VERIFICAÇÃO DO EFEITO AGUDO DA MOBILIZAÇÃO ARTICULAR NA FUNÇÃO PULMONAR DE INDIVIDUOS COM DOENÇA PULMONAR OBSTRUTIVA CRÔNICA (DPOC)
Abstract
Introduction: Chronic Obstructive Pulmonary Disease (COPD) is characterized by airflow obstruction and consequent alteration in lung function, compromising respiratory muscle strength and rib cage mobility. Joint mobilization aims to restore arthrokinetic mobility of the rib cage joints; however, there are few studies investigating the efficacy of this approach in patients with COPD. Objective: To evaluate the acute effects of joint mobilization on pulmonary function in individuals with COPD. Materials and methods: The sample consisted of six participants with a mean age of 56.33 years (± 12.27) of both sexes, with COPD. Pulmonary function was assessed by spirometry, manuvacuometry and pulse oximetry. Participants were evaluated at two times, before and after treatment. The therapeutic intervention consisted of thoracic spine mobilization, sternal mobilization, and costal arch mobilization techniques, respectively. Statistical Analysis: For the analysis of the results an electronic database was made, the analytical statistics was used. The Sharipo Wilk Test was applied for data distribution analysis. For paired analysis will be used the paired Student T test, in the case of normal distribution. Variations p> 0.05 will be considered significant. Results: There were no statistically significant variations after the application of the techniques in any of the evaluated parameters. Further studies are needed to investigate the effects of mobilization techniques on these patients.
Downloads
References
Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380:2095-128. DOI: https://doi.org/10.1016/S0140-6736(12)61728-0
Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease; 2019 report. Michigan, USA. Eur Respir J. 2019;53(5):pii: 1900164. DOI: http://dx.doi.org/10.1183/13993003.00164-2019
Pessôa CLC, Pessôa RS. Epidemiologia da DPOC no presente – aspectos nacionais e internacionais. Pulmão RJ - Atualizações Temáticas. 2009;1(1):7-12.
Kronborg T, Hangaard S, Cichosz SL, Hejlesen O. Increased accuracy after adjustment of spirometry threshold for diagnosing COPD based on pre-bronchodilator FEV1/FVC. Respir Care. 2019;64(1):85-90. DOI: http://dx.doi.org/10.4187/respcare.06148
Costa BDS, Glória LM, Santos MSB, Sarges ESNF, Almeida CNS. Uso da liberação miofascial como técnica coadjuvante no tratamento de portador de doença pulmonar obstrutiva crônica. In: Congresso Internacional de Envelhecimento Humano. Acesso em 15 out 2018. Disponível em: http://www.cieh.com.br/
Maia EC, Pinheiro NA, Silva SCS, Ribeiro Filho FS, Navarro F, Oliveira Junior MNS. Protocolos clínicos de reabilitação pulmonar em pacientes com DPOC. Saúde Rev. 2012;12(32):55-67.
Kunikoshita LN, Silva YP, Silva TLP, Costa D, Jamami M. Efeitos de três programas de fisioterapia respiratória (PFR) em portadores de DPOC. Rev Bras Fisioter. 2006;10(4):449-55.
Spruit MA, Singh SJ, Garvey C, ZuWallack R, Nici L, Rochester C, et al. An official American Thoracic Society/European respiratory society statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med. 2013;188(8):e13-e64. DOI: https://doi.org/10.1164/rccm.201309-1634ST
Lima PAL, Santana LSR. Alterações biomecânicas em portadores de doença pulmonar obstrutiva crônica. Ver FAFIBE online. Acesso em 15 out 2018. Disponível em: http://unifafibe.com.br/revistasonline/arquivos/revistafafibeonline/sumario/16/30032011212258.pdf
Souza RMP, Cardim AB, Maia TO, Rocha LG, Bezerra SD, Marinho PEM. Inspiratory muscle strength, diaphragmatic mobility, and body composition in chronic obstructive pulmonary disease. Physiother Res Int. 2019;24(2):e1766. DOI: https://doi.org/10.1002/pri.1766
Souchard E. Respiração. 4ed. São Paulo: Summus Editorial; 1987. p.18.
Pachioni C, Ferrante J, Panissa T, Ferreira D, Ramos D, Moreira G, et al. Avaliação postural em pacientes com doença pulmonar obstrutiva crônica. Fisioter Pesq. 2011;18(4):341-5. DOI https://doi.org/10.1590/S1809-29502011000400008
Gonçalves MA, Leal BE, Viegas GC, Lúcio MN, Mazo GZ, Paulin E. Relação entre a mobilidade diafragmática e as curvaturas da coluna vertebral em pacientes com doença pulmonar obstrutiva crônica. Fisioter Pesq. 2017;24(3):245-52. DOI: http://dx.doi.org/10.1590/1809-2950/15809024032017
Gonçalves MA. Mobilidade diafragmática e cifose torácica em pacientes com doença pulmonar obstrutiva crônica. [Dissertação]. Florianópolis: Universidade do Estado de Santa Catarina; 2014.
Rodrigues CP, Matsuo T, Gonçalves CG, Hayashi D, Alves LA. Efeito de um programa de exercícios direcionados à mobilidade torácica na DPOC. Fisioter Mov. 2012;25(2):343-9.
Paulin E, Brunetto AF, Carvalho CRF. Efeitos de programa de exercícios físicos direcionado ao aumento da mobilidade torácica em pacientes portadores de doença pulmonar obstrutiva crônica. J Pneumol. 2003;29(5):287-94 . DOI: http://dx.doi.org/10.1590/S0102-35862003000500007
Moreno MA, Catai AM, Teodori RM, Borges BLA, Cesar MC, Silva E. Efeito de um programa de alongamento muscular pelo método de Reeducação Postural Global sobre a força muscular respiratória e a mobilidade toracoabdominal de homens jovens sedentários. J Bras Pneumol. 2007;36(6):679-86. DOI: http://dx.doi.org/10.1590/S1806-37132007000600011
Noll DR, Johnson JC, Baer RW, Snider EJ. The immediate effect of individual manipulation techniques on pulmonary function measures in persons with chronic obstructive pulmonary disease. Osteopath Med Prim Care. 2009;3(9):1-12. DOI: https://doi.org/10.1186/1750-4732-3-9
Santos JJA, Santos MCA, Carli J, Rocha P, Previatti KEK. Influência das técnicas de terapia manual osteopática na função respiratória. Arq Cienc Saúde UNIPAR. 2015;19(3):191-7. DOI: https://doi.org/10.25110/arqsaude.v19i3.2015.2873
Heneghan NR, Adab P, Balanos GM, Jordan RE. Manual therapy for chronic obstructive airways disease: A systematic review of current evidence. Manual Therapy. 2012;17:507-8. DOI: https://doi.org/10.1016/j.math.2012.05.004
Zanotti E, Berardinelli P, Bizzarri C, Civardi A, Manstretta A, Rossetti A, et al. Osteopathic manipulative treatment effectiveness in severe chronic obstructive pulmonary disease: A pilot study. Complement Ther Med. 2012;20(1-2):16-22. DOI: http://doi.org.10.1016/j.ctim.2011.10.008
Fernandes FLA, Cukier A, Camelier AA, Fritscher CC, Costa CH , Pereira EDB, et al. Recomendações para o tratamento farmacológico da DPOC: perguntas e respostas. J Bras Pneumol. 2017;43(4):290-301. DOI: http:// dx.doi.org/10.1590/s1806-37562017000000153
Shah SA, Velardo C, Farmer A, Tarassenko L. Exacerbations in chronic obstructive pulmonary disease: identification and prediction using a digital health system. J Med Internet Res. 2017;19(3):e69. DOI: http://dx.doi.org/10.2196/jmir.7207
Ruiz FF. Cuadernos de osteopatia n.5. 3ed. Madrid: Dilema Editorial; 2007. p.98-135.
Engel R, Vemuplad S. The role of spinal manipulation, soft-tissue therapy, and exercise in chronic obstructive pulmonary disease: a review of the literature and proposal of an anatomical explanation. J Altern Complement Med. 2011;17(9):797-801. DOI: https://doi.org/10.1089/acm.2010.0517
Clarke S, Munro EP, Lee LA. The role of manual therapy in patients with COPD. Healthcare (Basel). 2019;7(1):E21. DOI: https://doi.org/10.3390/healthcare7010021
Galletti J, Mcheileh G, Hahne A, Lee LA. The clinical effects of manipulative therapy in people with chronic obstructive pulmonary disease. J Altern Complement Med. 2018;24(7):677-83. DOI: https://doi.org/10.1089/acm.2017.0390
Buscemi A, Pennis V, Rapisarda A, Pennis A, Coco M. Efficacy of osteopathic treatment in patients with stable moderate-to-severe chronic obstructive pulmonary disease: a randomized controlled pilot study. J Altern Complement Med. 2019;17(1):20180128. DOI: https://doi.org/10.1515/jcim-2018-0128
Engel MR, Gonski P, Beath K, Vemuplad S. Medium term effects of including manual therapy in a pulmonar rehabilitation program for chronic obstructive pulmonary disease (COPD): a randomized controlled pilot trial. J Man Manip Ther. 201624(2):80-9. DOI: https://doi.org/10.1179/2042618614Y.0000000074
Rocha T, Souza H, Brandao CD, Rattes C, Ribeiro L, Campos LS, Aliverti A, Andrade DA. The manual diaphragm release technique improves diaphragmatic mobility, inspiratory capacity and exercise capacity in people with chronic obstructive pulmonary disease: a randomised trial. J Physiother. 2015;61(4):182-9. DOI: https://doi.org/10.1016/j.jphys.2015.08.009
Downloads
Published
Issue
Section
License
Os artigos submetidos à revista Colloquium Vitae estão licenciados conforme CC BY-NC-ND. Para mais informações sobre essa forma de Licenciamento, consulte: http://creativecommons.org/licenses/by-nc-nd/4.0/.
A disponibilização é gratuita na Internet, para que os usuários possam ler, fazer download, copiar, distribuir, imprimir, pesquisar ou referenciar o texto integral dos documentos, processá-los para indexação, utilizá-los como dados de entrada de programas para softwares, ou usá-los para qualquer outro propósito legal, sem barreira financeira, legal ou técnica.