Abstract:
Objective:To investigate the acute effects of EPAP on the activity of sternocleidomastoid (SCM), parasternal muscles and ventilatory parameters in COPD patients. Method:Twenty-four patients with COPD were studied using surface electromyography (sEMG) and a ventilometer. Patients were randomly assigned to EPAP 10 cmH2O-EPAP10 or 15 cmH2O-EPAP15 for 20 minutes. Results:The parasternal muscle sEMG activity increased during EPAP10 and EPAP15; however, a greater and significant increase was observed with EPAP10 (mean between-group difference: 12.5% RMS, 95% CI: 9.5 to 15.4, p<0.001). In relation to the baseline, at 10 and 20 minutes and upon recovery, respectively parasternal activity increased by 23.9%, 28.9% and 19.1% during EPAP10 and by 10.7% at 10 and 20 minutes and upon recovery, respectively, 11.4% and 6.9% during EPAP15 at 10 and 20 minutes and upon recovery, respectively. The sEMG activity of SCM muscle showed an opposite pattern, increasing with EPAP15 and decreasing with EPAP10 (mean between-group difference: 15.5% RMS, 95% CI: 12.6 to 18.4, p<0.001). SCM muscle activity during EPAP15, increased by 4.8% and 6.1% at 10 and 20 minutes and decreased by -4.0% upon recovery compared to decreases of -5.6%, -20.6% and -21.3% during EPAP10 at 10, 20 minutes, and recovery. Ventilation at both EPAP intensities promoted significant reductions in respiratory rate (RR) and dyspnea, more pronounced in EPAP15: RR (mean between-group difference: -3,8bpm, 95%CI: -7,5 to -0,2, p=0,015) and dyspnea (mean between-group difference: -1.01, 95%CI: -1.4 to -0.53, p=0.028) . Conclusion:In COPD patients, the use of EPAP10 was more effective in reducing accessory inspiratory activity and increasing parasternal activity, which was accompanied by an improvement in ventilation and a reduction in dyspnea.
journal_name
Braz J Phys Therjournal_title
Brazilian journal of physical therapyauthors
Cardoso DM,Fregonezi GA,Jost RT,Gass R,Alberton CL,Albuquerque IM,Paiva DN,Barreto SSdoi
10.1590/bjpt-rbf.2014.0190subject
Has Abstractpub_date
2016-11-01 00:00:00pages
525-534issue
6eissn
1413-3555issn
1809-9246pii
S1413-35552016005012108journal_volume
20pub_type
杂志文章abstract:OBJECTIVES:To examine the strength deficits of the shoulder complex after stroke and to characterize the pattern of weakness according to type of movement and type of isokinetic parameter. METHOD:Twelve chronic stroke survivors and 12 age-matched healthy controls had their shoulder strength measured using a Biodex iso...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0030
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVE:To compare thoracic musculoskeletal static alterations in adolescents born prematurely with those born at term and investigate neonatal and post-neonatal variables associated with thoracic alterations. METHOD:This is a cross-sectional study with 57 adolescents aged 10-15 years born prematurely and 57 adolesc...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0074
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:There is a poor understanding of the dose-response relationship between years of physical activity and motor and cognitive function. We determined the dose-response effects of physical activity duration in years on motor and cognitive function and their relationship in healthy old females. OBJECTIVES:To det...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2018.06.002
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:The Back Pain Attitudes Questionnaire (Back-PAQ) was developed to evaluate attitudes and beliefs of the general public, people with back pain, and healthcare professionals about the spine. OBJECTIVES:To translate and cross-culturally adapt the Back-PAQ (34-item and 10-item versions) into Brazilian-Portugues...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2020.07.001
更新日期:2020-07-14 00:00:00
abstract:BACKGROUND:the assessment of functional capacity in patients with chronic obstructive pulmonary disease (COPD) has been performed by simple and easy to apply methods that mimic everyday activities, such as the Chester step test (TChester). OBJECTIVES:to investigate whether TChester is able to differentiate functional ...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/s1413-35552012005000087
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVE:To verify if the relationship between pain catastrophizing and pain worsening would be mediated by muscle weakness and disability in patients with symptomatic knee osteoarthritis. METHODS:This was a cross-sectional study in a hospital out-patient setting. Convenience sampling was used with a total of 50 part...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2018.08.011
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Kinesio Taping® has been widely used in clinical practice. However, it is unknown whether this type of tape is more effective than placebo taping in patients with chronic lower back pain. OBJECTIVE:To compare the effectiveness of Kinesio Taping® in patients with chronic non-specific low back pain against a ...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0128
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVE:To assess and compare the sensory processing abilities of children with Attention Deficit/Hyperactivity Disorder (ADHD) and children without disabilities, and to analyze the relationship between sensory processing difficulties and behavioural symptoms presented by children with ADHD. METHOD:Thirty-seven chil...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0043
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:Handheld dynamometers (HHD) provide quick and low-cost assessments of muscle strength and their use has been increasing in clinical practice. There is no available data related to the validity of HHD for this measurement. OBJECTIVE:To verify the concurrent validity of scapular protraction measurements using...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2018.08.002
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:The Iconographical Falls Efficacy Scale (Icon-FES) is an innovative tool to assess concern of falling that uses pictures as visual cues to provide more complete environmental contexts. Advantages of Icon-FES over previous scales include the addition of more demanding balance-related activities, ability to as...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2018.01.003
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Cystic fibrosis (CF) is a hereditary condition in which lung disease affects all patients. In addition to pulmonary involvement, the multisystemic components of CF cause significant physical limitations. However, the impact of lung function on balance control in CF has not been studied. OBJECTIVE:To assess ...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/S1413-35552012005000111
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:The assessment of strength and its relationships with functional capacity could contribute to more specific and effective disability management of stroke survivors. OBJECTIVE:To compare and investigate associations between measures of strength and functional capacity of 98 chronic stroke survivors, stratifi...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/S1413-35552012005000114
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:The effects of non-invasive ventilation (NIV) on the breathing pattern and thoracoabdominal motion of patients with amyotrophic lateral sclerosis (ALS) are unknown. OBJECTIVES:1) To analyze the influence of NIV on chest wall volumes and motion assessed by optoelectronic plethysmography in ALS patients and 2...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0164
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Airway clearance techniques include positive expiratory pressure, commonly used in our clinical practice, and a recently introduced temporary positive expiratory pressure device called UNIKO®. It is unclear which one provides the best benefit to patients. OBJECTIVES:The aim of this observational 4-year stud...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2016.12.001
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:The analysis of the kinetic responses of heart rate (HR) and oxygen consumption (VO(2)) are an important tool for the evaluation of exercise performance and health status. OBJECTIVES:The purpose of this study was to investigate the effects of aging on the HR and VO(2) kinetics during the rest-exercise trans...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/s1413-35552012005000056
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:It is unclear whether the Physiotherapy Evidence Database (PEDro) is widely and equally used by physical therapists in Brazil. As PEDro is considered a key resource to support evidence-based physical therapy, analyses of PEDro usage could reflect the extent of dissemination of evidence-based practice. OBJEC...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0104
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Rasch analysis has been used in recent studies to test the psychometric properties of a questionnaire. The conditions for use of the Rasch model are one-dimensionality (assessed via prior factor analysis) and local independence (the probability of getting a particular item right or wrong should not be condit...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2017.03.007
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:To address the need for a better treatment of chronic whiplash associated disorders (WAD), a contemporary neuroscience approach can be proposed. OBJECTIVE:To examine the effectiveness of a contemporary neuroscience approach, comprising pain neuroscience education, stress management, and cognition-targeted e...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2020.09.004
更新日期:2020-10-10 00:00:00
abstract::Systematic reviews aim to summarize all evidence using very rigorous methods in order to address a specific research question with less bias as possible. Systematic reviews are widely used in the field of physical therapy, however not all reviews have good quality. This tutorial aims to guide authors of the Brazilian ...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0077
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVES:To systematically review randomized controlled trials that assessed the effects of Global Postural Reeducation (GPR) on patient-reported outcomes in conditions of the musculoskeletal system. METHOD:An electronic search of MEDLINE (via PubMed), EMBASE, Cochrane CENTRAL, and SciELO was performed from their in...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0153
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Patients with heart failure (HF) usually develop exercise intolerance. In this context, noninvasive ventilation (NIV) can help to increase physical performance. OBJECTIVE:To undertake a systematic review and meta-analysis of randomized controlled trials that evaluated the effects of NIV on exercise toleranc...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章,meta分析,评审
doi:10.1590/bjpt-rbf.2014.0039
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND:Previous studies have shown positive results of phototherapy for improving performance and accelerating recovery; however, the effects of phototherapy during training and after a primary adaptation remain unclear. The aim of this randomized controlled trial is to analyze the effects of phototherapy and combi...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2017.05.010
更新日期:2017-01-01 00:00:00
abstract:Background:Implementation of interprofessional clinical guidelines for the prevention of neuropathic diabetic foot ulceration has demonstrated positive effects regarding ulceration and amputation rates. Current foot care recommendations are primarily based on research regarding the prevention of ulcer recurrence and fo...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0195
更新日期:2016-11-16 00:00:00
abstract:OBJECTIVE:To evaluate the effect of three types of exercise intervention in patients with patellofemoral pain and to verify the contributions of each intervention to pain control, function, and lower extremity kinematics. METHODS:A randomized controlled, single-blinded trial was conducted. Forty women with patellofemo...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.bjpt.2018.03.009
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Previous studies have shown a relationship between shoulder posterior capsule tightness and shoulder pain in overhead athletes. However, this relationship has not been studied in tennis players. OBJECTIVES:Assessment of the shoulder range of motion (ROM), strength and posterior capsule tightness of skilled ...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/S1413-35552012005000079
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:The assessment of functional capacity in individuals with cardiovascular disease is closely related to lower limb function. The Glittre-ADL test is a global test to evaluate this patients. OBJECTIVE:We aimed to verify whether the Glittre-ADL test discriminates functional status while evaluating individuals ...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2017.06.001
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Mirror therapy has been used as an alternative stimulus to feed the somatosensory cortex in an attempt to preserve hand cortical representation with better functional results. OBJECTIVE:To analyze the short-term functional outcome of an early re-education program using mirror therapy compared to a late clas...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0130
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Radiographs are used to monitor thoracic kyphosis in individuals with certain pathologies (e.g. osteoporosis), exposing patients to potentially harmful radiation. Thus, other measures for monitoring the progression of thoracic kyphosis are desirable. The gravity-dependent inclinometer has been shown to be re...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2018.02.005
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Hippotherapy uses horseback riding movements for therapeutic purposes. In addition to the horse's movement, the choice of equipment and types of floor are also useful in the intervention. The quantification of dynamic parameters that define the interaction of the surface of contact between horse and rider pr...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0090
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:The phenotype profiling of individuals with chronic obstructive pulmonary disease (COPD) according to impairments in body composition and level of physical activity in daily life (PADL) needs to be determined. OBJECTIVE:To verify if individuals with COPD classified as physically active/inactive present diff...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2020.07.005
更新日期:2020-07-30 00:00:00