Anna Myrna Jaguaribe de Lima

The influence of inspiratory muscle training on diaphragmatic mobility, pulmonary function and maximum respiratory pressures in morbidly obese individuals: a pilot study

Abstract Purpose: To investigate whether 12 week inspiratory muscle training (IMT) has any impact on pulmonary function, maximum respiratory pressures and diaphragmatic mobility (DM) in morbidly obese subjects. Method: Thirty-one morbidly obese individuals were assessed. Volunteers were randomised into two groups. The IMT group (n = 16) followed an IMT protocol for 12 weeks, with a training load of 30% of maximal inspiratory pressure (PImax). The control group (CG) (n = 15) followed the same protocol but without inspiratory load. Results: A total of 14 subjects performed IMT for 12 weeks. Significant increases in PImax (−86.86 ± −20.70 cmH2O versus −106.43 ± −32.97 cmH2O, p < 0.05) and maximal voluntary ventilation (97.84 ± 37.06 L/min versus 115.17 ± 34.17 L/min, p < 0.05) were observed in the IMT group when compared to baseline. However, only FIV1 significantly differed between the IMT group and the CG after the 12 week protocol (3.35 ± 0.96 L versus 2.22 ± 1.07 L, respectively; p < 0.05). No significant differences were found in DM after the IMT protocol was performed. Conclusion: IMT improved PImax and altered the FIV1. These results suggest that the improvements in muscular respiratory efficiency were insufficient to mobilise the diaphragm and modify ventilation mechanics. Pre-operative IMT may be a valuable approach in obese patients for preventing post-operative pulmonary complications. http://clinicaltrials.org -- NCT01449643 -- The Influence of IMT on Diaphragmatic Mobility in Morbidly Obese. Implications for Rehabilitation Morbid Obesity Morbid obesity is a disabling condition that has a serious negative impact on lung function, respiratory muscle function and quality of life. Inspiratory Muscle Training (IMT) is a technique which aims to improve pulmonary expansion and to prevent post surgery complications on morbid obese individuals. This study shows significantly increased on maximal inspiratory pressure, maximal voluntary ventilation and promoted changes on spirometric variables after IMT.

Intervenção da fisioterapia respiratória na função pulmonar de indivíduos obesos submetidos a cirurgia bariátrica. Uma revisão

Resumo Introducao : A obesidade, considerada uma nova epidemia mundial, e caracterizada pelo excesso de tecido adiposo contribuindo para diversas doencas cronicas e aumento da mortalidade. A obesidade associada ao procedimento cirurgico nesses doentes condiciona a fisioterapia respiratoria essencial na recuperacao da funcao pulmonar e na prevencao das complicacoes respiratorias. Objectivos : Verificar o efeito das intervencoes fisioterapeuticas sobre a funcao pulmonar de doentes obesos submetidos a cirurgia bariatrica. Metodo : Uma revisao de literatura foi conduzida no periodo de Outubro/2008 a ju-nho/2009, com materiais disponiveis na base de dados Medline, Pubmed e Scielo , publicados nos ultimos trinta anos. Conclusao: A fisioterapia respiratoria realizada no periodo pre e pos-operatorio e de fundamental importância nos individuos submetidos a cirurgia bariatrica, independente da tecnica empregada, para prevenir complicacoes pulmonares inerentes ao processo cirurgico e possibilitar a recuperacao da funcao pulmonar. Rev Port Pneumol 2010; XVI (2): 307-314

Obstructive sleep apnea does not impair cardiorespiratory responses to progressive exercise performed until exhaustion in hypertensive elderly (vol 22, pg 431, 2018)

The original version of this article was published online containing two items that require correction, namely the abstract (Results section) and Table 3.

Lung function, respiratory muscle strength and endurance, and quality of life in the morbidly obese

Resumen en: Introduction. Obesity may decrease the strength of respiratory muscles as well as pulmonary function. Objective. To analyze the influence of respiratory ...