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1.
Distúrb. comun ; 35(1): e59350, 01/06/2023.
Article in Portuguese | LILACS | ID: biblio-1436316

ABSTRACT

Proposta recente de apresentação de Programa de Condicionamento Vocal e Respiratório (CVR I) incentivou a continuidade (CVR II), considerando novas estratégias de treinamento muscular vocal e respiratório que pudessem contribuir para melhor desempenho de profissionais da voz. Para a condução da ação, mais uma vez, houve a participação integrada de fonoaudiólogos e fisioterapeutas e, no papel de participantes, profissionais da voz. Planejada para dez encontros, em que dois deles (início e fim) foram destinados à coleta de dados, a proposta teve como objetivo aumentar ainda mais a resistência vocal e respiratória dos participantes, promovendo melhor rendimento profissional. Exercícios de trato vocal semiocluído e respiratórios foram realizados com o uso dos incentivadores denominados New Shaker® e Respiron Athletic 2®. Trata-se de mais uma experiência relatada na direção de convocar outros profissionais a colocarem em prática ações para o condicionamento vocal e respiratório de profissionais da voz. O uso de incentivadores respiratórios e a parceria com a Fisioterapia são apresentados e recomendados para melhor entendimento e consequente atendimento das questões da voz e da respiração. (AU)


This is a continuation (VRC II) of a recent proposal to present a Vocal and Respiratory Conditioning (VRC I) Program using new vocal and respiratory muscle training strategies aimed at contributing to a better performance of voice professionals. Once again, the initiative included the integrated participation of speech-language pathologists and physiotherapists, as well as voice professionals as participants. Ten meetings were planned in the initial proposal, with the first and last meeting focused on data collection, the proposal aimed to further increase the vocal and respiratory resistance of the participants, promoting better professional performance. Semi-occluded vocal tract and respiratory exercises were performed with using the New Shaker® and Respiron Athletic 2® boosters. This is an experience reported in order to encourage other professionals to put into practice actions for vocal and respiratory conditioning. The use of respiratory boosters and the partnership with Physiotherapy are recommended, aiming at a better understanding and consequent care of voice and breathing issues in voice professionals. (AU)


Una propuesta reciente de presentar un Programa de Acondicionamiento Vocal y Respiratório (CVR I) fomentó la continuidad (CVR II), considerando nuevas estratégias para el entrenamiento de los músculos vocales y respiratórios que podrían contribuir a un major desempeño de los profesionales de la voz. Para conducir la acción, una vez más, se contó con la participación integrada de fonoaudiológos y kinesiológos, y en el papel de participantes, profesionales de la voz. Planificada para diez encuentros, en los que dos de ellos (inicio y final) están destinados a la recolección de datos, la propuesta tiene como objetivo aumentar aún más la resistência vocal y respiratoria de los participantes, promoviendo un mejor desempeño profesional. Se realizaron ejercicios de tracto vocal y respiratorio semiocluidos con el uso de incentivos denominados New Shaker® y Respiron Athletic 2®. Esta es una experiencia más reportada en la dirección de invitar a otros profesionales a poner en práctica acciones para el acondicionamiento vocal y respiratório de los profesionales de la voz. Se presenta y recomienda el uso de soportes respiratórios y la asociación con Kinesiología para una mejor comprensión y consecuente atención de problemas de voz y respiración. (AU)


Subject(s)
Humans , Male , Adult , Speech Therapy/methods , Breathing Exercises/methods , Work Performance , Voice Quality , Voice Training , Physical Therapy Modalities , Speech, Language and Hearing Sciences , Endurance Training
2.
Rev. Pesqui. Fisioter ; 13(1)fev., 2023. tab, ilus
Article in English, Portuguese | LILACS | ID: biblio-1531230

ABSTRACT

INTRODUÇÃO: As evidências sobre a melhora da capacidade funcional utilizando o Método Pilates não são contundentes. Uma possibilidade de melhorar o efeito de uma sessão de Pilates sobre a capacidade cardiorrespiratória de seus praticantes é utilizar a resistência de fluxo inspiratório (RFI) de forma concomitante. Esse efeito pode ser visualizado através da determinação do limiar glicêmico (LG), técnica utilizada como marcador de intensidade do exercício. OBJETIVO: Testar a hipótese de que a utilização de RFI em uma sessão de pilates antecipa o LG. MÉTODOS: Estudo crossover de corte transversal. Foram avaliados 26 indivíduos de ambos os sexos, sendo 10 do sexo masculino, sadios e com idade entre 20 e 40 anos. Os voluntários foram randomizados para dois protocolos: Protocolo RFI ­ 11 movimentos do Método Pilates com RFI utilizando 20% da pressão inspiratória máxima; e Protocolo sem RFI (SRFI) ­ 11 movimentos do Método Pilates sem RFI. Os dois protocolos foram realizados no mesmo dia, sendo um pela manhã e outro à tarde, conforme randomização feita por sorteio aleatório simples. No repouso e ao final de cada movimento coletas de sangue capilar foram realizadas para dosagem da glicemia e construção da curva glicêmica. O LG foi determinado no menor ponto da curva. RESULTADOS: O LG foi antecipado no protocolo que utilizou RFI, ou seja, no protocolo com RFI o LG foi visualizado no sexto exercício, enquanto no protocolo SRFI o LG foi visualizado no nono exercício (p<0,05). CONCLUSÃO: A RFI antecipou o LG, o que sugere que a RFI aumenta a intensidade de uma sessão de pilates. Isso aventa a hipótese de que a RFI pode proporcionar a médio e longo prazo benefícios adicionais aos praticantes do Método Pilates.


INTRODUCTION: The evidence on the improvement of functional capacity using the Pilates Method is not conclusive. One possibility to improve the effect of a Pilates session on the cardiorespiratory capacity of its practitioners is to use the inspiratory flow resistance (IFR) concomitantly. This effect can be visualized by determining the glycemic threshold (GT), a technique used as an exercise intensity marker. OBJECTIVE: To test the hypothesis that the use of IFR in a Pilates session anticipates GT. METHODS: Cross-sectional crossover study. A total of 26 individuals of both genders were evaluated, 10 of whom were male, healthy, and aged between 20 and 40 years. The volunteers were randomized to two protocols: Protocol IFR - Eleven movements of the Pilates method with IFR using 20% of the maximum inspiratory pressure, and Protocol no IFR (NIFR) - Eleven movements of the Pilates method without IFR. The two protocols were performed on the same day, one in the morning and the other in the afternoon, according to randomization by simple random draw. At rest and at the end of each movement, capillary blood collections were performed to measure blood glucose and construct the glycemic curve. GT was determined at the smallest point on the curve. RESULTS: The GT was anticipated in the protocol that used IFR; that is, in the protocol with IFR, the GT was visualized in the sixth exercise, while in the NIFR protocol, the GT was visualized in the ninth exercise (p<0.05). CONCLUSION: IFR anticipated GT, which suggests that IFR increases the intensity of a Pilates session. This suggests the hypothesis that IFR can provide additional medium and long-term benefits to Pilates method practitioners.


Subject(s)
Exercise Movement Techniques , Breathing Exercises , Anaerobic Threshold
3.
Chinese journal of integrative medicine ; (12): 579-589, 2023.
Article in English | WPRIM | ID: wpr-982311

ABSTRACT

OBJECTIVE@#To evaluate the feasibility and safety of Liuzijue exercise (LE) for the clinical effect in patients after cardiac surgery.@*METHODS@#Totally 120 patients who underwent cardiac surgery and were admitted to the Cardiothoracic Intensive Care Unit of Nanjing Drum Tower Hospital between July and Oclober, 2022 were allocated to the LE group, the conventional respiratory training (CRT) group, and the control group by a random number table at a ratio of 1:1:1; 40 patients in each group. All patients received routine treatment and cardiac rehabilitation. LE group and CRT group respectively performed LE and CRT once a day for 30 min for 7 days. Control group did not receive specialized respiratory training. The forced vital capacity, forced expiratory volume in 1 s, peak inspiratory flow rate, peak expiratory flow rate, maximum inspiratory pressure, maximum expiratory pressure, modified Barthel index (MBI), and Hamilton Rating Scale for Anxiety (HAM-A) were evaluated before, after 3 and 7 days of intervention. In addition, the postoperative length of hospital stay (LOS) and the adverse events that occurred during the intervention period were compared.@*RESULTS@#A total of 107 patients completed the study, 120 patients were included in the analysis. After 3 days of intervention, the pulmonary function, respiratory muscle strength, MBI and HAM-A of all 3 groups improved compared with that before the intervention (P<0.05 or P<0.01). Compared with the control group, pulmonary function and respiratory muscle strength were significantly improved in the CRT and LE groups (P<0.05 or P<0.01). MBI and HAM-A were significantly improved in the LE group compared with the control and CRT groups (P<0.05 or P<0.01). On the 7th day after intervention, the difference was still statistically significant (P<0.01), and was significantly different from that on the 3rd day (P<0.05 or P<0.01). In addition, on the 7th day of intervention, the pulmonary function and respiratory muscle strength in the LE group were significantly improved compared with those in the CRT group (P<0.01). MBI and HAM-A were significantly improved in the CRT group compared with the control group (P<0.01). There were no significant differences in postoperative LOS among the 3 groups (P>0.05). No training-related adverse events occurred during the intervention period.@*CONCLUSIONS@#LE is safe and feasible for improving pulmonary function, respiratory muscle strength, the ability to complete activities of daily living and for relieving anxiety of patients after cardiac surgery (Registration No. ChiCTR2200062964).


Subject(s)
Humans , Activities of Daily Living , Breathing Exercises , Cardiac Surgical Procedures/adverse effects , Respiratory Muscles , Muscle Strength/physiology
4.
Psicol. ciênc. prof ; 43: e252743, 2023.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1448951

ABSTRACT

O objetivo desta pesquisa é identificar e compreender fenomenologicamente, por meio de relato de Psicólogos de Esporte (PE) e de Coaches, em sua vivência prática, como ocorrem os processos reflexivos em sua atuação, conforme apreendidos a partir de relatos de experiências. O método de investigação escolhido foi a fenomenologia, pois oferece os recursos necessários para tal mergulho junto à experiência reflexiva. A amostra intencional foi delineada por PE e Coaches (profissionais de Educação Física que recorrem ao Coaching) em atividade em esportes de alto rendimento, que tenham atuado ou estejam atuando em modalidades esportivas coletivas e/ou individuais. Realizaram-se nove entrevistas (cinco com PE, quatro com Coaches). O acesso ao objeto desse estudo se deu por meio de entrevistas em profundidade e semiestruturadas, orientadas pela escuta suspensiva. As questões disparadoras foram formuladas com base no Procedimento Estruturado de Reflexão adaptado. Para análise das entrevistas, realizou-se uma síntese de cada relato, seguindo-se de cruzamento intencional. Como resultados, percebeu-se que PE e Coaches trazem algumas similaridades no que se refere aos modos de refletir sobre sua prática. No entanto, as experiências que eles fazem desses processos reflexivos é que podem tomar rumos distintos. Os(as) PE amparam-se na regulamentação da profissão e resguardam-se em seus apontamentos, trazendo suas experiências e reflexões sobre os processos vividos. Os(as) Coaches trazem em suas explanações um trabalho coerente, organizado e compatível com o método do Coaching. Problematizar os processos reflexivos desses profissionais permite diferenciar qualitativa e eticamente suas atuações, possibilitando o fomento multiprofissional no esporte.(AU)


The aim of this study consists in phenomenologically identifying and understanding, by the report of Sport Psychologists (SP) and coaches, in their practical experience, how would be the reflexive processes that take place in their performance, as learned from reports of their experiences. The research method chosen was phenomenology, since it offers the necessary resources for such a dive along with the reflective experience. The intentional sample was outlined by SP and coaches (Physical Education professionals who use coaching) active in high performance sports, who have or are working in collective and/or individual sports. Nine interviews were conducted (five with SP, four with coaches). Access to the object of this study took place by in-depth and semi-structured interviews, guided by suspensive listening. The triggering questions were formulated based on the adapted Structured Reflection Procedure. For the analysis of the interviews, a synthesis of each report was carried out, followed by the intentional crossing. As results, it was noticed that SP and coaches bring some similarities regarding the ways of reflecting on their practice. However, their experiences of these reflective processes are that they can take different directions. The SP are based on the regulation of the profession and guard themselves in their notes, bringing their experiences and reflections on the processes experienced. Coaches bring in their explanations a coherent, organized, and compatible work with the coaching method. Problematizing the reflective processes of these professionals allows to differentiate their actuation qualitatively and ethically, making the multiprofessional phenomenon in sport possible.(AU)


El objetivo de este estudio consiste en identificar y comprender fenomenológicamente, a partir de la experiencia práctica de psicólogos del deporte (PD) y coaches, cómo serían los procesos reflexivos que se llevan a cabo en su rendimiento, tal y como se desprende de los informes de experiencias. El método de investigación elegido fue la fenomenología, ya que ofrece los recursos necesarios junto con la experiencia. La muestra intencional fue delineada por PD y coaches (profesionales de la educación física que utilizan el coaching) activos en deportes de alto rendimiento, que tienen o están trabajando en deportes colectivos e/o individuales. Se realizaron nueve entrevistas (cinco con PD, cuatro con coaches). El acceso al objeto de este estudio fue entrevistas en profundidad y semiestructuradas, guiadas por escuchas suspensivas. Las preguntas se formularon desde el procedimiento de reflexión estructurado adaptado. Para el análisis de las entrevistas, se hizo una síntesis de cada informe, seguida del cruce intencional. Como resultados, se notó que los PD y coaches tienen algunas similitudes con respecto a las formas de reflexionar sobre su práctica. Sin embargo, las experiencias que hacen de estos procesos pueden tomar diferentes direcciones. Los(las) PD se basan en la regulación de la profesión y se protegen en sus notas, aportando sus experiencias y reflexiones sobre los procesos vividos. Los(las) coaches plantean en sus explicaciones un trabajo coherente, organizado y compatible con el método de Coaching. Problematizar los procesos reflexivos de estos profesionales permite diferenciar sus acciones de manera cualitativa y ética, además de posibilitar la promoción multiprofesional en el deporte.(AU)


Subject(s)
Humans , Male , Female , Health Knowledge, Attitudes, Practice , Psychology, Sports , Mentoring , Anxiety , Outcome and Process Assessment, Health Care , Personal Satisfaction , Aptitude , Physical Education and Training , Physical Endurance , Natural Science Disciplines , Play and Playthings , Professional Competence , Psychology , Psychomotor Performance , Quality of Health Care , Quality of Life , Recreation , Rehabilitation , Running , Attention , Science , Sleep , Soccer , Social Control, Formal , Social Identification , Social Justice , Sports Medicine , Stress, Psychological , Swimming , Teaching , Therapeutics , Track and Field , Vocational Guidance , Wounds and Injuries , Yoga , Behavioral Sciences , Breathing Exercises , Health , Mental Health , Physical Fitness , Surveys and Questionnaires , Reproducibility of Results , Occupational Health , Walking , Professional Autonomy , Guidelines as Topic , Interview , Congresses as Topic , Meditation , Life , Behavioral Disciplines and Activities , Wit and Humor , Fitness Centers , Practice Management , Complex Regional Pain Syndromes , Credentialing , Crisis Intervention , Mind-Body Therapies , Exercise Movement Techniques , Biomedical Enhancement , Depression , Diet , Dietetics , Education, Nonprofessional , Employee Performance Appraisal , Employment , Ethics, Professional , Sanitary Supervision , Professional Training , Athletic Performance , Resistance Training , Resilience, Psychological , Musculoskeletal and Neural Physiological Phenomena , Feeding Behavior , Athletes , Capacity Building , Sports Nutritional Sciences , Return to Sport , Work Performance , Professionalism , Cardiorespiratory Fitness , Academic Success , Water Sports , Work Engagement , Cognitive Psychology , Science and Development , Cognitive Training , Psychological Well-Being , Working Conditions , Gymnastics , Health Occupations , Health Promotion , Anatomy , Job Description , Jurisprudence , Leadership , Learning , Life Style , Memory , Methods , Motivation , Motor Activity , Motor Skills , Movement , Muscle Relaxation , Muscles , Obesity
5.
Rev. colomb. neumol ; 34(2): 13-14, July-Dec. 2022.
Article in Spanish | LILACS, COLNAL | ID: biblio-1412680

ABSTRACT

Los autores nos presentan en este artículo un ensayo clínico aleatorizado, cuyo objetivo es analizar los efectos del método JaPer sobre la capacidad inspiratoria de los pacientes hospitalizados. La primera inquietud a resolver es ¿En qué consiste el método JaPer y cuál es su finalidad? Pues bien, este método debe el nombre a su creador, quien es también uno de los autores del estudio. Se entiende como un protocolo de fisioterapia respiratoria que hace parte de la rehabilitación pulmonar y tiene como finalidad, realizar una prescripción del ejercicio a porcentajes de entrenamiento del 50 al 80 % de la capacidad inspiratoria máxima del participante, determinada a través del inspirómetro incentivo, que además funciona como instrumento de intervención, asociado a una serie de ejercicios respiratorios.


In this article, the authors present a randomized clinical trial, whose objective is to analyze the effects of the JaPer method on the inspiratory capacity of hospitalized patients. The first concern to resolve is what is the JaPer method and what is its purpose? Well, this method owes its name to its creator, who is also one of the authors of the study. It is understood as a respiratory physiotherapy protocol that is part of pulmonary rehabilitation and its purpose is to carry out an exercise prescription at training percentages of 50 to 80% of the maximum inspiratory capacity of the participant, determined through the incentive spirometer, which it also works as an intervention instrument, associated with a series of breathing exercises.


Subject(s)
Humans , Breathing Exercises , Inspiratory Capacity , Physical Therapy Modalities
6.
Rev. Méd. Inst. Mex. Seguro Soc ; 60(1): 59-66, 2022. tab
Article in Spanish | LILACS | ID: biblio-1361376

ABSTRACT

Introducción: los pacientes con SARS-CoV-2 presentan signos y síntomas que involucran principalmente el sistema respiratorio. Las secuelas son consecuencia de un deterioro de la calidad de vida, neumonía, fatiga, disnea y dolor articular. Objetivo: tener el sustento científico que permita evidenciar la importancia de la fisioterapia respiratoria y sus efectos sobre los pacientes adultos post-COVID-19 de fase aguda. Material y métodos: se hizo una revisión sistemática de la literatura en cuatro bases de datos (Scopus, Web of Science, PubMed y ScienceDirect). La búsqueda fue realizada en febrero de 2021 con un total de 1229 estudios. Finalmente, se incluyeron cinco estudios que cumplieron con los criterios de elegibilidad: dos ensayos clínicos, dos reportes de caso y un estudio transversal. La calidad metodológica de las publicaciones fue evaluada. Resultados: el entrenamiento de la musculatura respiratoria, las respiraciones dirigidas y el fortalecimiento general dan datos significativos en la mejora de la funcionalidad. La evidencia demuestra que hay efectos positivos de la fisioterapia respiratoria en pacientes adultos post-COVID-19, pues aumenta la resistencia al ejercicio, disminuye la fatiga, se reduce la disnea, mejora la funcionalidad y la calidad de vida. Conclusiones: es necesario que se desarrollen más ensayos clínicos aleatorizados y estudios de grupos de menor rango de edad y con enfoques individualizados.


Background: Patients with SARS-CoV-2 present signs and symptoms that primarily involve the respiratory system. The sequelae result in impaired quality of life, pneumonia, dyspnea, fatigue, and joint pain.


Subject(s)
Humans , Male , Female , Breathing Exercises , Physical Therapy Modalities , COVID-19 , Lung Volume Measurements , Quality of Life , Aftercare , SARS-CoV-2/drug effects , Mexico
7.
Audiol., Commun. res ; 27: e2551, 2022. tab, graf
Article in Portuguese | LILACS | ID: biblio-1355715

ABSTRACT

RESUMO Objetivo verificar as evidências disponíveis sobre o efeito dos exercícios vocais no tratamento da disfagia. Estratégia de pesquisa foi realizado levantamento bibliográfico nas bases de dados PubMed, LILACS, SciELO e MEDLINE, sem restrições quanto ao período de publicação. Critérios de seleção artigos originais, estudos de caso e/ou revisões de literatura publicados nos idiomas português e/ou inglês, disponíveis eletronicamente na íntegra e que abordassem o tratamento clínico com exercícios vocais em adultos e idosos com disfagia. Foram excluídas publicações repetidas nas bases de dados, com população de crianças, com indivíduos que não apresentassem o diagnóstico de disfagia, com exercícios vocais sem especificação, com exercícios exclusivos de deglutição, artigos e/ou resumos sem possibilidade de acesso pelas plataformas institucionais e estudos com modelo animal. Resultados foram encontrados 2.356 artigos, dos quais, após aplicados os critérios de elegibilidade, foram selecionados 8 para a amostra final. Para avaliar os efeitos dos exercícios vocais, os estudos utilizaram avaliação clínica, videofluoroscopia, videoendoscopia e eletromiografia. Quanto aos efeitos dos exercícios vocais na deglutição, observou-se que as técnicas de som plosivo, empuxo, trato vocal semiocluído, som basal, modulação vocal, sobrearticulação, o método Lee Silverman Voice Treatment® e o uso de exercícios de treino de força muscular expiratória apresentaram efeitos positivos na reabilitação da disfagia. Conclusão os estudos com treino de força muscular expiratória, o método Lee Silverman e os exercícios vocais tradicionais demonstraram efeitos positivos no tratamento da disfagia. No entanto, ainda não foi possível comprovar o nível de evidências de todos os estudos.


ABSTRACT Purpose To verify the available evidence on the effect of vocal exercises on the treatment of dysphagia. Research strategy A bibliographic survey was carried out in the PubMed, LILACS, SciELO and MEDLINE databases, with no restrictions on the publication period. Selection criteria Original articles, case studies and/or literature reviews published in Portuguese and/or English, available electronically in full and addressing clinical treatment with vocal exercises in adults and elderly with dysphagia. Publications repeated by the databases, with a population of children, individuals who did not present the diagnosis of dysphagia, with vocal exercises without specification, with exclusive swallowing exercises, articles and/or abstracts without the possibility of access by institutional platforms, and studies with animal model were excluded. Results A total of 2,356 articles were found, of which, after the eligibility criteria were applied, 08 were selected for the final sample. To evaluate the effects of vocal exercises, the studies used clinical evaluation, videofluoroscopy, videoendoscopy and electromyography. Regarding the effects of vocal exercises on swallowing, it was observed that the techniques of plosive sound, buoyancy, semi-occluded vocal tract, basal sound, vocal modulation, overarticulation, the Lee Silverman Voice Treatment method® and the use of expiratory muscle strength training exercises showed positive effects in the rehabilitation of dysphagia. Conclusion It was observed that studies with expiratory muscle strength training (EMST), Lee Silverman method (LSVT®) and traditional vocal exercises demonstrated positive effects in the treatment of dysphagia. However, it has not yet been possible to prove the level of evidence in all studies.


Subject(s)
Humans , Speech Therapy/methods , Voice Training , Breathing Exercises , Deglutition Disorders/physiopathology , Deglutition Disorders/therapy , Myofunctional Therapy , Electromyography , Muscle Strength/physiology
8.
Article in Spanish | LILACS | ID: biblio-1384323

ABSTRACT

RESUMEN: El objetivo de esta revisión fue conocer la influencia del entrenamiento muscular inspiratorio (EMI) sobre la capacidad aeróbica y la fuerza muscular inspiratoria (FMI) en pacientes con insuficiencia cardíaca (IC). Realizamos una revisión de revisiones sistemáticas en PubMed y Web of Science hasta agosto de 2019. Se identificaron un total de 2053 artículos, de los cuales 4 se seleccionaron para esta revisión. Se utilizó la herramienta 'Assessment of Multiple Systematic Reviews 2' (AMSTAR-2) para evaluar la calidad de los estudios. En los estudios incluidos se examinaron un total de 10 intervenciones diferentes con 250 pacientes (rango edad media= 53-76 años). Todos los estudios presentaron nivel de confianza alto (AMSTAR-2). El EMI presentó mejoras significativas sobre la capacidad aeróbica (test de la marcha de 6 minutos: 46.66-71.04 metros; p<0.05 y VO2pico: 2.59-2.65 mL/kg-1/min-1; p<0.01) y la FMI (presión inspiratoria máxima: 16.57-23.36 cmH2O, p<0.05) en comparación al grupo control. Programas de intervención de EMI con una duración de 12 semanas reportaron mayores mejorías sobre la capacidad aeróbica y la FMI en comparación a programas de intervención de menor duración. El EMI es un tratamiento importante y necesario en la rehabilitación cardíaca de pacientes con IC. Son necesarios más estudios que analicen los efectos de diferentes rangos en las características del EMI.


ABSTRACT: The aim of this review was to understand the influence of inspiratory muscle training (IMT) on aerobic capacity and inspiratory muscle strength (IMS) in patients with heart failure (HF). We conducted a review of systematic reviews in PubMed and Web of Science up to August 2019. A total of 2053 articles were identified, of which 4 were selected for this review. The 'Assessment of Multiple Systematic Reviews 2' (AMSTAR-2) tool was used to assess the quality of the studies. In the included studies, a total of 10 different interventions with 250 patients (mean age range = 53-76 years) were examined. All the studies presented high confidence level (AMSTAR-2). IMT showed significant improvements in aerobic capacity (6-minute walk test: 46.66-71.04 meters; p<0.05 and VO2peak: 2.59-2.65 mL/kg-1/min-1; p<0.01) and IMS (maximal inspiratory pressure: 16.57-23.36 cmH2O, p<0.05) in this population compared to the control group and IMF in this population. IMT intervention programs lasting 12 weeks reported greater improvements in aerobic capacity and IMS compared to shorter intervention programs. IMT is an important and necessary treatment in cardiac rehabilitation of patients with HF. More studies are needed to analyze the effects of different ranges of the IMT characteristics.


Subject(s)
Humans , Breathing Exercises/methods , Mentoring/methods , Heart Failure/complications , Speed Meters , Muscle Strength , Cardiac Rehabilitation
9.
Rev. méd. Minas Gerais ; 32: 32105, 2022.
Article in Portuguese | LILACS | ID: biblio-1390847

ABSTRACT

Introdução: O derrame pleural modifica as capacidades pulmonares, provocando distúrbio ventilatório restritivo. As terapias respiratórias evitam a progressão e tratam a restrição de volumes pulmonares. Objetivo: Comparar o efeito agudo de três recursos fisioterapêuticos em pacientes com derrame pleural após procedimento de drenagem torácica. Métodos: Estudo experimental, randomizado e prospectivo, realizado com 60 pacientes com derrame pleural, todos hospitalizados. A amostra foi dividida em 3 grupos com 20 pacientes, cada grupo recebeu uma terapia respiratória: exercícios respiratórios, Threshold PEP™ ou Powerbreathe®. Para avaliar a função pulmonar foram utilizados, a espirometria, a manovacuometria e o peak flow. Os atendimentos foram diários, seguiu-se o protocolo de 4 séries de 15 repetições. Análise estatística: aplicou-se os testes qui-quadrado de Pearson, Shapiro-Wilk, Friedman, Wilcoxon e correlação de Spearman. Para todos os testes considerou-se o nível de significância de 5%. Resultados: Os exercícios respiratórios resultaram em diferenças significativas na capacidade vital forçada (CVF), antes 1,66±0,60 e depois 1,84±0,50 (p=0,01), no volume expiratório forçado no primeiro segundo (VEF1), antes 1,25±0,46 e depois 1,57±0,52 (p=0,01), enquanto o grupo tratado com Threshold PEP™ a diferença significativa foi apenas na CVF, antes 1,49±0,78 e depois 1,78±0,85 (p=0,04). Em relação à força muscular respiratória, nenhuma das terapias resultou em diferença significativa na PImax e PEmax. Conclusão: O protocolo com exercícios respiratórios demonstrou superioridade na função pulmonar quando comparado com o Threshold PEP™ e Powerbreath®, tornando-se mais indicado no manejo de pacientes com derrame pleural após drenagem torácica.


Subject(s)
Humans , Pleural Effusion , Breathing Exercises , Physical Therapy Modalities , Lung Diseases
10.
Hematol., Transfus. Cell Ther. (Impr.) ; 43(4): 443-452, Oct.-Dec. 2021. tab, graf, ilus
Article in English | LILACS | ID: biblio-1350818

ABSTRACT

ABSTRACT Introduction: Inspiratory muscle training (IMT) has been shown to be an efficient method of improving exercise tolerance and inspiratory and expiratory muscle strength in several diseases. The effects of IMT on patients with sickle cell anemia (SCD) are relatively unknown. Our study aimed to evaluate the effects of IMT on adult SCD patients, regarding respiratory muscle strength (RMS) variables, lung function, exercise tolerance, blood lactation concentration, limitation imposed by dyspnea during daily activities and impact of fatigue on the quality of life. Methods: This was a randomized single-blind study, with an IMT design comprising true load (TG) and sham load (SG) groups. Initial assessment included spirometry, volumetric capnography (VCap) and measurement of RMS by maximal inspiratory and expiratory pressure (PImax and PEmax). The Medical Research Council dyspnea scale and modified fatigue impact scale were also applied and blood lactate concentration was measured before and after the 6-minute walk test. After this initial assessment, the patient used the IMT device at home daily, returning every 6 weeks for RMS reassessment. Both groups used the same device and were unaware of which group they were in. After a period totaling 18 weeks, patients underwent the final evaluation, as initially performed. Results: Twenty-five patients in total participated until the end of the study (median age 42 years). There were no significant differences between TG and SG based on age, sex, body mass index or severity of genotype. At the end of the training, both groups showed a significant increase in PEmax and PImax, improvement in Vcap and in exercise tolerance and dyspnea reduction while performing daily life activities. The same was observed in patients grouped according to disease severity (HbSS and HbSβ0 vs HbSC and HbSβ+), without differences between groups. Conclusion: Home-based inspiratory muscle training benefits outpatients with SCD, including the sham load group. Trial registration:http://www.ensaiosclinicos.gov.br; registration number: RBR-6g8n92.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Breathing Exercises , Anemia, Sickle Cell , Inspiratory Capacity , Exercise Tolerance , Capnography , Maximal Respiratory Pressures
11.
Distúrb. comun ; 33(2): 357-364, jun. 2021. ilus
Article in Portuguese | LILACS | ID: biblio-1401964

ABSTRACT

Programas de intervenção para profissionais da voz podem englobar estratégias de treinamento muscular vocal e respiratório. Neste tipo de abordagem, a integração de ações fonoaudiológicas e fisioterapêuticas tem produzido resultados positivos. A presente comunicação tem como objetivo apresentar uma proposta de intervenção fonoaudiológica e fisioterapêutica denominada Condicionamento Vocal e Respiratório (CVR), desenvolvida com profissionais da voz. Composta por oito encontros semanais, ela teve como objetivo aumentar a resistência vocal e respiratória dos participantes, promovendo melhor desempenho profissional. Para a fonação, foram indicados exercícios de trato vocal semiocluído com a utilização de canudos comerciais e de silicone; para a respiração, foram realizados exercícios com um incentivador a fluxo (Respiron Classic®).


Intervention program for voice professionals may cover strategies for vocal and respiratory muscle training. The integration of speech-language pathology and physiotherapeutic interventions in these approaches has resulted in positive outcomes. This communication aims to introduce a proposal for speech-language pathology and physiotherapy intervention called Vocal and Respiratory Conditioning (VRC). Developed with voice professionals and consisting of eight weekly meetings, this proposal aimed to increase the vocal and respiratory endurance of the participants, promoting better professional performance. On the one hand, semi-occluded vocal tract exercises using commercial and silicone straws were indicated for phonation; on the other hand, exercises with a flow stimulator (Respiron®) were performed for breathing.


Los programas de intervención para profesionales de la voz pueden incluir estrategias de entrenamiento de los músculos vocales y respiratorios. En este tipo de abordaje, la integración de las acciones de fonoaudiología y fisioterapia ha producido resultados positivos. Esta comunicación tiene como objetivo presentar una propuesta de intervención fonoaudiológica y fisioterapeutica denominada Condicionamiento Vocal y Respiratorio (CVR), desarrollada con profesionales de la voz. Compuesto por ocho reuniones semanales, tuvo como objetivo aumentar la resistencia vocal y respiratoria de los participantes, promoviendo un mejor desempeño profesional. Para la fonación, se indicaron ejercicios de vías vocales semicerrados utilizando canutos comerciales y de silicona; para la respiración, los ejercicios se realizaron con un estimulador de flujo (Respiron Classic®).


Subject(s)
Humans , Male , Female , Speech Therapy/methods , Voice Training , Work Performance , Respiratory Function Tests , Voice Quality , Breathing Exercises , Intervention Studies
12.
Enferm. foco (Brasília) ; 12(1): 191-195, jun. 2021. ilus
Article in Portuguese | BDENF, LILACS | ID: biblio-1280850

ABSTRACT

Objetivo: descrever a experiência relacionada a reabilitação respiratória para pacientes submetidos à cirurgia torácica e abdominal superior durante a execução de um programa de extensão universitária. Método: relato de experiência, com abordagem descritiva, sobre a criação de um programa interdisciplinar de reabilitação respiratória para pacientes submetidos à cirurgia torácica e abdominal superior com parceria entre universidade pública e hospital municipal de Imperatriz, Maranhão. Resultados: as atividades do programa universitário de reabilitação respiratória para pacientes em pós-operatório são desempenhadas em três eixos in locus: Educação em Exercícios Respiratórios, Capacitação sobre assistência de enfermagem no pós-operatório de cirurgias torácicas e abdominais e, Educação em saúde e intervenções de enfermagem na atenção ao paciente no período pós-operatório. Conclusão: a atuação em projeto respiratório interdisciplinar, focado em ações educativas, mostrou-se uma ferramenta inovadora de apoio ao cuidado clínico de pacientes submetidos à cirurgia torácica e abdominal superior. (AU)


Objective: To describe the experience related to respiratory rehabilitation for patients undergoing thoracic and upper abdominal surgery during the execution of a university extension program. Methods: Experience report, with a descriptive approach, on the creation of an interdisciplinary program of respiratory rehabilitation for patients undergoing thoracic and upper abdominal surgery in partnership with a public university and a municipal hospital in Imperatriz, Maranhão. Results: The activities of the university respiratory rehabilitation program for patients in the postoperative period are performed in three axes in locus: Education in Respiratory Exercises, Training in nursing care in the postoperative period of thoracic and abdominal surgeries, and Health education and interventions nursing in patient care in the postoperative period. Conclusion: Acting in an interdisciplinary respiratory project, focused on educational actions, proved to be an innovative tool to support the clinical care of patients undergoing thoracic and upper abdominal surgery. (AU)


Objetivo: Describir la experiencia relacionada con la rehabilitación respiratoria para pacientes sometidos a cirugía torácica y abdominal superior durante la ejecución de un programa de extensión universitaria. Métodos: Informe de experiencia, con un enfoque descriptivo, sobre la creación de un programa interdisciplinario de rehabilitación respiratoria para pacientes sometidos a cirugía torácica y abdominal superior en colaboración con una universidad pública y un hospital municipal en Imperatriz, Maranhão. Resultados: Las actividades del programa universitario de rehabilitación respiratoria para pacientes en el postoperatorio se realizan en tres ejes en el locus: educación en ejercicios respiratorios, capacitación en cuidados de enfermería en el postoperatorio de cirugías torácicas y abdominales, y educación e intervenciones de salud enfermería en atención al paciente en el postoperatorio. Conclusión: Actuar en un proyecto respiratorio interdisciplinario, centrado en acciones educativas, demostró ser una herramienta innovadora para apoyar la atención clínica de pacientes sometidos a cirugía torácica y abdominal superior. (AU)


Subject(s)
Teaching , Postoperative Complications , Breathing Exercises , Perioperative Care , Interdisciplinary Placement
13.
Int. j. cardiovasc. sci. (Impr.) ; 34(1): 44-52, Jan.-Feb. 2021. tab, graf
Article in English | LILACS | ID: biblio-1154533

ABSTRACT

Abstract Background Cardiac surgery causes pathophysiological changes that favor the occurrence of pulmonary and functional complications. Objective To investigate the effects of inspiratory muscle training (IMT) with an electronic device on patients undergoing cardiac surgery. Methods A randomized controlled trial was conducted with 30 adult patients undergoing elective cardiac surgery. A control group (CG) received conventional physical therapy care, and an intervention group (IG) received IMT using the POWERbreathe K5® electronic device. Two daily sessions of physical therapy were performed at the intensive care unit and one daily session at the ward until the sixth postoperative day. The following variables were measured preoperatively and on the sixth postoperative day, in both groups: inspiratory muscle strength, dynamic inspiratory muscle strength, and peak inspiratory flow. Data distribution was evaluated by the Shapiro-Wilk test. Analysis of variance was used, and the results were considered statistically significant when p < 0.05. Results Maximal inspiratory pressure (71.7 ± 17.1 cmH2O vs 63.3 ± 21.3 cmH2O; p = 0.11], S-index (52.61 ± 18.61 vs 51.08 ± 20.71), and peak inspiratory flow [(2.94 ± 1.09 vs 2.79 ± 1.26)] were maintained in the IG but had a significant reduction in the CG. Conclusion IMT performed with an electronic device was effective at maintaining inspiratory muscle strength, dynamic inspiratory muscle strength, and peak inspiratory flow when compared to conventional physical therapy. Int J Cardiovasc Sci. 2020; [online].ahead print, PP.0-0


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Breathing Exercises/methods , Physical Therapy Modalities/instrumentation , Thoracic Surgical Procedures/rehabilitation , Postoperative Complications , Respiratory Tract Diseases/complications , Total Lung Capacity , Thoracic Surgical Procedures/adverse effects , Muscle Strength , Maximal Respiratory Pressures
14.
Fisioter. Bras ; 21(6): 601-608, Jan 6, 2021.
Article in Portuguese | LILACS | ID: biblio-1283731

ABSTRACT

Introdução: A doença de Huntington (DH) é uma doença neurodegenerativa progressiva, caracterizada pela tríade: alterações motoras, distúrbios psiquiátricos e disfunção cognitiva. Os pacientes com DH apresentarão restrição da mobilidade, que, futuramente, irá ocasionar fraqueza muscular generalizada. Objetivo: Avaliar os efeitos do treinamento da musculatura respiratória com o uso do Threshold em pacientes diagnosticados com DH atendidos na clínica escola de Fisioterapia do Centro Universitário Unieuro. Métodos: Os participantes foram submetidos ao programa de treinamento da musculatura respiratória com o uso do Threshold® IMT. O programa consiste em 3 séries com 5 repetições ao dia, por 3 semanas. Ao final do treinamento os pacientes foram reavaliados, e os resultados obtidos foram comparados com os resultados obtidos na avaliação inicial. Resultados: Após 3 semanas de treinamento, o paciente 1 apresentou como melhor resultado da pressão inspiratória máxima e da pressão expiratória máxima igual a 50 cmH2O e no teste de caminhada de 6 minutos percorreu 261 metros. Já o paciente 2 apresentou como melhor resultado da pressão inspiratória máxima 70 cmH2O e da pressão expiratória máxima 60 cmH2O, e no teste de caminhada de 6 minutos percorreu 146 metros. Conclusão: Conclui-se que o treinamento muscular respiratório pode ser benéfico para os pacientes com doença de Huntington, porém são necessários mais estudos para determinar o melhor protocolo para os mesmos. (AU)


Introduction: Huntington's disease (DH) is a progressive neurodegenerative disease, characterized by the triad: motor alterations, psychiatric disorders and cognitive dysfunction. Patients with HD will exhibit mobility restriction, which in the future will lead to generalized muscle weakness. Objective: To evaluate the effects of respiratory muscle training with the use of Threshold in patients diagnosed with DH treated at the Clinical School of Physical therapy of Unieuro University Center. Methods: Participants underwent respiratory muscle training with Threshold® IMT. The program consists of 3 sets with 5 replicates per day, for 3 weeks. At the end of the training the patients were reassessed, and the results obtained were compared with the results obtained in the initial evaluation. Results: After 3 weeks of training, patient 1 presented the best result of maximal inspiratory pressure and maximal expiratory pressure equal to 50 cmH20 and walked in the 6-minute walk test 261 meters. Already, patient 2 presented the best inspiratory pressure result 70 cmH2O and the maximum expiratory pressure 60 cmH2O, and in the 6-minute walk test it ran 146 meters. Conclusion: We concluded that respiratory muscle training may be beneficial for patients with Huntington's disease, but further studies are needed to determine the best protocol for them. (AU)


Subject(s)
Humans , Breathing Exercises , Huntington Disease , Respiratory Muscles , Muscle Strength , Walk Test
15.
Rev. bras. ter. intensiva ; 33(1): 167-171, jan.-mar. 2021. tab
Article in English, Portuguese | LILACS | ID: biblio-1289054

ABSTRACT

RESUMO A história natural da doença e o tratamento de pacientes após a COVID-19 ainda se apresentam em construção. Os sintomas são persistentes, mesmo em casos leves, e as consequências decorrentes da infecção incluem fadiga, dispneia, taquicardia, perda de massa muscular e diminuição da capacidade funcional. Sobre a reabilitação cardiopulmonar, parece haver melhora na capacidade funcional, na qualidade de vida e no prognóstico com o Teste da Caminhada de 6 Minutos, sendo este utilizado como avaliador prognóstico e terapêutico. Assim, o objetivo deste relato de casos é descrever a experiência de quatro casos, de diferentes gravidades, que realizaram um programa de reabilitação cardiopulmonar pós-COVID-19, avaliados com Teste da Caminhada de 6 Minutos, força muscular periférica e duplo produto em repouso, para verificar o efeito da reabilitação após 3 meses de protocolo de, no mínimo, 300 minutos por semana. Os quatro casos apresentaram aumento da distância percorrida no teste da caminhada entre 16% e 94%. Houve aumento da força muscular periférica em 20% até seis vezes seu valor inicial, e a redução do duplo produto em repouso variou entre 8% e 42%. O programa de reabilitação cardiopulmonar apresentou impacto positivo nos casos acompanhados, com melhora da capacidade funcional, mesmo com a variabilidade da gravidade dos casos pós-COVID-19.


ABSTRACT The natural history of the disease, and the treatment of post-COVID-19 patients, are still being built. Symptoms are persistent, even in mild cases, and the infection consequences include fatigue, dyspnea, tachycardia, muscle loss, and reduced functional capacity. Regarding cardiopulmonary rehabilitation, there seems to be an improvement in functional capacity, quality of life, and prognosis with the 6-Minute Walk Test used as a prognostic and therapeutic evaluator. Therefore, this case series report aims to present our experience with four cases of different severity levels, involved in a post-COVID-19 cardiopulmonary rehabilitation program. These patients were assessed with the 6-Minute Walk Test, peripheral muscle strength, and double product at rest, to assess the results after a three-month rehabilitation protocol of at least 300 minutes per week. The four patients had their distance covered during the walk test increased between 16% and 94%. Peripheral muscle strength was improved by 20% to six times the baseline values, and double product at rest was reduced by 8% to 42%. The cardiopulmonary rehabilitation program had a positive impact on these cases, improving functional capacity despite the different severity levels in these post-COVID-19 cases.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Dyspnea/rehabilitation , Muscle Strength , Fatigue/rehabilitation , Walk Test , Cardiac Rehabilitation/methods , COVID-19/rehabilitation , Respiratory Therapy/methods , Breathing Exercises/methods , COVID-19/complications
16.
São Luís; s.n; 2021. 16 p. ilus.
Monography in Portuguese | LILACS, CONASS, ColecionaSUS, SES-MA | ID: biblio-1358153

ABSTRACT

Esse manual foi desenvolvido com muito empenho e dedicação com o objetivo de dar orientações e sugerir recomendações para o retorno gradual e seguro do paciente às suas atividades de vida diária e rotina laboral após a alta hospitalar. Esperamos que o leitor compreenda a importância dessas orientações e recomendações, visando uma melhor qualidade de vida e evitar complicações e reinternações no futuro.


Subject(s)
Humans , Patient Discharge , Postoperative Care , Activities of Daily Living , Diet, Healthy , Breathing Exercises
17.
Rev. bras. cancerol ; 67(1): e-101211, 2021.
Article in Portuguese | LILACS | ID: biblio-1147123

ABSTRACT

Introdução: A fisioterapia pré-operatória em pacientes oncológicos tem papel fundamental para redução das complicações pós-operatórias. Sabe-se que a avaliação pré-operatória identifica os fatores de risco e é decisiva na redução do desenvolvimento de tais complicações. Objetivo: Verificar o efeito da cinesioterapia pré-operatória e do treino muscular inspiratório nas complicações pulmonares pós-operatórias em pacientes oncológicos. Método: Trinta pacientes foram divididos aleatoriamente em grupo cinesioterapia, grupo treinamento muscular inspiratório e grupo controle, com dez participantes em cada grupo. Foram realizadas avaliação da força muscular respiratória, teste de caminhada de seis minutos e força muscular periférica. Foi utilizado o teste de Wilcoxon para comparação pré e pós-tratamento. Também foi realizado o teste Kruskal Wallis para comparação do resultado pós-tratamento e o teste qui-quadrado para variáveis categóricas. Utilizou--se o teste de Cohen (d) para identificação do tamanho do efeito. Resultados: Nove (90%) indivíduos do grupo controle apresentaram complicações, enquanto, nos grupos cinesioterapia e de treinamento muscular inspiratório, as complicações foram observadas em dois (20%) e três (30%) pacientes, respectivamente. As pressões inspiratória máxima (PImáx) e expiratória máxima (PEmáx) no treinamento muscular inspiratório e a PImáx no grupo cinesioterapia demonstraram impacto clínico quando comparados ao grupo controle. Conclusão: A cinesioterapia e o treinamento muscular inspiratório impactaram na redução das complicações pós-operatórias das cirurgias oncológicas.


Introduction: Preoperative physiotherapy in cancer patients plays a fundamental role in reducing postoperative complications. It is known that the preoperative assessment identifies risk factors and is critical in reducing the development of such complications. Objective: Identify the effect of preoperative kinesiotherapy and inspiratory muscle training on postoperative pulmonary complications in cancer patients. Method: Thirty patients were randomly divided into a kinesiotherapy group, inspiratory muscle training group and control group, with 10 participants in each group. Respiratory muscle strength assessment, 6-minute walk test and peripheral muscle strength were performed. The Wilcoxon test was used for comparison before and after treatment. The Kruskal Wallis test was also performed to compare the post-treatment result and the Chi-square test for categorical variables. The Cohen test (d) was also performed to identify the effect size. Results: Nine (90%) individuals in the control group had complications, while in the kinesiotherapy and inspiratory muscle training groups, complications were observed in two (20%) and three (30%) patients, respectively. Maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) in inspiratory muscle training and MIP in the kinesiotherapy group demonstrated clinical impact when compared to the control group. Conclusion: Kinesiotherapy and inspiratory muscle training impacted the reduction of postoperative complications of oncology surgeries.


Introducción: La fisioterapia preoperatoria en pacientes oncológicos tiene un papel fundamental en la reducción de las complicaciones posoperatorias. Se sabe que la evaluación preoperatoria identifica factores de riesgo y es decisiva para reducir el desarrollo de tales complicaciones. Objetivo: Verificar el efecto de la kinesioterapia preoperatoria y el entrenamiento de los músculos inspiratorios sobre las complicaciones pulmonares postoperatorias en pacientes con cáncer. Método: Treinta pacientes fueron divididos aleatoriamente en un grupo de kinesioterapia, un grupo de entrenamiento de los músculos inspiratorios y un grupo de control, con diez participantes en cada grupo. Se realizó una evaluación de la fuerza de los músculos respiratorios, la prueba de marcha de seis minutos y la fuerza de los músculos periféricos. Se utilizó la prueba de Wilcoxon para comparar antes y después del tratamiento. También se realizó la prueba de Kruskal Wallis para comparar el resultado postratamiento y la prueba de chi-cuadrado para variables categóricas. También se realizó la prueba de Cohen (d) para identificar el tamaño del efecto. Resultados: Nueve (90%) individuos en el grupo de control tuvieron complicaciones, mientras, en los grupos de kinesioterapia y entrenamiento de los músculos inspiratorios, se observaron complicaciones en dos (20%) y tres (30%) pacientes, respectivamente. Las presiones inspiratorias (MIP) y espiratorias máximas (MEP) en el entrenamiento de los músculos inspiratorios y MIP en el grupo de kinesioterapia demostraron un impacto clínico en comparación con el grupo de control. Conclusión: La kinesioterapia y el entrenamiento de los músculos inspiratorios impactaron en la reducción de las complicaciones posoperatorias de las cirugías oncológicas


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Preoperative Care , Physical Therapy Modalities , Neoplasms/complications , Breathing Exercises/adverse effects , Neoplasms/surgery
18.
Rev. Investig. Innov. Cienc. Salud ; 3(2): 57-71, 2021. ilus
Article in English | LILACS, COLNAL | ID: biblio-1392905

ABSTRACT

Introduction. Singing is a type of sportive activity and, like sports medicine, profes-sional voice medicine is interested in the habilitation and rehabilitation of the vocal performer. The vocal needs of the professional vocal performer may not be similar to other professional or non-professional voice users. Like a professional athlete, a vocal performer's ability to perform for many decades at a high level will be enhanced by basing artistic and lifestyle decisions on a scientifically sound foundation. Objective. The aim of this study is to present a multidimensional introduction to the methods of SVT, incorporating the principles of sport and exercise medicine, and physical therapy and rehabilitation.Reflection. Singing voice therapy needs to provide answers to "what", "why", "how", and "when" questions. SVT must first correctly identify the problem, leading to the "how to do" solutions for a wide variety of cases, followed by a schedule of prescribed activities including answers to the "why" question (which exercise relates to which muscle). The periodization and motor learning principles provide a temporal answer to the "when" question when developing habilitation and/or rehabilitative protocols.Conclusion. Singing is not only an artistic expression, but also a sportive performance. The clinical approach to professional voice is a multidimensional and multilayered team effort. All practices are structured by blending scientific and ped-agogical knowledge


Introducción. El canto es una forma de actividad deportiva y, al igual que la medicina deportiva, la medicina vocal profesional se interesa por la habilitación y rehabilitación del intérprete vocal. Las necesidades vocales del intérprete vocal profesional pueden no ser similares a las de otros usuarios de voz profesionales o no profesionales. Al igual que un atleta profesional, la capacidad de un intérprete vocal para desempeñarse durante muchas décadas a un alto nivel se mejorará al basar las decisiones artísticas y de estilo de vida en un fundamento científicamente sólido. Objetivo. El objetivo de este estudio es presentar una introducción multidimensional a los métodos de TSV, incorporando los principios de la medicina del deporte y el ejercicio, y la fisioterapia y rehabilitación. Reflexión. La terapia de la voz cantada debe proporcionar respuestas a preguntas de "qué", "por qué", "cómo" y "cuándo". SVT primero debe identificar correctamente el problema, lo que lleva a las soluciones de "cómo hacer" para una amplia variedad de casos, seguido de un programa de actividades prescritas que incluyen respuestas a la pregunta "por qué" (qué ejercicio se relaciona con qué músculo). Los principios de periodización y aprendizaje motor proporcionan una respuesta temporal a la pregunta de "cuándo", al desarrollar protocolos de habilitación y/o rehabilitación. Conclusión. Cantar no es solo una expresión artística, sino también una actuación deportiva. El enfoque clínico de la voz profesional es un esfuerzo de equipo multidimensional y de múltiples capas. Todas las prácticas están estructuradas, al combinar conocimientos científicos y pedagógicos.


Subject(s)
Voice , Voice Training , Singing , Sound , Voice Quality , Breathing Exercises/methods , Voice Disorders , Physical Therapy Modalities
19.
Rev. Investig. Innov. Cienc. Salud ; 3(1): 98-115, 2021. tab, ilus
Article in Spanish | LILACS, COLNAL | ID: biblio-1393218

ABSTRACT

Introducción: en la actualidad, los entrenadores buscan la manera de mejorar las capacidades físicas de los atletas mediante diferentes estrategias de entrenamiento, como la exposición constante o intermitente a la altitud y el entrenamiento de intervalos de alta intensidad. Objetivo: Revisar la literatura actual y describir los efectos sobre el organismo del entrenamiento de intervalos de alta intensidad en altitud simulada en sujetos sedentarios, físicamente activos y entrenados. Resultados: el número de artículos revisados evidencia que, en hipoxia simulada en cámara hipobárica o normobárica (n=13) o máscara de simulación de altitud (n=1), todos utilizaron intensidades altas (n=13) a submáximas (n=1). Los participantes de las investigaciones fueron mujeres con obesidad sedentarias (n=3), hombres y mujeres físicamente activos (n=9) y sujetos entrenados (n=3). El tiempo de intervención de los estudios fue de 3 a 12 semanas, con una altitud simulada de 1824 a 4500 m.s.n.m. Se observaron efectos beneficiosos sobre la composición corporal, aptitud cardiorrespiratoria, aumentos en hemoglobina, eritropoyetina, consumo energético, fuerza máxima concéntrica e isométrica, fuerza absoluta y mejor tolerancia al ejercicio (percepción del esfuerzo). Conclusiones: La combinación de entrenamientos de intervalos de alta intensidad, combinado con una exposición en altitud simulada, puede evidenciar mejoras significativas en el rendimiento cardiorrespiratorio, así como en aspectos de composición corporal, lo que permitiría una mejor predisposición a intensidades más elevadas de actividad y ejercicio físico.


Introduction: Today, coaches are looking for ways to improve athletes' physical abilities through different training strategies, such as constant or intermittent exposu-re to altitude and high intensity interval training. Objective: To review the current literature and describe the effects on the body of simulated high-intensity interval training at altitude in sedentary, physically active, and trained subjects. Results: the number of articles reviewed evidences that, in simulated hypoxia in hypobaric or normobaric chamber (n = 13) or altitude simulation mask (n = 1), all used high intensities (n = 13) to submaximal (n = 1). The research participants were women with sedentary obesity (n = 3), physically active men and women (n = 9), and trained subjects (n = 3). The intervention time of the studies was 3 to 12 weeks, with a simulated altitude of 1824 to 4500 meters. Beneficial effects on body composition were observed, as well as cardiorespiratory fitness, increases in hemoglobin, erythro-poietin, energy consumption, concentric and isometric maximum strength, absolute strength and better exercise tolerance (perception of effort). Conclusions: The combination of high intensity interval training combined with a simulated altitude exposure can show significant improvements in cardiorespiratory performance, as well as in aspects of body composition, which would allow a better predisposition to higher intensities of activity and physical exercise.


Subject(s)
Breathing Exercises , Exercise/physiology , Simulation Exercise , High-Intensity Interval Training , Teaching , Body Composition , Erythropoietin , Health Strategies , Exercise Tolerance , Energy Consumption , Cool-Down Exercise , Cardiorespiratory Fitness , Hypoxia
20.
Braz. j. med. biol. res ; 54(7): e10865, 2021. tab, graf
Article in English | LILACS | ID: biblio-1249318

ABSTRACT

This study verified the effects of respiratory muscle training (RMT) on hemodynamics, heart rate (HR) variability, and muscle morphology in rats with streptozotocin-induced diabetes mellitus (DM). Thirty-six male Wistar rats were randomized into 4 groups and 34 completed the study: i) sham-sedentary (Sham-ST; n=9); ii) sham-RMT (Sham-RMT; n=9); iii) DM-sedentary (DM-ST; n=8); and iv) DM-RMT (DM-RMT; n=8). Hemodynamics were assessed by central cannulation, and R-R intervals were measured by electrocardiogram. In addition, the effects of RMT on the cross-sectional area of the diaphragm, anterior tibial, and soleus muscles were analyzed. The induction of DM by streptozotocin resulted in weight loss, hyperglycemia, reduced blood pressure, and attenuated left ventricular contraction and relaxation (P<0.05). We also observed a decrease in root mean square of successive differences between adjacent RR intervals (RMSSD) index and in the cross-sectional area of the muscles assessed, specifically the diaphragm, soleus, and anterior tibial muscles in diabetic rats (P<0.05). Interestingly, RMT led to an increase in RMSSD in rats with DM (P<0.05). The induction of DM produced profound deleterious changes in the diaphragmatic and peripheral muscles, as well as impairments in cardiovascular hemodynamics and autonomic control. Nevertheless, RMT may beneficially attenuate autonomic changes and improve parasympathetic modulation.


Subject(s)
Animals , Male , Rats , Diabetes Mellitus, Experimental , Respiratory Muscles , Breathing Exercises , Rats, Wistar , Heart Rate , Hemodynamics
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