Chronic Obstructive Pulmonary Disease (COPD)
Conditions
Interventions
The sample consisted of 23 users
however, only 17 ended the study and were randomly divided into 2 groups, consisting of 7 users in the "Maneuvers" group and 10 in the "Threshold" group. For each treatment protocol, will be held 30 s
15 minutes of superior and inferior costal pompage, and of the sternocleidomastoid (SCOM) and anterior scalene (AE) muscles
20 minutes of respiratory maneuvers (thoraco-abdominal re-education - TAR and acceleration of expiratory flow - AEF)
functional respiratory re-education, through diaphragmatic breathing and brake-labial respiration
and aerobic training on the treadmill for 20 minutes, with a workload of 70% of maximum Heart Rate (HR_max = 220-age), with 2.5 minutes of warm-up and 2.5 minutes of cool-down.
While the "Threshold" g
10 minutes of inspiratory muscle training using Threshold (Respiron - NCS, Brazil), to 40% of Pi_máx, obtained in the first session of each week
and aerobic training on the treadmill for 20 minutes, with a workload of 70% of maximum Heart Rate (HR_max = 220-age), with 2.5 minutes of warm-up and 2.5 minutes of cool-down.
The strengthening of up
Other
E01.370.600.425
E01.370.405.255
Sponsors
Universidade Federal da Paraíba
Universidade Federal da Paraíba
Eligibility
Age
40 Years to 70 Years
Inclusion criteria
Inclusion criteria: Volunteers with a proven diagnosis of COPD; not present neurological, cardiovascular and musculoskeletal problems; in addition to loss of cognitive ability, that made it impossible to carry out the evaluation and / or the treatment program.
Exclusion criteria
Exclusion criteria: Neurological, musculoskeletal, cardiovascular, problems; or loss of cognitive ability, making it impossible to perform the assessment and rehabilitation program proposed; not attend two consecutive treatment sessions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement of ventilatory parameters, measured by spirometry (FEV1, Pi_max, Pe_max, CV and FVC), of the overall muscle strength measured by the palmar grip strength (dynamometry) and the electrical activity (EMG) of the accessory breathing muscles (sternocleidomastoid and anterior scalene) performed before and after 10 weeks of physiotherapeutic treatment.;Only, in relation to the manovacuometry (Pi_máx and Pe_máx), there was a significant increase in the values, both pre- and post-intervention, both in the "Maneuvers" group (Pi_max: P = 0.028; Pe_max: P = 0.046), as in the "Threshold" group (Pi_max: P = 0.028; Pe_max: P = 0.028). | — |
Secondary
| Measure | Time frame |
|---|---|
| Improvement in the quality of life of patients with Chronic Obstructive Pulmonary Disease, observed through the Saint George Hospital Respiratory Disease Questionnaire (SGRQ).;In the comparison of SGRQ values, pre and post intervention, in the 3 domains and in the total score, there was a significant improvement for both the "Maneuvers" group (Symptoms: P = 0.003; Activities: P = 0.021; Psychosocial Impact: P = 0.018 and Total: P = 0.002), as well as for the "Threshold" group (Symptoms: P = 0.017; Activities: P = 0.012; Psychosocial Impact: P = 0.003 and Total: P = 0.001). | — |
Countries
Brazil
Contacts
Public ContactDanilo;Heleodório Moura;dos Santos
Universidade Federal da Paraíba;Universidade Federal da Paraíba
Outcome results
None listed