ABSTRACT
OBJETIVO: Avaliar o efeito do treinamento muscular inspiratório em crianças com leucemia aguda. MÉTODOS: Trata-se de um estudo quase experimental com grupo controle. Quatorze pacientes com diagnóstico de leucemia aguda e idade entre cinco e 14 anos foram submetidos à avaliação da mobilidade torácica e da força muscular respiratória e divididos em dois grupos (A e B). Os pacientes do grupo A realizaram treinamento muscular inspiratório domiciliar por 15 minutos, duas vezes por dia, durante dez semanas, através do aparelho Threshold®, com carga de 30 por cento da pressão inspiratória máxima, reajustada após reavaliações semanais. O grupo B (controle) realizou uma avaliação das pressões respiratórias máximas inicialmente e após dez semanas. Os dados foram analisados com o SPSS 15.0. Aplicou-se o teste t para analisar as diferenças entre as pressões inspiratória máxima e expiratória máxima entre os dois grupos e o teste de correlação de Pearson para analisar associações das medidas de pressão inspiratória e pressão expiratória com as diferentes cargas utilizadas. RESULTADOS: Constatou-se ganho significativo de 35 por cento nas pressões inspiratória máxima e expiratória máxima no grupo A ao término do treinamento. Houve correlação positiva entre os níveis de carga utilizada e a pressão inspiratória máxima (p<0,0001) e a pressão expiratória máxima (p=0,0001). CONCLUSÕES: O treinamento muscular inspiratório pode ser eficaz no ganho de força muscular em crianças em tratamento de leucemia aguda.
OBJECTIVE: To evaluate the effect of inspiratory muscle training in children with acute leukemia. METHODS: This is a quasi-experimental study with a control group. Fourteen patients with 5-14 years old and a diagnosis of acute leukemia were evaluated regarding their thoracic mobility and respiratory muscle strength. They were divided in two groups (A and B). Group A received domiciliary inspiratory muscle training during 15 minutes, twice a day, for ten weeks, with a Threshold® device using a load of 30 percent of the maximal inspiratory pressure, readjusted after weekly evaluations. Group B patients were tested regarding their maximum respiratory pressures in their first evaluation and after ten weeks. Student t-test was used to evaluate maximum inspiratory and expiratory pressures between groups Pearson's correlation test examined the association of inspiratory and expiratory pressures with the different loads, using SPSS 15.0 software. RESULTS: A significant improvement of 35 percent was observed in the maximum inspiratory and expiratory pressures in group A at the end of the training. There was a strong positive correlation between the used load levels and maximal inspiratory (p<0.0001) and expiratory (p=0.0001) pressures. CONCLUSIONS: Inspiratory muscle training can be effective for improving inspiratory muscle strength in children beeing treated for acute leukemia.
Subject(s)
Humans , Child , Breathing Exercises , Leukemia/rehabilitation , Respiratory MusclesABSTRACT
The present study is descriptive analytical study aims at assessing of daily life problems [physical, functional, psychological and social] upon adult patients with acute and chronic leukemia who were under treatment and find relation to some socio-demographic characteristics. A questionnaire was prepared to achieve the purpose of this study, which was based on literature review, some psychometric properties and the results of a pilot study. The questionnaire consists of socio-Impact of Leukemia and Its Treatment upon Adult Patients and Their Daily Life Problems. The questionnaire was tested for its validity and reliability The sample of the study consisted of [160] adult patients with acute and chronic leukemia. The sample selected by purposive random from Baghdad Teaching Hospital/ Hematology out-patients department for the period from 1st Sep. 2000 to 28th Feb. 2001 The results of the study show that there are relationships of daily life problems with each other at [P<0.05]. The predominant of daily life problems among the acute leukemia[AL] group and chronic leukemia[CL] group were: psychological, social, physical and functional. The results indicated that, there were significant differences at level [P<0.05] between daily life problems and some socio-demographic characteristics such as: age, employment status and educational levels. The investigator recommended that, health education and emotional support must be given to those patients and their family to cope and adjust with their problems, and encouragement to participate in social activities and sexual activities for married patients
Subject(s)
Humans , Adult , Middle Aged , Aged , Male , Female , Leukemia/therapy , Quality of Life , Surveys and Questionnaires , Health Education , Social Support , Leukemia/rehabilitation , Socioeconomic FactorsABSTRACT
La leucemia congénita es una enfermedad bastante rara en la práctica clínica con un curso rápido y fatal. Sus características clínicas y biológicas difieren de las encontradas en niños de mayor edad. Se han observado casos tanto de tipo mieloide como linfoide,pero la leucemia mieloide aguda parece predominar. Se presentan dos casos de leucemia congénita clasificados morgológicamente; el primero correspondiente a una leucemia mieloide aguda M3 y el segundo a una leucemia linfoide aguda L1. En ambos pacientes se destacaron hallazgos como hepatoesplenomegalia, palidez mucocutánea generalizada y leucocitosis (más de 100x10 9/L). Los estudios citogenéticos no revelaron ninguna anomalía cromosómica esturctural, pero en el caso 1 se encontró hiperdiploidía