Navegando por Palavras-chave "Capacidade pulmonar"

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    Avaliação da força muscular, capacidade pulmonar e capacidade ao exercício dos candidatos ao transplante de fígado acompanhados no ambulatório de um hospital universitário.
    (Universidade Federal de São Paulo (UNIFESP), 2018-08-30) Almeida, Marley Cintra de [UNIFESP]; Gonzalez, Adriano Miziara [UNIFESP]; http://lattes.cnpq.br/6234829429056217; http://lattes.cnpq.br/4228343647352111; Universidade Federal de São Paulo (UNIFESP)
    Due to the changes caused by terminal liver disease, patients on the waiting list for liver transplantation may present decreased muscle strength, altered lung capacity, and poor exercise capacity. essential factors in order to design effective and satisfactory strategies in pre-transplant physiotherapeutic care. Objectives: To evaluate muscle strength, lung capacity and exercise capacity of patients candidates for liver transplantation and to correlate with their clinical variables. Methods: The patients enrolled in the single technical registry for liver transplants of the Federal University of São Paulo, from February 2015 to February 2016, of both sexes and aged 18 years or over, were evaluated. Muscle strength was assessed by measuring Manual Grip Strength, lung capacity through Slow Vital Capacity and Respiratory Pressures, and ability to exercise through the 6-minute walk test. Results: The sample consisted of 50 patients, 62% of whom were males, with a mean age of 52.2 ± 12.6 years. The mean Slow Capacity was 72.8 ± 22.7% of predicted value (p <0.001). In the 6 'walk test, the mean was 76.6 ± 15.4% of predicted (p <0.001). Maximum inspiratory pressure was 26.5 ± 9.9% predicted (p <0.001), Maximum Expiratory Pressure reached 32 ± 11.7% of predicted (p <0.001), and the Manual Holding Force reached totaled 119 ± 28.8% of predicted. Fatigue and absence of regular physical activity were factors that negatively influenced the Maximum Inspiratory Pressure values (p <0.001). Patients who had ascites, fatigue or did not practice regular physical activity obtained worse performance in the Manual Grip test (p <0.005). Conclusion: Respiratory muscle strength, slow vital capacity, and ability to exercise are significantly reduced in patients who are candidates for liver transplantation. Fatigue, ascites and lack of regular physical activity were factors that negatively influenced the results of Maximum Inspiratory Pressure and Manual Grip Strength.
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    Modulação autonômica cardíaca e sua relação com a capacidade pulmonar em indivíduos com paralisia bulbar progressiva e esclerose lateral amiotrófica
    (Universidade Federal de São Paulo (UNIFESP), 2018-08-29) Pimentel, Renata Martins [UNIFESP]; Ferreira, Celso [UNIFESP]; Abreu, Luiz Carlos de [UNIFESP]; http://lattes.cnpq.br/6796970691432850; Cardiac autonomic modulation and pulmonary capacity in individuals with amyotrophic lateral sclerosis and progressive bulbar palsy; http://lattes.cnpq.br/6851397444757156; http://lattes.cnpq.br/1417020520652193; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Motor neuron diseases (MND), characterized by amyotrophic lateral sclerosis (ALS) and progressive bulbar palsy (PBP), is defined by progressive, irreversible and incapacitating motor paralysis with survival from two to five years after the beginning of the symptomatology. Death is traditionally related to ventilatory impairment and / or systemic complications, although unexplained sudden death is not infrequent. Considering that DNM may compromise other systems, including the autonomic nervous system, proposed to evaluate the cardiac autonomic modulation and relation with pulmonary capacity in patients with ALS and PBP. Method: A total of 91 patients were analyzed: 58 with diagnosis of Amyotrophic Lateral Sclerosis and 33 with Progressive Bulbar Palsy. Clinical diagnoses were obtained from medical observations; the data collection and data were obtained from the Research Section of Neuromuscular Diseases of UNIFESPEPM. In these patients, heart rate variability and spirometry were performed. Thus, they were classified according to Forced Vital Capacity (FVC) with values greater than and less than 50%. In addition, subsequently the statistical analysis. Results: Patients with ALS and PBP presented significant differences in linear indices SDNN, pNN50, RMSSD when compared to normal values; there was no significant difference between the PBP and ALS groups in the linear indices. However, in the nonlinear indices, it was observed that the α1 index was higher in the ALS group when compared to PBP. However, when compared to FVC, there was a lower value in the pNN50 index, only in the PBP group, especially in those patients requiring noninvasive ventilation. Conclusion: There was a decrease in global variability and parasympathetic hypoactivity in relation to normality; strong shortterm fractal correlation in the ELA group in relation to PBP group; lower parasympathetic activity in patients with noninvasive mechanical ventilation.