Exercício físico em pacientes portadores de diferentes níveis de doença pulmonar obstrutiva crônica
DOI:
https://doi.org/10.33233/fb.v12i3.845Abstract
Introdução: Uma importante consequência da dispneia é a limitação das atividades que piora com a progressão da doença, sendo a inatividade física o alvo na terapêutica da doença pulmonar obstrutiva crônica (DPOC). Objetivo: Verificar os efeitos do exercício físico em pacientes com diferentes níveis de DPOC submetidos a um programa de reabilitação pulmonar de longa duração. Materiais e métodos: Estudo descritivo e retrospectivo, com amostra de 40 prontuários de pacientes com DPOC que realizaram testes incremental e endurance. Resultados: No teste incremental dos grupos leve, moderado e grave respectivamente, houve aumento do tempo na esteira (44%, 38%, 35%); maior inclinação na esteira (60%, 50%, 48%); aumento distância percorrida (128%, 153%, 144%); e na frequência cardíaca (aumento 3%, queda 10%, 9%); diminuição do Borg dispneia (55%, 52%, 33%); Borg membros inferiores (30%,59%, 31%). No teste de endurance para os três grupos respectivamente, houve aumento do tempo na esteira (122%, 159%, 144%); aumento da distância percorrida (128%, 153%, 144%); redução da frequência cardíaca (4%, 9%, 10%); diminuição Borg dispneia (51%, 68%, 58%); Borg de membros inferiores (52%, 55%, 53%). Conclusão: O exercício físico aplicado aos três níveis de DPOC (leve, moderado e grave), submetidos a um programa de reabilitação pulmonar, melhora a tolerância ao exercício físico, promove um condicionamento cardiovascular, diminui a sensação subjetiva de dispneia e fadiga em membros inferiores de forma semelhante.
Palavras-chave: doença pulmonar obstrutiva crônica, terapia por exercício, tolerância ao exercício.Â
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