Treinamento Físico Combinado Melhora a Tolerância ao Exercício e o Prognóstico em Indivíduos com DPOC

Objective: To identify the effect of this training on exercise tolerance in people with COPD and on the prognosis of the disease. Method: Nine elderly patients with COPD (COPDG) and nine healthy elderly (HG), were avaluated before and after physical training to: six-minute walk test (6MWT), incremental test (ICT), body composition and test 1 repetition maximum (1RM), it was avaluated also in COPDG the BODE index. The training consisted of thirty minutes of aerobic training and three sets of fifteen repetitions of resistance training in leg press horizontal with 40-60% of 1RM, with an interval of five minutes for recovery. Three weekly sessions were held for six weeks. Results: In COPDG, there was a significant increase in the distance covered and an improvement in the BODE index. Conclusion: The 6-week CPT evidence to be effective in improving exercise tolerance in both elderly COPD subjects and the prognosis of disease. Descriptors: Pulmonary disease chronic obstructive; Physical education and training; Exercise tolerance; Elderly.

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ANALYSIS OF EXERCISE TOLERANCE ON THE BASIS OF SIX MINUTE WALK TEST- 6MWT AND BORG- RPE- SCALE IN MEN WITH INGUINAL HERNIA BEFORE AND AFTER LICHTENSTEIN SURGERY

Polish Journal of Surgery ◽

10.5604/01.3001.0014.4207 ◽

2020 ◽

Vol 92 (5) ◽

pp. 1-5

Author(s):

Ewa Machała ◽

Magdalena Redynk ◽

Aneta Gruchała ◽

Krzysztof Kołomecki

Keyword(s):

Inguinal Hernia ◽

Exercise Tolerance ◽

Respiratory Diseases ◽

Significant Negative Correlation ◽

Borg Scale ◽

Six Minute Walk Test ◽

6Mwt Distance ◽

Before And After ◽

And Control ◽

Minute Walk

Assessment of exercise tolerance (ET) plays an important role in qualifications for treatment and rehabilitation. The aim of the study was to assess ET in patients before and after inguinal hernia operations with Lichtenstein method. The cohort study included men with inguinal hernia divided into the study group (SG) (n=50) and control (CG) (n=50) undergone the Lichtenstein surgery. Patients from the SG met the criterion of coexistence of cardiovascular and respiratory diseases. Day before and on the second day after surgery, patients performed 6MWT and subjectively rate the exertion according to Borg- RPE- Scale (before, immediately after and 10 minutes after the test). 6MWT distance, Borg scale ratings were analysed. On the second day after surgery 66% of patients from the SG and 58% from the CG did not complete the test. Patients from the SG before (500,07±40,38 m) and on the second day after surgery (243,46±18,18 m) achieved shorter distances compared to the CG (565,93±20,41 m; 249,47±26,66 m), p<0,001 i p= 0,481. A statistically significant negative correlation between 6MWT distance before surgery and age of the patients was confirmed. Patients who did not develop complications achieved significantly longer distances on admission (p= 0,003 for SG, p=0,004 for CG). For 6MWT before surgery and 2 days after surgery, patients from the SG showed a significantly higher level of fatigue compared to the CG after the test (before: p = 0,001, after: p = 0,001). Patients form the SG often discontinued 6MWT and less tolerated effort compared to the CG. Hence, 6MWT is useful tool for ascertaining physical capacity and ET.

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Faculty Opinions recommendation of Six-minute-walk test in chronic obstructive pulmonary disease: minimal clinically important difference for death or hospitalization.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.717979811.793475671 ◽

2013 ◽

Author(s):

Roberto Rodriguez-Roisin ◽

Ebymar Arismendi Núñez

Keyword(s):

Chronic Obstructive Pulmonary Disease ◽

Pulmonary Disease ◽

Minimal Clinically Important Difference ◽

Chronic Obstructive ◽

Walk Test ◽

Obstructive Pulmonary Disease ◽

Six Minute Walk Test ◽

Clinically Important Difference ◽

Minute Walk

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P1499Trend of end-tidal pressure of carbon dioxide in patients with chronic heart failure and chronic obstructive pulmonary disease during six minute walk test and monitoring

European Heart Journal ◽

10.1093/eurheartj/ehx502.p1499 ◽

2017 ◽

Vol 38 (suppl_1) ◽

Author(s):

K.A. Ageeva ◽

V.N. Abrosimov

Keyword(s):

Heart Failure ◽

Carbon Dioxide ◽

Chronic Obstructive Pulmonary Disease ◽

Chronic Heart Failure ◽

Chronic Obstructive ◽

Walk Test ◽

Obstructive Pulmonary Disease ◽

Six Minute Walk Test ◽

End Tidal ◽

Minute Walk

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Comprehensive exercise training improves ventilatory muscle function and reduces dyspnea perception in patients with COPD

Monaldi Archives for Chest Disease ◽

10.4081/monaldi.2009.355 ◽

2016 ◽

Vol 71 (3) ◽

Cited By ~ 2

Author(s):

F. Cortopassi ◽

A.A.M. Castro ◽

E.F. Porto ◽

M. Colucci ◽

G. Fonseca ◽

...

Keyword(s):

Exercise Training ◽

Respiratory Muscles ◽

Exercise Programme ◽

Lower Limbs ◽

Test Time ◽

Chronic Obstructive ◽

Endurance Test ◽

Incremental Test ◽

Copd Patients ◽

Before And After

Background. Comprehensive exercise training (CET) is an efficient strategy to decrease dyspnea perception in chronic obstructive pulmonary disease (COPD) and may result in significant improvement in ventilatory muscles function. Our aim was to evaluate the effects of general exercise training on dyspnea perception and on respiratory muscles strength in COPD patients. Methods. Consecutive COPD patients were enrolled to complete a CET programme. The patients underwent a routine that included a global warm up, upper and lower limbs endurance exercise as well as stretching and relaxation. Before and after the CET programme, patients completed maximal inspiratory (PImax) and expiratory (PEmax) pressures measurements, maximal incremental test, endurance test, and 6-min walk distance (6MWD). Results. 71 patients (52 male). Mean age 67.6±8.6 years, FEV1 (%) 44.2±16.2 and Mahler dyspnea scale 6.4±1.8. The results before and after the exercise programme were: PImax 64.7±22.9 vs. 75.5±23.7 cmH2O (p=0.001), PEmax 110.8±28.1 vs. 120.4±28.1 cmH2O (p=0.004), 6MWD 510.6±90.3 vs. 528.2±99.7 metres (p=0.88), time of incremental test 672±135 vs. 856±226 sec (p<0.0001). Compared with the pre exercise programme, we observed a significant reduction on Borg dyspnea scale (6.1±2.8 to 3.6±2.3, p<0.0001) as well as a longer test time (504±218 to 1.038±841, p<0.0001) at the end of the endurance test after CET programme. Improvement of PImax correlated negatively with dyspnea perception at iso-time during the endurance test (r= -0.33, p=0.03). Conclusions. Our results confirm that CET is associated with significant improvement in PImax, PEmax and provide evidence demonstrating that CET reduces dyspnea perception in patients with COPD.

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Correlation between 6-minute walk distance and spirometry parameters in stable chronic obstructive pulmonary disease patients

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20185359 ◽

2018 ◽

Vol 7 (1) ◽

pp. 34

Author(s):

Ruchita B. Hajare ◽

Raziya Nagarwala ◽

Ashok Shyam ◽

Parag Sancheti

Keyword(s):

Chronic Obstructive Pulmonary Disease ◽

Pulmonary Disease ◽

Chronic Obstructive ◽

Strong Positive Correlation ◽

Walk Test ◽

Cross Sectional ◽

Obstructive Pulmonary Disease ◽

Six Minute Walk Test ◽

Tertiary Center ◽

Minute Walk

Background: Six minute walk test (6MWT) is a sub-maximal exercise test, used as a clinical indicator of the functional capacity, in patients with cardiopulmonary diseases. It is simple, objective and reproducible test. The present study was designed to assess correlation of six minute walk test with spirometry parameters, in patients with chronic obstructive pulmonary disease.Methods: In this cross sectional study, fifty patients diagnosed with chronic obstructive pulmonary disease (GOLD criteria) coming to tertiary center were recruited according to inclusion and exclusion criteria. All patients underwent spirometric measurement. Spirometric indices including FEV1, FVC, FEV1/FVC and MVV were tested using computerized spirometer. 6MWT was performed following American Thoracic Society (ATS) guidelines. Percent (%) predicted 6MWD was calculated. Correlation between spirometry and 6MWT was assessed.Results: It was found that correlation between 6MWT and spirometry is statistically significant. There is significant strong positive correlation between percent predicted 6MWD and FEV1 (r=0.850 and p= <0.001), whereas there is significant moderate correlation between percent predicted 6MWD and FVC (r=0.554 and p= <0.001), FEV1/FVC (r=0.509 and p= <0.001) and MVV (r=0.615 and p= <0.001).Conclusions: In chronic obstructive pulmonary disease, percent predicted 6mwd significantly correlated with the spirometry parameters (FEV1, FVC, FEV1/FVC, and MVV). 6MWD decreases as there is decline in the pulmonary function. 6MWT can be a useful replacement of spirometry in assessment of severity of COPD.

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Gender disparity of changes in heart rate during the six-minute walk test among patients with chronic obstructive airway disease

Australasian Medical Journal ◽

10.21767/amj.2017.3078 ◽

2017 ◽

Vol 10 (7) ◽

Cited By ~ 1

Author(s):

Esmaeil Alibakhshi ◽

Luis Lores Obradors ◽

Raffaele Fiorillo ◽

Mostafa Ghaneii ◽

Ali Qazvini

Keyword(s):

Heart Rate ◽

Airway Disease ◽

Gender Disparity ◽

Obstructive Airway Disease ◽

Chronic Obstructive ◽

Walk Test ◽

Chronic Obstructive Airway Disease ◽

Six Minute Walk Test ◽

Minute Walk

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Correlation of spirometry and six minute walk test in patients with chronic obstructive pulmonary disease from Sundargarh, Odisha, India

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20195908 ◽

2019 ◽

Vol 8 (1) ◽

pp. 205

Author(s):

Yara Dinakar ◽

Pradeep Panchadi Kiran ◽

Akshaya K. Mohanty ◽

Praveen Kishore Sahu ◽

Anita Mohanty

Keyword(s):

Chronic Obstructive Pulmonary Disease ◽

Significant Positive Correlation ◽

Significant Negative Correlation ◽

Chronic Obstructive ◽

Walk Test ◽

Obstructive Pulmonary Disease ◽

Positive Correlation ◽

Six Minute Walk Test ◽

Copd Patients ◽

Minute Walk

Background: Six‑Minute Walk Test (6MWT) is a simple, objective, reproducible test which correlated well with different spirometric indices, and thus able to predict severity of Chronic Obstructive Pulmonary Disease (COPD) and can replace spirometry in resource poor set‑up. Here, author evaluated the correlation of 6 minute walk distance (6MWD) with spirometric indices in COPD patients and the potential of 6MWT as an alternative to the assessment of severity of COPD.Methods: This cross-sectional observational study included a total of 80 COPD patients, diagnosed by GOLD criteria (Post bronchodilator FEV1/ FVC ratio <0.7). Modified Medical Research Council (mMRC) grading was used (age, weight, height, body mass index- BMI and breathlessness) and all the patients underwent spirometric measurement of FEV1, FVC and FEV1/ FVC ratio and tests were repeated after bronchodilation using 200-400 μg of salbutamol. 6MWT was performed following American Thoracic Society (ATS) protocol of 6MWT and distance was measured in meters.Results: Author found significant negative correlation of 6MWT with age (r=-0.384, p=0.00) and mMRC grading of dyspnea (r=-0.559, p=0.00) and significant positive correlation with height (r=0.267, p=0.019) and weight (r=0.293, p=0.008). Significant positive correlation of 6MWD was noted with post bronchodilator FEV1(r=0.608, p=0.00), FEV1% (r=0.429, p=0.00), FVC (r=0.514 p=0.00), FVC% (r=0.313 p=0.005), FEV1/FVC % (r=0.336, p=0.001). Positive correlation was also observed between 6MWT and BMI but statistically insignificant (r=0.177, p=0.116). There was significant negative correlation between 6MWT and GOLD staging (r=-0.536, p=0.00).Conclusions: This finding concludes that 6MWT can be used for the assessment of severity of disease in COPD patients in places where spirometry is not available.

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