Effects of noninvasive ventilation on dynamic hiperinfl ation of patients with COPD during activities of daily living with upper limbs
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| Formato: | Artículo científico |
| Lenguaje: | en |
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Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia
2012
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| _version_ | 1876437898412163072 |
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| author | Isabela M. B. Sclauser Pessoa |
| author_facet | Isabela M. B. Sclauser Pessoa |
| contents | Effects of noninvasive ventilation on dynamic hiperinfl ation of patients with COPD during activities of daily living with upper limbs Isabela M. B. Sclauser Pessoa Dirceu Costa Marcelo Velloso Eliane Mancuzo Marco A. S. Reis Verônica F. Parreira Salud Physical therapy dynamic hyperinflation noninvasive ventilation activities of daily living chronic obstructive pulmonary disease Background: Patients with chronic obstructive pulmonary disease (COPD) complain of dyspnea on activities of daily living (ADLs) with the upper limbs. Dynamic hyperinflation (DH) is one of the ventilatory mechanisms that may contribute towards dyspnea. To minimize the DH it is indicated the use of noninvasive ventilation (NIV). Objectives: To verify whether there is DH and dyspnea during the performance of ADL with the upper limbs with and without the use of NIV. Methods: 32 patients with moderate-to-severe COPD, aged 54 to 87 years (mean 69.4, SD 7.4) were evaluated. The subjects lift up containers weighing between 0.5 and 5.0 kg over a fiveminute period, starting from the waist level and putting them onto a shelf located above head height, with and without the use of NIV (BiPAP®; IPAP 10cmH2O; EPAP 4 cmH2O). The inspiratory capacity (IC) and dyspnea (Borg scale) were evaluated on all the patients. The IC was measured before and after simulation of the ADL. In order to analyze the data, Student¿s t test for dependent samples and the Wilcoxon test were used. Results: There were statistically significant reductions in IC after the ADL with and without NIV (p=0.01). The dyspnea increased after the ADL with and without the NIV, however between both interventional procedures protocols no betweengroup difference was observed. Conclusions: The simulation of an ADL with the upper limbs resulted in an increase in DH and dyspnea. The NIV supplied with pre-established pressure was not enough to prevent the DH and dyspnea. 2012 artículo científico 1413-3555 https://www.redalyc.org/articulo.oa?id=235023662011 en http://www.redalyc.org/revista.oa?id=2350 Revista Brasileira de Fisioterapia application/pdf Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia Revista Brasileira de Fisioterapia (Brasil) Num.1 Vol.16 |
| format | Artículo científico |
| id | redalyc_235023662011 |
| institution | Redalyc |
| language | en |
| publishDate | 2012 |
| publisher | Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia |
| spellingShingle | Effects of noninvasive ventilation on dynamic hiperinfl ation of patients with COPD during activities of daily living with upper limbs Isabela M. B. Sclauser Pessoa Salud Physical therapy dynamic hyperinflation noninvasive ventilation activities of daily living chronic obstructive pulmonary disease Effects of noninvasive ventilation on dynamic hiperinfl ation of patients with COPD during activities of daily living with upper limbs Isabela M. B. Sclauser Pessoa Dirceu Costa Marcelo Velloso Eliane Mancuzo Marco A. S. Reis Verônica F. Parreira Salud Physical therapy dynamic hyperinflation noninvasive ventilation activities of daily living chronic obstructive pulmonary disease Background: Patients with chronic obstructive pulmonary disease (COPD) complain of dyspnea on activities of daily living (ADLs) with the upper limbs. Dynamic hyperinflation (DH) is one of the ventilatory mechanisms that may contribute towards dyspnea. To minimize the DH it is indicated the use of noninvasive ventilation (NIV). Objectives: To verify whether there is DH and dyspnea during the performance of ADL with the upper limbs with and without the use of NIV. Methods: 32 patients with moderate-to-severe COPD, aged 54 to 87 years (mean 69.4, SD 7.4) were evaluated. The subjects lift up containers weighing between 0.5 and 5.0 kg over a fiveminute period, starting from the waist level and putting them onto a shelf located above head height, with and without the use of NIV (BiPAP®; IPAP 10cmH2O; EPAP 4 cmH2O). The inspiratory capacity (IC) and dyspnea (Borg scale) were evaluated on all the patients. The IC was measured before and after simulation of the ADL. In order to analyze the data, Student¿s t test for dependent samples and the Wilcoxon test were used. Results: There were statistically significant reductions in IC after the ADL with and without NIV (p=0.01). The dyspnea increased after the ADL with and without the NIV, however between both interventional procedures protocols no betweengroup difference was observed. Conclusions: The simulation of an ADL with the upper limbs resulted in an increase in DH and dyspnea. The NIV supplied with pre-established pressure was not enough to prevent the DH and dyspnea. 2012 artículo científico 1413-3555 https://www.redalyc.org/articulo.oa?id=235023662011 en http://www.redalyc.org/revista.oa?id=2350 Revista Brasileira de Fisioterapia application/pdf Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia Revista Brasileira de Fisioterapia (Brasil) Num.1 Vol.16 |
| title | Effects of noninvasive ventilation on dynamic hiperinfl ation of patients with COPD during activities of daily living with upper limbs |
| topic | Salud Physical therapy dynamic hyperinflation noninvasive ventilation activities of daily living chronic obstructive pulmonary disease |
| url | https://www.redalyc.org/articulo.oa?id=235023662011 |