Peripheral and respiratory muscle strength in chronic obstructive pulmonary disease

Rudolfo Hummel Gurgel Vieira, Ivan Daniel Bezerra Nogueira, Natércia Ferreira Queiroz, Tamara Martins Cunha, Zênia Trindade de Souto Araújo, Wouber Hérickson de Brito Vieira, Patrícia Angélica de Miranda Silva Nogueira

Abstract


Chronic obstructive pulmonary disease (COPD) is a pulmonary pathology associated with numerous systemic manifestations, among them musculoskeletal dysfunction. The aim of the study was to evaluate and compare respiratory and peripheral muscle strength in patients with COPD and healthy individuals. This is a cross-sectional, analytical and observational study, in which 18 individuals were evaluated, nine of them with COPD and nine healthy. Femoral quadriceps neuromuscular performance (assessed by means of isokinetic dynamometry), handgrip strength (manual dynamometer) and maximum respiratory pressure (manovacuometry) were evaluated. Data were expressed by mean and standard deviation, analyzed in the SPSS 20.0 statistical package. Significance level of 5% and confidence interval of 95% for all measures were considered. Individuals with COPD had lower quadriceps femoral neuromuscular performance and lower respiratory pressures than healthy subjects; however, there was a statistically significant difference only for muscle power and MIP (p <0.05). Handgrip strength was higher in individuals with COPD (p <0.05). individuals with COPD have neuromuscular changes in peripheral and respiratory muscles that may possibly cause reduced functional performance.


Keywords


Chronic obstructive pulmonary disease; Muscle strength; Physical therapy specialty; Respiratory muscles

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DOI: https://doi.org/10.5007/1980-0037.2018v20n2p125

The abbreviated title of the journal is Rev. Bras. Cineantropom. Desempenho Hum, which should be used in bibliographies, footnotes and bibliographical references. E-ISSN 1980-0037, impressa ISSN 1415-8426, Florianópolis, Santa Catarina, Brazil. This work is licensed under a Creative Commons Attribution 4.0 International License.