Respostas fisiológicas do teste de caminhada incremental e de resistência em indivíduos com DPOC: uma revisão sistemática e metanálise
Introduction: The incremental (ISWT) and Endurance shuttle walk tests (ESWT) are an alternative in assessing the functional capacity of individuals with chronic obstructive pulmonary disease (COPD), but the physiological responses produced by them are still poorly understood. Objective: To produc...
Na minha lista:
| Autor principal: | |
|---|---|
| Outros Autores: | |
| Formato: | Dissertação |
| Idioma: | por |
| Publicado em: |
Brasil
|
| Assuntos: | |
| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/26184 |
| Tags: |
Adicionar Tag
Sem tags, seja o primeiro a adicionar uma tag!
|
| Resumo: | Introduction: The incremental (ISWT) and Endurance shuttle walk tests (ESWT) are an
alternative in assessing the functional capacity of individuals with chronic obstructive
pulmonary disease (COPD), but the physiological responses produced by them are still poorly
understood. Objective: To produce a systematic review to evaluate the physiological
responses before, during and after the ISWT and ESWT in patients with COPD. Method: The
databases searched were: Medical Literature Library of Medicine (Medline), Cumulative
Index to Nursing and Allied Health (CINAHL), Cochrane Central Register of Controlled
Trials (Central), Web of Science and Scopus. The inclusion criteria were: assessment of the
physiological effects, studies in which participants had age ≥ 18 years, of both genders and
diagnosed with COPD; publications in English, and observational or interventional studies
published in indexed journals. Of 4,071 abstracts identified, 15 articles were included. Quality
of the studies was assessed by the Strengthening the Reporting of Observational Studies in
Epidemiology (STROBE). Results: 73% (n = 11) of the articles presented quality B and 27%
(n = 4), quality C. 836 individuals with mild to severe COPD were evaluated. The majority of
the studies performed ISWT (2 tests), and the main physiological responses were: the pre and
post ISWT heart rate was, respectively, 86 ± 16 x 103 ± 21 bpm, indicating a significant
difference when compared to the baseline values, the Systolic Blood Pressure (136 ± 16
mmHg x 149 ± 22 mmHg - test 1; 134 ± 19 mmHg x 149 ± 18 mmHg - test 2), Peripheral
Oxygen Saturation (SpO2) (95,1±1,8% x 86,5±4,8%), (95,6±1,6 x 90,7±5.2%), (95,7± 1,8% x
92,4± 6% - teste 1; 95,1± 1,9% x 91,8± 6% - teste 2) and dyspnea (1.1±0.9 x 4,6±2,1 - test 1;
1,2±1,2 x 5,1±2,2 - test 2). The Distance Walked (DW) assessed in two ISWTs was 88.2 ±
96.7 m in test 1 and 102.3 ± 100.4 m in test 2, with a significant increase of 14.1 ± 8.4 m in
the second test. Conclusion: Only 15 studies met the inclusion criteria and mostly showed
poor methodological quality with lack of control groups, randomization, and blinding of
researchers, which compromises the quality of the research. The tests produce similar
responses, but knowledge about the physiological responses during the tests is limited since
most of the included studies did not assess the variables before, during and after the test – for
comparison purposes. The ISWT is the most used test when compared to the ESWT;
however, there are not many studies that compare the responses produced by these, making it
difficult to make more precise statements about the two tests. |
|---|