Corticóides inalatórios na capacidade funcional de indíviduos com doença pulmonar obstrutiva crônica

Jullyne Carvalho Ferreira, Eliane Maria de Carvalho, Ednaldo Carvalho Guimarães, Vanessa Martins Pereira Silva Moreira, Jessica Garcia Jorge, Valdeci Carlos Dionísio

Resumo


Introdução: O corticoide inalatório (CI) utilizado em indivíduos com Doença Pulmonar Obstrutiva Crônica (DPOC) pode comprometer a função dos músculos respiratórios e dos membros inferiores, levando ao aumento da severidade das limitações funcionais.

Objetivo: Avaliar a ação do CI na capacidade funcional, no deficit de equilíbrio estático e funcional, no risco de quedas e na acuidade proprioceptiva em indivíduos com DPOC.

Métodos: Participaram 20 indivíduos com DPOC, sendo 12 que utilizavam CI (G1) e oito que não utilizavam CI (G2), e outros 12 indivíduos no grupo controle (GC). Esses foram avaliados por: Body mass index, airway Obstruction, Dyspnea, and Exercise capacity (BODE), questionário de Baecke, escala de equilíbrio de Berg, risco de quedas, equilíbrio estático em plataforma de força e a acuidade proprioceptiva do joelho.

Resultados: O índice de BODE foi diferente entre os grupos (p<0,001), e o G1 for maior do que o G2. Para o Baecke, os grupos G1 e G2 tiveram menores escores que o GC (p=0,03). O escore de Berg foi similar entre os grupos G1 e G2 e entre os grupos GC e G2. O risco de quedas foi maior para G1 e G2 do que para o GC (p<0,001), e G1 maior do que G2. Não houve diferenças para a acuidade proprioceptiva (p>0,14) e para a análise do equilíbrio estático (p>0,05).

Conclusão: O CI influenciou o índice BODE e os riscos de queda, mas não alterou a capacidade funcional, o equilíbrio estático e funcional e a acuidade proprioceptiva do joelho em indivíduos com DPOC.


Palavras-chave


Atividades Cotidianas; Equilíbrio Postural; Acidentes por Quedas; Doença Pulmonar Obstrutiva Crônica

Texto completo:

PDF

Referências


Velloso M, Stella SG, Cendon S, Silva AC, Jardim JR. Metabolic and ventilatory parameters of four activities of daily living accomplished with arms in COPD patients. Chest. 2003;123(4):1047-53.

Mador MJ, Bozkanat E. Skeletal muscle dysfunction in chronic obstructive pulmonary disease. Respir Res. 2001; 2(4):216-24.

Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for the diagnosis, management and prevention of chronic pulmonary disease [Internet]. 2013 [cited 2014 jun 10]. Available in:

Creutzberg E. Leptin in relation to systemic inflammation and regulation of the energy balance. Eur Respir Mon. 2003;24(1):56-67.

Coronell C, Orozco-Levi M, Méndez R, Ramírez-Sarmiento A, Gáldiz JB, Gea J. Relevance of assessing quadriceps endurance in patients with COPD. Eur Respir J. 2004 Jul;24(1):129-36.

Levin OS, Polunina AG, Demyanova MA, Isaev FV. Steroid myopathy in patients with chronic respiratory diseases. J Neurol Sci. 2014 Mar;338(1-2):96-101.

Pitta F, Troosters T, Probst VS, Lucas S, Decramer M, Gosselink R. Potential consequences for stable chronic obstructive pulmonary disease patients who do not get the recommended minimum daily amount of physical activity. J Bras Pneumol. 2006 Jul-Aug;32(4):301-8.

Skumlien S, Hagelund T, Bjortuft O, Ryg MS. A field test of functional status as performance of activities of daily living in COPD patients. Respir Med. 2006 Feb;100(2):316-23.

Beauchamp MK, Hill K, Goldstein RS, Janaudis-Ferreira T, Brooks D. Impairments in balance discriminate fallers from non-fallers in COPD. Respir Med. 2009 Dec; 103(12):1885-91.

Beauchamp MK, Sibley KM, Lakhani B, Romano J, Mathur S, Goldstein RS, et al. Impairments in systems underlying control of balance in COPD. Chest. 2012 Jun; 141(6):1496-503.

Roig M, Macintyre DL, Road JD, Reid WD. Postural Control Is Impaired in People with COPD: An Observational Study. Physiother Can. 2011 Oct; 63(4):423-31.

Smith MD, Chang AT, Seale HE, Walsh JR, Hodges PW. Balance is impaired in people with chronic obstructive pulmonary disease. Gait Posture. 2010 Apr;31(4):456-60.

Janssens L, Brumagne S, McConnell AK, Claeys K, Pijnenburg M, Goossens N.Impaired Postural Control Reduces Sit-to-Stand-to-Sit Performance in Individuals with Chronic Obstructive Pulmonary Disease. Plos One. 2014 Feb;9(2):1-5.

Janssens L, Brumagne S, McConnell AK, Claeys K, Pijnenburg M, Burtin C, et al. Proprioceptive changes impair balance control in individuals with chronic obstructive pulmonary disease. PLoS One. 2013 Mar;8(3):1-6.

Miller MR, Hankinson V, Brusasco V, Burgos R, Casaburi R, Coates A, et al. Standardization of spirometry. Eur Respir J. 2005 Aug; 26: 319-38.

Celli BR, Cote CG, Marin JM, Casanova C, Montes de Oca M, Mendez RA, et al. The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease. N Engl J Med. 2004 Mar; 350(10):1005-12.

Kovelis D, Segretti NO, Probst VS, Lareau SC, Brunetto AF, Pitta F. Validation of the Modified Pulmonary Functional Status and Dyspnea Questionnaire and the Medical Research Council scale for use in Brazilian patients with chronic obstructive pulmonary disease. J Bras Pneumol. 2008 Dec;34(12):1008-18.

ATS Committee on Clinical Pulmonary Function Laboratories.Ats Statement: Guidelines for the six-minute walk test. Am J Crit Care Med. 2002 Jul;166(1):111-17.

Voorrips LE, Ravelli ACJ, Dongelmans PCA, Deurenberg P, Van-Staveren WAA. Physical activity questionnaire for the elderly. Med Sci Sports Exerc. 1991 Aug;23(8):974-9.

Corrêa JCF, Corrêa FI, Franco RC, Bigongiari A. Corporal oscillation during static biped posture in children with cerebral palsy. Electromyogr Clin Neurophysiol. 2007 May-Jun; 47(3):131-6.

Miyamoto ST, Lombardi Jr I, Berg KO, Ramos LR, Natour J. Brazilian version of the Berg balance scale. Braz J Med Biol Res. 2004 Sep;37(9):1411-21.

Shumway-Cook A, Baldwin M, Polissar NL, Gruber W. Predicting the probability for falls in community-dwelling older adults. Phys Ther. 1997 Aug;77(8):812-9

Felson DT, Gross KD, Nevitt MC, Yang M, Lane NE, Torner JC.The effects of impaired joint position sense on the development and progression of pain and structural damage in knee osteoarthritis. Arthritis Rheum. 2009 Aug;61(8):1070-6.

Pitta F, Troosters T, Probst VS, Spruit MA, Decramer M, Gosselink R. Physical activity and hospitalization for exacerbation of COPD. Chest. 2006 Mar;129(3):536-44.

Sin DD, Man SFD. Inhaled corticosteroids and survival in chronic obstructive pulmonary disease: does the dose matter? Eur Respir J. 2003 Feb;21(2):260-6.

Yasui H, Inui N, Fujisawa T, Karayama M, Enomoto M, et. al. Low-dose Fluticasone Propionate in Combination With Salmeterol in Patients With Chronic Obstructive Pulmonary Disease. Clin Med Insights Circ Respir Pulm Med. 2018; 12:1-7.

Laughton CA, Slavin M, Katdare K, Nolan L, Bean JF, Kerrigan DC, et al. Aging, muscle activity, and balance control: physiologic changes associated with balance impairment. Gait Posture. 2003 Oct;18(2):101-8.

Lohne-Seiler H, Kolle E, Anderssen SA, Hansen BH. Musculoskeletal fitness and balance in older individuals (65-85 years) and its association with steps per day: a cross sectional study. BMC Geriatrics. 2016 Jan;16(6):1-11.

Rocco CC, Sampaio, LM, Stirbulov R, Corrêa JC, et al Neurophysiological aspects and their relationship to clinical and functional impairment in patients with chronic obstructive pulmonary disease. Clinics. 2011;66(1):125-29.

Baert IA, Mahmoudian A, Nieuwenhuys A, Jonkers I, Staes F, Luvten FP, et al. Proprioceptive accuracy in women with early and established knee osteoarthritis and its relation to functional ability, postural control, and muscle strength. Clin Rheumatol. 2013 Sep; 32(9):1365-74.




DOI: https://doi.org/10.5585/conssaude.v18n4.14921

Apontamentos

  • Não há apontamentos.


Direitos autorais 2020 ConScientiae Saúde

Licença Creative Commons
Esta obra está licenciada sob uma licença Creative Commons Atribuição - Não comercial - Compartilhar igual 4.0 Internacional.

Conscientiae Saúde
ISSN: 1677-1028
e-ISSN: 1983-9324
www.conscientiaesaude.org.br

Conscientiae Saúde ©2020 Todos os direitos reservados.