Publicação
Pulmonary rehabilitation in copd exacerbation: is upper limbs exercise training safe and effective?
| Resumo: | Pulmonary rehabilitation in COPD exacerbation has several advantages such as reduction of hospital readmission and mortality, the considerable increase of quality of life and functional improvement translated into a better outcome in the 6 min walking test. Upper limbs exercise is recommended in pulmonary rehabilitation guidelines because it reduces stress, decreases dyspnea and dynamic hyperinflation and improves functional capacity with impact on daily living activities. This study aimed to evaluate the functional changes that occur in COPD patients with exacerbation, after a program of resistance exercises of the upper limbs. A multi-case study was developed on seven patients with COPD, GOLD III and IV (diagnosed by FEV) in exacerbation. Data collection included an initial interview for clinical history, functional assessment using the London Chest Activity of Daily Living (LCADL), the 6 min Pegboard and Ring Test (6min PBRT), handgrip strength and the Saint George Questionnaire for quality of life assessment. A program of upper limbs exercise training was implemented. Vital signs (blood pressure, respiratory rate, heart rate and pain, dyspnea (Borg Dyspnea Scale) and peripheral oxygen saturation were assessed before and after exercise training and during if the patient presented any symptom. After 7 days of treatment, assessment instruments were applied. RESULTS: All 7 participants (2 women, 5 men), aged between 50 and 85 years, had as risk factor being ex-smokers. The entire group has several comorbidities (diabetes, heart problems, anxiety/depression, osteoporosis) and low inclusion in rehabilitation or exercise programs. Upper limbs exercise during an exacerbation period appeared to be safe and beneficial in all of the cases studied. Vital signs, dyspnea and peripheral oxygen saturation remain on normal range during exercise training sessions. Data obtained in 6min Pegboard and Ring Test (6PBRT), London Chest Activity of Daily Living (LCADL) and handgrip strength showed a positive evolution between assessments in all participants resulting in an improvement of exercise capacity of the upper limbs and in an increase of their functionality. There was no significant changes in quality of life. CONCLUSION: Results may indicate that the inclusion of resistance active exercises in rehabilitation programs tend to improve skeletal muscle strength and performance in ADL. |
|---|---|
| Autores principais: | Ferreira, Dulce Sofia Antunes |
| Outros Autores: | Mendes, Eugénia; Noronha, Bruno; Preto, Leonel; Novo, André |
| Assunto: | COPD Upper limbs Acute exacerbations Activities of daily living |
| Ano: | 2015 |
| País: | Portugal |
| Tipo de documento: | póster em conferência |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Instituto Politécnico de Bragança |
| Idioma: | inglês |
| Origem: | Biblioteca Digital do IPB |
| _version_ | 1867172731313717248 |
|---|---|
| author | Ferreira, Dulce Sofia Antunes |
| author2 | Mendes, Eugénia Noronha, Bruno Preto, Leonel Novo, André |
| author2_role | author author author author |
| author_facet | Ferreira, Dulce Sofia Antunes Mendes, Eugénia Noronha, Bruno Preto, Leonel Novo, André |
| author_role | author |
| contributor_name_str_mv | Biblioteca Digital do IPB |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Ferreira, Dulce Sofia Antunes\"},{\"Person.name\":\"Mendes, Eugénia\",\"Person.identifier.orcid\":\"0000-0001-6528-4284\"},{\"Person.name\":\"Noronha, Bruno\"},{\"Person.name\":\"Preto, Leonel\",\"Person.identifier.orcid\":\"0000-0002-8126-7051\"},{\"Person.name\":\"Novo, André\",\"Person.identifier.orcid\":\"0000-0001-8583-0406\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | Biblioteca Digital do IPB |
| datacite.creators.creator.creatorName.fl_str_mv | Ferreira, Dulce Sofia Antunes Mendes, Eugénia Noronha, Bruno Preto, Leonel Novo, André |
| datacite.date.Accepted.fl_str_mv | 2015-01-01T00:00:00Z |
| datacite.date.available.fl_str_mv | 2015-11-24T15:22:44Z |
| datacite.date.embargoed.fl_str_mv | 2015-11-24T15:22:44Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | COPD Upper limbs Acute exacerbations Activities of daily living |
| datacite.titles.title.fl_str_mv | Pulmonary rehabilitation in copd exacerbation: is upper limbs exercise training safe and effective? |
| dc.contributor.none.fl_str_mv | Biblioteca Digital do IPB |
| dc.creator.none.fl_str_mv | Ferreira, Dulce Sofia Antunes Mendes, Eugénia Noronha, Bruno Preto, Leonel Novo, André |
| dc.date.Accepted.fl_str_mv | 2015-01-01T00:00:00Z |
| dc.date.available.fl_str_mv | 2015-11-24T15:22:44Z |
| dc.date.embargoed.fl_str_mv | 2015-11-24T15:22:44Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10198/12411 |
| dc.language.none.fl_str_mv | eng |
| dc.rights.cclincense.fl_str_mv | http://creativecommons.org/licenses/by/4.0/ |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | COPD Upper limbs Acute exacerbations Activities of daily living |
| dc.title.fl_str_mv | Pulmonary rehabilitation in copd exacerbation: is upper limbs exercise training safe and effective? |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6670 |
| description | Pulmonary rehabilitation in COPD exacerbation has several advantages such as reduction of hospital readmission and mortality, the considerable increase of quality of life and functional improvement translated into a better outcome in the 6 min walking test. Upper limbs exercise is recommended in pulmonary rehabilitation guidelines because it reduces stress, decreases dyspnea and dynamic hyperinflation and improves functional capacity with impact on daily living activities. This study aimed to evaluate the functional changes that occur in COPD patients with exacerbation, after a program of resistance exercises of the upper limbs. A multi-case study was developed on seven patients with COPD, GOLD III and IV (diagnosed by FEV) in exacerbation. Data collection included an initial interview for clinical history, functional assessment using the London Chest Activity of Daily Living (LCADL), the 6 min Pegboard and Ring Test (6min PBRT), handgrip strength and the Saint George Questionnaire for quality of life assessment. A program of upper limbs exercise training was implemented. Vital signs (blood pressure, respiratory rate, heart rate and pain, dyspnea (Borg Dyspnea Scale) and peripheral oxygen saturation were assessed before and after exercise training and during if the patient presented any symptom. After 7 days of treatment, assessment instruments were applied. RESULTS: All 7 participants (2 women, 5 men), aged between 50 and 85 years, had as risk factor being ex-smokers. The entire group has several comorbidities (diabetes, heart problems, anxiety/depression, osteoporosis) and low inclusion in rehabilitation or exercise programs. Upper limbs exercise during an exacerbation period appeared to be safe and beneficial in all of the cases studied. Vital signs, dyspnea and peripheral oxygen saturation remain on normal range during exercise training sessions. Data obtained in 6min Pegboard and Ring Test (6PBRT), London Chest Activity of Daily Living (LCADL) and handgrip strength showed a positive evolution between assessments in all participants resulting in an improvement of exercise capacity of the upper limbs and in an increase of their functionality. There was no significant changes in quality of life. CONCLUSION: Results may indicate that the inclusion of resistance active exercises in rehabilitation programs tend to improve skeletal muscle strength and performance in ADL. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | conferencePoster |
| fulltext.url.fl_str_mv | https://bibliotecadigital.ipb.pt/bitstreams/c7ff0fa9-b5aa-4475-83ea-62fea521e634/download |
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| identifier.url.fl_str_mv | http://hdl.handle.net/10198/12411 |
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| institution | Instituto Politécnico de Bragança |
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| language | eng |
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| oai_identifier_str | oai:bibliotecadigital.ipb.pt:10198/12411 |
| organization_str_mv | urn:organizationAcronym:ipb |
| person_str_mv | Ferreira, Dulce Sofia Antunes Mendes, Eugénia Mendes, Eugénia https://www.ciencia-id.pt/7114-2BCC-DE82 7114-2BCC-DE82 http://orcid.org/0000-0001-6528-4284 0000-0001-6528-4284 Noronha, Bruno Preto, Leonel Preto, Leonel https://www.ciencia-id.pt/451C-C9C6-C5D6 451C-C9C6-C5D6 http://orcid.org/0000-0002-8126-7051 0000-0002-8126-7051 Novo, André Novo, André https://www.ciencia-id.pt/7D14-8584-AB2B 7D14-8584-AB2B http://orcid.org/0000-0001-8583-0406 0000-0001-8583-0406 |
| publishDate | 2015 |
| reponame_str | Biblioteca Digital do IPB |
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| spelling | engpt_PTPulmonary rehabilitation in COPD exacerbation has several advantages such as reduction of hospital readmission and mortality, the considerable increase of quality of life and functional improvement translated into a better outcome in the 6 min walking test. Upper limbs exercise is recommended in pulmonary rehabilitation guidelines because it reduces stress, decreases dyspnea and dynamic hyperinflation and improves functional capacity with impact on daily living activities. This study aimed to evaluate the functional changes that occur in COPD patients with exacerbation, after a program of resistance exercises of the upper limbs. A multi-case study was developed on seven patients with COPD, GOLD III and IV (diagnosed by FEV) in exacerbation. Data collection included an initial interview for clinical history, functional assessment using the London Chest Activity of Daily Living (LCADL), the 6 min Pegboard and Ring Test (6min PBRT), handgrip strength and the Saint George Questionnaire for quality of life assessment. A program of upper limbs exercise training was implemented. Vital signs (blood pressure, respiratory rate, heart rate and pain, dyspnea (Borg Dyspnea Scale) and peripheral oxygen saturation were assessed before and after exercise training and during if the patient presented any symptom. After 7 days of treatment, assessment instruments were applied. RESULTS: All 7 participants (2 women, 5 men), aged between 50 and 85 years, had as risk factor being ex-smokers. The entire group has several comorbidities (diabetes, heart problems, anxiety/depression, osteoporosis) and low inclusion in rehabilitation or exercise programs. Upper limbs exercise during an exacerbation period appeared to be safe and beneficial in all of the cases studied. Vital signs, dyspnea and peripheral oxygen saturation remain on normal range during exercise training sessions. Data obtained in 6min Pegboard and Ring Test (6PBRT), London Chest Activity of Daily Living (LCADL) and handgrip strength showed a positive evolution between assessments in all participants resulting in an improvement of exercise capacity of the upper limbs and in an increase of their functionality. There was no significant changes in quality of life. CONCLUSION: Results may indicate that the inclusion of resistance active exercises in rehabilitation programs tend to improve skeletal muscle strength and performance in ADL.application/pdfpt_PTPulmonary rehabilitation in copd exacerbation: is upper limbs exercise training safe and effective?Ferreira, Dulce Sofia AntunesPersonalMendes, EugéniaDSpacehttp://dspace.org/items/b761cb87-ecdb-4c95-8cb0-d58849faee1fDSpacehttp://dspace.org/items/b761cb87-ecdb-4c95-8cb0-d58849faee1fMendesEugéniaCiência IDhttps://www.ciencia-id.pt7114-2BCC-DE82ORCIDhttp://orcid.org0000-0001-6528-4284Scopus Author IDhttps://www.scopus.com56465467200Noronha, BrunoPersonalPreto, LeonelDSpacehttp://dspace.org/items/eb6fe9f4-f8fd-495d-84f3-f49309168f95DSpacehttp://dspace.org/items/eb6fe9f4-f8fd-495d-84f3-f49309168f95PretoLeonelCiência IDhttps://www.ciencia-id.pt451C-C9C6-C5D6ORCIDhttp://orcid.org0000-0002-8126-7051Researcher IDhttps://www.researcherid.comM-7528-2016Scopus Author IDhttps://www.scopus.com56465995600Scopus Author IDhttps://www.scopus.com57203240749PersonalNovo, AndréDSpacehttp://dspace.org/items/f17cfa22-2a97-4396-bdc6-4570baee6885DSpacehttp://dspace.org/items/f17cfa22-2a97-4396-bdc6-4570baee6885NovoAndréCiência IDhttps://www.ciencia-id.pt7D14-8584-AB2BORCIDhttp://orcid.org0000-0001-8583-0406Scopus Author IDhttps://www.scopus.com612710HostingInstitutionOrganizationalBiblioteca Digital do IPBe-mailmailto:dspace@ipb.ptdspace@ipb.pt2015-11-24T15:22:44Z20152015-01-01T00:00:00ZHandlehttp://hdl.handle.net/10198/12411http://purl.org/coar/access_right/c_abf2open accessCOPDUpper limbsAcute exacerbationsActivities of daily living1128928 bytesother research producthttp://purl.org/coar/resource_type/c_6670conference poster2015http://creativecommons.org/licenses/by/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://bibliotecadigital.ipb.pt/bitstreams/c7ff0fa9-b5aa-4475-83ea-62fea521e634/download4th Baltic and North Sea Conference on Physical and Rehabilitation MedicineRiga |
| spellingShingle | Pulmonary rehabilitation in copd exacerbation: is upper limbs exercise training safe and effective? Ferreira, Dulce Sofia Antunes COPD Upper limbs Acute exacerbations Activities of daily living |
| status | SINGLETON |
| subject.fl_str_mv | COPD Upper limbs Acute exacerbations Activities of daily living |
| title | Pulmonary rehabilitation in copd exacerbation: is upper limbs exercise training safe and effective? |
| title_full | Pulmonary rehabilitation in copd exacerbation: is upper limbs exercise training safe and effective? |
| title_fullStr | Pulmonary rehabilitation in copd exacerbation: is upper limbs exercise training safe and effective? |
| title_full_unstemmed | Pulmonary rehabilitation in copd exacerbation: is upper limbs exercise training safe and effective? |
| title_short | Pulmonary rehabilitation in copd exacerbation: is upper limbs exercise training safe and effective? |
| title_sort | Pulmonary rehabilitation in copd exacerbation: is upper limbs exercise training safe and effective? |
| topic | COPD Upper limbs Acute exacerbations Activities of daily living |
| topic_facet | COPD Upper limbs Acute exacerbations Activities of daily living |
| url | http://hdl.handle.net/10198/12411 |
| visible | 1 |