Respiratory Muscle Strength, the Six-Minute Walk Test and Quality of Life in Chagas Cardiomyopathy

2013 ◽  
Vol 19 (1) ◽  
pp. 8-15 ◽  
Author(s):  
Fabiana Cavalcanti Vieira ◽  
Patrícia Érika de Melo Marinho ◽  
Daniella Cunha Brandão ◽  
Odwaldo Barbosae e Silva
Keyword(s):  
Quality Of Life ◽  
Muscle Strength ◽  
Respiratory Muscle ◽  
Respiratory Muscle Strength ◽  
Walk Test ◽  
Chagas Cardiomyopathy ◽  
Six Minute Walk Test ◽  
Minute Walk

scholarly journals Six-minute walk test and respiratory muscle strength in patients with uncontrolled severe asthma: a pilot study

2015 ◽  
Vol 41 (3) ◽  
pp. 211-218 ◽  
Author(s):  
Luiz Fernando Ferreira Pereira ◽  
Eliane Viana Mancuzo ◽  
Camila Farnese Rezende ◽  
Ricardo de Amorim Côrrea
Keyword(s):  
Muscle Strength ◽  
Severe Asthma ◽  
Respiratory Muscle ◽  
University Hospital ◽  
Respiratory Muscle Strength ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
Significant Difference ◽  
Oral Corticosteroids ◽  
Minute Walk

OBJECTIVE: To evaluate respiratory muscle strength and six-minute walk test (6MWT) variables in patients with uncontrolled severe asthma (UCSA). METHODS: This was a cross-sectional study involving UCSA patients followed at a university hospital. The patients underwent 6MWT, spirometry, and measurements of respiratory muscle strength, as well as completing the Asthma Control Test (ACT). The Mann-Whitney test was used in order to analyze 6MWT variables, whereas the Kruskal-Wallis test was used to determine whether there was an association between the use of oral corticosteroids and respiratory muscle strength. RESULTS: We included 25 patients. Mean FEV1 was 58.8 ± 21.8% of predicted, and mean ACT score was 14.0 ± 3.9 points. No significant difference was found between the median six-minute walk distance recorded for the UCSA patients and that predicted for healthy Brazilians (512 m and 534 m, respectively; p = 0.14). During the 6MWT, there was no significant drop in SpO2. Mean MIP and MEP were normal (72.9 ± 15.2% and 67.6 ± 22.2%, respectively). Comparing the patients treated with at least four courses of oral corticosteroids per year and those treated with three or fewer, we found no significant differences in MIP (p = 0.15) or MEP (p = 0.45). CONCLUSIONS: Our findings suggest that UCSA patients are similar to normal subjects in terms of 6MWT variables and respiratory muscle strength. The use of oral corticosteroids has no apparent impact on respiratory muscle strength.

Respiratory muscle strength and pulmonary function in children with rhinitis and asthma after a six-minute walk test

2017 ◽  
Vol 55 (3) ◽  
pp. 259-265 ◽  
Author(s):  
Ana Alice de Almeida Soares ◽  
Camila Moraes Barros ◽  
Cássia Giulliane Costa Santos ◽  
Maria Renata Aragão dos Santos ◽  
José Rodrigo Santos Silva ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Pulmonary Function ◽  
Respiratory Muscle ◽  
Respiratory Muscle Strength ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
Minute Walk

scholarly journals Inspiratory muscle training in pulmonary hypertension: TREMMI protocol

2020 ◽  
pp. 1-5
Author(s):  
Marília Souza Leão ◽  
Lucas Mellaci Bergamascki ◽  
Vivian Bertoni Xavier ◽  
Rodrigo Boemo Jaenisch ◽  
Roberto Stirbulov ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Muscle Strength ◽  
Functional Capacity ◽  
Respiratory Muscle ◽  
Respiratory Muscle Strength ◽  
Walk Test ◽  
Muscle Training ◽  
Six Minute Walk Test ◽  
Minute Walk ◽  
Training Protocol

Background: Although the progressive nature of pulmonary hypertension (PH), including the impairment of respiratory muscle function, studies have demonstrated beneficial effects of physical exercise on the functional limitations caused by the disease in this population, being an important ally to the conventional drug therapy. There is no training protocol focused exclusively on respiratory musculature that is performed without supervision, since these patients have low adherence to the rehabilitation programs performed in an outpatient setting. Respiratory muscle training (RMT) improves functional capacity and quality of life (QoL) in patients with chronic diseases such as heart failure and COPD. However, the effects of an unsupervised RMT protocol on PH are not yet known. Objective: To developed an unsupervised, home-based RMT protocol for patients with PH. Methods: A double-blind, controlled, randomized clinical trial to evaluate the effectiveness of this protocol on respiratory muscle strength and endurance, functional capacity, by the six-minute walk test and QoL with the questionnaire The Medical Outcomes Study 36- item Short Form Health Survey (Sf-36) before and after an unsupervised training protocol and performed in a home environment with POWERbreathe. Two groups (IMT and SHAM) will be followed for 12 weeks with training performed 30 minutes daily. Results: We hope the intervention idealized by the protocol may will increase the respiratory muscle strength and endurance, the walk distance in six-minute walk test and QoL. Conclusions: Patients with PH who perform the intervention with inspiratory muscle training protocol may will be increase the respiratory muscle strength, functional capacity and QoL.

Abstract 17469: Comparing the Effect of CRT Implantation on Quality of Life in Older Patients Compared With Younger Patients: Systematic Review and Meta-Analysis

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Praveen Ponnamreddy ◽  
Saeed Juggan ◽  
Lauren Gilstrap
Keyword(s):  
Quality Of Life ◽  
Older Patients ◽  
Meta Analysis ◽  
Nyha Class ◽  
Age Group ◽  
Walk Test ◽  
Younger Patients ◽  
Six Minute Walk Test ◽  
Minute Walk

Background: CRT had been accepted as standard of care for patients with HFrEF who qualify for the therapy. The pivotal CRT trials enrolled patients significantly younger than the typical HFrEF patients seen in the community. Benefits of CRT in older HFrEF patients is largely unknown. We sought to evaluate the change in quality of life in older patients undergoing CRT in comparison to younger patients. Hypothesis: CRT implantation is associated with comparable improvements in quality of life in younger patients (age <70) and older patients (age 70 and above). Methods: PubMed, The Cochrane Library, Scopus, and Web of Science were queried for comparative effectiveness studies of CRT in older HFrEF patients. We gathered data for Quality of life measurements including improvement in NYHA class, MLHFQ, Six minute walk test. MLHFQ, Six minute walk test data was analyzed qualitatively as data was insufficient to impute Standard deviation for mean change. Changes in NYHA class was analyzed quantitatively. Random effects meta-analysis of improvement in NYHA class and relative risk (RR) is reported along with estimates of heterogeneity Results: Seven studies [n=2494 for younger group and n=1035 for older group] were included in changes in NYHA class meta-analysis. Older age group patients had similar improvement in NYHA class compared to younger age group patients. Relative risk 0.99 with 95%CI 0.93-1.06 (figure). Five studies reported Baseline and follow up MLHFQ scores for both the groups. All the five studies reported improvements in MLHFQ in both the groups. Three studies reported change in six minute walk test in meters before and after CRT implantation. All the studies reported improvement in six minute walk test both in younger and older group. Conclusions: People older than 70 years of age with heart failure with reduced ejection fraction who qualify for CRT derive similar benefits with improvement in quality of life compared to patients aged less than 70 years of age.

scholarly journals Inspiratory muscle training improves respiratory muscle strength, functional capacity and quality of life in patients with chronic kidney disease: a systematic review

2017 ◽  
Vol 63 (2) ◽  
pp. 76-83 ◽  
Author(s):  
Ana Irene Carlos de Medeiros ◽  
Helen Kerlen Bastos Fuzari ◽  
Catarina Rattesa ◽  
Daniella Cunha Brandão ◽  
Patrícia Érika de Melo Marinho
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Muscle Strength ◽  
Functional Capacity ◽  
Respiratory Muscle ◽  
Respiratory Muscle Strength ◽  
Muscle Training

scholarly journals The Role of Inspiratory Muscle Training in Sickle Cell Anemia Related Pulmonary Damage due to Recurrent Acute Chest Syndrome Attacks

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Burcu Camcıoğlu ◽  
Meral Boşnak-Güçlü ◽  
Müşerrefe Nur Karadallı ◽  
Şahika Zeynep Akı ◽  
Gülsan Türköz-Sucak
Keyword(s):  
Quality Of Life ◽  
Muscle Strength ◽  
Exercise Capacity ◽  
Respiratory Muscle ◽  
Acute Chest Syndrome ◽  
Respiratory Muscle Strength ◽  
Muscle Training ◽  
Functional Exercise ◽  
Functional Exercise Capacity

Background. The sickling of red blood cells causes a constellation of musculoskeletal, cardiovascular, and pulmonary manifestations. A 32-year-old gentleman with sickle cell anemia (SCA) had been suffering from recurrent acute chest syndrome (ACS).Aim. To examine the effects of inspiratory muscle training (IMT) on pulmonary functions, respiratory and peripheral muscle strength, functional exercise capacity, and quality of life in this patient with SCA.Methods. Functional exercise capacity was evaluated using six-minute walk test, respiratory muscle strength using mouth pressure device, hand grip strength using hand-held dynamometer, pain using Visual Analogue Scale, fatigue using Fatigue Severity Scale, dyspnea using Modified Medical Research Council Scale, and health related quality of life using European Organization for Research and Treatment of Cancer QOL measurement.Results. A significant improvement has been demonstrated in respiratory muscle strength, functional exercise capacity, pain, fatigue, dyspnea, and quality of life. There was no admission to emergency department due to acute chest syndrome in the following 12 months after commencing regular erythrocytapheresis.Conclusion. This is the first report demonstrating the beneficial effects of inspiratory muscle training on functional exercise capacity, respiratory muscle strength, pain, fatigue, dyspnea, and quality of life in a patient with recurrent ACS.

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