RESUMO
Objective:To observe the effect of water-based pulmonary rehabilitation on stable chronic obstructive pulmonary disease (COPD). Methods:From February, 2020 to February, 2021, 50 patients with stable COPD in our hospital were divided into control group (n = 25) and experimental group (n = 25), who accepted pulmonary rehabilitation training on land and in water, for eight weeks. They were measured forced expiratory volume in first second (FEV1), percents of forced expiratory volume in first second for prediction (FEVl%) and ratio of forced expiratory volume in first second in forced vital capacity (FEV1/FVC) with pulmonary function instrument; measured root mean square (RMS) of electromyogram of diaphragm and right transversus abdominis with surface electromyography; and assessed with modified breathlessness measurement of British Medical Research Council (mMRC), 6-minute walk test (6MWT) and quality of life scale for COPD adults (COPD-QOL) before and after treatment. Results:FEV1, FEVl%, FEV1/FVC, RMS of diaphragm and transversus abdominis, and 6MWT distance and COPD-QOL score increased in both group (t > 2.08, P < 0.05), and increased more in the experimental group than in the control group (t > 2.27, P < 0.05); while mMRC score decreased (t > 2.09, P < 0.05), and decreased more in the experimental group than in the control group (t = 2.13, P < 0.05). Conclusion:Water-based pulmonary rehabilitation training can further improve lung function, strength of respiratory muscles, dyspnea, tolerance and quality of life for patients with COPD.
RESUMO
Abstract Very little is known about the influence training programmes that combine land-based and water-based exercises might have on the cognitive function of healthy older people. Aim to analyze the combined effect of two physical exercise programs (water-based and land-based) on fitness level and cognitive function. Method 15 senior citizens carried out a water and land-based exercise program (EF group), while 22 senior citizens followed the same program with the addition of cognitive training performed in water (EC group). The effects of both programs were assessed by means of the Symbol Digit Modalities, the Two-minute step and the Timed-up-and-go tests. Results The data obtained showed that both programs had significant effects on the participants' fitness level and cognitive function, although only those in the EC group showed a significantly higher improvement. Conclusion The combination of water-based and land-based exercise may lead to improvements in cognitive functions and fitness levels in healthy older adults. The inclusion of cognitive exercises performed in water seems to maximise these effects.(AU)