Treinamento muscular inspiratório em pacientes com doença do refluxo gastroesofágico
| Ano de defesa: | 2019 |
|---|---|
| Autor(a) principal: | |
| Orientador(a): | |
| Banca de defesa: | |
| Tipo de documento: | Dissertação |
| Tipo de acesso: | Acesso aberto |
| Idioma: | por |
| Instituição de defesa: |
Não Informado pela instituição
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| Programa de Pós-Graduação: |
Não Informado pela instituição
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| Departamento: |
Não Informado pela instituição
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| País: |
Não Informado pela instituição
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| Palavras-chave em Português: | |
| Link de acesso: | http://www.repositorio.ufc.br/handle/riufc/45814 |
Resumo: | INTRODUCTION: Gastroesophageal reflux represents a physiological event that consists of the return of the gastric contents to the esophagus, which can be considered Gastroesophageal Reflux Disease (GERD). OBJECTIVE: To evaluate the effect of inspiratory muscle training on esophageal sphincter pressure (LES) in individuals with Gastroesophageal Reflux Disease. METHODS: Study randomized study performed at the Walter Cantídio University Hospital (HUWC), with GERD patients. Participants were randomized and divided into two groups: no-load training group (TSC) and a load-training group (CBT) submitted to inspiratory muscle training (IMT) 3 times a week for 8 weeks. RESULTS: The sample composed of 32 volunteers allocated in the TSC groups formed by 15 volunteers, 5 men (33%) and 10 women 67%) with a mean age of 42.67 ± 11.06 group BMI was 27.89%; the CBT group composed of 17 volunteers, 6 men (32%) and 11 women (63%) with a mean age of 49.65 ± 7.65 years and the BMI of group was 28.47%. The CBT group showed a significant increase in MIP (p<0.016). CBT vs TSC in isolated symptoms of mid-chest burning (p <0.009) and chest pain (p<0.001) and CBT vs PRE in the symptoms of hoarseness (p = 0.0171), throat clearing (p = <,0001) and cough uncomfortable (p = 0.0069). Comparing all patients PRE vs POST, there was an increase intraesophageal pressure in normal breathing. CONCLUSION: IMT reduced symptoms of gastroesophageal reflux disease, significantly increased MIP and Significant increase in Intraesophageal Pressure was observed. |
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Barreto, Patriciane HedwigesSantos, Armênio Aguiar2019-09-16T17:40:33Z2019-09-16T17:40:33Z2019-05-30BARRETO, P. H. Treinamento muscular inspiratório em pacientes com doença do refluxo gastroesofágico. 2019 105 f. Dissertação (Mestrado em Ciências Médicas) - Faculdade de Medicina , Universidade Federal do Ceará, Fortaleza, 2019.http://www.repositorio.ufc.br/handle/riufc/45814INTRODUCTION: Gastroesophageal reflux represents a physiological event that consists of the return of the gastric contents to the esophagus, which can be considered Gastroesophageal Reflux Disease (GERD). OBJECTIVE: To evaluate the effect of inspiratory muscle training on esophageal sphincter pressure (LES) in individuals with Gastroesophageal Reflux Disease. METHODS: Study randomized study performed at the Walter Cantídio University Hospital (HUWC), with GERD patients. Participants were randomized and divided into two groups: no-load training group (TSC) and a load-training group (CBT) submitted to inspiratory muscle training (IMT) 3 times a week for 8 weeks. RESULTS: The sample composed of 32 volunteers allocated in the TSC groups formed by 15 volunteers, 5 men (33%) and 10 women 67%) with a mean age of 42.67 ± 11.06 group BMI was 27.89%; the CBT group composed of 17 volunteers, 6 men (32%) and 11 women (63%) with a mean age of 49.65 ± 7.65 years and the BMI of group was 28.47%. The CBT group showed a significant increase in MIP (p<0.016). CBT vs TSC in isolated symptoms of mid-chest burning (p <0.009) and chest pain (p<0.001) and CBT vs PRE in the symptoms of hoarseness (p = 0.0171), throat clearing (p = <,0001) and cough uncomfortable (p = 0.0069). Comparing all patients PRE vs POST, there was an increase intraesophageal pressure in normal breathing. CONCLUSION: IMT reduced symptoms of gastroesophageal reflux disease, significantly increased MIP and Significant increase in Intraesophageal Pressure was observed.O refluxo gastroesofágico representa um evento fisiológico que consiste no retorno do conteúdo gástrico ao esôfago, que ao apresentar episódios que causam sinais e sintomas pode ser considerada Doença do Refluxo Gastroesofágico (DRGE). OBJETIVO: Avaliar o efeito do treinamento muscular inspiratório na pressão do esfíncter esofágico inferior (EEI) em indivíduos com Doença do Refluxo Gastroesofágico. MÉTODOS: Estudo do tipo randomizado realizado no Hospital Universitário Walter Cantídio (HUWC), com portadores de DRGE. Os participantes foram randomizados e distribuídos em dois grupos: grupo treinamento sem carga (TSC) e grupo treinamento com carga (TCC) submetidos ao treinamento muscular inspiratório (TMI), 3 vezes por semana, durante 8 semanas. RESULTADOS: A amostra composta por 32 voluntários alocados nos grupos TSC formado por 15 voluntários, 5 homens (33%) e 10 mulheres 67%) com média de idade de 42,67±11,06 anos, o IMC do grupo foi de 27,89%; o grupo TCC composto por 17 voluntários sendo 6 homens (32%) e 11 mulheres (63%) com média de idade de 49,65±7,65 anos e o IMC do grupo foi de 28,47%. O grupo TCC apresentou aumento significativo da PImáx (p<0,016) TCC vs TSC, nos sintomas isolados de queimação no meio do peito (p<0,009) e dor torácica (p<0,001) e TCC vs PRÉ nos sintomas de rouquidão (p=0,0171), pigarro (p=<,0001) e tosse incômoda (p=0,0069). Comparando todos os pacientes PRÉ vs PÓS, observou-se aumento significativo da pressão intraesofágica na respiração normal. CONCLUSÃO: O TMI, reduziu os sintomas da doença do refluxo gastroesofágico, aumentou significativamente a PImáx e observou-se aumento significativo da Pressão Intraesofágica.Refluxo GastroesofágicoManometriaDiafragmaTreinamento muscular inspiratório em pacientes com doença do refluxo gastroesofágicoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisporreponame:Repositório Institucional da Universidade Federal do Ceará (UFC)instname:Universidade Federal do Ceará (UFC)instacron:UFCinfo:eu-repo/semantics/openAccessLICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://repositorio.ufc.br/bitstream/riufc/45814/2/license.txt8a4605be74aa9ea9d79846c1fba20a33MD52ORIGINAL2019_dis_phbarreto.pdf2019_dis_phbarreto.pdfapplication/pdf6500616http://repositorio.ufc.br/bitstream/riufc/45814/3/2019_dis_phbarreto.pdf8ab2fe7f056ee326a162865b20538b1bMD53riufc/458142019-09-16 14:44:41.711oai:repositorio.ufc.br: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Repositório InstitucionalPUBhttp://www.repositorio.ufc.br/ri-oai/requestbu@ufc.br || repositorio@ufc.bropendoar:2019-09-16T17:44:41Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)false |
| dc.title.pt_BR.fl_str_mv |
Treinamento muscular inspiratório em pacientes com doença do refluxo gastroesofágico |
| title |
Treinamento muscular inspiratório em pacientes com doença do refluxo gastroesofágico |
| spellingShingle |
Treinamento muscular inspiratório em pacientes com doença do refluxo gastroesofágico Barreto, Patriciane Hedwiges Refluxo Gastroesofágico Manometria Diafragma |
| title_short |
Treinamento muscular inspiratório em pacientes com doença do refluxo gastroesofágico |
| title_full |
Treinamento muscular inspiratório em pacientes com doença do refluxo gastroesofágico |
| title_fullStr |
Treinamento muscular inspiratório em pacientes com doença do refluxo gastroesofágico |
| title_full_unstemmed |
Treinamento muscular inspiratório em pacientes com doença do refluxo gastroesofágico |
| title_sort |
Treinamento muscular inspiratório em pacientes com doença do refluxo gastroesofágico |
| author |
Barreto, Patriciane Hedwiges |
| author_facet |
Barreto, Patriciane Hedwiges |
| author_role |
author |
| dc.contributor.author.fl_str_mv |
Barreto, Patriciane Hedwiges |
| dc.contributor.advisor1.fl_str_mv |
Santos, Armênio Aguiar |
| contributor_str_mv |
Santos, Armênio Aguiar |
| dc.subject.por.fl_str_mv |
Refluxo Gastroesofágico Manometria Diafragma |
| topic |
Refluxo Gastroesofágico Manometria Diafragma |
| description |
INTRODUCTION: Gastroesophageal reflux represents a physiological event that consists of the return of the gastric contents to the esophagus, which can be considered Gastroesophageal Reflux Disease (GERD). OBJECTIVE: To evaluate the effect of inspiratory muscle training on esophageal sphincter pressure (LES) in individuals with Gastroesophageal Reflux Disease. METHODS: Study randomized study performed at the Walter Cantídio University Hospital (HUWC), with GERD patients. Participants were randomized and divided into two groups: no-load training group (TSC) and a load-training group (CBT) submitted to inspiratory muscle training (IMT) 3 times a week for 8 weeks. RESULTS: The sample composed of 32 volunteers allocated in the TSC groups formed by 15 volunteers, 5 men (33%) and 10 women 67%) with a mean age of 42.67 ± 11.06 group BMI was 27.89%; the CBT group composed of 17 volunteers, 6 men (32%) and 11 women (63%) with a mean age of 49.65 ± 7.65 years and the BMI of group was 28.47%. The CBT group showed a significant increase in MIP (p<0.016). CBT vs TSC in isolated symptoms of mid-chest burning (p <0.009) and chest pain (p<0.001) and CBT vs PRE in the symptoms of hoarseness (p = 0.0171), throat clearing (p = <,0001) and cough uncomfortable (p = 0.0069). Comparing all patients PRE vs POST, there was an increase intraesophageal pressure in normal breathing. CONCLUSION: IMT reduced symptoms of gastroesophageal reflux disease, significantly increased MIP and Significant increase in Intraesophageal Pressure was observed. |
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2019 |
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2019-09-16T17:40:33Z |
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2019-09-16T17:40:33Z |
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2019-05-30 |
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info:eu-repo/semantics/masterThesis |
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BARRETO, P. H. Treinamento muscular inspiratório em pacientes com doença do refluxo gastroesofágico. 2019 105 f. Dissertação (Mestrado em Ciências Médicas) - Faculdade de Medicina , Universidade Federal do Ceará, Fortaleza, 2019. |
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http://www.repositorio.ufc.br/handle/riufc/45814 |
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BARRETO, P. H. Treinamento muscular inspiratório em pacientes com doença do refluxo gastroesofágico. 2019 105 f. Dissertação (Mestrado em Ciências Médicas) - Faculdade de Medicina , Universidade Federal do Ceará, Fortaleza, 2019. |
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