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Intended to treat disorders of the respiratory muscles can use the device Threshold IMT ® through an inspiratory muscle training (IMT) that allows training of the inspiratory muscles, the chief of these being the diaphragm which is which objectified the improvement of its function . To monitor the action of the respiratory muscles can be used several tools such as manometer that aims to assess respiratory pressures, ie, the strength of respiratory muscles, or the Surface Electromyography (sEMG) that allow evaluating the electromyographic activity of muscles analyzed. From a quantitative clinical trial, randomized and blinded, composed of 45 individuals obtained by random convenience and divided into three groups, COPD participating in a pulmonary rehabilitation program (RP) which will make TMI (TGR - Trained Group Rehabilitated), COPD does not participant in a PR program (TGNR - Trained Group not Rehabilitated) and a control group composed of healthy individuals (CG) that seek to analyze the electromyographic activity of sternocleidomastoid (SCM) and diaphragm muscle strength, lung volumes and breathing patterns before and after a period of eight weeks of TMI. Manual will also be held dynamometry to compare the grip strength of the CG, TGR and TGNR only at baseline.
Hypothesis:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group Pulmonary Rehabilitation | Experimental | Pulmonary Rehabilitation consists of isotonic exercises of upper and lower limbs, 20-minute workout on cycle ergometer in standard desinsuflativo (expiration at the time of muscle contraction), is performed three times a week for eight weeks. |
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| Group TMI + Pulmonary Rehabilitation | Experimental | Will be held inspiratory muscle training associated with a pulmonary rehabilitation program. The inspiratory muscle training is performed with a load of 40 to 50% of the muscle strength of the subjects. Pulmonary Rehabilitation consists of isotonic exercises of upper and lower limbs, 20-minute workout on cycle ergometer in standard deflation (expiration at the time of muscle contraction), is performed three times a week for eight weeks. |
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| Control Group | Experimental | Inspiratory muscle training will be held three times a week for eight weeks |
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| COPD group not rehabilitation | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Inspiratory Muscle Training | Other | Will be held inspiratory muscle training associated with a pulmonary rehabilitation program. The inspiratory muscle training is performed with a load of 40 to 50% of the muscle strength of the subjects. |
| Measure | Description | Time Frame |
|---|---|---|
| Muscle electromyographic activity of the accessory Inspiration | The electromyographic activity will be evaluated during the inspiratory cycles for one minute, It will be evaluated over eight weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Inspiratory Muscle Training | Will be performed with frequency of three days non-consecutive week, for eight weeks | |
| Assessment of lung volumes | will be performed previously to the study and at the end, over eight weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Dulciane N Paiva, Doctor | University of Santa Cruz do Sul | Principal Investigator |
| Diogo F Bordin, Academic | University of Santa Cruz do Sul | Principal Investigator |
| Dannuey M Cardoso, Master | University of Santa Cruz do Sul | Study Director |
| Andrea LG da Silva, Doctor | University of Santa Cruz do Sul | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universidade de Santa Cruz do Sul | Santa Cruz do Sul | Rio Grande do Sul | Brazil |
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| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
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| Pulmonary Rehabilitation | Other | Pulmonary Rehabilitation consists of isotonic exercises of upper and lower limbs, 20-minute workout on cycle ergometer in standard deflation (expiration at the time of muscle contraction), is performed three times a week for eight weeks. |
|
| assessment of respiratory muscle strength | will be performed previously to the study and at the end, as well as weekly to adjust the pressure load, It will be evaluated over eight weeks |
| breathing pattern assessment | will be performed previously to the study and at the end of the same, It will be evaluated over eight weeks |
| D020969 |
| Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |