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O efeito do treino dos músculos inspiratórios em pacientes com doença pulmonar obstrutiva crónica: revisão bibliográfica
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Abstract(s)
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.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
Treino dos músculos inspiratórios Threshold Doença pulmonar obstrutiva crónica Fisioterapia Inspiratory muscle training Threshold Chronic obstructive pulmonary disease Physical therapy