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20210430110653.0 |
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| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
0211-5638 |
| 040 ## - CATALOGING SOURCE |
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| Transcribing agency |
Salus Infirmorum |
| 245 00 - TITLE STATEMENT |
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| Title |
Ventilación dirigida contrastada y entrenamiento muscular aeróbico-anaeróbico mejoran un paciente con EPOC severo por enfisema pulmonar = |
| Remainder of title |
Comprehensive directed breathing and aerobic-anaerobic muscle training strongly improve a patient with severe COPD by pulmonary emphysema / |
| Statement of responsibility, etc. |
M. Giménez, D. López, Encarnación Abril Belchí, N. Martin, M. Darias, A. Gómez Rodríguez |
| 500 ## - GENERAL NOTE |
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| General note |
Este artículo se encuentra disponible en su edición impresa. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc. note |
Bibliografía: p.241-242 |
| 520 3# - SUMMARY, ETC. |
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| Summary, etc. |
Objetivo<br/>Analizar los efectos de la asociación de ventilación dirigida contrastada con entrenamiento Square Wave Endurance Exercise Test (SWEET), 4-minutos aeróbicos y 1-minuto anaeróbico, repetido 9 veces en 45min, con oxigenoterapia al ejercicio, en un paciente (73 años) con EPOC severo, hiperinflación e hipoxemia al ejercicio.<br/><br/>Metodología<br/>Examen clínico y funcional, y 4 pruebas de ejercicio: 6 min marcha, «escabel», ejercicio incremental y SWEET controlando la disnea (Borg), la SpO2 y la FC. La gasometría arterial (PaO2, PaCO2, pH, ácido láctico), el metabolismo (??O2, ??CO2), el patrón ventilatorio (??E, FR, VT) y la frecuencia cardiaca (FC) se comparan antes y después de 11 sesiones de 120min «personalizadas», vigiladas por el fisioterapeuta y rehabilitador especializados, y 6 meses después de autotratamiento a domicilio.<br/><br/>Resultados<br/>Se corrigen la asincronía tóraco abdominal, la ventilación paradójica y se mejora la espirometría discretamente, pero los flujos y las presiones respiratorias máximas aumentan mucho más (+132 y +119%), así como la capacidad aeróbica (+111%), la deambulación (+32%) y escabel (+119%). La eficacia ventilatoria aumenta, y el metabolismo disminuye en reposo. La disnea de esfuerzo (DE) se reduce en un 35%, y el volumen residual en un 33%.<br/><br/>Conclusión<br/>El protocolo de ventilación dirigida contrastada más el entrenamiento Square Wave Endurance Exercise Test realizado ha sido efectivo para reducir la disnea de esfuerzo, aumentar la capacidad de ejercicio máximo, los flujos y las presiones respiratorias máximas en este paciente con enfisema pulmonar y EPOC severo. |
| 520 8# - SUMMARY, ETC. |
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| Summary, etc. |
Objective<br/>To analyze the effects of the combination of Comprehensive Directed Breathing (CDB) with training Square Wave Endurance Exercise Test (SWEET), 4-min aerobic and 1-min anaerobic repeated nine times in 45min, with oxygen therapy during exercise, in a patient (73 years) with severe COPD, hyperinflation and hypoxemia during exercises.<br/><br/>Methodology<br/>Clinical examination, functional testing and 4 exercise testing: 6-min walking test (6MWT), two step stool, incremental exercise and the SWEET, with control of exertional Dyspnea (Borg’ scale), SpO2 and heart rate (HR). Arterial blood gases (PaO2, PaCO2, pH, lactic acid), metabolism (??O2, ??CO2), ventilatory pattern (??E, FR, VT) and heart rate (HR) were compared before and immediately after 11 tailored sessions of 120-min supervised by the respiratory physiotherapist and the physiatrist specialists. Then, he continued at home applying himself the full learning protocol and a fast-control was made six months later.<br/><br/>Results<br/>The thoraco-abdominal asynchrony and paradoxical ventilation were corrected and the spirometry improved discreetly, but the maximal flows and respiratory pressures increase strongly (+132 and +119%), as well as aerobic capacity (+111%), ambulation (32%) and the two step stool (+119%). The ventilatory efficiency increases and the resting metabolism decreases. Exertional dyspnea is reduced by 35% as the residual volume by 33%.<br/><br/>Conclusion<br/>The protocol CDB plus SWEET has been made effective in reducing exertional Dyspnea, increased MVV, maximum exercise capacity and maximal respiratory flows and pressures in this patient with severe emphysema and COPD. |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
disnea de esfuerzo diafragmática |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
educación de la ventilación |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
biofeedback |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
entrenamiento muscular aeróbio-anaeróbio |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
espirometría incentivada |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
oxigenoterapia |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
exertional Dyspnea |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
siaphragmatic ventilation education |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
biofeedback |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
aerobic-anaerobic muscle training |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
incentive spirometry |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
oxygen therapy |
| 773 ## - HOST ITEM ENTRY |
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| Related parts |
-- 2010 (sep/oct), v. 32, n. 5, p. 236-242 |
| Title |
Fisioterapia. Revista de salud, discapacidad y terapéutica física. |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Source of classification or shelving scheme |
Universal Decimal Classification |
| Koha item type |
Artículo de revista |
