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Master's Dissertation
DOI
https://doi.org/10.11606/D.5.2023.tde-18092023-121917
Document
Author
Full name
Eloise Arruda dos Santos
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2023
Supervisor
Committee
Carvalho, Celso Ricardo Fernandes de (President)
Pitta, Fabio de Oliveira
Fu, Carolina
Ramos, Ercy Mara Cipulo
Title in Portuguese
A fita elástica reduz a dispneia e melhora o estado de saúde e a qualidade de vida relacionada a saúde em homens não obesos com DPOC: ensaio clínico randomizado e controlado
Keywords in Portuguese
Alívio de sintomas
Atividade física
Dispnea
DPOC
Estado de saúde
Fita elástica
Qualidade de vida
Abstract in Portuguese
Introdução e objetivos: A fita elástica (FE) é uma intervenção inédita que reduz a dispneia e melhora a capacidade de exercício avaliada em testes laboratoriais, porém os seus efeitos sobre os sintomas clínicos e nas atividade diárias permanecem desconhecidos. Este ensaio clínico avaliou os efeitos da FE sobre os níveis de atividade física na vida diária (AFVD), sintomas de dispneia, estado de saúde e fatores relacionados a qualidade de vida (FRQV) em homens não obesos com DPOC. Métodos: 50 homens não obesos com DPOC moderada a muito grave foram randomizados em grupo controle (GC, n=25) e grupo fita (GF, n=25), que recebeu a FE na parede torácica e abdômen. A intervenção durou 14 dias consecutivos. AFVD (acelerometria), sintomas de dispneia (Transition dyspnea index, TDI; e escala Medical Research Council, mMRC), estado de saúde (COPD assessment test, CAT) e os FSRQV (CRQ) foram avaliados antes e no dia 21, após o término da intervenção. Resultados: A FE não influenciou nos níveis de AFVD. Por outro lado, a FE reduziu os sintomas de dispneia em todos os domínios do TDI (funcional, tarefa e esforço) e no mMRC após 14 dias de intervenção quando comparado com o GC (p<0,01). Além disso, a FE melhorou o estado de saúde avaliado pelo CAT em comparação com o GC, atingindo a diferença mínima clinicamente importante (DMCI) (-4,4 pontos, p<0,01). O GF também melhorou quase todos os domínios do CRQ, atingindo a DMCI, após o término da intervenção (dia 21)
Title in English
Elastic tape reduces dyspnea and improves health status, and the health-related quality of life in non-obese COPD males: a randomized controlled trial
Keywords in English
COPD
Dyspnea
Elastic tape
Health status
Physical activity
Quality of life
Relieve symptoms
Abstract in English
Introduction and objectives: The elastic tape (ET) is a novel intervention that acutely improves exercise capacity in laboratory tests; however, its effect on a patient's daily life remains unknown. This randomized controlled trial evaluated the effects of ET on daily life physical activity (DLPA), dyspnea symptoms, health status, and health-related quality of life (HRQoL) in individuals with COPD. Methods: 50 non-obese males with moderate to very severe COPD were randomly assigned into the intervention group (ETG, n=25), which received ET on the chest wall and abdomen, or the control group (CG, n=25). The intervention lasted 14 days. DLPA (accelerometry), dyspnea symptoms (Transition dyspnea index, TDI; and modified Medical Research Council, mMRC), health status (COPD assessment test, CAT), and health-related quality of life (HRQoL, CRQ.) were evaluated at baseline and on day 21, after the intervention. Results: No change in the DLPA was observed. However, ET reduced dyspnea symptoms in all TDI domains (functional, task, and effort) and on the mMRC scale after 14 days compared with CG (p <0.01). Also, the ETG improved CAT score compared to the CG, reaching minimal clinical important difference (MCID) (-4.4 score, p<0.01). The ETG also improved in most CRQ domains reaching MCID after 21 days. Conclusion: ET does not modify DLPA but reduces dyspnea and improves health status and HRQoL in non-obese males with moderate to very severe COPD in the short term. This novel and low-cost intervention improve COPD symptoms
 
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Publishing Date
2023-10-10
 
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