TREINAMENTO MUSCULAR INSPIRATÓRIO COMO RECURSO PARA A PROTEÇÃO DO INDIVÍDUO COM INSUFICIÊNCIA CARDÍACA

  • Carla Cristina Ferreira de Andrade Faculdade Patos de Minas
  • Gabriela Fonseca Alves
  • Gisele Luiza Costa Faculdade Patos de Minas
  • Fernando Leonardo Diniz Souza Faculdade Patos de Minas
  • Marisa Afonso Andrade Brunherotti Universidade de Franca - UNIFRAN
Palavras-chave: Insuficiência Cardíaca, Músculos Respiratórios, Tratamento, Fisioterapia

Resumo

Esse trabalho teve como objetivo realizar uma revisão da literatura narrativa sobre as características da patologia (IC) e como o treino muscular inspiratório protege o indivíduo portador de insuficiência cardíaca. A literatura aponta que o TMI demonstrou efeitos benéficos em pessoas com IC, como melhora do VO2máx e bom desempenho em testes funcionais. Todavia, não há um consenso sobre qual a melhor carga se treinar, o melhor tempo de treinamento e a frequência do mesmo; e os reais benefícios na capacidade funcional de indivíduos com IC. Estudos mostraram que com o treinamento muscular inspiratório há melhora da capacidade funcional e da qualidade de vida dos indivíduos portadores de IC pertencentes a classes funcionais mais avançadas e com terapêutica não medicamentosa escassa, melhorando assim a capacidade funcional e a qualidade de vida de indivíduos com insuficiência cardíaca de maior gravidade, favorecendo condições de bem-estar.

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Referências

Araújo, A. A., Nóbrega, M. M. L., & Garcia, T. R. (2013). Diagnósticos e intervenções de enfermagem para pacientes portadores de insuficiência cardíaca congestiva utilizando a CIPE. Revista da Escola de Enfermagem da USP, 47(2), 385-392.

Bellenger, C.R., Fuller, J.T., Thomson, R.L., Davison, K., Robertson, E.Y., & Buckley, J.D. (2016). Monitoring Athletic Training Status Through Autonomic Heart Rate Regulation: a systematic review and meta-analysis. Sports Medicine, 46(10), 1461-1486.

Bocchi, E. A., Braga, F. G. M., Ferreira, S. M. A., Rohde, L. E. P., Oliveira, W. A., Almeida, D. R. et al. (2009). Sociedade Brasileira de Cardiologia. III Diretriz Brasileira de Insuficiência Cardíaca Crônica. Arquivos Brasileiros de Cardiologia, 93.

Chiappa, G.R., Roseguini, B.T., Vieira, P.J., Alves, C.N., Tavares, A., Winkelmann, E.R. et al. (2008). Inspiratory muscle raining improves blood flow to resting and exercising limbs in patients with chronic heart failure. Journal of the American College of Cardiology, 51(17), 1663-1671.

Dall’Ago, P., Chiappa, G.R., Guths, H., Stein, R., & Ribeiro, J.P. (2006). Inspiratory muscle training in patients with heart failure and inspiratory muscle weakness: a randomized trial. Journal of the American College of Cardiology, 47(4), 757-763.

Esposito, F., & Ferretti, G. (2010). Respiratory muscle training and maximum aerobic power in hypoxia. European Journal of Applied Physiology, 110(1), 219-220.

Esposito, F., Limonta, E., Alberti, G., Veicsteinas, A, & Ferretti, G. (2010a). Assessment of respiratory muscle training effects. Respiratory Physiology & Neurobiology Journal, 173(2), 115-117.

Esposito, F., Limonta, E., Alberti, G., Veicsteinas, A, & Ferretti, G. (2010b). Effect of respiratory muscle training on maximum aerobic power in normoxia and hypoxia. Respiratory Physiology & Neurobiology Journal, 170(3), 268-272.

Faghy, M. A., & Brown, P. I. (2015). Training the inspiratory muscles improves running performance when carrying a 25 kg thoracic load in a backpack. European Journal of Sport Science, 16(5), 585-594, 2015.

Forgiarini, L.A., Jr., Rubleski, A., Garcia, D., Tieppo, J., Vercelino, R., Bosco, A.D. et al. (2007). Evaluation of Respiratory Muscle Strength and Pulmonary Function in Heart Failure Patients. Arquivos Brasileiros de Cardiologia, 89(1), 36-41.

Green, D.J., O´Driscoll, G., Joyner, M.J., & Cable, N.T. (2008). Exercise and cardiovascular risk reduction: time to update the rationale for exercise? Journal of Applied Physiology, 105(2), 766-768.

Guazzi, M. (2003). Alveolocapilar membrane dysfunction in heart failure. Chest, 124(3), 1090-1102.

Hammond, M. D., Bauer, K. A., & Sharp, J. T. (2004). Respiratory muscle strength in congestive heart failure. Chest, 98(5), 1091-1094.

Hepburn, H., Fletcher, J., Rosengarten, T.H., & Coote, J. H. (2005). Cardiac vagal tone, exercise performance and the effect of respiratory training. European Journal of Applied Physiology, 94(5-6), 681-689.

Johnson, P. H., Cowley, A. J., & Kinnear, W. J. M. (1998). A randomized controlled trial of inspiratory muscle training in stable chronic heart failure. European Heart Journal, 19(8), 1249-1253.

Joyner, M. J., & Green, D. J. (2009). Exercise protects the cardiovascular system: effects beyond traditional risk factors. The Journal of Physiology, 587, 5551-5558.

Laoutaris, A., Dristas, A., Brown, M.D., Manginas, A., Alivizatos, P.A., & Cokkinos, D.V. (2004). Inspiratory muscle training using an incremental endurance test alleviates dyspnea and improves functional status in patients with chronic heart failure. The European Journal of Cardiovascular Prevention & Rehabilitation, 11(6), 489-496.

Lindsay, D.C., Lovegrove, C.A., Dunn, M.J., Bennett, J.G., Pepper, J.R., Yacoub, M.H., et al. (1996). Histological abnormalities of muscle from limb, thorax and diaphragm in chronic heart failure. European Heart Journal, 17(8), 1239-1250.

Macfarlane, N. G., Darnley, G. M., & Smith, G. L. (2000). Cellular basis for contractile dysfunction in the diaphragm from a rabbit infarct model of heart failure. American Journal of Physiology-Cell Physiology, 278(4), 739-746.

Mancini, D., Ferraro, N., Nazzaro, D., Chance, B., & Wilson, J.R. (1991). Demonstration of respiratory muscle deoxygenation during exercise in patients with heart failure. Journal of the American College of Cardiology, 18, 492-498.

Mangner, N., Linke, A, Oberbach, A., Kullnick, Y., Stephan, G., Sandri, M. et al. (2013). Exercise training prevents TNF-a induced loss of force in the diaphragm of mice. Plos One, 8(1), 1-4.

Mann, D.L., Zipes, D.P., & Libby, P. (2015). Braunwald's heart disease: a textbook of cardiovascular medicine. (10a ed.). Philadelphia: Elsevier.

Metra, M., & Teerlink, J. R. (2017). Heart failure. The Lancet, 390(10.106), 1981-1995.

Meyer, F.J., Borst, M.M., Zugck, C., Kirschke, A., Schellberg, D., Kübler, W. et al. (2001). Respiratory muscle dysfunction in congestive heart failure: clinical correlation and prognostic significance. Circulation, 103 (17), 2153-2158.

Montemezzo, D., Fregonexi, G.A., Pereira, D.A., Britto, R.R., & Reid, W.D. (2014). Influence of inspiratory muscle weakness on inspiratory muscle training responses in chronic heart failure patients: a systematic review and meta-analysis. Archive of Physical Medicine and Rehabilitation, 95(7), 398-1407.

Nanas, S., Nanas, J., Kassiotis, C., Alexopoulos, G., Samakovli, A., Kanakakis, J. et al. (1999). Respiratory muscles performance is related to oxygen kinetics during maximal exercise and early recovery in patients with congestive heart failure. Circulation, 100(5), 503-508.

Padula, C. A., Yeaw, E., & Mistry, S. (2009). A home-based nurse-coached inspiratory muscle training intervention in heart failure. Applied Nursing Research, 22(1), 18-25.

Piepoli, M., Clark, A. L., & Coats, A. J. (1995). Muscle metaboreceptors in hemodynamic, autonomic, and ventilatory responses to exercise in men. American Journal of Physiology-Heart and Circulatory Physiology, 269(4), H1428-H1436.

Puricel, S., Kallinikou, Z., Espinola, J., Arroyo, D., Goy, J.J., Stauffer, J.C. et al. (2016). Comparison of endothelium dependent and independent vasomotor response after abluminal biodegradable polymer biolimus eluting stent and persistent polymer everolimus eluting stent implantation. International Journal of Cardiology, 202, 525-531.

Pyke, K. E., & Tschakovsky, M. E. (2005). The relationship between shear stress and flow-mediated dilatation: implications for the assessment of endothelial function. The Journal of Physiology, 568, 357-369.

Reid, W. D., & Samral, B. (1995). Respiratory muscle training for patients with chronic obstructive pulmonary disease. Physical Therapy, 75(11), 996-1005.

Rohde, L. E., Montera, M. W., Bocchi, E. A., Clausell, N., Albuquerque, D. C., & Rassi, S. (2018). Diretriz Brasileira de Insuficiência Cardíaca Crônica e Aguda. Arquivos Brasileiros de Cardiologia, 111(3), 436-539.

Sandoo, A., Zanten, J. J. C. S. V., Metsios, G. S., Carroll, D., & Kitas, G. D. (2010). The endothelium and its role in regulating vascular tone. The Open Cardiovascular Medicine Journal, 4, 302-312.

Scattolin, F. A. A., Colombo, R. C. R., & Diogo, M. J. D. (2007). Correlação entre instrumentos de qualidade de vida relacionada à saúde e independência funcional em idosos com insuficiência cardíaca. Cadernos de Saúde Pública, 23(11), 2705-2715.

Smart, N. A., Giallauria, F., & Dieberg, G. (2013). Functional electrical stimulation for chronic heart failure: a meta-analysis. International Journal of Cardiology, 167(1), 80-86.

Sousa, E., Veksler, V., Bigard, X., Mateo, P., Serrurier, B., & Ventura-Clapier, R. (2001). Dual influence of disease and increased load on diaphragm muscle in heart failure. Journal of molecular and Cellular Cardiology, 33(4), 699-710.

Task force of the European Society of Cardiology and The North American Society of Pacing and Electrophysiology (1996). Heart rate variability: standards of measurement, physiological interpretation and clinical use. European Heart Journal, 17(3), 354-381.

Thijssen, D.H., Atkinson, C.L., Ono, K., Sprung, V.S., Spence, A.L., Pugh, C.J. et al. (2014). Sympathetic nervous system activation, arterial shear rate and flow-mediated dilation. Journal of Applied Physiology, 116(10), 1300-1307.

Thompson, P.D., Buchner, D., Pina, I.L., Balady, G.J., Williams, M.A., Marcus, B.H. et al. (2003). Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease: a statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity). Circulation, 107(24), 3109-3116.

Verges, S., Renggli, A.S., Notter, D.A., & Spengler, C.M. (2009). Effects of different respiratory muscle training regimes on fatigue-related variables during volitional hyperpnoea. Respiratory Physiology & Neurobiology Journal, 169(3), 282-290.

Widlansky, M. E., Goscke, N., Keaney, J.F., Jr., & Vita, J.A. (2003). The clinical implications of endothelial dysfunction. Journal of the American College of Cardiology, 42(7), 1149-1160.

Wilson, C., Lee, M. D., & Mccarron, J. G. (2016). Acetylcholine released by endothelial cells facilitates flow-mediated dilatation. The Journal of Physiology, 594(24), 7267-7307.

Winkelmann, E. R., Chiappa, G.R., Lima, C.O., Viecili, P.R., Stein, R., & Ribeiro, J.P. (2009). Addition of inspiratory muscle training to aerobic training improves cardiorespiratory responses to exercise in patients with heart failure and inspiratory muscle weakness. American Heart Journal, 158(5), 768-767.

Publicado
2020-07-07
Como Citar
Andrade, C. C. F. de, Alves, G. F., Costa, G. L., Souza, F. L. D., & Brunherotti, M. A. A. (2020). TREINAMENTO MUSCULAR INSPIRATÓRIO COMO RECURSO PARA A PROTEÇÃO DO INDIVÍDUO COM INSUFICIÊNCIA CARDÍACA. Psicologia E Saúde Em Debate, 6(1), 49-59. https://doi.org/10.22289/2446-922X.V6N1A4
Seção
Artigo original