RESPUESTA VENTILATORIA AL EJERCICIO POST-ENTRENAMIENTO DE MIEMBROS SUPERIORES EN LA ENFERMEDAD PULMONAR OBSTRUCTIVA CRÓNICA.
Ventilatory response to upper limb exercise after training in COPD. There are scarce studies evaluating the modification of ventilatory response to upper limb exercise (ULE) post-training in COPD patients. A prospective, randomized, controlled study was performed comparing two groups: training lower...
| Published in: | Medicina (Buenos Aires) Vol. 73; no. 1; pp. 1 - 9 |
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| Main Authors: | , |
| Format: | Article |
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Medicina (Buenos Aires)
2013
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=86250784&site=ehost-live header: @attributes: shortDbName: lth uiTerm: 86250784 longDbName: MedicLatina uiTag: AN controlInfo: bkinfo: jinfo: jid: 00257680 50C2 jtl: Medicina (Buenos Aires) issn: 00257680 maglogo: N pubinfo: dt: 2013 vid: 73 iid: 1 pid: 39353 pub: Medicina (Buenos Aires) artinfo: ui: 86250784 ppf: 1 ppct: 8 formats: fmt: @attributes: type: P size: 197KB tig: atl: RESPUESTA VENTILATORIA AL EJERCICIO POST-ENTRENAMIENTO DE MIEMBROS SUPERIORES EN LA ENFERMEDAD PULMONAR OBSTRUCTIVA CRÓNICA. aug: au: SÍVORI, MARTÍN RHODIUS, EDGARDO affil: Unidad de Neumotisiología, Hospital de Agudos Dr. J. M. Ramos Mejía, Servicio de Neumonología, Hospital Alemán, Buenos Aires su: Arm exercises Obstructive lung diseases patients Ventilation Mechanical ventilators Asthma sug: subj: Arm exercises Obstructive lung diseases patients Ventilation Mechanical ventilators Asthma keyword: COPD upper and lower limb training ventilation ejercicio de miembros superiores e inferiores EPOC ventilación ab: Ventilatory response to upper limb exercise after training in COPD. There are scarce studies evaluating the modification of ventilatory response to upper limb exercise (ULE) post-training in COPD patients. A prospective, randomized, controlled study was performed comparing two groups: training lower limbs (LL), vs. LL plus upper limb training (UL), in relation to their pre and post-training ventilatory response to ULE. A total of 43 COPD patients were included; 84% male, 6 (14%) GOLD moderate stage (II), 15 (35%) severe stage (III), and 22 (51%) very severe (IV); 28 patients completed the study. After ULE, in UL group (N = 14) a training increased isotime VT (p < 0.0001) was observed, as well as an increase in the inspiratory capacity isotime percentage (IC, 8.8%, p = 0.001), in the Ti isotime (29.3%, p = 0.022) and in the Ti/Tot isotime (37.4%, p = 0.0004). Also, Te isotime was reduced (26%, p = 0.009) and IC isotime was increased (p = 0.01) after ULE. In LL group (N = 14), training increased VT/Ti isotime (66.86%, p = 0.0005) after ULE. Also, after ULE a decrease in Ti isotime (27.9%, p = 0.015) and in Ti/Tot isotime (22.74%, p = 0.00016) were observed. A moderate correlation was observed between Δ respiratory rate and ΔIC after ULE, only for post-training in UL group (r = -0.53 , p < 0.001). Comparing both groups in relation to their responses to ULE, only in the UL group was a reduction observed in Te isotime (p = 0.049) and VT/Ti (p = 0.0015), higher Ti isotime (p = 0.0019), Ti/tot isotime (p = 0.000076) and IC isotime (% predictive, p = 0.01). UL training modified ventilatory response to ULE and it also reduced air trapping in COPD patients. Está poco estudiada la modificación de la respuesta ventilatoria al ejercicio de miembros superiores (MS) post-entrenamiento en la EPOC. Se realizó un estudio prospectivo, aleatorio y controlado en pacientes con EPOC, entrenando un grupo los miembros inferiores (GC) y otro adicionalmente los MS (GM). Se comparó la respuesta ventilatoria al ejercicio de MS pre y post-entrenamiento. Se estudiaron 43 pacientes, 84% varones, estadio GOLD II (moderado) 6 (14%), GOLD III (grave) 15 (35%) y GOLD IV (muy grave) 22 (51%). Veintiocho pacientes completaron el estudio. Post-entrenamiento: se observó en el grupo GM (N = 14) incrementos del V isotiempo (p < 0.0001) y del % de capacidad inspiratoria (CI) isotiempo (8.8%, p = 0.001), mayores Ti isotiempo (29.3%, p = 0.022) y Ti/Tot isotiempo (37.4%, p = 0.0004) al ejercicio de MS. Se redujo el Te isotiempo (26%, p = 0.009). La CI isotiempo se incrementó (p = 0.01). Post-entrenamiento: en el grupo GC (N = 14) se incrementó el V/Ti isotiempo (66.86%, p = 0.0005), y disminuyeron el Ti isotiempo (27.9%, p = 0.015) y el Ti/Tot isotiempo (22.74%, p = 0.00016) al ejercicio de MS. Se observó correlación moderada entre la Δ de frecuencia respiratoria y la Δ de CI al ejercicio de MS, post-entrenamiento solo para el grupo GM (r = -0.53, p < 0.001). Comparando ambos grupos en la respuesta al ejercicio de MS, se observó en el grupo GM, reducción del Te isotiempo (p = 0.049) y del VT/Ti (p = 0.0015), mayores Ti isotiempo (p = 0.0019), Ti/tot isotiempo (p = 0.000076) y CI (% predictivo, p = 0.01). El entrenamiento de MS modificó la respuesta ventilatoria, y también redujo el atrapamiento aéreo que se generó por el ejercicio de MS en la EPOC. pubtype: Academic Journal doctype: Article src: R language: Spanish refInfo: copyright: @attributes: flag: Y custom: Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. item: Medicina (Buenos Aires) holder: Medicina (Buenos Aires) dt: @attributes: year: 2013 holdings: @attributes: islocal: N |
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