scholarly journals FUNCTIONAL LIMITATIONS ARISING FROM CHANGES IN RESPIRATORY MECHANICS IN CHRONIC OBSTRUCTIVE PULMONARY DYSFUNCTION

2021 ◽  
Vol 1 (06) ◽  
Author(s):  
Veronica Gomes Ferreira ◽  
Mônica Lajana Oliveira de Almeida

(INTRODUCTION) chronic obstructive pulmonary disease is a common preventable and treatable disease where an obstruction leads to various respiratory changes such as impaired airflow, leading to several changes occurring in the mechanics of the respiratory muscles, alters the conformation of the chest and diaphragm, mainly causing dyspnea and limitations as limitations. This research aims to correlate limitations according to changes in respiratory mechanics. (MATERIALS AND METHODS) the present is an integrative literature review, for the search for articles were used as databases PUBMED and SCIELO, studies were included without distinction of language and year, published and indexed in the databases free of charge and in full, studies that associated COPD with other respiratory diseases were excluded, studies where the reserves had undergone lung surgery, and studies that did not bring complete results. (RESULTS) 52 studies were found in total, 15 duplicates were excluded, in the first selection stage 19 studies were excluded, in the second stage 10 studies were excluded, thus the review sample of 9 studies, of the clinical trial type. (CONCLUDING REMARKS) Among the most prevalent limitations we saw low tolerance and resistance to physical exercises, limitations to perform activities of daily living, leading to dyspnea and dysfunction of the respiratory muscles, affecting the happy quality of life. 

2021 ◽  
Vol 28 (4) ◽  
pp. 1-10
Author(s):  
Kristina Tomra Nielsen ◽  
Louise Klokker ◽  
Eva Ejlersen Wæhrens

Background/aims To design intervention programmes addressing activities of daily living task performance problems in individuals with chronic conditions, more knowledge about the types of challenges these individuals experience is needed. The aim of this study was to examine the types of activities of daily living tasks, as well as the types of problems related to the quality of task performance, that individuals with chronic conditions report and determine similarities and differences in four diagnostic sub-groups. Methods Data on self-reported quality of activities of daily living task performance were collected among 593 individuals with rheumatological disease, incurable cancer, chronic obstructive pulmonary disease and schizophrenia, using the ADL-Interview. Activities of daily living tasks most frequently reported as problematic were identified within each sub-group. Sub-group profiles were generated to identify similarities and differences in quality of performance. Results Participants reported problems performing similar types of activities of daily living tasks across diagnostic sub-groups, especially within instrumental activities of daily living. Moreover, participants mainly reported a decreased quality of performance in terms of using extra time and/or increased physical effort while performing personal activities of daily living. Conclusions As individuals across four chronic conditions reported somewhat similar problems related to activities of daily living task performance, generic activities of daily living interventions addressing these problems seem appropriate, especially interventions addressing problems related to use of extra time and increased effort.


2000 ◽  
Vol 10 (2) ◽  
pp. 193-202 ◽  
Author(s):  
Abebaw M. Yohannes ◽  
Robert C. Baldwin ◽  
Martin J. Connolly

Chronic obstructive pulmonary disease is a major cause of morbidity, disability and mortality in old age. The disease is characterized by shortness of breath, impaired ventilatory function and easy fatiguability. These are the most distressing and disabling symptoms of COPD, limiting exercise tolerance, interfering with basic activities of daily living and often, in turn, impairing quality of life.


2016 ◽  
Vol 29 (1) ◽  
pp. 79-86 ◽  
Author(s):  
Gualberto Ruas ◽  
Wilbert Esteban Cárdenas Urquizo ◽  
George Kemil Abdalla ◽  
Dayana Pousa Siqueira Abrahão ◽  
Fabrizio Antonio Gomide Cardoso ◽  
...  

Abstract Introduction: Few activities of daily living (ADLs) in chronic obstructive pulmonary disease (COPD) are tolerated because they are associated with ventilatory and metabolic changes. Simply lifting the upper limb muscle requires changes, resulting in thoracic abdominal asynchrony, increased dyspnea, and can interfere with quality of life (QoL). Objective: to relate the muscle strength of the shoulder girdle, trunk and hand grip with the degree of dyspnea in ADLs and secondarily correlate them with QoL in individuals with chronic obstructive pulmonary disease. Materials and Methods: Nine male subjects with chronic obstructive pulmonary disease III and IV (COPDG) and nine healthy, sedentary male individuals - control group (CG) were evaluated. All patients underwent the following evaluations: Pulmonary function, muscle strength of shoulder girdle, trunk and hand grip, and questionnaires. Results: In the intergroup analysis found that the spirometric variables of the COPDG were significantly lower compared to the CG. Intragroup analysis for measures of muscle strength, found significant difference for shoulder girdle, trunk and hand grip between both groups (COPDG) with lower mean (CG). Only the shoulder girdle had a positive correlation with ADL's and QoL. Conclusion: COPDG individuals, in addition to having pulmonary compromise, showed a significant decrease in muscle strength of the shoulder girdle, trunk and hand grip when compared to the CG. Only the shoulder girdle strength was positively correlated with the level of dyspnea in ADL's in QoL. Thus, pulmonary rehabilitation is an important tool for strengthening these muscles, possibly providing a positive impact on the degree of dyspnea during ADLs and reflecting on QoL.


2014 ◽  
Vol 27 (3) ◽  
pp. 361-369 ◽  
Author(s):  
Karoliny dos Santos ◽  
Manuela Karloh ◽  
Cintia Laura Pereira de Araujo ◽  
Andrezza Brognoli D’Aquino ◽  
Anamaria Fleig Mayer

Introduction Functional status is an important component of health related quality of life (QOL) in patients with chronic obstructive pulmonary disease (COPD). However there is a lack of studies aiming to evaluate the association between QOL and the different methods for assessing patient´s limitation to perform ADL. Objectives To investigate the association between QOL and functional status, measured by four different instruments: London Chest Activity of Daily Living scale (LCADL), six-minute walking test (6MWT), Glittre ADL-test (TGlittre) and assessment of physical activities in daily living (PADL). Methods Twenty-three patients with COPD, GOLD 2 to 4, were submitted to the following evaluations: spirometry, the Saint George Respiratory Questionnaire (SGRQ), LCADL, 6MWT, TGlittre and assessment of PADL. Pearson or Spearman correlation coefficients were used to verify the association between the variables. Results It was observed correlation between all domains of the SGRQ and the 6MWT, between TGlittre and ‘leisure’ domain of LCADL; and between the domain ‘activity’ of the SGRQ with the total score of LCADL (r = 0.53), LCADL% (r = 0.54), ‘self care’ (r = 0.49) and ‘leisure’ (r = 0.82). The number of steps correlated with the SGRQ (r = -0.59) and with ‘activity’ (r = -0.70) and ‘impact’ (r = -0.52) domains. The standing time correlated with the domain ‘activitiy’ (r = -0.47) of the SGRQ (p < 0.05 for all). Conclusions Both functional performance and capacity are able to reflect the impact that ADL limitation has on QOL in patients with COPD


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