Physical therapy applied to cardiorespiratory rehabilitation: The 6MWT as a method to assess the clinical progress of patients with COPD and post-myocardial infarction
DOI:
https://doi.org/10.33448/rsd-v10i8.17367Keywords:
Walking test; Elderly; Myocardial infarction; Chronic obstructive pulmonary disease.Abstract
To demonstrate the importance of the 6-minute walk test (6MWT) to evaluate the cardiorespiratory responses induced by rehabilitation in patients who suffered a myocardial infarction and chronic obstructive pulmonary disease patients. The study was conducted in 3 stages, the first composed by the selection and sample evaluation through the 6MWT, the second by the cardiac rehabilitation period, and the third by the reevaluation of the sample, which was again tested on the 6MWT. Four individuals between 65 and 80 years old were evaluated and divided into 2 groups. Group 1 had a 6.46% increase in resting arterial pressure (p=0.13) and a 6.27% increase in peak arterial pressure (p=0.18), while group 2 had a 5.87% decrease in resting arterial pressure (p=0.20) and a 6.51% decrease in peak arterial pressure (p=0.22). The 6MWT is a qualified test to inquire about the improvement or the worsening of the patient's hemodynamic part.
References
ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. (2002). ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med, 166(1), 111-117. https://pubmed.ncbi.nlm.nih.gov/12091180/
Assunção, G. C. R., Alves, J. N., Costa, J. I., Garcia, I. P. M. & Nascimento, L. L. (2016). Avaliação da capacidade funcional de idosos hipertensos através do teste de caminhada de seis minutos. Revista Eletrônica de Trabalhos Acadêmicos- Universo/Goiânia, 1(3), 79-89. http://revista.universo.edu.br/index.php?journal=3GOIANIA4&page=article&op=viewFile&path%5B%5D=3095&path%5B%5D=2043
Berry, J. R. S. & Cunha, A. B. (2010). Avaliação dos efeitos da reabilitação cardíaca em pacientes pós-infarto do miocárdio. Rev Bras Cardiol, 23(2) 101-110. https://pesquisa.bvsalud.org/portal/resource/pt/lil-564569
Britto, R. R. & Sousa, L. A. P. (2006). Teste de caminhada de seis minutos uma normatização Brasileira. Fisioterapia em Movimento, 19(4), 49-54. https://periodicos.pucpr.br/index.php/fisio/article/view/18789
Britto, R. R., Probst, V. S., de Andrade, A. F., Samora, G. A., Hernandes, N. A., Marinho, P. E., Karsten, M., Pitta, F. & Parreira, V. F. (2013). Reference equations for the six-minute walk distance based on a Brazilian multicenter sdudy. Brazillian Journal Physical Therapy, 17(6), 556-563. http://dx.doi.org/10.1590/S1413-35552012005000122
Camarda, S. R. A., Tebexreni, A. S. Páfaro, C. N., Sasai, F. B., Tambeiro, V. L., Juliano, Y. & Neto, T. L. B. (2008). Comparação da frequência cardíaca máxima medida com as fórmulas de predição propostas por Karvonen e Tanaka. Arquivos Brasileiros de Cardiologia, 91(5), 311-314. https://doi.org/10.1590/S0066-782X2008001700005
Casolo, G. C., Stroder, P., Signorini, C., Calzolari, F., Zucchini, M., Balli, E., Sulla, A. & Lazzerini, S. (1992). Heart rate variability during the acute phase of myocardial infarction. Circulation, 85(6), 2073-2079. http://dx.doi.org/10.1161/01.cir.85.6.2073
Diniz, L. S. (2014). Segurança da realização precoce do teste de caminhada de seis minutos após infarto agudo do miocárdio. (Dissertação de Mestrado), Universidade Federal de Minas Gerais, Belo Horizonte, 42 p. https://repositorio.ufmg.br/handle/1843/BUBD-9MRH94
Enright, P. L. & Sherrill, D. L. (1998). Reference equations for the six-minute walk in healthy adults. Am.J Resp Crit Care Med, 158(5Pt1), 1384-1387. https://pubmed.ncbi.nlm.nih.gov/9817683/
Enright, P. L. (2003). The six-minute walk test. Respiratory Care, 48(8), 783-785. https://pubmed.ncbi.nlm.nih.gov/12890299/
Feary, J. R., Rodrigues, L. C., Smith, C. J., Hubbard, R. B. & Gibson, J. E. (2010). Prevalence of major comorbidities in subjects with COPD and incidence of myocardial infarction and stroke: a comprehensive analysis using data from primary care. Thorax, 65(11), 956-962. http://dx.doi.org/10.1136/thx.2009.128082
Fernandes, A. B. S. (2009). Reabilitação respiratória em DPOC – a importância da abordagem fisioterapêutica. Pulmão RJ - Atualizações Temáticas, 1(1):71-78. http://www.sopterj.com.br/wp-content/themes/_sopterj_redesign_2017/_revista/atualizacao_tematica/11.pdf
Finkelstein, J., Cha, E. & Scharf, S.M. (2009). Chronic obstructive pulmonary disease as an independent risk factor for cardiovascular morbidity. Int J Chron Obstruct Pulmon Dis, 4, 337-349. http://dx.doi.org/10.2147/copd.s6400
Gil, A.C. (2010). Como Elaborar Projetos de Pesquisa. 5. Ed. São Paulo: Atlas.
Loivos, L. P. (2009). DPOC - definições e conceitos - as bases clínicas. Pulmão RJ - Atualizações Temáticas, 1(1), 34-37. http://www.sopterj.com.br/wp-content/themes/_sopterj_redesign_2017/_revista/atualizacao_tematica/04.pdf
Mannino, D. M., Doherty, D. E. & Buist A. S. (2006). Global initiative on obstructive lung disease (GOLD) classification of lung disease and mortality: findings from the atherosclerosis risk in communities (ARIC) study. Respir Med, 100(1), 115-122. http://dx.doi.org/10.1016/j.rmed.2005.03.035
Manzano, R. M., Kishi, M. S., Silva, M. C. M., Biazonk, R. F. Quitério, R. J. & Ambrozin, A. R. P. (2012). Comparação das variáveis hemodinâmicas durante o teste de caminhada de seis minutos e o teste de escada em adultos saudáveis. Terapia Manual, 10(49), 311-316. http://hdl.handle.net/11449/115031
Poole-Wilson, P. A. (2000). The 6-minute walk. A simple test with clinical application. European Heart Journal, 21(7), 507-508. http://dx.doi.org/10.1053/euhj.1999.1970
Porto, A. C. L. Vasconcelos, R. S., Sales, R. P., Matos, W. L. R., Sousa, C. T., Nogueira, A. N. C., Viana, S. M. N. R. & Bastos, V. P. D. (2012). Análise funcional nos pacientes com Insuficiência Cardíaca classe funcional III e IV no teste de caminhada de seis minutos. ASSOBRAFIR Ciência, 3(1), 21-31. https://www.cpcrjournal.org/article/5de127bf0e882560534ce1d6
Puhan, M.A.; Scharplatz, M.; Trooster, T. & Steurer, J. (2005). Respiratory rehabilitation after acude exacerbation of CODP may reduce risk for re -admission and mortality - a systematic review. Respiratory Research, 6(54), 1-12. http://dx.doi.org/10.1186/1465-9921-6-54
Ries, A. L., Make, B. J., Lee, S. M., Krasna, M. J., Bartels, M., Crouch, R. & Fishman, A. P. (2005). National Emphysema Treatment Trial Research Group. The effects of pulmonary rehabilitation in the national emphysema treatment trial. Chest Journal,, 128(6), 3799-3809. http://dx.doi.org/10.1378/chest.128.6.3799
Santos Filho, S. D., Maiworm, A. I., Lopes, A. J., Reis, L. F. & Bernardo Filho, M. (2005). Atividades cardio-respiratórias e publicações em revistas indexadas: avaliação do interesse científico em reabilitação cardíaca. Pulmão RJ, 14(4), 306-309. http://www.sopterj.com.br/wp-content/themes/_sopterj_redesign_2017/_revista/2005/n_04/07.pdf
Silva, J. R. O., Santana, J. R., Silva, C. C., Simões, D. F. S., Camelier, A.A. & Camelier, F. W. R. (2019). Adaptação cardiovascular no Teste de Caminhada dos Seis Minutos em pacientes com DPOC: estudo transversal. Revista Pesquisa em Fisioterapia, 9(1), 56-66. https://www5.bahiana.edu.br/index.php/fisioterapia/article/view/2224
Tecklin, J. S. & Irwin, S. (2013). Fisioterapia Cardiopulmonar: Fisioterapia Cardíaca e Reabilitação. 3. ed. São Paulo: Manole.
Umeda, I.I. K., Ramos, R. F., Meneghelo, R. S., Ferraz, A. S. Suzumura, É. A. & Andrade, J. (2015). Teste de caminhada de seis minutos após infarto agudo do miocárdio: comparação com teste ergométrico. Rev Soc Cardiol Estado de Säo Paulo, 25(3), 93-97. https://pesquisa.bvsalud.org/portal/resource/%20es/ses-32409
Vargas, M. H. M., Vieira, R., & Balbueno, R. C. (2016). Atuação da fisioterapia na reabilitação cardíaca durante as fases I e II – uma revisão da literatura. Revista Contexto &Amp; Saúde, 16(30), 85-91. https://doi.org/10.21527/2176-7114.2016.30.85-91
ZuWallack, R. L. (2008). The roles of bronchodilators, supplemental oxygen, and ventilatory assistance in the pulmonary rehabilitation of patients with chronic obstructive pulmonary disease. Respir Care, 53(9),1190-1195. https://pubmed.ncbi.nlm.nih.gov/18718038/
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