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O efeito do treino dos músculos inspiratórios em pacientes com doença pulmonar obstrutiva crónica: revisão bibliográfica
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Objetivo: Averiguar o efeito do Treino dos Músculos Inspiratórios (TMI), utilizando o Threshold, em pacientes com DPOC. Metodologia: Pesquisa computorizada através das bases de dados PubMed, PEDro e Science Direct, para identificar estudos randomizados controlados que avaliam a eficácia do TMI na sintomatologia em pacientes com DPOC. Resultados: Nesta revisão foram incluídos 7 artigos envolvendo 280 pacientes, com uma classificação metodológica média de 7 em 10 na escala Physiotherapy Evidence Database (PEDro): 2 artigos comparam o TMI ao TME, em que 1 deles combinou com outras técnicas fisioterapêuticas; 2 artigos utilizaram o TMI a alta intensidade e, 1 artigo o TMI a intensidade intermédia, na qual os 3 compararam com o TMI de baixa intensidade; 1 comparou o TMI ao treino aeróbio e por último, 1 artigo comparou o Threshold com o Resistive Load Device no treino dos músculos inspiratórios. Conclusão: Os estudos incluídos nesta revisão sugerem que o TMI é uma ferramenta que pode influenciar positivamente a qualidade de vida dos indivíduos com DPOC e poderá ser integrado nos planos de reabilitação, simultaneamente com outras técnicas fisioterapêuticas.
Aim: Investigate the Inspiratory Muscle Training (IMT) effect in COPD patients by means of Threshold. Methods: A computerized research through PubMed, PEDro and Science Direct databases was conducted to identify the randomized controlled trials (RCT) that evaluate the IMT efficiency on the patients’s COPD symptoms. Results: In this review were included 7 RCTs involving 280 patients. They were classified in 7/10, based on Physiotherapy Evidence Database Scale (PEDro): 2 articles compared IMT with EMT, of which 1 combined the groups with other physiotherapeutic techniques; 2 articles used high intensity IMT, and 1 used intermediate, of which all 3 compared to low intensity IMT; 1 article compared IMT with aerobic exercise and the last one compared the Threshold with Resistive Load Device on inspiratory muscle training. Conclusion: The studies included in this review suggest that IMT can be a tool with a positive influence in CPOD patients’s quality of life and should be integrated in rehabilitation programs with other physiotherapeutic techniques.
Aim: Investigate the Inspiratory Muscle Training (IMT) effect in COPD patients by means of Threshold. Methods: A computerized research through PubMed, PEDro and Science Direct databases was conducted to identify the randomized controlled trials (RCT) that evaluate the IMT efficiency on the patients’s COPD symptoms. Results: In this review were included 7 RCTs involving 280 patients. They were classified in 7/10, based on Physiotherapy Evidence Database Scale (PEDro): 2 articles compared IMT with EMT, of which 1 combined the groups with other physiotherapeutic techniques; 2 articles used high intensity IMT, and 1 used intermediate, of which all 3 compared to low intensity IMT; 1 article compared IMT with aerobic exercise and the last one compared the Threshold with Resistive Load Device on inspiratory muscle training. Conclusion: The studies included in this review suggest that IMT can be a tool with a positive influence in CPOD patients’s quality of life and should be integrated in rehabilitation programs with other physiotherapeutic techniques.
Descrição
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Palavras-chave
Treino dos músculos inspiratórios Threshold Doença pulmonar obstrutiva crónica Fisioterapia Inspiratory muscle training Threshold Chronic obstructive pulmonary disease Physical therapy