Benefício do Método Pilates em mulheres com fibromialgia / Benefit Pilates Method in women with fibromyalgia

Introdução: A Síndrome da fibromialgia (SFM) é uma doença crônica com dor difusa. Objetivo - avaliar a eficácia do Método Pilates para a melhora da dor em pacientes com Fibromialgia. Método - Este estudo é prospectivo de autocontrole, os pacientes foram avaliados antes e após o tratamento por meio da algometria e da Escala Visual Analógica. A qualidade de vida por meio do Questionário Impacto da Fibromialgia (QIF) e o sono pelo Índice da Qualidade do Sono de Pittsburgh. O programa de exercícios de Pilates no solo teve 15 sessões, duas vezes por semana, com duração de 60 minutos. Resultados ­ compuseram o estudo 20 mulheres com SDF, tempo de diagnóstico de 6±4 anos, quanto a QIF os pacientes melhoraram em todos os domínios. Foi encontrada correlação entre o impacto da fibromialgia com a qualidade do sono. Conclusão - Os efeitos do Método Pilates são positivos para redução da dor.

Introduction - Fibromyalgia Syndrome (FMS) is a chronic disease with diffuse pain. Objective - To assess the effectiveness of Pilates for pain relief in patients with fibromyalgia. Method - This study is a prospective self-control, patients were evaluated before and after treatment by algometry and Visual Analogue Scale. The quality of life through the Fibromyalgia Impact Questionnaire (FIQ), and sleep by Pittsburgh Sleep Quality Index. The Pilates exercise program on the ground had 15 sessions, twice a week, during 60 minutes. Results - Composed these study 20 women with SDF, diagnosis time of 6 ± 4 years, as QIF patients improved in all areas. Correlation was found among the impact of fibromyalgia on the quality of sleep. Conclusion - The effects of Pilates are positive for reducing pain.

Daily activities are sufficient to induce dynamic pulmonary hyperinflation and dyspnea in chronic obstructive pulmonary disease patients

OBJECTIVE: The aim of this study was to measure dynamic lung hyperinflation and its influence on dyspnea perception in moderate and severe chronic obstructive pulmonary disease patients after performing activities of daily living. METHODS: We measured inspiratory capacity, sensation of dyspnea, peripheral oxygen saturation, heart rate and respiratory rate in 19 chronic obstructive pulmonary disease patients. These measurements were taken at rest and after performing activities of daily living (e.g., going up and down a set of stairs, going up and down a ramp and sweeping and mopping a room). RESULT: The inspiratory capacity of patients at rest was significantly decreased compared to the capacity of patients after performing activities. The change in inspiratory capacity was -0.67 L after going up and down a ramp, -0.46 L after sweeping and mopping a room, and -0.55 L after climbing up and down a set of stairs. Dyspnea perception increased significantly between rest, sweeping and mopping, and going up and down a set of stairs. Dyspnea perception correlated positively with inspiratory capacity variation (r = 0.85) and respiratory rate (r = 0.37) and negatively with peripheral oxygen saturation (r = -0.28). CONCLUSION: Chronic obstructive pulmonary disease patients exhibited reductions in inspiratory capacity and increases in dyspnea perception during commonly performed activities of daily living, which may limit physical performance in these patients.