Exercise in the treatment of patients with chronic obstructive pulmonary disease: what are the benefits?
DOI:
https://doi.org/10.33233/rbfe.v17i1.2370Keywords:
physical exercise; pulmonary disease; physical activity; rehabilitationAbstract
Introduction: Chronic obstructive pulmonary disease (COPD) is a systemic condition of global scope, whose main characteristic is the limitation of pulmonary airflow causing a reduction in physical fitness, generating a loss in work activities and daily life. It is necessary that the patient with COPD be assisted by a multiprofessional team, emphasizing the physiotherapist, however, it is not fully elucidated the relationship between physical exercise and a physical therapy program in individuals with COPD. Objective: To review studies that analyzed the effect of physical exercise on the population of patients with COPD undergoing physical therapy. Methods: This was a systematic review without a meta-analysis, in which we selected clinical trials published between 2007 and 2016 analyzing the efficacy of physical exercise in the treatment of patients with COPD. We excluded studies with patients >80 years, diagnosed with lung neoplasia. The search was performed in the Scielo and Lilacs databases. Results: In the introductory research, 1,528 articles were found, after filtering 1,475 investigations were excluded, 98 articles were read in their entirety, of which 8 fulfilled the inclusion criteria of this study. Conclusion: Assisted physical exercise and respiratory maneuvers such as diaphragm muscle strengthening are important for the improvement of functional, respiratory and physical capacity in patients with COPD.
References
Vestbo J, Hurd SS, Agusti AG, Jones PW, Vogelmeier C, Anzueto A et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med 2013; 187(4):347-65.
Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. Updated 2016
Brusasco V, Barisione G, Crimi E. Pulmonary physiology: future directions for lung function testing in COPD. Respirology 2015;20(2):209-18.
Decramer M, Agusti AG, Bourbeau J. The global strategy for diagnosis, management and prevention of COPD (updated 2015), the pocket guide (updated 2015) and the complete list of references examined by the Committee are available on the GOLD. [citado 2017 Maio 27]. Disponível em: http//www.goldcopd.org/global-strategy-diagnosis-management-prevention
Seixas BM, Ricardo RD, Ramos SP. Reabilitação Domiciliar com exercício não supervisionado na DPOC: Revisão Sistemática. Rev Bras Med Esporte 2016;4 (22):320-25. doi: 10.1590/1517-869220162204150806.
Caron MA, Debigare´ R, Dekhuijzen PN, Maltais F. Comparative assessment of the quadriceps and the diaphragm in patients with COPD. J Appl Physiol 2009;107:952-61.
Oliveira LC, Gobette VL, Maio F, Sugisaki C, Godoy I. Treinamento dos músculos respiratórios associado a exercícios de recondicionamento geral em pacientes com doença pulmonar obstrutiva crônica. Rev Bras Fisioter 1999;2(3):61-7.
Diretrizes do ACSM para os testes de esforço e sua prescrição/American College of Sports Medicine. Traduzido por: Dilza Balteiro Pereira de Campos. 9a ed. Rio de Janeiro: Guanabara; 2016
Kucio C, Niesporek J, Kucio E, Narloch D, WÄgrzyn B. Evaluation of the Effects of neuromuscular electrical stimulation of the lower limbs combined with pulmonary rehabilitation on exercise tolerance in patients with chronic obstructive pulmonary disease. Journal of Human Kinetics 2016;54:75-82.
Beekman E, Mesters I, Hendriks EJM, Muris JW, Wesseling G, Evers SMAA, et al. Exacerbations in patients with chronic obstructive pulmonary disease receiving physical therapy: a cohort-nested randomised controlled trial. BMC Pulmonary Medicine 2014, 14:71. doi: 10.1186/1471-2466-14-71
Puhan MA, Buschinh G, Schunemann HJ, VanOort E, Zaugg C, Frey M. Interval versus continuous high intensity exercise in chronic obstructive pulmonary disease: a randomized trial. Ann Intern Med 2006;145:816-25.
Aquino G, Iuliano E, di Cagno A, Vardaro A, Fiorilli G, Moffa S et al. Effects of combined training vs. aerobic training on cognitive functions in COPD: a randomized controlled trial. Int J Chron Obstruct Pulmon Dis 2016;11:711-8. http// doi: 10.2147/COPD.S96663. eCollection 2016.
Chester R, Shepstone L, Daniell H, Sweeting D, Lewis J, Jerosch-Herold C. Predicting response to physiotherapy treatment for musculoskeletal shoulder pain: a systematic review. BMC Musculoskeletal Disorders 2013;14:203
Helal OF, Alshehri MA, Alayat MS, Alhasan H, Tobaigy A. The effectiveness of short-term high-intensity exercise on ventilatory function, in adults with a high risk of chronic obstructive pulmonary disease. J Phys Ther Sci 2017;29:927–30.
Fletcher RH, Fletcher SW, Fletcher GS. Epidemiologia clínica: elementos essenciais. 5a ed. Porto Alegre: Artmed; 2014.
Singh SJ, Puhan MA, Andrianopoulos V, Hernandes NA, Mitchell KE, Hill CJ et al. An official systematic review of the European Respiratory Society/American Thoracic Society: measurement properties of field walking tests in chronic respiratory disease. Eur Respir J 2014;44(6):1447-78.
Ike D, Jamami M, Marino DM, Ruas G, Pessoa BV, Di Lorenzo VAP. Efeitos do exercício resistido de membros superiores na força muscular periférica e na capacidade funcional do paciente com DPOC. Fisioter Mov 2010;23(3):429-37.
Trevisan ME, Porto AS, Pinheiro TM. Treinamento muscular na DPOC. Fisioter Pesq 2010;17(3):209-13.
Witt JD, Guenette JA, Rupert JL, McKenzie DC, Sheel AW. Inspiratory muscle training attenuates the human respiratory muscle metaboreflex. J Physiol 2007;584(3):1019-28.
Ribeiro JP, Chiappa GR, Callegaro CC. Contribuição da musculatura inspiratória na limitação ao exercício na insuficiência cardíaca: mecanismos fisiopatológicos. Rev Bras Fisioter 2012;16(4):261-7.
Rodrigues CP, Matsuo T, Gonçalves CG, Hayashi D, Alves LA. Efeito de um programa de exercícios direcionados í mobilidade torácica na DPOC. Fisioter Mov 2012;25(2):343-9.
Marrara KT, Marmorato D, Jamami M, Oliveira Junior AD, Pires Di Lorenzo VA. Responsividade do teste do degrau de seis minutos a um programa de treinamento físico em pacientes com DPOC. J Bras Pneumol 2012;38(5):579-87.
Babu AS. Acute exacerbations of COPD: will on-call physiotherapy allow for early rehabilitation? Chest 2013;143(1):280-1.
Podolsky A, Haber P. Therapeutic training and sports in chronic diseases of the lung. Wien Med Wochenschr 1993;143(1):2-8.
Carpagnano GE, Sabato R, Lacedonia D, Di Gioia R, Saliani V, Vincenzi U, Foschino-Barbaro MP. New non invasive ventilator strategy applied to COPD patients in acute ventilator failure Pulm Pharmacol Ther 2017;46:64-68. doi: 10.1016/j.pupt.2017.08.009. Landal AC, Monteiro F, dos Santos HBC, Kanesawa LM, Hernandes N, Pitta F. Fisioter Mov 2014;27(4):633-41.
Pessoa CLC, Pessoa RS. Epitomologia da DPOC presente-nos aspectos nacionais e internacionais. Pulmão RJ. Atualizações Temáticas 2009;1(1):7-12.
Pereira AM, Santa-Clara H, Pereira E, Simões S, Remédios I, Cardoso J, Brito J, Cabri J, Fernhall B. Impacto do exercício físico combinado na percepção do estado de saúde da pessoa com doença pulmonar obstrutiva crónica. Rev Port Pneumol 2010;5(10):737-57.
Dourado ZV, Godoy I. Recondicionamento muscular na DPOC- principais intervenções e novas tendências. Rev Bras Med Esporte 2004;4(10). doi: 10.1590/S1517-86922004000400010
Fernandes SBA. Reabilitação respiratória em DPOC- A importância de abordagem fisioterapêutica. Pulmão RJ. Atualizações Temáticas 2009;1(1):71-8.
Additional Files
Published
Issue
Section
License
Copyright (c) 2018 Alex Santos de Souza, Maria Daniele da Silva, Lunara Horn de Sousa, Juliane Santos Barbosa, Daniela Santos, Pedro Henrique Silva Santos, Djeyne Silveira Wagmacker, Vinícius Afonso Gomes
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms: Authors retain the copyright and grant the journal the right of first publication, with the work simultaneously licensed under the Creative Commons Attribution License which allows the sharing of work with acknowledgment of authorship and initial publication in this magazine; Authors are authorized to assume additional contracts separately, for non-exclusive distribution of the version of the work published in this journal (eg, publish in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal; Authors are allowed and encouraged to publish and distribute their work online (eg, in institutional repositories or on their personal page) at any point before or during the editorial process, as this can generate productive changes as well as increase impact and citation of published work (See The Effect of Open Access).