Cássio Magalhães da e Silva

Effects of Respiratory Muscle Training on Respiratory Function, Respiratory Muscle Strength, and Exercise Tolerance in Patients Poststroke: A Systematic Review With Meta-Analysis

OBJECTIVE To examine the effects of respiratory muscle training on respiratory function, respiratory muscle strength, and exercise tolerance in patients poststroke. DATA SOURCES We searched MEDLINE, Cochrane Library, Embase, SciELO, Physiotherapy Evidence Database (PEDro), and CINAHL (from the earliest date available to November 2015) for trials. STUDY SELECTION Randomized controlled trials (RCTs) that examined the effects of respiratory muscle training versus nonrespiratory muscle training in patients poststroke. Two reviewers selected studies independently. DATA EXTRACTION Extracted data from the published RCTs. Study quality was evaluated using the PEDro Scale. Weighted mean differences (WMDs), standard mean differences (SMDs), and 95% confidence intervals (CIs) were calculated. DATA SYNTHESIS Eight studies met the study criteria. Respiratory muscle training improved maximal inspiratory pressure WMDs (7.5; 95% CI, 2.7-12.4), forced vital capacity SMDs (2.0; 95% CI, 0.6-3.4), forced expiratory volume at 1 second SMDs (1.2; 95% CI, 0.6-1.9), and exercise tolerance SMDs (0.7; 95% CI, 0.2-1.2). No serious adverse events were reported. CONCLUSIONS Respiratory muscle training should be considered an effective method of improving respiratory function, inspiratory muscle strength, and exercise tolerance in patients poststroke. Further research is needed to determine optimum dosages and duration of effect.

Comparação da força muscular respiratória, qualidade de vida e capacidade funcional entre adolescentes com fibrose cística com diferentes perfis bacteriológicos

Corresponding address: Cássio Magalhães da Silva e Silva – Universidade Federal da Bahia (UFBa), Departamento de Biofunção, Curso de Fisioterapia – Av. Reitor Miguel Calmon, s/n, Vale do Canela – Salvador (BA), Brasil – CEP: 40110-100 – Phone: (71) 3283-8910 – E-mail: cassiofisio2@yahoo.com.br – Finance source: Nothing to declare – Conflict of interests: Nothing to declare – Presentation: Mar. 5th, 2017 – Accepted for publication: Mar. 10th, 2018 – Approved by the Research Ethics Committee of the Instituto de Ciências da Saúde at the Universidade Federal da Bahia, under Protocol no. 1,377,967. Comparison of respiratory muscle strength, quality of life and functional capacity among adolescents with cystic fibrosis with different bacteriological profiles Comparação da força muscular respiratória, qualidade de vida e capacidade funcional entre adolescentes com fibrose cística com diferentes perfis bacteriológicos Comparación de la fuerza muscular respiratoria, la cualidad de vida y la capacidad funcional entre adolescentes con fibrosis quística con distintos perfiles bacteriológicos Rafaela Cerqueira Andrade1, Cássio Magalhães da Silva e Silva2, Anna Lúcia Lima Diniz da Silva3, Sheyla Ramos Haun4, Valdivia Alves de Souza4, Diego Jorge Souza Ezequiel5

Comparison of respiratory muscle strength, quality of life and functional capacity among adolescents with cystic fibrosis with different bacteriological profiles

Corresponding address: Cássio Magalhães da Silva e Silva – Universidade Federal da Bahia (UFBa), Departamento de Biofunção, Curso de Fisioterapia – Av. Reitor Miguel Calmon, s/n, Vale do Canela – Salvador (BA), Brasil – CEP: 40110-100 – Phone: (71) 3283-8910 – E-mail: cassiofisio2@yahoo.com.br – Finance source: Nothing to declare – Conflict of interests: Nothing to declare – Presentation: Mar. 5th, 2017 – Accepted for publication: Mar. 10th, 2018 – Approved by the Research Ethics Committee of the Instituto de Ciências da Saúde at the Universidade Federal da Bahia, under Protocol no. 1,377,967. Comparison of respiratory muscle strength, quality of life and functional capacity among adolescents with cystic fibrosis with different bacteriological profiles Comparação da força muscular respiratória, qualidade de vida e capacidade funcional entre adolescentes com fibrose cística com diferentes perfis bacteriológicos Comparación de la fuerza muscular respiratoria, la cualidad de vida y la capacidad funcional entre adolescentes con fibrosis quística con distintos perfiles bacteriológicos Rafaela Cerqueira Andrade1, Cássio Magalhães da Silva e Silva2, Anna Lúcia Lima Diniz da Silva3, Sheyla Ramos Haun4, Valdivia Alves de Souza4, Diego Jorge Souza Ezequiel5

Comparación de la fuerza muscular respiratoria, la cualidad de vida y la capacidad funcional entre adolescentes con fibrosis quística con distintos perfiles bacteriológicos

Corresponding address: Cássio Magalhães da Silva e Silva – Universidade Federal da Bahia (UFBa), Departamento de Biofunção, Curso de Fisioterapia – Av. Reitor Miguel Calmon, s/n, Vale do Canela – Salvador (BA), Brasil – CEP: 40110-100 – Phone: (71) 3283-8910 – E-mail: cassiofisio2@yahoo.com.br – Finance source: Nothing to declare – Conflict of interests: Nothing to declare – Presentation: Mar. 5th, 2017 – Accepted for publication: Mar. 10th, 2018 – Approved by the Research Ethics Committee of the Instituto de Ciências da Saúde at the Universidade Federal da Bahia, under Protocol no. 1,377,967. Comparison of respiratory muscle strength, quality of life and functional capacity among adolescents with cystic fibrosis with different bacteriological profiles Comparação da força muscular respiratória, qualidade de vida e capacidade funcional entre adolescentes com fibrose cística com diferentes perfis bacteriológicos Comparación de la fuerza muscular respiratoria, la cualidad de vida y la capacidad funcional entre adolescentes con fibrosis quística con distintos perfiles bacteriológicos Rafaela Cerqueira Andrade1, Cássio Magalhães da Silva e Silva2, Anna Lúcia Lima Diniz da Silva3, Sheyla Ramos Haun4, Valdivia Alves de Souza4, Diego Jorge Souza Ezequiel5

Effects of upper limb resistance exercise on aerobic capacity, muscle strength, and quality of life in COPD patients: a randomized controlled trial

Objective: To evaluate the effects of upper limb resistance exercise on the functional capacity, muscle function, and quality of life in patients with chronic obstructive pulmonary disease. Setting: Clinical School of Physiotherapy in a Public University of Brazil. Subjects: 58 patients were recruited; of these, 7 were excluded and 51 individuals were enrolled. Intervention: Control group performed warm-up, aerobic exercise, inspiratory muscle training, and session stretching, followed by massage therapy. The treatment group performed warm-up, aerobic exercise, inspiratory muscle training, three sets of upper limb resistance exercise, and session stretching, followed by massage therapy. Total three sessions per week for eight weeks. Primary outcome measures: 6-minute walk test, respiratory and peripheral muscle strength, dyspnea, and quality of life. Normality of the data was tested using the Shapiro–Wilk test; paired analysis of variance was used for intergroup analyses. Results: 51 patients (25 in the control group and 26 in the treatment group); 41% of the subjects were men. Mean forced expiratory volume was 2.6 ± 0.6 L, and mean body mass index was 27.3 ± 7.0 kg/m2. The upper limb resistance exercise resulted in significantly greater benefit in terms of exercise capacity (88.5 ± 81.9 m, P = 0.043), inspiratory muscle strength (22.9 ± 24.2 cm H2O, P = 0.001), upper limb muscle strength (2.3 ± 3.1 kg, P = 0.027), and quality of life scores (−15.3 ± 10.9 points, P = 0.000). Conclusion: Upper limb resistance exercise improved the exercise capacity, respiratory muscle strength, and quality of life.

Addition of an educational programme for primary caregivers to rehabilitation improves self-care and mobility in children with cerebral palsy: a randomized controlled trial:

Objective: To assess whether the addition of an education programme for primary caregivers to rehabilitation improves daily functioning in children with cerebral palsy. Design: A randomized, single-blind, controlled study. Setting: This study was conducted in a rehabilitation centre in Salvador, Brazil. Participants: A total of 63 boys and girls with cerebral palsy, at 1–12 years of age, with Gross Motor Function Classification Systems I–V, were randomly assigned to two groups: educational programme for primary caregivers and conventional rehabilitation (n = 29) or conventional rehabilitation alone (n = 31). Intervention: Each group received 12 sessions of 30 minutes of conventional rehabilitation and 12 sessions of 45 minutes to intervention group. Measurements: Gross Motor Function Classification System, Gross Motor Function Measure and daily functioning with the Pediatric Evaluation of Disability Inventory were assessed by a blinded assessor. The clinical outcomes were obtained at the completion of treatment (12 weeks). Results: Of the 63 patients included, 60 (mean ± SD age: 4.6 ± 2.74 years) completed the protocol. The combined education and rehabilitation, as compared with conventional rehabilitation alone, yielded significantly greater benefit in the self-care domain of the Functional Skills Scale (mean change 1.74 versus 5; P = 0.001), self-care (mean change 5.52 versus 13.99; P = 0.017) and the mobility domain of the Caregiver Assistance Scale of Pediatric Evaluation of Disability Inventory (mean change 0.87 versus 17.88; P = 0.002). Conclusion: Self-care and mobility improved in children with cerebral palsy with the addition to conventional rehabilitation of an educational programme for primary caregivers.

Avaliação da atividade de vida diária no paciente com doença pulmonar obstrutiva crônica (DPOC)

Introducao: a doenca pulmonar obstrutiva cronica (DPOC) caracteriza-se por limitacao persistente aos fluxos aereos e sintomas de intensidade variaveis tais como dispneia, tosse expectoracao. A DPOC concorre para elevada limitacao funcional, retracao social e reducao da qualidade de vida dos pacientes. A escala LCADL (London Chest Activity of Daily Living) avalia o impacto da dispneia para a realizacao de atividades de vida diaria dos pacientes. Objetivo: examinar o impacto da dispneia na capacidade realizacao das atividades de vida diaria (AVD’s) em pacientes com DPOC admitidos na clinica escola de Fisioterapia da UFBA. Metodologia: estudo de corte transversal. Todos os individuos responderam a um questionario sociodemografico e a escala LCADL. Foram mensurados peso, altura, e Indice de Massa Corporea (IMC). Realizada analise predominantemente descritiva e as informacoes armazenadas no software Statistical Package for the Social Sciences. Resultados: foram avaliados 37 pacientes, com media de idade 66,8 ± 7,6 anos, predominantemente do sexo feminino 21(57%), IMC de 24,8 ± 5; os pacientes apresentaram doencas associadas como: Hipertensao Arterial Sistemica (HAS) 12(32%), asma em 3(8%), diabetes mellitus 1 em 2(5%), bronquiectasia em 2(5%), cardiopatias em 3(8%), osteoporose em 1(2,7%), gastrite em 1(2,7%), labirintite em 3(8%) dos pacientes. No total da escala LCADL os pacientes apresentam dispneia leve para realizacao das AVD’s com maior impacto 23,8 ± 10,7 para a realizacao das atividades fisicas 4,2 ± 1,6 seguindo o corte estabelecido de 0-25 pontos com limitacao leve. Conclusao: identificado leve limitacao das AVD’s na escala LCADL que esta associado aos pacientes com maior dispneia, IMC normal, sexo feminino, escolaridade fundamental, nos ativos e menores de 60 anos.

Evaluation of respiratory muscle strength and functional capacity in patients with cystic fibrosis

Objetivo: Correlacionar a forca muscular respiratoria e a capacidade funcional em pacientes com FC. Metodos: Estudo transversal em adultos com fibrose cistica. Os dados amostrais foram catalogados no Microsoft Office Excel 2007 e as variaveis analisadas pelo SPSS versao 20.0 atraves do teste t de Student e do coeficiente de Spearman. O nivel de significância adotado foi p < 0,05. Resultados: Foram avaliados 35 pacientes com fibrose cistica (44,6 ± 19,0 anos), grande parte dos pacientes de FC (n=26) nao apresentaram fraqueza da musculatura inspiratoria (PImax -90,7 ± 27,4 cmH2O). Nao foi encontrada estatistica significativa apenas entre os pacientes adultos e idosos. Houve correlacao positiva entre PImax, PEmax e teste de caminhada de 6 minutos (TC6) nos participantes com fraqueza muscular respiratoria e nos idosos. Houve diferenca estatisticamente significativa entre as medias da distância percorrida no TC6 e das pressoes respiratorias maximas com a media do que foi previsto para estas variaveis. Conclusao: Todos os grupos apresentaram limitacao da forca respiratoria e da capacidade funcional. As correlacoes entre as pressoes respiratorias com o TC6 foram baixas e pequenas nos adultos e individuos sem fraqueza muscular respiratoria; moderadas a alta nos idosos; pequenas a moderada nas mulheres; pequenas e negativas nos homens; e, altas naqueles com fraqueza muscular respiratoria

Incapacidade funcional de pacientes com doença pulmonar obstrutiva crônica através da WHODAS

Measurement of Activities of daily living (ADLs) in patients with COPD is a commonly used instrument and supported by the International Classification of Functioning (ICF). Objective: Evaluate the functional disability in patients with chronic obstructive pulmonary disease (COPD) by the World Health Organization Disability Assessment Schedule (WHODAS). Methods: This cross-sectional study that evaluated 24 patients at the beginning of a pulmonary rehabilitation program with WHODAS 2.0 questionnaire. The statistical analysis was descriptive and inferential analysis with the Spearman correlation coefficient with 5% significance level. Results: The data obtained with the total scores of domains and scales in the evaluation of patients were compared using the Mann-Whitney test. Patients had mild functional disability. The total score WHODAS 2.0 was higher in younger than 60 years (35.3 ± 16 vs 14.4 ± 8.6; p = 0.05) and males (12.1 ± 6.7 vs 25.2 ± 15.1; p = 0.03) part will introduce greater disability. There was also a correlation between the domain “daily activities” with the domain “participation” (r = 0.771; p0.001). Conclusion: The 2.0 WHODAS was rated as a feasible tool for the assessment of disability in activities of daily living (ADL’s) of COPD patients. The results also revealed that community patients out of the COPD crisis, have moderate to mild difficulty in mobility to social participation domainsDOI: 10.5935/0104-7795.20160024 ABSTRACT Measurement of Activities of daily living (ADLs) in patients with COPD is a commonly used instrument and supported by the International Classification of Functioning (ICF). Objective: Evaluate the functional disability in patients with chronic obstructive pulmonary disease (COPD) by the World Health Organization Disability Assessment Schedule (WHODAS). Methods: This cross-sectional study that evaluated 24 patients at the beginning of a pulmonary rehabilitation program with WHODAS 2.0 questionnaire. The statistical analysis was descriptive and inferential analysis with the Spearman correlation coefficient with 5% significance level. Results: The data obtained with the total scores of domains and scales in the evaluation of patients were compared using the Mann-Whitney test. Patients had mild functional disability. The total score WHODAS 2.0 was higher in younger than 60 years (35.3 ± 16 vs 14.4 ± 8.6; p = 0.05) and males (12.1 ± 6.7 vs 25.2 ± 15.1; p = 0.03) part will introduce greater disability. There was also a correlation between the domain “daily activities” with the domain “participation” (r = 0.771; p <0.001). Conclusion: The 2.0 WHODAS was rated as a feasible tool for the assessment of disability in activities of daily living (ADL’s) of COPD patients. The results also revealed that community patients out of the COPD crisis, have moderate to mild difficulty in mobility to social participation domains.