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Dos Santos TD, Souza JA, Cardoso DM, Berni VB, Pasqualoto AS, de Albuquerque IM. Predictors of Post-COVID-19 Functional Status Scale in Hospitalized Patients Recovering From SARS-CoV-2 Infection. Am J Phys Med Rehabil 2024; 103:143-148. [PMID: 37594212 DOI: 10.1097/phm.0000000000002325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/19/2023]
Abstract
OBJECTIVE The study aimed to investigate whether peripheral and inspiratory muscle strength and architecture, functional capacity, functional mobility, fatigue, and health-related quality of life are predictors of the Post-COVID-19 Functional Status Scale score in patients with post-COVID-19 syndrome who were hospitalized. DESIGN A cross-sectional study included 69 patients (53.3 ± 13.2 yrs, 36 men) with post-COVID-19 syndrome. The following outcomes were assessed: peripheral (dynamometry) and inspiratory (manovacuometry) muscle strength, muscle architecture (ultrasound), functional capacity (six-minute walk test), functional mobility (Timed Up and Go), fatigue (Functional Assessment of Chronic Illness Therapy), health-related quality of life (36-item Short-Form Health Survey), and functional status (Post-COVID-19 Functional Status scale). RESULTS Functional mobility (β = 0.573, P < 0.001), vastus intermedius echogenicity (β = -0.491, P = 0.001), length of stay (β = 0.349, P = 0.007), and female sex (β = 0.415, P = 0.003) influenced the Post-COVID-19 Functional Status Scale. CONCLUSIONS Functional mobility, muscle quality of the vastus intermedius, length of stay, and female sex influence the Post-COVID-19 Functional Status Scale score in this population. It is noteworthy that functional mobility is an independent predictor of Post-COVID-19 Functional Status Scale.
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Affiliation(s)
- Tamires Daros Dos Santos
- From the Programa de Pós-Graduação em Distúrbios da Comunicação Humana, Universidade Federal de Santa Maria (UFSM)-Santa Maria, Brazil (TDdS); Programa de Pós-Graduação em Distúrbios da Comunicação Humana, Universidade Federal de Santa Maria (UFSM)/Hospital Universitário de Santa Maria (HUSM)-Santa Maria, Brazil (JAS); Centro de Ensino Superior Dom Alberto-Santa Cruz do Sul, Brazil (DMC); Programa de Pós-Graduação em Distúrbios da Comunicação Humana, Hospital Universitário de Santa Maria (HUSM)-Santa Maria, Brazil (VBB); Departamento de Fisioterapia e Reabilitação, Programa de Pós-Graduação em Distúrbios da Comunicação Humana, Universidade Federal de Santa Maria (UFSM)-Santa Maria, Brazil (ASP); and Departamento de Fisioterapia e Reabilitação, Programa de Pós-Graduação em Ciências do Movimento e Reabilitação, Universidade Federal de Santa Maria (UFSM)-Santa Maria, Brazil (IMdA)
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Daros Dos Santos T, Pasqualoto AS, Cardoso DM, Da Cruz IBM, Moresco RN, Ferreira da Silveira A, Martins de Albuquerque I. Effects of multimodal exercise program on postural balance in patients with chronic obstructive pulmonary disease: study protocol for a randomized controlled trial. Trials 2023; 24:532. [PMID: 37580800 PMCID: PMC10426202 DOI: 10.1186/s13063-023-07558-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Accepted: 07/31/2023] [Indexed: 08/16/2023] Open
Abstract
BACKGROUND Evidence has shown that patients with chronic obstructive pulmonary disease present significant deficits in the control of postural balance when compared to healthy subjects. In view of this, it is pertinent to investigate the effects of different therapeutic strategies used alone or in association with pulmonary rehabilitation with the potential to improve postural balance and other outcomes with clinical significance in patients with chronic obstructive pulmonary disease. This study will investigate the effects of an 8-week (short-term) multimodal exercise program [inspiratory muscle training (IMT) plus neuromuscular electrical stimulation (NMES)] on postural balance in patients with chronic obstructive pulmonary disease enrolled in a pulmonary rehabilitation program compared to individualized addition of IMT or NMES to pulmonary rehabilitation or standard pulmonary rehabilitation. METHODS This is a randomized, single-blind, 4-parallel-group trial. Forty patients with chronic obstructive pulmonary disease will be included prospectively to this study during a pulmonary rehabilitation program. Patients will be randomly assigned to one of four groups: multimodal exercise program (IMT + NMES + pulmonary rehabilitation group) or (IMT + pulmonary rehabilitation group) or (NMES + pulmonary rehabilitation group) or standard pulmonary rehabilitation group. Patients will receive two sessions per week for 8 weeks. The primary outcome will be static postural balance and secondary outcomes will include as follows: static and dynamic postural balance, fear of falling, muscle strength and endurance (peripheral and respiratory), functional capacity, health-related quality of life, muscle architecture (quadriceps femoris and diaphragm), and laboratory biomarkers. DISCUSSION This randomized clinical trial will investigate the effects of adding of short-term multimodal exercise program, in addition to pulmonary rehabilitation program, in postural balance in patients with chronic obstructive pulmonary disease enrolled in a pulmonary rehabilitation. Furthermore, this randomized control trial will enable important directions regarding the effectiveness of short-term intervention as part of the need to expand the focus of pulmonary rehabilitation to include balance management in chronic obstructive pulmonary disease patients which will be generated. TRIAL REGISTRATION ClinicalTrials.gov NCT04387318. Registered on May 13, 2020.
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Affiliation(s)
- Tamires Daros Dos Santos
- Programa de Pós-Graduação em Distúrbios da Comunicação Humana, Universidade Federal de Santa Maria (UFSM), Avenida Roraima, 1000, Santa Maria, 97105-900, Brazil
| | - Adriane Schmidt Pasqualoto
- Programa de Pós-Graduação em Distúrbios da Comunicação Humana, Universidade Federal de Santa Maria (UFSM), Avenida Roraima, 1000, Santa Maria, 97105-900, Brazil
| | - Dannuey Machado Cardoso
- Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, 90010-150, Brazil
- Centro de Ensino Superior Dom Alberto, Santa Cruz do Sul, Brazil
| | - Ivana Beatrice Mânica Da Cruz
- Programa de Pós-Graduação em Farmacologia e Programa de Pós-Graduação em Gerontologia, Universidade Federal de Santa Maria (UFSM), Avenida Roraima, 1000, Santa Maria, 97105-900, Brazil
| | - Rafael Noal Moresco
- Programa de Pós-Graduação em Ciências Farmacêuticas, Universidade Federal de Santa Maria (UFSM), Avenida Roraima, 1000, Santa Maria, 97105-900, Brazil
| | - Aron Ferreira da Silveira
- Programa de Pós-Graduação em Distúrbios da Comunicação Humana, Universidade Federal de Santa Maria (UFSM), Avenida Roraima, 1000, Santa Maria, 97105-900, Brazil
| | - Isabella Martins de Albuquerque
- Programa de Pós-Graduação em Ciências do Movimento e Reabilitação, Universidade Federal de Santa Maria (UFSM), Avenida Roraima, 1000, Santa Maria, 97105-9000, Brazil.
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Nawa RK, Dos Santos TD, Real AA, Matheus SC, Ximenes MT, Cardoso DM, Albuquerque IM. Relationship between Perme ICU Mobility Score and length of stay in patients after cardiac surgery. Colomb Med (Cali) 2022; 53:e2005179. [PMID: 37152522 PMCID: PMC10162501 DOI: 10.25100/cm.v53i3.5179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Revised: 04/20/2022] [Accepted: 07/12/2022] [Indexed: 11/12/2022] Open
Abstract
Background:Patients undergoing cardiac surgery can experience functional impairment.
Objective:Assess the influence of Perme Score on the intensive care unit (ICU) length of stay in patients after cardiac surgery. As a secondary objective, investigate if preoperative variables can predict the patient's mobility status after surgery.
Methods:A prospective observational study was conducted in ICU of a university hospital. The mobility status (Perme Score) was collected from the first postoperative day until ICU discharge. The preoperative assessment of respiratory muscle strength, pulmonary function, and handgrip strength were collected.
Results:A total of 44 patients, mean age of 62.3 years, 28 men were included in the study. A high Perme Score on the second postoperative day among patients who underwent Coronary artery bypass grafting and the third postoperative day on three types of intervention (Coronary artery bypass grafting, valve replacement, or both simultaneously) was associated with shorter ICU length of stay). The preoperative pulmonary function was one of the main independent predictors of mobility status on the first three days of ICU stay, in addition to left ventricular ejection fraction and cardiopulmonary bypass time on the first day, age, and left ventricular ejection fraction on the second day and maximum expiratory pressure on the third day.
Conclusion:An increase in mobility status (Perme Score), mainly on the third postoperative day, reduced the ICU stay, mainly influenced by preoperative pulmonary function.
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Gonzatti N, Castagna L, Carvalho MTX, Santos TDD, Cardoso DM, Callegaro CC, Albuquerque IMD. Estimulação elétrica funcional associada ao treinamento combinado pós-CRM: ensaio clínico randomizado. Fisioter Pesqui 2021. [DOI: 10.1590/1809-2950/20031628012021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
RESUMO Os efeitos da adição da estimulação elétrica funcional (EEF) ao treinamento aeróbico e resistido (treino combinado) de curto prazo em pacientes submetidos à cirurgia de revascularização do miocárdio (CRM) ainda não foram estabelecidos. O objetivo do presente estudo é avaliar o impacto da adição da EEF ao treino combinado no fluxo arterial periférico, na capacidade funcional e na qualidade de vida de pacientes pós-CRM participantes de um programa de reabilitação cardíaca - Fase II. Trata-se de um ensaio clínico randomizado, duplo cego, composto por 17 pacientes (54,8±10,5 anos, 12 homens) randomizados ou em grupo intervenção (GI, n=8,) submetido à EEF no músculo quadríceps associada ao treino combinado, ou em grupo sham (GS, n=9), que realizou a EEF sham em associação ao treino combinado. Os desfechos avaliados foram: fluxo arterial periférico (índice tornozelo-braquial), capacidade funcional (distância percorrida no teste de caminhada de seis minutos - DTC6M) e qualidade de vida (questionário MacNew). Na comparação entre os grupos, o aumento do índice tornozelo-braquial (GI: 0,14±0,08 mmHg vs. GC: 0,05±0,04 mmHg; p=0,020) e do escore do domínio global do questionário MacNew (GI: 1,1±0,3 pontos vs. GC: 0,6±0,4 pontos; p=0,020) foi maior no GI. Entretanto, não foi observada diferença entre os grupos para a DTC6M (GI: 130,9±73,7 m vs. GS: 73,7±32,6 m; p=0,072). A adição da EEF, durante curto período, potencializou os efeitos do exercício aeróbico e resistido sobre o fluxo arterial periférico e a qualidade de vida em pacientes pós CRM em Fase II da reabilitação cardíaca.
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Cardoso DM, Gass R, Sbruzzi G, Berton DC, Knorst MM. Effect of the expiratory positive airway pressure on dynamic hyperinflation and exercise capacity in patients with COPD: a meta-analysis. Sci Rep 2020; 10:13292. [PMID: 32764718 PMCID: PMC7413366 DOI: 10.1038/s41598-020-70250-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2020] [Accepted: 07/13/2020] [Indexed: 11/09/2022] Open
Abstract
Expiratory positive airway pressure (EPAP) is widely applicable, either as a strategy for pulmonary reexpansion, elimination of pulmonary secretion or to reduce hyperinflation. However, there is no consensus in the literature about the real benefits of EPAP in reducing dynamic hyperinflation (DH) and increasing exercise tolerance in subjects with chronic obstructive pulmonary disease (COPD). To systematically review the effects of EPAP application during the submaximal stress test on DH and exercise capacity in patients with COPD. This meta-analysis was performed from a systematic search in the PubMed, EMBASE, PeDRO, and Cochrane databases, as well as a manual search. Studies that evaluated the effect of positive expiratory pressure on DH, exercise capacity, sensation of dyspnea, respiratory rate, peripheral oxygen saturation, sense of effort in lower limbs, and heart rate were included. GRADE was used to determine the quality of evidence for each outcome. Of the 2,227 localized studies, seven studies were included. The results show that EPAP did not change DH and reduced exercise tolerance in the constant load test. EPAP caused a reduction in respiratory rate after exercise (− 2.33 bpm; 95% CI: − 4.56 to − 0.10) (very low evidence) when using a pressure level of 5 cmH2O. The other outcomes analyzed were not significantly altered by the use of EPAP. Our study demonstrates that the use of EPAP does not prevent the onset of DH and may reduce lower limb exercise capacity in patients with COPD. However, larger and higher-quality studies are needed to clarify the potential benefit of EPAP in this population.
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Affiliation(s)
- Dannuey Machado Cardoso
- Centro de Ensino Superior Dom Alberto, Santa Cruz Do Sul, RS, Brazil. .,Programa de Pós-Graduação em Ciências Pneumológicas, Universidade Federal do Rio Grande do Sul-UFRGS, Porto Alegre, RS, Brazil.
| | - Ricardo Gass
- Centro de Ensino Superior Dom Alberto, Santa Cruz Do Sul, RS, Brazil.,Programa de Pós-Graduação em Ciências Pneumológicas, Universidade Federal do Rio Grande do Sul-UFRGS, Porto Alegre, RS, Brazil
| | - Graciele Sbruzzi
- Programa de Pós-Graduação em Ciências Pneumológicas, Universidade Federal do Rio Grande do Sul-UFRGS, Porto Alegre, RS, Brazil.,Programa de Pós-Graduação em Ciências do Movimento Humano, Universidade Federal do Rio Grande do Sul-UFRGS, Porto Alegre, RS, Brazil
| | - Danilo Cortozi Berton
- Programa de Pós-Graduação em Ciências Pneumológicas, Universidade Federal do Rio Grande do Sul-UFRGS, Porto Alegre, RS, Brazil.,Serviço de Pneumologia, Hospital de Clínicas de Porto Alegre-HCPA, Porto Alegre, RS, Brazil
| | - Marli Maria Knorst
- Programa de Pós-Graduação em Ciências Pneumológicas, Universidade Federal do Rio Grande do Sul-UFRGS, Porto Alegre, RS, Brazil.,Serviço de Pneumologia, Hospital de Clínicas de Porto Alegre-HCPA, Porto Alegre, RS, Brazil
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Bordin DF, Cardoso DM, Wagner LE, Beckenkamp PR, Silva ALGD, Paiva DN. Sternocleidomastoid muscle activation following inspiratory muscle training in patients with chronic obstructive pulmonary disease: a randomized clinical trial. Fisioter Pesqui 2020. [DOI: 10.1590/1809-2950/19009727022020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT This study aims to assess the effect of short-time low frequency inspiratory muscle trainer (Threshold IMT) on inspiratory muscle strength and electromyographic activity of the sternocleidomastoid (SCM) muscle in people with chronic obstructive pulmonary disease (COPD). People with COPD participating in a lung rehabilitation program were allocated to a control or inspiratory muscle training (IMT) group. The control group participated in the usual rehabilitation, whereas the other group received IMT (performed with a load of 50% maximal inspiratory pressure (MIP) adjusted weekly). Both interventions lasted for 2 months. Outcomes included electromyographic analysis of the SCM and MIP. In total, ten participants were allocated to each group. The IMT group presented an increase in absolute (p<0.001) and predicted (p<0.001) values of MIP and also in pre- and post-intervention variation between groups (p=0.003 and p=0.008, respectively). Such differences were not found in the control group. The SCM muscle activity decreased in the IMT post intragroup evaluation (p=0.008). IMT provided a reduction of the electromyographic activity of SCM in COPD patients, also increasing inspiratory muscle strength in the study participants.
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Barbosa RO, Emmanouilidis A, Da Silva ALG, Fleig TCM, Silva CB, Cardoso DM. Influence of stress factors on the vital signs of neonates under intensive care. Rev Epidemiol Control Infect 2020. [DOI: 10.17058/.v1i1.13449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Carvalho MTX, Ludke E, Cardoso DM, Paiva DN, Soares JC, Albuquerque IMD. Efeitos do exercício passivo precoce em cicloergômetro na espessura muscular do quadríceps femoral de pacientes críticos: estudo-piloto randomizado controlado. Fisioter Pesqui 2019. [DOI: 10.1590/1809-2950/17025126032019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO O objetivo deste estudo foi avaliar os efeitos do exercício passivo precoce em cicloergômetro na espessura muscular (EM) do quadríceps femoral (EMQ) de pacientes críticos admitidos em uma Unidade de Terapia Intensiva (UTI) de um hospital universitário terciário. O método utilizado foi um estudo-piloto randomizado controlado conduzido em uma amostra de 24 pacientes (51±18,11 anos, 16 do sexo masculino), com 24 a 48 horas de ventilação mecânica (VM), aleatoriamente divididos em dois grupos: grupo-controle (n=12), que recebeu a fisioterapia convencional; e grupo-intervenção (n=12), que recebeu o exercício passivo em cicloergômetro, uma vez ao dia, durante o período de sete dias do protocolo, em adição à fisioterapia convencional. A EMQ foi mensurada através da ultrassonografia. A primeira medida ultrassonográfica foi realizada entre as primeiras 48 horas de VM e a segunda ao término do protocolo. Não houve diferenças significativas na EMQ esquerda (27,29±5,86mm vs. 25,95±10,89mm; p=0,558) e direita (24,96±5,59mm vs 25,9±9,21mm; p=0,682) do grupo-controle e na EMQ esquerda (27,2±7,38mm vs 29,57±7,89mm; p=0,299) e direita (26,67±8,16mm vs 28,65±8,04mm; p=0,381) do grupo-intervenção. Na comparação entre os grupos, não houve alterações significativas em relação à EMQ esquerda (3,61±1,07mm; p=0,248) e a EMQ direita (2,75±0,85mm; p=0,738). Os resultados deste estudo-piloto demonstraram que a aplicação precoce do exercício passivo em cicloergômetro não promoveu mudanças significativas na espessura da camada muscular avaliada. No entanto, nossos achados sinalizam que a fisioterapia convencional foi capaz de preservar a EMQ de pacientes críticos admitidos em UTI.
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Dos Santos TD, Pereira SN, Portela LOC, Cardoso DM, Lago PD, Dos Santos Guarda N, Moresco RN, Pereira MB, de Albuquerque IM. Moderate-to-high intensity inspiratory muscle training improves the effects of combined training on exercise capacity in patients after coronary artery bypass graft surgery: A randomized clinical trial. Int J Cardiol 2018; 279:40-46. [PMID: 30581100 DOI: 10.1016/j.ijcard.2018.12.013] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2018] [Revised: 11/22/2018] [Accepted: 12/04/2018] [Indexed: 01/13/2023]
Abstract
BACKGROUND The effects of adding moderate-to-high intensity inspiratory muscle training (IMT) to short-term aerobic and resistance exercise (combined training [CT]), after coronary artery bypass grafting (CABG) are not established. This study aimed to determine the effects of moderate-to-high intensity IMT + CT on exercise capacity, respiratory muscle strength, inspiratory muscle endurance, quality of life (QoL), and laboratory biomarkers in patients after CABG who were participants of a phase II cardiac rehabilitation program. METHODS Twenty-four patients were randomly assigned to either the IMT + CT group (n = 12), who performed moderate-to-high intensity IMT with CT or the sham-IMT + CT group (n = 12). Patients completed two sessions per week for 12 weeks. Each patient underwent a cardiopulmonary exercise test, six-minute walk test (6MWT), respiratory muscle strength and endurance evaluation, QoL questionnaire, and serum advanced oxidation protein products, ferric reducing antioxidant power [FRAP], nitrate/nitrate, and high-sensitivity C-reactive protein, before and after the 12-week intervention. RESULTS The IMT + CT group showed significantly greater improvements in peak oxygen uptake (1.3 mL∙kg-1∙min-1; 95% confidence interval [95% CI], 0.5 to 2.2), distance covered during the 6MWT (78.8 m; 95% CI, 28.1 to 129.5), maximal inspiratory pressure (23.0 cmH2O; 95% CI, 9.3 to 36.7), QoL (-15.1 points; 95% CI, -26.9 to -3.3), and FRAP (83.7 μmol/L; 95% CI, 20.2 to 147.1) compared to the sham-IMT + CT group as a result of the intervention. CONCLUSIONS Short-term moderate-to-high intensity IMT with CT provided additional benefits in exercise capacity, inspiratory muscle strength, QoL, and antioxidant profile in patients after CABG. Trial Registration clinicaltrials.gov Identifier: NCT02885077.
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Affiliation(s)
- Tamires Daros Dos Santos
- Functional Rehabilitation Graduate Program, Department of Physiotherapy and Rehabilitation, Universidade Federal de Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil
| | - Sergio Nunes Pereira
- Cardiology Service of Hospital Universitário de Santa Maria (HUSM), Empresa Brasileira de Serviços Hospitalares (EBSERH), Santa Maria, Rio Grande do Sul, Brazil
| | - Luiz Osório Cruz Portela
- Laboratory of Performance in Simulated Environment, Department of Collective Sports, Universidade Federal de Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil
| | - Dannuey Machado Cardoso
- Pneumological Sciences Graduate Program, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil
| | - Pedro Dal Lago
- Research Group on Cardiopulmonary Interaction (GPIC), Health Sciences Graduate Program, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, Rio Grande do Sul, Brazil
| | - Naiara Dos Santos Guarda
- Laboratory of Clinical Biochemistry, Department of Clinical and Toxicological Analysis, Universidade Federal de Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil
| | - Rafael Noal Moresco
- Laboratory of Clinical Biochemistry, Department of Clinical and Toxicological Analysis, Universidade Federal de Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil
| | - Marisa Bastos Pereira
- Functional Rehabilitation Graduate Program, Department of Physiotherapy and Rehabilitation, Universidade Federal de Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil; Hospital Universitário de Santa Maria (HUSM), Empresa Brasileira de Serviços Hospitalares (EBSERH), Santa Maria, Rio Grande do Sul, Brazil
| | - Isabella Martins de Albuquerque
- Functional Rehabilitation Graduate Program, Department of Physiotherapy and Rehabilitation, Universidade Federal de Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil.
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Da Silva ALG, Goulart CDL, Schneiders PDB, San Martin EA, Gass R, Bordin DF, Niedermeyer CDC, Miranda NADF, Cardoso DM, Paiva DN. Association between respiratory variables and exercise capacity in COPD patients. Rev Epidemiol Control Infect 2018. [DOI: 10.17058/reci.v8i4.11395] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Justificativa e objetivo: A DPOC é caracterizada pela limitação progressiva do fluxo aéreo associada a uma resposta inflamatória. O objetivo do estudo foi avaliar a influência e a associação das variáveis respiratórias sobre a capacidade de exercício em portadores de DPOC. Métodos: Estudo transversal avaliou 39 portadores de DPOC para obtenção do volume expiratório forçado no primeiro segundo (VEF1) e a capacidade vital forçada (CVF). A força muscular respiratória (FMR) avaliada em seus componentes de pressão inspiratória máxima (PImax) e pressão expiratória máxima (PEmax). Capacidade de exercício avaliada pelo Teste de Caminhada de Seis Minutos (TC6m) e Incremental Shuttle Walking Test (ISWT). Resultados: O VEF1 (% 39,8±15,3) e CVF (% 60,2±17,1) se encontram reduzidos em relação ao predito classificando-os em estadiamento grau II (21%), III (51%) e IV (28%). A PImax (92,7±14,6 % predito) e PEmax (97,6±19,0 % predito) se encontram dentro dos valores previsto para os sujeitos. Evidenciada correlação moderada entre a distância percorrida no ISWT vs VEF1 (r=0,35; p=0,02) e ISWT vs CVF (r=0,42; p
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Schroeder E, Hopp MS, Wagner LE, Flores BDC, Paiva DN, Cardoso DM. Comportamento do fluxo arterial periférico em pacientes submetidos a cirurgia cardíaca: Um estudo piloto. Rev Epidemiol Control Infect 2018. [DOI: 10.17058/reci.v1i1.9380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Justificativa e objetivo: As doenças cardiovasculares (DCV) são consideradas umas das principais causas de morte em países desenvolvidos e a cirurgia de revascularização do miocárdio (CRM) se constitui em indicação precisa para a doença arterial coronariana (DAC). Sabe-se que a doença arterial periférica (DAP) está associada à presença de DAC e, dessa forma, o objetivo do estudo foi analisar o fluxo arterial periférico e a presença de claudicação intermitente (CI) em pacientes submetidos à cirurgia cardíaca (CC) com circulação extracorpórea (CEC). Métodos: Estudo transversal que avaliou a presença de CI através do Questionário de Claudicação de Edimburgo e o fluxo arterial periférico pelo Índice Tornozelo-Braquial (ITB), mensurado em membros superiores e inferiores através de esfigmomanômetro e doppler vascular portátil no período pré-operatório, pós-operatório imediato (POi) e na pré-alta de pacientes submetidos a CC. Resultados: Avaliados sete pacientes (5 homens) com idade de 55,3±10,0 anos e IMC de 28,9±5,2 Kg/m2, dos quais três apresentaram CI. O ITB aumentou significativamente no POi em relação ao pré-operatório (p=0,023). Na pré-alta, os valores apresentaram tendência de retornar aos obtidos no pré-operatório (p=0,544). Houve associação inversa e forte entre o ITB geral e CEC no POi (r=-0,866, p=0,038) e na pré-alta (r=-0,884, p=0,027). Conclusão: O fluxo arterial periférico aumentou no POi com evidência de associação inversa e forte entre o tempo de CEC e o ITB.
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Miranda NADF, Goulart CDL, Silva ABE, Cardoso DM, Paiva DN, Trimer R, da Silva ALG. Does peripheral arterial occlusive disease influence muscle strength and exercise capacity in COPD patients? J Vasc Bras 2017; 16:285-292. [PMID: 29930662 PMCID: PMC5944305 DOI: 10.1590/1677-5449.004417] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Background The pathophysiology of chronic obstructive pulmonary disease (COPD) is complex and understanding of it has been changing in recent years, with regard to its multisystemic manifestations, especially peripheral dysfunction and its influence on intolerance to exercise. Objectives To evaluate the relationship between peripheral arterial occlusive disease (PAOD) and peripheral muscle strength and exercise capacity in COPD patients. Methods We conducted a cross-sectional study of 35 patients with COPD who were evaluated with the Ankle-Brachial Index, handgrip strength test, 1 repetition maximum (1RM) of knee extensors and flexors, and distance covered in the incremental shuttle walking test (dISWT). Results COPD patients with coexisting PAOD had lower dominant handgrip strength test results (33.00 vs. 26.66 kgf, p = 0.02) and worse performance in the dISWT (297.32 vs. 219.41 m, p = 0.02) when compared to the COPD patients without PAOD. Strong correlations were found between the result of the handgrip strength test and both the dISWT (r = 0.78; p < 0.001) and the 1RM/knee extension (r = 0.71; p = 0.03); and also between the dISWT and both the 1RM/knee extension (r = 0.72; p = 0.02) and the 1RM/knee flexion (r = 0.92; p < 0.001). The linear regression model showed that the dISWT variable alone explains 15.3% of the Ankle-Brachial Index result (p = 0.01). Conclusion COPD patients with PAOD exhibit reduced muscle strength and lower exercise capacity than COPD patients without PAOD.
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Affiliation(s)
| | | | | | | | | | - Renata Trimer
- Universidade Federal de São Carlos - UFSCar, São Carlos, SP, Brazil
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Corrêa B, Cardoso DM. Functional capacity and mental state of patients undergoing cardiac surgery. Fisioter mov 2017. [DOI: 10.1590/1980-5918.030.004.ao16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Introduction: Cardiovascular diseases are a serious public health problem in Brazil. Myocardial revascularization surgery (MRS) as well as cardiac valve replacement and repair are procedures indicated to treat them. Thus, extracorporeal circulation (ECC) is still widely used in these surgeries, in which patients with long ECC times may have greater neurological deficits. Neurological damage resulting from MRS can have devastating consequences such as loss of independence and worsening of quality of life. Objective: To assess the effect of cardiac surgery on a patient’s mental state and functional capacity in both the pre- and postoperative periods. Methods: We conducted a cross-sectional study with convenience sampling of subjects undergoing MRS and valve replacement. Participants were administered the Mini-Mental State Exam (MMSE) and the Duke Activity Status Index (DASI) in the pre- and postoperative periods, as well as before their hospital discharge. Results: This study assessed nine patients (eight males) aged 62.4 ± 6.3 years with a BMI of 29.5 ± 2.3 kg/m2. There was a significant decrease in DASI scores and VO2 from preoperative to postoperative status (p = 0.003 and p = 0.003, respectively). Conclusion: This study revealed a loss of cognitive and exercise capacity after cardiac surgery. A larger sample however is needed to consolidate these findings.
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Saldanha M, Hopp MS, Wagner LE, Flores BDC, Pinto KP, Fischer NC, Reuter ÉM, Cardoso DM, Paiva DN. Análise comparativa da força muscular respiratória, força de preensão palmar e capacidade funcional entre puérperas de parto cesárea e em nuligestas. Cinergis 2017. [DOI: 10.17058/cinergis.v18i0.11170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objetivo: Comparar a força de preensão palmar (FPP), força muscular respiratória (FMR) e capacidade funcional (CF) entre puérperas de parto cesárea e nuligestas. Método: Estudo transversal quantitativo que avaliou mulheres com idade entre 16 e 35 anos admitidas na maternidade do Hospital Santa Cruz, Santa Cruz do Sul - RS para parto cesárea (Grupo Puérpera – GP) e nuligestas hígidas (Grupo Controle – GC). Após avaliação das características antropométricas foram aferidas a FPP por meio de dinamometria hidráulica manual e a FMR (Pressão Inspiratória Máxima - PImax e Pressão Expiratória Máxima - PEmax) por meio de manovacuometria digital. A CF foi avaliada através da escala Basic Activities of Daily Living (BADL). Resultados: Avaliadas 30 mulheres (GC: n = 15 e GP: n = 15) com média de idade de 23,80 ± 4,61 anos e índice de massa corpórea (IMC) de 23,94 ± 4,91 kg/m2. Houve redução da PImax (p
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Machado ADS, Pires-Neto RC, Carvalho MTX, Soares JC, Cardoso DM, Albuquerque IMD. Effects that passive cycling exercise have on muscle strength, duration of mechanical ventilation, and length of hospital stay in critically ill patients: a randomized clinical trial. J Bras Pneumol 2017; 43:134-139. [PMID: 28538781 PMCID: PMC5474377 DOI: 10.1590/s1806-37562016000000170] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2016] [Accepted: 11/18/2016] [Indexed: 11/21/2022] Open
Abstract
Objective To evaluate the effects that passive cycling exercise, in combination with conventional physical therapy, have on peripheral muscle strength, duration of mechanical ventilation, and length of hospital stay in critically ill patients admitted to the ICU of a tertiary care university hospital. Methods This was a randomized clinical trial involving 38 patients (≥ 18 years of age) on mechanical ventilation who were randomly divided into two groups: control (n = 16), receiving conventional physical therapy; and intervention (n = 22), receiving conventional physical therapy and engaging in passive cycling exercise five days per week. The mean age of the patients was 46.42 ± 16.25 years, and 23 were male. The outcomes studied were peripheral muscle strength, as measured by the Medical Research Council scale, duration of mechanical ventilation, and length of hospital stay. Results There was a significant increase in peripheral muscle strength (baseline vs. final) in both groups (control: 40.81 ± 7.68 vs. 45.00 ± 6.89; and intervention: 38.73 ± 11.11 vs. 47.18 ± 8.75; p < 0.001 for both). However, the range of increase in strength was higher in the intervention group than in the control group (8.45 ± 5.20 vs. 4.18 ± 2.63; p = 0.005). There were no significant differences between the groups in terms of duration of mechanical ventilation or length of hospital stay. Conclusions The results suggest that the performance of continuous passive mobilization on a cyclical basis helps to recover peripheral muscle strength in ICU patients. (ClinicalTrials.gov Identifier: NCT01769846 [http://www.clinicaltrials.gov/]).
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Affiliation(s)
- Aline Dos Santos Machado
- . Curso de Especialização em Reabilitação Físico-Motora, Programa de Pós-Graduação em Gerontologia, Universidade Federal de Santa Maria - UFSM - Santa Maria (RS) Brasil
| | - Ruy Camargo Pires-Neto
- . Programa de Pós-Graduação em Ciências da Reabilitação, Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil
| | - Maurício Tatsch Ximenes Carvalho
- . Programa de Pós-Graduação em Reabilitação Funcional, Departamento de Fisioterapia e Reabilitação, Universidade Federal de Santa Maria - UFSM - Santa Maria (RS) Brasil
| | - Janice Cristina Soares
- . Unidade de Terapia Intensiva Adulto, Hospital Universitário de Santa Maria, Universidade Federal de Santa Maria - UFSM - Santa Maria (RS) Brasil.,. Universidade Luterana do Brasil - ULBRA -Santa Maria (RS) Brasil
| | - Dannuey Machado Cardoso
- . Programa de Pós-Graduação em Ciências Pneumológicas, Universidade Federal do Rio Grande do Sul - UFRGS - Porto Alegre (RS) Brasil
| | - Isabella Martins de Albuquerque
- . Programa de Pós-Graduação em Reabilitação Funcional, Departamento de Fisioterapia e Reabilitação, Universidade Federal de Santa Maria - UFSM - Santa Maria (RS) Brasil
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Wietzke M, Hopp MS, Wagner LE, Fagundes JGDS, Cardoso DM, Paiva DN. Comparação das atividades básicas de vida diária entre idosos hospitalizados e hígidos da região sul do Brasil. Cinergis 2017. [DOI: 10.17058/cinergis.v18i4.9415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objetivo: comparar as atividades básicas de vida diária (ABVDs), entre idosos hospitalizados e hígidos. Método: estudo transversal que avaliou 51 idosos de ambos os sexos hospitalizados, sob condição não cirúrgica (Grupo Hospitalizado – GH, n= 16) e idosos hígidos (Grupo Controle – GC, n= 35), no período de março a junho de 2013. As ABVDs foram avaliadas através do questionário Basic Activities of Daily Living (BADL), que mensura o nível de independência em seis atividades básicas de vida diária. Comparação entre grupos quanto às características antropométricas avaliadas através do teste t Student, independente ou o teste U de Mann-Whitney. Proporções das variáveis categóricas comparadas pelo teste de Qui-quadrado (p
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Meinhardt MY, Fagundes JGDS, Fischer NC, Silva BSD, Pinto KP, Paiva DN, Cardoso DM. EFEITO DA VENTILAÇÃO NÃO-INVASIVA SOBRE A DEMANDA MIOCÁRDICA NO PÓS-OPERATÓRIO DE CIRURGIA CARDÍACA. SaudPesq 2017. [DOI: 10.17765/1983-1870.2017v10n2p301-308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
O objetivo deste estudo foi avaliar os efeitos da ventilação não invasiva (VNI) por pressão positiva contínua nas vias aéreas (Continuos Positive Airway Pressure - CPAP) e por pressão positiva em dois níveis (Bilevel Positive Airway Pressure - BiPAP) sobre a demanda miocárdica no pós-operatório (PO) de revascularização miocárdica (RVM) e troca valvar. Analisa-se um estudo cross-over que submeteu pacientes de ambos os sexos (50 a 80 anos) à CPAP (9 cmH20) e BiPAP (IPAP de 12 cmH2O e EPAP de 6 cmH2O) por 20 minutos com posterior avaliação do duplo produto (DP). Foi feito o registro da frequência cardíaca (FC) e da pressão arterial sistólica (PAS) no 1º, 10º e 20º minuto da VNI comparado através do ANOVA two-way e seguido pelo post hoc de Bonferroni. O teste t Student comparou a diferença entre os grupos (p
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Wagner CS, Assmann G, Gass R, Hopp MS, Cardoso GG, Cardoso DM, Paiva DN. ANÁLISE COMPARATIVA DA FORÇA MUSCULAR RESPIRATÓRIA DE PRIMIGESTAS NO PUERPÉRIO IMEDIATO DE PARTO NORMAL E DE NULIGESTAS. SaudPesq 2017. [DOI: 10.17765/1983-1870.2017v10n2p325-330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Este artigo visa analisar a força muscular respiratória (FMR) de puérperas primíparas de parto normal e nulíparas. Trata-se de estudo do tipo caso-controle que avaliou 59 mulheres alocadas no grupo puérperas (GP) (primigestas, n=29) e no grupo controle (GC) (nuligestas, n=30). Foram avaliadas características antropométricas e FMR (PImax e PEmax) por meio da manovacuometria digital. O teste t Student comparou dados antropométricos e da FMR entre os grupos. A correlação de Pearson (p
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Silva ALGD, Garmatz E, Goulart CDL, Carvalho LL, Cardoso DM, Paiva DN. Handgrip and functional capacity in Chronic Obstructive Pulmonary Disease patients. Fisioter mov 2017. [DOI: 10.1590/1980-5918.030.003.ao08] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract Introduction: In the Chronic Obstructive Pulmonary Disease (COPD) both pulmonary and systemic condition increase dyspnea, intolerance to exercise and inactivity. Objective: To evaluate possible association between Hand Grip Strength (HGS) and the distance covered in the Six-Minute Walk Test (6MWT) in patients with Chronic Obstructive Pulmonary Disease (COPD). Methods: A cross-sectional study that evaluated 34 patients with COPD from moderate to very severe stages. The HGS test was performed with a manual hydraulic dynamometer (Jamar®, California, USA) with three bilateral measures, allowing 60-seconds rest time in-between measurements. Afterwards, the patients were submitted to the 6MWT along a 30-meters level corridor following the rules of the American Thoracic Society. Results: Average age 62.7±7.2 years old, body mass index 26.7±6.9 Kg/m². The value of the HGS in the dominant hand was 28.0±8.7 Kgf and in the non-dominant hand was 26.7±7.7 Kgf (99.2% of the predicted value and 106.3% of the predicted value, respectively). The subjects covered in average 421.0±110.4 meters in the 6MWT and there has been detected direct and significant correlation between the distance covered and the HGS of the dominant hand (r=0,430; p=0,011) and non-dominant (r=0,502; p=0,002). The patients with COPD that presented lower HGS also covered less distance in the 6MWT. Conclusion: The hand grip strength was directly associated with the functional capacity assessed through the distance covered in the Six-Minute Walk Test in the evaluated trial.
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Affiliation(s)
| | | | | | | | - Dannuey Machado Cardoso
- Universidade de Santa Cruz do Sul, Brazil; Universidade Federal do Rio Grande do Sul, Brazil
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da Silva ALG, Karnopp TE, Weber AF, Goulart CDL, Scheneiders PDB, Cardoso DM, Carvalho LL, Ellwanger JH, Possuelo LG, Valim ARDM. DNA damage and repair capacity in lymphocyte of chronic obstructive pulmonary diseases patients during physical exercise with oxygen supplementation. Multidiscip Respir Med 2016; 11:43. [PMID: 28018592 PMCID: PMC5160001 DOI: 10.1186/s40248-016-0079-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2016] [Accepted: 11/22/2016] [Indexed: 01/13/2023] Open
Abstract
BACKGROUND We hypothesized that the use of oxygen supplementation during aerobic exercise induces less DNA damage than exercise alone. The aim of this study is to assess the level of DNA damage induced by physical exercise with and without oxygen supplementation in chronic obstructive pulmonary diseases (COPD) patients. METHODS Peripheral blood was collected before and after aerobic exercise in two conditions: (I) aerobic exercise without oxygen supplementation (AE group) and (II) with oxygen supplementation (AE-O2 group). Lymphocytes were collected to perform the alkaline version of the Comet Assay. To assess the susceptibility to exogenous DNA damage, the lymphocytes were treated with methyl methanesulphonate (MMS) for 1-h or 3-h. After 3-h treatment, the percentage of residual damage was calculated assuming the value of 1-h MMS treatment as 100%. RESULTS AE group showed lower induced damage (1 h of MMS treatment) and consequently less DNA repair compared to AE-O2 group. AE-O2 group showed an increase in the induced DNA damage (1 h of MMS treatment) and an increased DNA repair capacity. Within the AE-O2 group, in the post-exercise situation the induced DNA damage after 1 h of MMS treatment was higher (p = 0.01) than in the pre-exercise. CONCLUSION COPD patients who performed physical exercise associated with oxygen supplementation had a better response to DNA damage induced by MMS and a better DNA repair when compared to the condition of physical exercise without oxygen supplementation. TRIAL REGISTRATION UNISC N374.298. Registered 04 JUN 2013 (retrospectively registered).
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Affiliation(s)
- Andréa Lúcia Gonçalves da Silva
- Departamento de Educação Física e Saúde, Universidade de Santa Cruz do Sul – UNISC, Avenida Independência, 2293, Bairro Universitário, Santa Cruz do Sul, RS CEP 96815-900 Brazil
- Hospital Santa Cruz, Santa Cruz do Sul, RS Brazil
| | - Thaís Evelyn Karnopp
- Departamento de Biologia e Farmácia, Universidade de Santa Cruz do Sul – UNISC, Santa Cruz do Sul, RS Brazil
| | - Augusto Ferreira Weber
- Departamento de Biologia e Farmácia, Universidade de Santa Cruz do Sul – UNISC, Santa Cruz do Sul, RS Brazil
| | - Cassia da Luz Goulart
- Departamento de Educação Física e Saúde, Universidade de Santa Cruz do Sul – UNISC, Avenida Independência, 2293, Bairro Universitário, Santa Cruz do Sul, RS CEP 96815-900 Brazil
| | - Paloma de Borba Scheneiders
- Departamento de Educação Física e Saúde, Universidade de Santa Cruz do Sul – UNISC, Avenida Independência, 2293, Bairro Universitário, Santa Cruz do Sul, RS CEP 96815-900 Brazil
| | - Dannuey Machado Cardoso
- Departamento de Educação Física e Saúde, Universidade de Santa Cruz do Sul – UNISC, Avenida Independência, 2293, Bairro Universitário, Santa Cruz do Sul, RS CEP 96815-900 Brazil
| | - Lisiane Lisboa Carvalho
- Departamento de Educação Física e Saúde, Universidade de Santa Cruz do Sul – UNISC, Avenida Independência, 2293, Bairro Universitário, Santa Cruz do Sul, RS CEP 96815-900 Brazil
- Hospital Santa Cruz, Santa Cruz do Sul, RS Brazil
| | - Joel Henrique Ellwanger
- Programa de Pós-Graduação em Genética e Biologia Molecular, Departamento de Genética, Universidade Federal do Rio Grande do Sul - UFRGS, Porto Alegre, RS Brazil
| | - Lia Gonçalves Possuelo
- Departamento de Biologia e Farmácia, Universidade de Santa Cruz do Sul – UNISC, Santa Cruz do Sul, RS Brazil
- Programa de Pós-Graduação em Promoção da Saúde, Universidade de Santa Cruz do Sul – UNISC, Santa Cruz do Sul, RS Brazil
| | - Andréia Rosane de Moura Valim
- Departamento de Biologia e Farmácia, Universidade de Santa Cruz do Sul – UNISC, Santa Cruz do Sul, RS Brazil
- Programa de Pós-Graduação em Promoção da Saúde, Universidade de Santa Cruz do Sul – UNISC, Santa Cruz do Sul, RS Brazil
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Gonçalves da Silva AL, Karnopp TE, Ferreira Weber A, Goulart CDL, Scheneiders PDB, Cardoso DM, Carvalho LL, Ellwanger JH, Possuelo LG, Rosane de Moura Valim A. DNA damage and repair capacity in lymphocyte of chronic obstructive pulmonary diseases patients during physical exercise with oxygen supplementation. Multidiscip Respir Med 2016. [DOI: 10.4081/mrm.2016.349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Background: We hypothesized that the use of oxygen supplementation during aerobic exercise induces less DNA damage than exercise alone. The aim of this study is to assess the level of DNA damage induced by physical exercise with and without oxygen supplementation in chronic obstructive pulmonary diseases (COPD) patients. Methods: Peripheral blood was collected before and after aerobic exercise in two conditions: (I) aerobic exercise without oxygen supplementation (AE group) and (II) with oxygen supplementation (AE-O2 group). Lymphocytes were collected to perform the alkaline version of the Comet Assay. To assess the susceptibility to exogenous DNA damage, the lymphocytes were treated with methyl methanesulphonate (MMS) for 1-h or 3-h. After 3-h treatment, the percentage of residual damage was calculated assuming the value of 1-h MMS treatment as 100%. Results: AE group showed lower induced damage (1 h of MMS treatment) and consequently less DNA repair compared to AE-O2 group. AE-O2 group showed an increase in the induced DNA damage (1 h of MMS treatment) and an increased DNA repair capacity. Within the AE-O2 group, in the post-exercise situation the induced DNA damage after 1 h of MMS treatment was higher (p = 0.01) than in the pre-exercise. Conclusion: COPD patients who performed physical exercise associated with oxygen supplementation had a better response to DNA damage induced by MMS and a better DNA repair when compared to the condition of physical exercise without oxygen supplementation.Trial registration: UNISC N374.298. Registered 04 JUN 2013 (retrospectively registered).
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Albuquerque IMD, Cardoso DM, Masiero PR, Paiva DN, Resqueti VR, Fregonezi GADF, Menna-Barreto SS. Effects of positive expiratory pressure on pulmonary clearance of aerosolized technetium-99m-labeled diethylenetriaminepentaacetic acid in healthy individuals. J Bras Pneumol 2016; 42:404-408. [DOI: 10.1590/s1806-37562015000000320] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2015] [Accepted: 04/19/2016] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: To evaluate the effects of positive expiratory pressure (PEP) on pulmonary epithelial membrane permeability in healthy subjects. Methods: We evaluated a cohort of 30 healthy subjects (15 males and 15 females) with a mean age of 28.3 ± 5.4 years, a mean FEV1/FVC ratio of 0.89 ± 0.14, and a mean FEV1 of 98.5 ± 13.1% of predicted. Subjects underwent technetium-99m-labeled diethylenetriaminepentaacetic acid (99mTc-DTPA) radioaerosol inhalation lung scintigraphy in two stages: during spontaneous breathing; and while breathing through a PEP mask at one of three PEP levels-10 cmH2O (n = 10), 15 cmH2O (n = 10), and 20 cmH2O (n = 10). The 99mTc-DTPA was nebulized for 3 min, and its clearance was recorded by scintigraphy over a 30-min period during spontaneous breathing and over a 30-min period during breathing through a PEP mask. Results: The pulmonary clearance of 99mTc-DTPA was significantly shorter when PEP was applied-at 10 cmH2O (p = 0.044), 15 cmH2O (p = 0.044), and 20 cmH2O (p = 0.004)-in comparison with that observed during spontaneous breathing. Conclusions: Our findings indicate that PEP, at the levels tested, is able to induce an increase in pulmonary epithelial membrane permeability and lung volume in healthy subjects.
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Mahle D, Borges T, Hopp MS, Wagner LE, Flores BDC, Paiva DN, Cardoso DM. Comparação do efeito agudo do exercício com a eletroestimulação funcional sobre o fluxo arterial periférico de indíviduos hipertensos e diabéticos: um estudo piloto. Cinergis 2016. [DOI: 10.17058/cinergis.v17i4.8055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objetivo: comparar o efeito agudo da eletroestimulação funcional (FES) e do exercício de plati/dorsi flexão de tornozelo sobre o fluxo arterial periférico de indivíduos com Hipertensão Arterial Sistêmica (HAS) e Diabetes Mellitus (DM) tipo II. Método: estudo crossover composto por portadores de HAS e DM controlada, de ambos os sexos e com idade entre 45 a 70 anos. Avaliado o Índice Tornozelo-Braquial (ITB) em membros superiores e inferiores através de esfigmomanômetro e doppler vascular portátil, sendo avaliada a presença de claudicação intermitente (CI), através do Questionário de Edimburgo em repouso. Após, a amostra foi randomizada para receber a aplicação da FES (situação intervenção) ou realizar exercício de planti/dorsiflexão de tornozelo (situação controle) com aferição posterior do ITB, sendo conferida pausa entre intervenções (washout) de 10 a 20 segundos. Resultados: amostra composta por 10 participantes (5 homens, média de idade de 61,6 ± 8,1 anos e IMC de 29,7 ± 3,7 Kg/m2), sendo dois com ITB indicativo de doença arterial periférica (DAP) (
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Heemann Vione C, Wagner LE, Schulz Benelli TE, Silveira Hopp M, Machado Cardoso D, Nunes Paiva D, Martins de Albuquerque I. Avaliação da função pulmonar em pacientes com câncer submetidos à quimioterapia. Rev Epidemiol Control Infect 2016. [DOI: 10.17058/reci.v1i1.7970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Justificativa e Objetivo: Alguns agentes neoplásicos usados no tratamento do câncer (CA) causam toxicidade pulmonar e outros importantes efeitos adversos, dessa forma, o presente estudo objetivou avaliar a presença de distúrbio ventilatório obstrutivo (DVO), distúrbio ventilatório restritivo (DVR) ou misto em pacientes com diagnóstico de câncer submetidos a tratamento quimioterápico. Métodos: Trata-se de estudo transversal descritivo que avaliou pacientes com diagnóstico de câncer e submetidos à quimioterapia utilizando os fármacos Doxorrubicina, Bleomicina, Vimblastina, Dacarbazina, Ciclofosfamida, Fluoruracila e Vincristina, sendo excluídos aqueles com diagnóstico de CA de pulmão. Realizado teste de função pulmonar através de análise espirométrica (EasyOne®, Switzerland) em pacientes que iniciaram tratamento quimioterápico há mais de 30 dias, tendo sido avaliadas a Capacidade Vital Forçada (CVF), o Volume Expiratório Forçado no primeiro segundo da CVF (VEF1), o Fluxo Expiratório Forçado entre 25-75% da CVF (FEF25 75%) e a Relação VEF1/CVFantes da sessão quimioterápica. Resultados: Amostra (n=18) composta por portadores de CA com média de idade de 49,28±9,90 anos e 26,49±5,67 Kg/m2 onde 44,4% apresentou padrão espirométrico normal, 27,8%apresentou DVO, 16,7% apresentou DVR e 11,1% apresentou distúrbio ventilatório misto. Conclusão: A quimioterapia resultou em distúrbio pulmonar obstrutivo, restritivo e misto nos portadores de leucemia, câncer de mama e Linfoma de Hodgkin não específico avaliados.
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Emmanouilidis A, Goulart CDL, Bordin DF, Miranda NADF, Cardoso DM, Silva ALGD, Paiva DN. Força de Preensão Palmar e dispneia em pacientes portadores de Doença Pulmonar Obstrutiva Crônica. Cinergis 2016. [DOI: 10.17058/cinergis.v17i3.7841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objetivo: avaliar a associação entre a disfunção muscular periférica de membros superiores e o nível de dispneia em portadores de Doença Pulmonar Obstrutiva Crônica (DPOC). Método: estudo transversal realizado com portadores de DPOC com estadiamento entre II e IV. A Força de Preensão Palmar (FPP) foi avaliada através de dinamômetro hidráulico. A dispneia foi mensurada pela escala Medical Research Council (MRC). Para análise estatística foi utilizado o Teste t Student e o teste ANOVA One-way (p
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de Albuquerque IM, Cardoso DM, Masiero PR, Paiva DN, Resqueti VR, Fregonezi GADF, Menna-Barreto SS. Effects of positive expiratory pressure on pulmonary clearance of aerosolized technetium-99m-labeled diethylenetriaminepentaacetic acid in healthy individuals. J Bras Pneumol 2016. [PMID: 28117469 PMCID: PMC5344088 DOI: 10.1590/s1806-37562016000000320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVE: To evaluate the effects of positive expiratory pressure (PEP) on pulmonary epithelial membrane permeability in healthy subjects. METHODS: We evaluated a cohort of 30 healthy subjects (15 males and 15 females) with a mean age of 28.3 ± 5.4 years, a mean FEV1/FVC ratio of 0.89 ± 0.14, and a mean FEV1 of 98.5 ± 13.1% of predicted. Subjects underwent technetium-99m-labeled diethylenetriaminepentaacetic acid (99mTc-DTPA) radioaerosol inhalation lung scintigraphy in two stages: during spontaneous breathing; and while breathing through a PEP mask at one of three PEP levels-10 cmH2O (n = 10), 15 cmH2O (n = 10), and 20 cmH2O (n = 10). The 99mTc-DTPA was nebulized for 3 min, and its clearance was recorded by scintigraphy over a 30-min period during spontaneous breathing and over a 30-min period during breathing through a PEP mask. RESULTS: The pulmonary clearance of 99mTc-DTPA was significantly shorter when PEP was applied-at 10 cmH2O (p = 0.044), 15 cmH2O (p = 0.044), and 20 cmH2O (p = 0.004)-in comparison with that observed during spontaneous breathing. CONCLUSIONS: Our findings indicate that PEP, at the levels tested, is able to induce an increase in pulmonary epithelial membrane permeability and lung volume in healthy subjects. OBJETIVO: Avaliar os efeitos da pressão expiratória positiva (PEP) na permeabilidade da membrana epitelial pulmonar em indivíduos saudáveis. MÉTODOS: Foi avaliada uma coorte de 30 indivíduos saudáveis (15 homens e 15 mulheres), com média de idade de 28,3 ± 5,4 anos, média da relação VEF1/CVF de 0,89 ± 0,14 e média de VEF1 de 98,5 ± 13,1% do previsto. Os indivíduos foram submetidos a cintilografia pulmonar por inalação de radioaerossol de ácido dietilenotriaminopentacético marcado com tecnécio-99m (99mTc-DTPA em inglês) em dois estágios: durante respiração espontânea e durante respiração com uma máscara de PEP de 10 cmH2O (n = 10), 15 cmH2O (n = 10) ou 20 cmH2O (n = 10). O 99mTc-DTPA foi nebulizado por 3 min, e sua depuração foi registrada por cintilografia por um período de 30 min durante respiração espontânea e por um período de 30 min durante a respiração com uma máscara de PEP. RESULTADOS: A depuração pulmonar do 99mTc-DTPA foi significativamente menor quando PEP foi aplicada a 10 cmH2O (p = 0,044), 15 cmH2O (p = 0,044) e 20 cmH2O (p = 0,004), em comparação com a observada durante a respiração espontânea. CONCLUSÕES: Nossos achados indicam que o uso de PEP nos níveis testados pode induzir um aumento na permeabilidade da membrana epitelial pulmonar e no volume pulmonar em indivíduos saudáveis.
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Affiliation(s)
- Isabella Martins de Albuquerque
- . Departamento de Fisioterapia e Reabilitação, Programa de Pós-Graduação em Reabilitação Funcional, Universidade Federal de Santa Maria, Santa Maria (RS) Brasil
| | - Dannuey Machado Cardoso
- . Departamento de Educação Física e Saúde, Universidade de Santa Cruz do Sul, Santa Cruz do Sul (RS) Brasil
| | - Paulo Ricardo Masiero
- . Serviço de Medicina Nuclear, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre (RS) Brasil
| | - Dulciane Nunes Paiva
- . Programa de Pós-Graduação em Promoção da Saúde, Departamento de Educação Física e Saúde, Universidade de Santa Cruz do Sul, Santa Cruz do Sul (RS) Brasil
| | - Vanessa Regiane Resqueti
- . Departamento de Fisioterapia, Laboratório de Desempenho Pneumocardiovascular e Músculos Respiratórios, Universidade Federal do Rio Grande do Norte, Natal (RN) Brasil
| | - Guilherme Augusto de Freitas Fregonezi
- . Departamento de Fisioterapia, Laboratório de Desempenho Pneumocardiovascular e Músculos Respiratórios, Universidade Federal do Rio Grande do Norte, Natal (RN) Brasil
| | - Sérgio Saldanha Menna-Barreto
- . Serviço de Pneumologia, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre (RS) Brasil
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Bordin DF, Gass R, Goulart CDL, Cardoso DM, Carvalho LL, Da Silva ALG, Paiva DN. CORRELAÇÃO ENTRE OBSTRUÇÃO ARTERIAL PERIFÉRICA E OBSTRUÇÃO DE VIAS AÉREAS EM PORTADORES DE DPOC NÃO REABILITADOS. RJP 2015. [DOI: 10.17058/rjp.v5i3.5692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Miranda NADF, Bordin DF, Niedermeyer CDC, Kniphoff GJ, Adolfo JR, Paiva DN, Cardoso DM, Da Silva ALG. INDEPENDÊNCIA FUNCIONAL E TOLERÂNCIA AO EXERCÍCIO FÍSICO EM PORTADORES DE DPOC. RJP 2015. [DOI: 10.17058/rjp.v5i2.5684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Silveira JF, De Lima KB, Goulart CDL, Adolfo JR, Cardoso DM, Da Silva ACF, Paiva DN. AVALIAÇÃO DA CAPACIDADE FUNCIONAL, FORÇA MUSCULAR E FUNÇÃO PULMONAR DE PACIENTES AMPUTADOS E PROTETIZADOS AO NÍVEL TRANSFEMURAL: ESTUDO PILOTO. Cinergis 2015. [DOI: 10.17058/cinergis.v16i1.4800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Hermes BM, Cardoso DM, Gomes TJN, dos Santos TD, Vicente MS, Pereira SN, Barbosa VA, de Albuquerque IM. Short-term inspiratory muscle training potentiates the benefits of aerobic and resistance training in patients undergoing CABG in phase II cardiac rehabilitation program. Braz J Cardiovasc Surg 2015; 30:474-81. [PMID: 27163422 PMCID: PMC4614931 DOI: 10.5935/1678-9741.20150043] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2015] [Accepted: 06/21/2015] [Indexed: 12/13/2022] Open
Abstract
OBJECTIVE To investigate the efficiency of short-term inspiratory muscle training program associated with combined aerobic and resistance exercise on respiratory muscle strength, functional capacity and quality of life in patients who underwent coronary artery bypass and are in the phase II cardiac rehabilitation program. METHODS A prospective, quasi-experimental study with 24 patients who underwent coronary artery bypass and were randomly assigned to two groups in the Phase II cardiac rehabilitation program: inspiratory muscle training program associated with combined training (aerobic and resistance) group (GCR + IMT, n=12) and combined training with respiratory exercises group (GCR, n=12), over a period of 12 weeks, with two sessions per week. Before and after intervention, the following measurements were obtained: maximal inspiratory and expiratory pressures (PImax and PEmax), peak oxygen consumption (peak VO2) and quality of life scores. Data were compared between pre- and post-intervention at baseline and the variation between the pre- and post-phase II cardiac rehabilitation program using the Student's t-test, except the categorical variables, which were compared using the Chi-square test. Values of P<0.05 were considered statistically significant. RESULTS Compared to GCR, the GCR + IMT group showed larger increments in PImax (P<0.001), PEmax (P<0.001), peak VO2 (P<0.001) and quality of life scores (P<0.001). CONCLUSION The present study demonstrated that the addition of inspiratory muscle training, even when applied for a short period, may potentiate the effects of combined aerobic and resistance training, becoming a simple and inexpensive strategy for patients who underwent coronary artery bypass and are in phase II cardiac rehabilitation.
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Affiliation(s)
| | - Dannuey Machado Cardoso
- Department of Physiotherapy. Universidade de Santa Cruz
do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
| | - Tiago José Nardi Gomes
- Department of Physiotherapy. Centro Universitário
Franciscano (UNIFRA), Santa Maria, RS, Brazil
| | | | | | - Sérgio Nunes Pereira
- Cardiac Rehabilitation Program. Hospital Universitário
de Santa Maria (HUSM), Santa Maria, RF, Brazil and Universidade Federal de Santa
Maria (UFSM), Santa Maria, RS, Brazil
| | - Viviane Acunha Barbosa
- Department of Physiotherapy and Rehabilitation.
Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brazil
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Nardi Gomes TJ, Martins de Albuquerque I, de Moraes Costa P, Cardoso DM, de Moraes Costa G, da Costa Vieira JL. Association between the ankle-brachial index, intermittent claudication, and physical activity level: what is the influence on the functional capacity of patients with or at high risk of cardiovascular disease? Int J Gen Med 2015; 8:55-62. [PMID: 25670912 PMCID: PMC4315558 DOI: 10.2147/ijgm.s76446] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Background Patients with or at high risk of cardiovascular disease have a poor functional capacity; however, the influence of association among intermittent claudication (IC), abnormal ankle–brachial index (ABI), and physical activity level on functional capacity of these patients has not been fully studied. Objective The primary objective of this study was to investigate the association between the ABI, IC, and physical activity level, and the influence of these variables on the functional capacity of patients with or at high risk of cardiovascular disease seen in a reference cardiology outpatient clinic in Southern Brazil. The secondary objective was to assess the prevalence of peripheral arterial disease (PAD) in this sample of patients. Patients and methods This was a prospective cross-sectional study in which 162 consecutive patients were evaluated and classified into three groups according to their ABI: normal ABI (n=104, values between 1.00 and 1.40); borderline PAD (n=23, values between 0.91 and 1.00); and patients with PAD (n=35, ≤0.90). The presence of IC was assessed using the Edinburgh Claudication Questionnaire. The level of physical activity was assessed by the short version of the International Physical Activity Questionnaire (IPAQ) and functional capacity was assessed by the 6-minute walk distance (6MWD). Results The prevalence of PAD was 21.6% in the total sample. The 6MWD showed strong correlation with the absence of IC (r=0.785; P<0.001), moderate correlation with age (r=−0.347; P<0.001), and weak correlations with IPAQ scores (r=0.164; P=0.038) and ABI (r=0.216; P=0.006). Age, ABI, and absence of IC were independently associated with the outcome (P=0.001, P=0.001, and P=0.028, respectively). Conclusion The current study demonstrates that 6MWD is associated with IPAQ scores, ABI, and absence of IC. Age, ABI and absence of IC were independently associated with functional capacity in patients with or at high risk of cardiovascular disease.
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Affiliation(s)
- Tiago José Nardi Gomes
- Department of Physiotherapy, UNIFRA, Centro Universitário Franciscano, Santa Maria, RS, Brazil
| | | | | | - Dannuey Machado Cardoso
- Department of Physiotherapy, Universidade de Santa Cruz do Sul, Santa Cruz do Sul, RS, Brazil
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Paiva DN, Assmann LB, Bordin DF, Gass R, Jost RT, Bernardo-Filho M, França RA, Cardoso DM. Inspiratory muscle training with threshold or incentive spirometry: Which is the most effective? Rev Port Pneumol (2006) 2015; 21:76-81. [PMID: 25926370 DOI: 10.1016/j.rppnen.2014.05.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2014] [Accepted: 05/24/2014] [Indexed: 10/24/2022] Open
Abstract
Inspiratory muscular training (IMT) increases the respiratory muscle strength, however, there is no data demonstrating its superiority over the incentive spirometry (IS) in doing so. Values of muscle strength after IMT (Threshold IMT(®)) and by the IS (Voldyne(®)) in healthy females was compared. Subjects (n=40) were randomly divided into control group (CG, n=14), IS group (ISG, n=13) and threshold group (TG, n=13). PImax was measured before (pre-IMT), at 15 and 30 days of IMT. There was an increase in PImax of the TG at 15 days (p<0.001) and 30 days of IMT (p<0.001). The same occurred with the ISG, which increased the PImax at 15 days (p<0.001) and 30 days of training (p<0.001). After 30 days of IMT, the TG presented a PImax which was significantly higher than ISG and the CG (p=0.045 and p<0.001, respectively). It can be concluded that IMT by threshold was more effective in increasing muscle strength than the Voldyne.
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Affiliation(s)
- Dulciane Nunes Paiva
- Pos Graduate Course in Health Promotion, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil; Physical Therapy Course, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
| | - Laíse Bender Assmann
- Physical Therapy Course, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
| | - Diogo Fanfa Bordin
- Physical Therapy Course, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
| | - Ricardo Gass
- Physical Therapy Course, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
| | - Renan Trevisan Jost
- Faculty of Medicine, Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Mario Bernardo-Filho
- Department of Biophysics and Biometry, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | | | - Dannuey Machado Cardoso
- Physical Therapy Course, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
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Paiva DN, Bordin DF, Gass R, Niedermeyer CDC, Saldanha M, Cardoso DM, Bernardo-Filho M, Menna-Barreto SS. EFEITO DE DIFERENTES NÍVEIS DE PRESSÃO POSITIVA CONTINUA SOBRE A DEPURAÇÃO PULMONAR DO 99MTC-DTPA. Rev Epidemiol Control Infect 2014. [DOI: 10.17058/reci.v4i2.4646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Paiva DN, Assmann LB, Bordin DF, Gass R, Jost RT, Filho MB, França RA, Cardoso DM. WITHDRAWN: Inspiratory muscle training with threshold or incentive spirometry: Which is the most effective? Rev Port Pneumol 2014:S0873-2159(14)00096-8. [PMID: 25060332 DOI: 10.1016/j.rppneu.2014.05.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2014] [Revised: 05/04/2014] [Accepted: 05/24/2014] [Indexed: 11/28/2022] Open
Abstract
This article has been withdrawn for editorial reasons because the journal will be published only in English. In order to avoid duplicated records, this article can be found at http://dx.doi.org/10.1016/j.rppnen.2014.05.005. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy.
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Affiliation(s)
| | - Laíse Bender Assmann
- Department of Physical Education and Health, University of Santa Cruz do Sul, Santa Cruz do Sul, RS, Brazil
| | - Diogo Fanfa Bordin
- Department of Physical Education and Health, University of Santa Cruz do Sul, Santa Cruz do Sul, RS, Brazil
| | - Ricardo Gass
- Department of Physical Education and Health, University of Santa Cruz do Sul, Santa Cruz do Sul, RS, Brazil
| | - Renan Trevisan Jost
- Department of Physical Education and Health, University of Santa Cruz do Sul, Santa Cruz do Sul, RS, Brazil
| | - Mario Bernardo Filho
- Department of Biophysics and Biometry, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
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de Borba AT, Jost RT, Gass R, Nedel FB, Cardoso DM, Pohl HH, Reckziegel MB, Corbellini VA, Paiva DN. The influence of active and passive smoking on the cardiorespiratory fitness of adults. Multidiscip Respir Med 2014; 9:34. [PMID: 25009739 PMCID: PMC4088222 DOI: 10.1186/2049-6958-9-34] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2013] [Accepted: 04/28/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The aim of this study was to analyze the influence of active and passive smoking on cardiorespiratory responses in asymptomatic adults during a sub-maximal-exertion incremental test. METHODS The participants (n = 43) were divided into three different groups: active smokers (n = 14; aged 36.5 ± 8 years), passive smokers (n = 14; aged 34.6 ± 11.9 years) and non-smokers (n = 15; aged 30 ± 8.1 years). They all answered the Test for Nicotine Dependence and underwent anthropometric evaluation, spirometry and ergospirometry according to the Bruce Treadmill Protocol. RESULTS VO2max differed statistically between active and non-smokers groups (p < 0.001) and between non-smokers and passive group (p=0.022). However, there was no difference between the passive and active smokers groups (p=0.053). Negative and significant correlations occurred between VO2max and age (r = - 0.401, p = 0.044), percentage of body fat (r = - 0.429, p = 0.011), and waist circumference (WC) (r = - 0.382, p = 0.025). CONCLUSION VO2max was significantly higher in non-smokers compared to active smokers and passive smokers. However, the VO2max of passive smokers did not differ from active smokers.
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Affiliation(s)
| | - Renan Trevisan Jost
- Physiotherapy, University of Santa Cruz do Sul (UNISC), Rio Grande do Sul, Brazil
| | - Ricardo Gass
- University of Santa Cruz do Sul (UNISC), Rio Grande do Sul, Brazil
| | - Fúlvio Borges Nedel
- Dsc in Epidemiology, Federal University of Santa Catarina (UFSC), Santa Catarina, Brazil
| | - Dannuey Machado Cardoso
- Physiotherapy, MSc in Medical Science. Assistant Professor, University of Santa Cruz do Sul (UNISC), Rio Grande do Sul, Brazil
| | - Hildegard Hedwig Pohl
- Professional Physical Education. DSc in Regional Development. Titular Professor, University of Santa Cruz do Sul (UNISC), Rio Grande do Sul, Brazil
| | - Miriam Beatris Reckziegel
- Professional Physical Education. MSc in Science of Human Movement, University of Santa Cruz do Sul (UNISC), Rio Grande do Sul, Brazil
| | | | - Dulciane Nunes Paiva
- Physiotherapy, DSc Medical Science, University of Santa Cruz do Sul (UNISC), Rio Grande do Sul, Brazil
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Albuquerque IMD, Rossoni CS, Cardoso DM, Paiva DN, Fregonezi G. Effects of short inspiratory muscle training on inspiratory muscle strength and functional capacity in physically active elderly: A quasi-experimental study. European Journal of Physiotherapy 2013. [DOI: 10.3109/21679169.2013.764925] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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Albuquerque IMD, Emmanouilidis A, Ortolan T, Cardoso DM, Gass R, Jost RT, Paiva DN. Capacidade funcional submáxima e força muscular respiratória entre idosas praticantes de hidroginástica e dança: um estudo comparativo. Rev bras geriatr gerontol 2013. [DOI: 10.1590/s1809-98232013000200012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/27/2023] Open
Abstract
O exercício físico é uma estratégia eficaz para prevenir e retardar as perdas funcionais do envelhecimento, mas há poucos estudos indicando qual a melhor modalidade para incrementar o status funcional do idoso. OBJETIVO: Comparar a força muscular respiratória (FMR) e a capacidade funcional submáxima de idosas praticantes de hidroginástica e dança. MATERIAL e MÉTODOS: Estudo transversal com idosas do sexo feminino (n=46), praticantes de hidroginástica (Grupo Hidroginástica - GH; n=23) e dança (Grupo Dança - GD; n=23). Para medida da prática de atividade física, foi utilizado o International Physical Activit Questionnarie (IPAQ-versão curta); a FMR foi avaliada por meio da pressão inspiratória máxima (PImax) e da pressão expiratória máxima (PEmax), e a medida da capacidade funcional submáxima, realizada pelo Teste da Caminhada dos Seis Minutos (TC6m). RESULTADOS: O GD apresentou maior PImax (84 ± 12,49 cmH2O) quando comparado ao GH (63,35 ± 10,47 cmH2O) (p< 0,0001), e a PEmax não variou significativamente entre os grupos (p= 0,08). Quanto à distância percorrida no TC6m, o GD (616,53 ± 60,81 m) obteve melhor desempenho que o GH (446,65 ± 48,67 m) (p< 0,0001). Quanto ao nível de atividade física, o GD apresentou 19 idosas (82,61%) muito ativas e quatro (17,39%) ativas, e o GH apresentou oito idosas (30,76%) muito ativas e 15 (69,23%) ativas. CONCLUSÃO: As idosas praticantes de dança evidenciaram maior força muscular inspiratória e capacidade funcional submáxima, possivelmente devido ao maior nível de atividade física e também pelo fato de a dança ser uma modalidade essencialmente aeróbia.
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Cardoso DM, Paiva DN, Albuquerque IMD, Jost RT, Paixão AVD. Efeitos da pressão positiva expiratória nas vias aéreas sobre a atividade eletromiográfica da musculatura acessória da inspiração em portadores de DPOC. J Bras Pneumol 2011; 37:46-53. [DOI: 10.1590/s1806-37132011000100008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2010] [Accepted: 10/13/2010] [Indexed: 05/26/2023] Open
Abstract
OBJETIVO: Avaliar a atividade eletromiográfica (AE) dos músculos esternocleidomastoideo (ECM) e escaleno durante e após a aplicação de expiratory positive airway pressure (EPAP, pressão positiva expiratória nas vias aéreas) em portadores de DPOC. MÉTODOS: Ensaio clínico simples cego com 13 indivíduos hígidos como controles e 12 pacientes com DPOC estável. No momento basal, foram determinados a AE em respiração espontânea, parâmetros da função pulmonar e a força muscular respiratória. Posteriormente, foi aplicada EPAP de 15 cmH2O com uma máscara facial durante 25 min, com o registro do sinal eletromiográfico dos músculos ECM e escaleno a cada 5 min. Um último registro foi obtido 10 min após a retirada da máscara. RESULTADOS: Observamos que o comportamento da AE dos músculos ECM e escaleno foi semelhante nos controles e pacientes com DPOC (p = 0,716 e p = 0,789, respectivamente). Porém, ao longo da aplicação de EPAP, ambos os músculos mostraram uma tendência ao aumento da AE. Além disso, houve uma redução significativa da AE do ECM entre o momento final e basal (p = 0,034). CONCLUSÕES: A aplicação de EPAP promoveu uma redução significativa da AE do músculo ECM tanto nos controles quanto nos portadores de DPOC estável. Porém, isso não ocorreu em relação à AE do músculo escaleno.
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