Doença pulmonar obstrutiva crónica e exercício físico

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a disease that can be prevented and treated, with a pulmonary component and with significant systemic effects that contribute to the severity of clinical manifestations. COPD causes a number of changes, including those which lead to exercise tolerance limitation and to a progressive deterioration of life quality of the patients. Respiratory rehabilitation (RR) represents a key part of the treatment. The benefits of RR are independent of sex, age and disease severity. At the end of the program, the patient should have acquired a life style as independent and healthy as possible. With this article the authors intend to review the benefits of physical exercise in rehabilitation of patients with COPD and the different types of training used in the respiratory rehabilitation program established for each patient.

Quality of life in patients with chronic obstructive pulmonary disease undergoing respiratory rehabilitation

“…In this case, it was found that the time of diagnosis of the disease has a significant effect on the quality of life of patients with COPD, in the activities domain and quite significant in the impact domain and total QOL. These results are in line with what is narrated by António et al, [21] and ONDR, [4] with regard to the disease progresses with gradual worsening of symptoms and limitation of exercise tolerance, with a progressive deterioration of translation quality of life of the patient.…”

“…In total quality of life, was ascertained that the mean percentage values of quality of life was 60.38%, showing therefore a condition of abnormality, in the light of the author's interpretation of the scale when refers that values obtained until 10% show that the quality of life is still considered nor-mal, whereas results above 10% indicate an abnormal condition. [15] The data obtained in this study are in line with what concerns the ONDR, [4] Vasconcelos et al, [5] and António et al [21] when they state that COPD causes a number of changes, with unambiguous translation in the progressive deterioration of the quality of life of the patient. Similar results were also found by Pagani.…”

“…In parallel, analyzing the results in light of the implementation of a rehabilitation program, it was found a greater impairment of quality of life was found in patients who were not submitted to this therapy, presenting, therefore, mean values higher percentages in all areas: symptoms (58.87% to 58.35%); activity (78.31% to 72.02%), impact (53.58% to 50.65%) and total QOL (62.16% to 58.41%). These data translate, clearly, benefits from the realization of respiratory rehabilitation, as told by Maltais et al, [22] Linda et al, [1] Clement et al, [23] Vettorazzi, [8] Pamplona et al, [24] and António et al [21] The level of involvement in the activities domain identified in this study are in the considerations made by the DGS, [12] when said there was a tendency for the significant increase in loss of functionality due to acute exacerbations and hospitalizations in patients with COPD. Moreover, also the WHO, [25] states peremptorily that the decreased mobility, is a situation that is often seen in patients with respiratory disorders, worsening the welfare and self-sufficiency, with losses for the capacity of performance the activities of daily living.…”