Treino muscular respiratório em pacientes com Distrofia Muscular de Duchenne
DOI:
https://doi.org/10.34024/rnc.2010.v18.8446Palavras-chave:
Exercícios para os Músculos Respiratórios, Testes de Função Pulmonar, Distrofia Muscular de DuchenneResumo
Fraqueza progressiva dos músculos respiratórios é a principal responsável pelo desenvolvimento da insuficiência respiratória no paciente com Distrofia Muscular de Duchenne (DMD). Objetivo. Avaliar força muscular respiratória e capacidades pulmonares de pacientes com DMD submetidos a um programa de reabilitação dos músculos respiratórios, durante seis meses. Método. Seis pacientes com DMD, idade 10,5±1,64 anos, foram avaliados inicialmente e após 1, 3 e 6 meses de intervenção. Avaliação compreendia medição da pressão inspiratória máxima (PImáx), pressão expiratória máxima (PEmáx), capacidade vital forçada (CVF) e pico de fluxo expiratório (PF). O programa de reabilitação foi composto por treino muscular respiratório em três sessões semanais, utilizando dispositivo de carga linear pressórica a 30% da PImáx, padrões musculares respiratórios e selo d’água com capacidade expiratória máxima. Resultados. Verificou-se aumento significativo da PImáx (p<0,05) em relação à avaliação inicial após 1 mês e da PEmáx (p><0,05) após 3 meses de intervenção, mantendo os ganhos obtidos no período de seis meses. A CVF e o PF não sofreram alterações significativas. Conclusão. O programa de reabilitação dos músculos respiratórios em pacientes com DMD mostrou-se eficaz, melhorando a força muscular respiratória e evitando o progressivo declínio das capacidades pulmonares.>
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