COPD患者的股四头肌耐力与日常生活活动表现之间是否存在关联?

Q4 Medicine Fisioterapia em Movimento Pub Date : 2023-02-10 DOI:10.1590/fm.2023.36103
C. Castellari, R. Luiz, D. Ike, E. Gomes, F. Politti, D. Costa
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引用次数: 0

摘要

慢性阻塞性肺疾病(COPD)的特征是与炎症反应和全身表现(如呼吸困难)相关的气流受限,以及缺乏身体活动和运动不耐受。这些变化的总和可导致周围肌肉疲劳,并对日常生活活动(ADL)的表现产生影响。目的探讨慢性阻塞性肺病患者外周肌疲劳与ADL表现之间的可能关系,并将结果与年龄匹配的健康个体进行比较。方法对60岁以上的慢性阻塞性肺病患者和健康志愿者进行外周肌疲劳评估(使用表面肌电图)和glitre - adl测试的表现。结果对9例COPD患者和10例对照组进行了评估。中位等长股四头肌收缩时间分别为72 bb0和56 bb1秒。COPD组与对照组ADL测试执行时间分别为6.1[4]、3.6 [1.3]min,组间差异有统计学意义(p < 0.05)。然而,评估之间没有发现显著的相关性。结论在所研究的样本中,没有发现股四头肌疲劳与ADL表现之间的关联。在组间比较中,COPD患者表现出更差的ADL时间执行,但在股四头肌疲劳方面没有发现显著差异。
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Is there an association between quadriceps muscle endurance and performance on activities of daily living in individuals with COPD?
Abstract Introduction Chronic obstructive pulmonary disease (COPD) is characterized by limited airflow associated with inflammatory response and systemic manifestations, such as dyspnea, as well as physical inactivity and intolerance to exercise. The sum of these changes can lead to peripheral muscle fatigue and exert an impact on the performance of activities of daily living (ADL). Objective To investigate the possible association between peripheral muscle fatigue and performance on ADL in individuals with COPD, and to compare the results to those of healthy age-matched individuals. Methods Individuals with a diagnosis of COPD and healthy volunteers aged 60 years or older were submitted to evaluations of peripheral muscle fatigue (using surface electromyography) and performance on the Glittre-ADL test. Results Nine individuals with COPD and ten controls were evaluated. Median isometric quadriceps contraction time was 72 [38] and 56 [51] seconds, respectively. Execution time on the ADL test was 6.1 [4] and 3.6 [1.3] minutes for COPD and control group respectively, with a significant difference between groups (p < 0.05). However, no significant correlation was found between the evaluations. Conclusion No association was found between quadriceps muscle fatigue and performance on ADL in the sample studied. In the intergroup comparison, the individuals with COPD exhibited worse ADL time execution, but no significant difference was found regarding quadriceps muscle fatigue.
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来源期刊
Fisioterapia em Movimento
Fisioterapia em Movimento Health Professions-Complementary and Manual Therapy
CiteScore
0.40
自引率
0.00%
发文量
78
审稿时长
13 weeks
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