| Revista: | Jornal brasileiro de pneumologia |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000297450 |
| ISSN: | 1806-3713 |
| Autores: | Rodrigues, Sergio Leite1 Mendes, Helder Fonseca e Viegas, Carlos Alberto de Assis |
| Instituciones: | 1Universidade de Brasilia, Faculdade de Medicina, Brasilia, Distrito Federal. Brasil |
| Año: | 2004 |
| Periodo: | Mar-Abr |
| Volumen: | 30 |
| Número: | 2 |
| Paginación: | 121-125 |
| País: | Brasil |
| Idioma: | Portugués |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, analítico |
| Resumen en inglés | BACKGROUND: The six minutes walk test has been increasingly utilized to assess the effectiveness of different clinical and surgical treatment options in pulmonary diseases. However lack of standardization for their performance may influence measurements and jeopardize assessment of the functional capacity of patients with cardiopulmonary disease. OBJECTIVE: To determine the possible effects of learning on the distance covered during the six minute walk test for bearers of chronic obstructive pulmonary disease. METHOD: A retrospective analysis of 35 medical records of COPD patients referred to the Pulmonary Rehabilitation Program of the University Hospital of BrasÌlia was carried out. On alternate days these patients had performed two six minutes walk tests, spirometry and arterial blood gas analysis. Clinical and functional diagnosis was based upon the history of exposure to risk factors, mucus production, dyspnea and spirometric dysfunction after use of bronchodilators. The Student test was used for the comparison of results that were different. RESULTS: The distances covered in the second six-minute walk test (515 ± 82 meters) were greater than those covered in the first six-minute walk test (480 ± 85 metros), with statistically significant differences (p<0.05). However measurements of the muscular effort and perception of dyspnea (Borg scale), peripheral blood oxygen saturation (SpO2), respiratory and heart rates did not disclose any statistically significant differences between the two tests (p<0.05). CONCLUSION: The present study suggests that in order to standardize the six minutes walk test, the procedure should be performed at least twice to better assess the functional capacity of patients, bearers of chronic obstructive pulmonary disease |
| Resumen en portugués | Entretanto, as variáveis esforço muscular, percepção da dispnéia (escala de Borg), saturação periférica da hemoglobina pelo oxigênio, freqüência respiratória e freqüência cardíaca não apresentaram diferença significativa entre os dois testes (p<0,05). CONCLUSÃO: O presente estudo sugere a necessidade de padronização do teste de caminhada de seis minutos, com a realização de pelo menos dois testes para se avaliar a capacidade funcional de pacientes portadores de doença pulmonar obstrutiva crônica |
| Disciplinas: | Medicina |
| Palabras clave: | Diagnóstico, Neumología, Caminata, Neumopatia obstructiva, Enfermedades pulmonares, Efectividad, Prueba de esfuerzo |
| Keyword: | Medicine, Diagnosis, Pneumology, Walking, Obstructive pneumopathy, Pulmonary diseases, Effectiveness, Effort tests |
| Texto completo: | Texto completo (Ver HTML) |
