Comparison Between Conventional Rehabilitation and Conventional Rehabilitation Through Dance in Patients With COPD

Comparison Between Conventional Rehabilitation and Conventional Rehabilitation Through Dance in Patients With Chronic Obstructive Pulmonary Disease

Introduction: Chronic obstructive pulmonary disease (COPD) is recognized as one of the most relevant conditions worldwide, due to its high morbidity and mortality. Patients classified by GOLD as groups B and E are strongly encouraged to participate in pulmonary rehabilitation (PR) programs. Dance has been shown to be equally or, at times, more effective as a rehabilitation strategy when compared to other types of physical activity. Objective: To compare the effect of conventional rehabilitation and the effect of conventional rehabilitation added to dance in patients with COPD. Methods: This is a conventional randomized controlled clinical trial to be carried at the Piquet Carneiro University Polyclinic, Rio de Janeiro. Patients diagnosed with COPD will be evaluated. Eligible participants will complete specific questionnaires and tests. Finally, participants will be randomly divided into two groups: one group will perform conventional PR twice a week and the other group will perform rehabilitation through dance twice a week using 2 different playlists. The music will be from nationally and internationally known artists during 8 weeks. The evaluation tests will be repeated at the end of the intervention. Expected results: It is expected that the group of individuals with COPD who perform rehabilitation through dance will obtain greater and better results in relation to exercise capacity, QoL and peripheral muscle strength when compared to the group that will carry out the intervention consisting of two days of conventional PR.

Keywords: Dance; Chronic obstructive pulmonary disease; Muscle strength; Quality of life; Rehabilitation.

Introduction: Chronic obstructive pulmonary disease (COPD) is recognized as one of the most relevant conditions worldwide, due to its high morbidity and mortality. Patients classified by GOLD as groups B and E are strongly encouraged to participate in pulmonary rehabilitation (PR) programs. Dance has been shown to be equally or, at times, more effective as a rehabilitation strategy when compared to other types of physical activity. Objective: To compare the effect of conventional rehabilitation and the effect of conventional rehabilitation added to dance in patients with COPD. Methods: This is a conventional randomized controlled clinical trial to be carried at the Piquet Carneiro University Polyclinic, Rio de Janeiro. Patients diagnosed with COPD, of both sexes, will be evaluated. Eligible participants will complete quality of life questionnaires - 36-item Short Form (SF-36), the COPD Assessment Test (CAT) and the Hospital Anxiety and Depression Scale (HADS).

Additionally, patients will undergo pulmonary function tests, including spirometry, in addition to the six-minute walk test (6MWT), the handgrip test and the one repetition maximum test (1RM test). Finally, participants will be randomly divided into two groups: one group will perform conventional PR twice a week and the other group will perform rehabilitation through dance twice a week using 2 different playlists. The music will be from nationally and internationally known artists during 8 weeks. The evaluation tests will be repeated at the end of the intervention. Expected results: It is expected that the group of individuals with COPD who perform rehabilitation through dance will obtain greater and better results in relation to exercise capacity, QoL and peripheral muscle strength when compared to the group that will carry out the intervention consisting of two days of conventional PR.

Keywords: Dance; Chronic obstructive pulmonary disease; Muscle strength; Quality of life; Rehabilitation.

Inclusion Criteria:

1. Patients who meet the diagnostic criteria for COPD;
2. Age group over 40 years old;
3. Both genders;
4. Absence of acute exacerbation in the last 30 days;
5. Patients who are regularly using their medications.

Exclusion Criteria:

1. Presence of comorbidities and cardiovascular, neurological, renal, metabolic or musculoskeletal disorders that prevent the performance of functional tests;
2. Advanced cancer;
3. Previous lung surgery;
4. Inability to understand functional tests or questionnaires applied;
5. Patients who, during the research, present an acute exacerbation of COPD, due to the time required for recovery;
6. Patients with results observed in the 6MWT <300m.