Uso da plataforma vibratória na reabilitação pulmonar logo após hospitalização por exacerbação aguda da dpoc: um relato de caso
Addition of whole-body vibration on pulmonary rehabilitation after hospitalization for an acute exacerbation of copd: a case study
Caroline Tressoldi, Isabela Julia Cristiana Santos Silva, Aline Almeida Gulart, Anelise Bauer Munari, Katerine Cristhine Cani, Anamaria Fleig Mayer
Resumo
O objetivo deste relato de caso foi verificar os efeitos do uso da plataforma vibratória aliado ao treinamento aeróbio convencional na capacidade funcional, força muscular de quadríceps e qualidade de vida de um indivíduo com doença pulmonar obstrutiva crônica (DPOC), após período de internação em unidade de terapia intensiva (UTI), por exacerbação da doença. Um indivíduo que ficou hospitalizado por 15 dias, sendo 12 destes em UTI e em ventilação mecânica invasiva, foi avaliado em relação à: antropometria; avaliação da capacidade funcional, por meio do teste de levantar e sentar de cinco repetições (TLS5R); limitação em atividades de vida diária (AVD), por meio da escala London Chest Activity of Daily Living (LCADL); sensação de dispneia, por meio da escala do Medical Research Council modificada (MRCm); qualidade de vida, por meio do questionário Saint George na Doença Respiratória (SGRQ), e estado de saúde, por meio do COPD Assesment Test (CAT). O protocolo de atendimento foi composto por treinamento em plataforma vibratória, treinamento aeróbio e alongamentos globais. Observou-se redução e melhora clinicamente importante, nos seguintes desfechos após a intervenção: tempo despendido no TLS5R (pré= 17,9 vs. pós= 11,3; pós-pré= -6,6 segundos); pontuação na LCADL (pré= 63 vs. pós= 15; pós-pré= -48 pontos); pontuação no SGRQ (pré= 52,9 vs. pós= 41,1; pós-pré= -11,75%) e pontuação no CAT (pré= 19 vs. pós= 12; diferença= -7 pontos). O escore da MRCm não mudou. Portanto, a plataforma vibratória, aliada ao treinamento aeróbio, foi eficaz para melhorar o estado funcional, a qualidade de vida e o estado de saúde de um indivíduo com DPOC, após longo período de internação em UTI por exacerbação.
Palavras-chave
Abstract
Aim: The aim of this study was to verify the effects of combining whole-body vibration to conventional endurance training on functional capacity, quadriceps muscle strength and quality of life in a patient with chronic obstructive pulmonary disease (COPD) after admission to an intensive care unit (ICU) due to a disease’s exacerbation. Methods: A COPD patient who was hospitalized for 15 days (12 of these under invasive mechanical ventilation in ICU), was assessed for: anthropometry, functional capacity by the 5-repetition sit-to-stand test (5RSTS), limitation in activities of daily living (ADL) using the London Chest ADL Scale (LCADL), sensation of dyspnea using the Modified Medical Research Council Scale (mMRC), quality of life using the Saint George Respiratory Questionnaire (SGRQ) and health status using the COPD Assessment Test (CAT). The intervention’s protocol was composed by whole-body vibration training, endurance training and stretching of major muscle groups. Results: There was a reduction and clinically important improvement in the following outcomes after the intervention: time spent in the 5RSTS (before= 17,9 vs. after= 11,3; after-before= -6,6 seconds), LCADL score (before= 63 vs. after= 15; after-before= -48 points), SGRQ score (before= 52,9 vs. after= 41,1; after-before=-11.75%) and CAT score (before= 19 vs. after= 12; before-after= -7 points). There was no change on mMRC score. Conclusion: Whole-body vibration training allied to endurance training was effective in improving the functional status, the quality of life and the health status of a COPD patient after a long hospitalization period due to an exacerbation.
Keywords
Referências
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