Strategy for respiratory exercise pattern associated with upper limb movements in COPD patients
Clinics
;
66(2): 299-305, 2011. ilus, graf, tab
Artigo
em Inglês
| LILACS
| ID: lil-581518
ABSTRACT
INTRODUCTION:
Upper limb exercises are frequently used in respiratory physiotherapy, with UL elevation and controlled inspiratory timing. However, the use of expiration during upper limb elevation appears to be a strategy that could minimize the action of accessory muscles in patients with chronic obstructive pulmonary disease. In this context, little is known about the synchrony of upper limb (UL) movements associated with breathing. The aim of this study was to investigate the respiratory pattern of chronic obstructive pulmonary disease patients during different UL exercises associated with respiratory exercises.METHODS:
Fifteen chronic obstructive pulmonary disease patients participated in this study. Respiratory pattern analysis by inductance plethysmography was performed during four types of upper limb exercises, two shoulder flexion-extension (one associated with inspiratory time during the concentric phase and the other associated with expiratory time) and two shoulder abduction-adduction (same timing as above). Statistical analysis was performed by the Kolmogorov-Smirnov test and ANOVA with Tukey tests (p< 0.05).RESULTS:
The thoracoabdominal coordination measurements increased in the two exercises using both inspiration during shoulder flexion (PhRIB 172 percent; PhREB 131 percent; PhRTB 142 percent and PhAng 238 percent) as well as in shoulder horizontal abduction (PhRIB 145 percent; PhREB 109 percent; PhRTB 130 percent and PhAng 229 percent), differing from the exercises with expiration at the time of shoulder flexion and horizontal abduction.CONCLUSION:
The exercises performed with inverted respiratory time produced less asynchrony and can be used as important strategies during physical exercise programs in these patients.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Ombro
/
Músculos Respiratórios
/
Exercícios Respiratórios
/
Exercício Físico
/
Doença Pulmonar Obstrutiva Crônica
Tipo de estudo:
Fatores de risco
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Clinics
Assunto da revista:
Medicina
Ano de publicação:
2011
Tipo de documento:
Artigo
/
Documento de projeto
País de afiliação:
Brasil
Instituição/País de afiliação:
Anhanguera Colleges of the Piracicaba/BR
/
Federal University of Sao Carlos/BR
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