a continuar com as actividades diárias até então praticadas.

Resultados: A aplicação do protocolo específico de TMI melhorou significativamente a pressão máxima inspiratória (PImax) no grupo experimental (Pimax inicial - 83,3±21,4 versus Pimax final- 98,4±17,8 cmH2O; p<0,01). O mesmo aconteceu com o score de sintomas do St. George Respiratory Questionnaire (SGRQ) no grupo experimental (score inicial 58±2,2 versus score final 50±2,1; p<0,05), não se tendo verificado qualquer alteração nas variáveis avaliadas no grupo de controlo.

Conclusões: A aplicação do treino de músculos inspiratórios em doentes com DPOC moderada a muito grave induziu melhoria da força dos músculos inspiratórios com repercussão na melhoria da qualidade de vida no que diz respeito aos sintomas.

Rev Port Pneumol 2007; XIV (2): 177-194

Palavras-chave:
DPOC
TMI
Abstract

Aim: The aim of this study was to evaluate the impact a specific inspiratory muscle training (IMT) protocol had on dyspnoea, lung function, respiratory muscle pressure, tolerance to exercise and quality of life in a group of patients with ch ronic obstructive pulmonary disease (COPD)

Population: We studied 13 patients with moderate to very severe COPD divided into a control group (n=5) with an average FEV1 43.9±10.1% of predicted value and an IMT group (n=8) with FEV1 57.8±12.1 % of predicted value. While this study group underwent IMT for five consecutive weeks, the control group did not undergo any kind of training.

Results: Using a specific IMT protocol significantly improved maximal inspiratory pressure (MIP) in the study group (initial MIP – 83.3±21.4 versus final MIP- 98.4±17.8 cmH2O; p<0.01). The same result was seen with the St. George Respiratory Questionnaire (SGRQ) score in the study group (initial score 58±2.2 versus final score 50±2.1; p<0.05). No changes were recorded in the variables studied in the control group.

Conclusions: The use of IMT in patients with moderate to very severe COPD induced an improvement in inspiratory muscle force with a consequent improvement in the quality of life in relation to symptoms.

Rev Port Pneumol 2007; XIV (2): 177-194

Key-words:
COPD
IMT
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