Reabilitação pulmonar domiciliar em pacientes com DPOC

Abstract

Introduction: With the growing incidence of chronic obstructive pulmonary disease (COPD), the difficulty of access and lack of availability that the bearers of this pathological entity has to participate in conventional programmers of Pulmonary Rehabilitation (PR), have been study the effects of domiciliary Pulmonary Rehabilitation (DPR), with greater flexibility and viability of these patients. Objectives: to Investigate: the effects of a DPR in patients with stable COPD, the possible relationships between body composition with respiratory variables and physical performance of these patients and Autonomic changes, possible of these patients compared to healthy individuals. Method: we studied two groups of 10 patients with COPD, one that received the DPR and another control, subject to assessment of: Respiratory Endurance, Muscular (REM) strength and Test of upper limbs and Shuttle Walk test (SWT), before and after a program of DPR, for two months; were also observed correlations between the measure of body composition, SWT and spirometry and, in 13 of these patients, along with healthy subjects 9, spirometry and collecting of heart rate variability (HRV). Results: no significant differences were found only in relation to the percentage of the MIP, increasing it in the group that received the DPR, and reducing those of the control group (REM). No significant changes were found after the intervention in any of the two groups. To consider all patients, significant differences were found between: the distance walked (DW) and the estimated in SWT; muscle mass and the DW; the Forced Expiratory Volume in one second (FEV1) and the bone mass and the DW and FEV1. In relation to HRV, noted differences in nonlinear analysis, between patients and a group of healthy subjects in the variable ShaEn. Conclusion: Based on the results, it can be concluded that a DPR, with weekly supervision, although show that is feasible for patients with COPD, showed few physiological changes, which configure as physical performance and improves respiratory function. There is a correlation between the data of several variables evaluated and difference between HRV in patients with COPD patients and healthy subjects.