Detalhes bibliográficos
Ano de defesa: |
2016 |
Autor(a) principal: |
Oliveira, Cristiane Helga Yamane de
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Orientador(a): |
Dal Corso, Simone |
Banca de defesa: |
Dal Corso, Simone,
Lanza, Fernanda de Cordoba,
Feltrim, Maria Ignez Zanetti |
Tipo de documento: |
Dissertação
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Tipo de acesso: |
Acesso aberto |
Idioma: |
por |
Instituição de defesa: |
Universidade Nove de Julho
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Programa de Pós-Graduação: |
Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o
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Departamento: |
Sa??de
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País: |
Brasil
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Palavras-chave em Português: |
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Palavras-chave em Inglês: |
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Área do conhecimento CNPq: |
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Link de acesso: |
http://bibliotecatede.uninove.br/handle/tede/1855
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Resumo: |
Introduction: Different modalities exercise lead to different magnitudes of pulse oxygen desaturation (DeSpO2) in lung diseases. Objective: To compare the exercise-induced DeSpO2 between incremental cardiopulmonary exercise test on a treadmill (TECPI-E) and the incremental shuttle walk test (ISWT) and between sub-maximum cardiopulmonary exercise test (TECPS-E) and endurance SWT (ESWT) in patients with bronchiectasis (BCT). Material and methods: 72 patients with BCT (28 men, 48 ?? 15 years, FEV1:54 ?? 23% of predicted) and not oxygen dependent were assessed. The order of the TECPI-E and SWTI was randomized, but not the TECPS-E and ESWT because they require that incremental tests be performed first. Treadmill and hallway tests were performed on two different visits. A reduction ??? 4 was considered DeSpO2. Results: There was no difference in DeSpO2 between TECPI-E (-7.7% ?? 6.3%) and ISWT (-6.3% ?? 5.8%) and between TECPS-E (-6,8% ?? 5,8%) and ESWT (-7.2% ?? 6.3%). In the incremental and endurance tests, there was an agreement to DeSpO2 or not DeSpO2 in 56 and 55 patients, respectively. There was a statistically significant difference in heart rate (percentage of the maximum predicted) between TECPI-E (87.0% ?? 9.0%) and ISWT (78.9% ?? 11.4%) and between TECPS-E (84.5% ?? 9.9%) and ESWT (79.3% ?? 11.8%). However, when comparing patients who reached 85% of predicted maximum heart rate or not, there was no difference in the magnitude of DeSpO2. Conclusion: In patients with BCT, our results show that field-based tests may replace the laboratory-based tests when the clinic question is the evaluation of exercise-induced DeSpO2. |