Simone Dal Corso - Academia.edu (original) (raw)

Papers by Simone Dal Corso

Research, Society and Development

Objective: To compare the effects of continuous and resistance aerobic training at high intensity... more Objective: To compare the effects of continuous and resistance aerobic training at high intensity and resistance in women with breast cancer during chemotherapry treatment. Design: A randomized clinical trial. Forty patient’s diagnostics with breast cancer and undergoing chemotherapy. Will be recruited and randomized into two groups: (a) Combined training (continuous aerobic + resistance); (b) Combined training (high-intensity interval (IAI) + resistance). They will follow a protocol for inclusion One-Repetition Max Test (1RM), Grocery Shelving Task Test, Shuttle walk test incremental and the questionaries: Quality of life questionarie (EORTC QLQ-C30), Functional Assessment of Cancer Therapy Breast (FACT-B) e Brief Fatigue Inventory (BFI). The training protocol proposed for the study groups should be carried out for 8 weeks, three times a week on alternate days, totaling 24 training sessions. Conclusion: The focus of research in this area has predominantly been over the past two dec...

Supplemental material, Supplementary_Table_1 for Quality of Life Questionnaire-Bronchiectasis: a ... more Supplemental material, Supplementary_Table_1 for Quality of Life Questionnaire-Bronchiectasis: a study of the psychometric properties of the Brazilian Portuguese version by Cristiane O de Camargo, Anderson José, Adriano Luppo, Anderson A de Camargo, Rodrigo A Athanazio, Samia Z Rached, Alexandra L Quittner, Rafael Stelmach and Simone Dal Corso in Clinical Rehabilitation

ResumoDevido ao sincronismo muscular necessário para a execução de um exercício multiarticular co... more ResumoDevido ao sincronismo muscular necessário para a execução de um exercício multiarticular como o leg press, o alongamento estático agudo monoarticular poderia produzir alterações no controle articular individual afetando, desta forma, o controle dos músculos primários em outras articulações a fim de manter a ação isométrica. Assim, o presente estudo avaliou o efeito agudo de um protocolo de alongamento estático monoarticular, no sinergismo muscular, durante a execução do exercício leg press unilateral (LPU) isométrico. A amostra foi composta por 15 sujeitos adultos, hígidos, do sexo masculino (idade: 25±4 anos, estatura: 174±8 cm, massa corporal total: 71±6 kg, e 2±1 ano de experiência em musculação). O sinal eletromiográfico advindo dos músculos vasto lateral (VL) e glúteo máximo (GM) foram mensurados durante uma ação isométrica de 10" no exercício LPU contra 60% 1RM em três condições de alongamento estático monoarticular (6 séries de 45" / 15" e 70-90% da perce...

Physical Therapy, 2017

Background Bronchiectasis is characterized by a progressive structural lung damage, recurrent inf... more Background Bronchiectasis is characterized by a progressive structural lung damage, recurrent infections and chronic inflammation which compromise the exertion tolerance, and may have an impact on skeletal muscle function and physical function. Objective The purpose of this study was to compare peripheral muscle strength, exercise capacity, and physical activity in daily life between participants with bronchiectasis and controls and to investigate the determinants of the peripheral muscle strength and physical activity in daily life in bronchiectasis. Design This study used a cross-sectional design. Methods The participants’ quadriceps femoris and biceps brachii muscle strength was measured. They performed the incremental shuttle walk test (ISWT) and cardiopulmonary exercise testing, and the number of steps/day was measured by a pedometer. Results Participants had reduced quadriceps femoris muscle strength (mean difference to control group = 7 kg, 95% CI = 3.8–10.1 kg), biceps brach...

European Respiratory Journal, 2016

Introduction: The 6-minute walk test (6MWT) has been used to evaluate functional capacity pre-and... more Introduction: The 6-minute walk test (6MWT) has been used to evaluate functional capacity pre-and post-intervention in children with cerebral palsy (CP). However, studies about its reproducibility are scarce.Furthermore, the shuttle walk test (SWT) has never been described in CP. Objetives: To investigate the reproducibility of the 6MWT and SWT in children with CP having different Gross Motor Function Classification System (GMFCS) levels (I to III) and to examine the relationship between the distance walked in both tests with the Functional Mobility Scale (FMS). Methods: 30 children (7.5 ± 2.9 yrs) were randomized to perform two 6MWT and two ISWT on different days.A rest of 30 minutes was given between the tests. Both walking tests were carried out according to the recommendations of the ATS/ERS. Results: The distance walked in the first and the second 6MWT were not significantly different (353.08±131.94 vs. 343.60±129.54 meters, respectively;p=0.63) and were significantly correlated (r=0.97;p=0.0001).The distance walked in the first and the second SWT were not significant different (196.93±114.39 vs. 193.59±106.62 meters, respectively;p=0.39) and were significantly correlated (r=0.97; p=0.0001). Both walk tests demonstrated identical high test-retest reliability for distance walked (intraclass correlation coefficient, ICC = 0.98). Significant positive correlations were observed between FMS and 6MWT (r = 0.68,p = 0.01) and SWT (r = 0.64, p = 0.01) as well as a significant negative correlation between FMS and GMFCS were observed (r = -0.90,p = 0.01). Conclusion: Field walking tests are reproducible, and are representative measures of the functional status in children with CP.

Brazilian Journal of Physical Therapy, 2012

Brazilian Journal of Physical Therapy, 2006

Thorax, 2015

The Quality of Life-Bronchiectasis (QOL-B), a self-administered, patient-reported outcome measure... more The Quality of Life-Bronchiectasis (QOL-B), a self-administered, patient-reported outcome measure assessing symptoms, functioning and health-related quality of life for patients with non-cystic fibrosis (CF) bronchiectasis, contains 37 items on 8 scales (Respiratory Symptoms, Physical, Role, Emotional and Social Functioning, Vitality, Health Perceptions and Treatment Burden). Psychometric analyses of QOL-B V.3.0 used data from two double-blind, multicentre, randomised, placebo-controlled, phase III trials of aztreonam for inhalation solution (AZLI) in 542 patients with non-CF bronchiectasis and Gram-negative endobronchial infection. Excellent internal consistency (Cronbach's α ≥0.70) and 2-week test-retest reliability (intraclass correlation coefficients ≥0.72) were demonstrated for each scale. Convergent validity with 6 min walk test was observed for Physical and Role Functioning scores. No floor or ceiling effects (baseline scores of 0 or 100) were found for the Respiratory Sy...

Background: It is still controversy whether the impairment of muscle function is homogeneous betw... more Background: It is still controversy whether the impairment of muscle function is homogeneous between the upper and lower limbs in patients with COPD. Objective: To compare muscle function between quadriceps femoris (QF) and middle deltoid (MD) after a fatigue protocol and also the recovery time fatigue. Methods: Twenty-one patients (VEF1: 46±10% predicted) performed for both muscles: maximum voluntary isometric contraction (MVIC) pre and post 10, 30, 60min and 24h after completing an isometric endurance test (IET, 60%MVIC). All measurements were made with surface electromyograpy (sEMG) recording. For the temporal analysis the amplitude of the sEMG signals was expressed as root mean square (RMS, 1-s moving window), normalized by MVIC and then, the RMS EMG was integrated (iEMG). For the time-frequency analysis, EMG data were analyzed with a FFT applied to 1-s epochs and the median frequency (MF) of the spectrum for each epoch was obtained. Mid-arm and mid-thigh muscle mass were estimated from anthropometric measurements. Results: No significant difference was observed between muscles when MVIC was corrected for muscle mass. The endurance time differed significantly between MD and QF (50±40s vs 127±77s). During IET, iEMG increased significantly just for QF but a significant reduction in MF was observed for QF [92.7 (90.4–94.2) vs 88.5 (85.4–89.4)] and MD [89.5 Hz (81.7–91.0) vs 73.5 Hz (67.4–83.6)]. A significant reduction in MVIC after IET was observed just for MD at moments 10, 30, 60 minutes and it was recovered in 24h. Conclusion: Despite similar muscle efficiency (strength/muscle mass), muscle fatigue was early and more pronounced for MD.

The impact of dyspnea on exercise capacity, physical activity in daily life, and health-related q... more The impact of dyspnea on exercise capacity, physical activity in daily life, and health-related quality of life in adult subjects with non-cystic fibrosis bronchiectasis Ms. Samia 9450 Zahi Rached

Fisioterapia em Movimento (Impresso), 2011

OBJETIVO: Avaliar a função pulmonar de crianças com mielomeningocele (MMC) de diferentes níveis d... more OBJETIVO: Avaliar a função pulmonar de crianças com mielomeningocele (MMC) de diferentes níveis de lesão funcional comparados a controles saudáveis pareados por idade e sexo. MATERIAL E MÉTODO: Este foi um estudo caso-controle, no qual foi selecionada apenas uma criança por nível funcional de lesão e com função cognitiva preservada, e controles de crianças saudáveis pareados por idade e gênero ao grupo de MMC. Medidas antropométricas e espirométricas de função pulmonar foram obtidas de ambos os casos e controles de MMC. RESULTADOS: Todas as crianças com MMC apresentaram reduzido estado nutricional segundo os índices recomendados pela OMS. Foi observada presença de distúrbio ventilatório restritivo leve nas crianças com nível de lesão torácica (CVF = 0,65 %prev) e lombar-alta (CVF = 0,69 %prev), e apesar de dentro dos limites da normalidade, as crianças com MMC com níveis inferiores de lesão apresentaram valores espirométricos menores do que seus respectivos controles. Houve correlaç...

ConScientiae Saúde, 2007

Pacientes com doença pulmonar obstrutiva crônica (DPOC) comumente apresentam intolerância a exerc... more Pacientes com doença pulmonar obstrutiva crônica (DPOC) comumente apresentam intolerância a exercícios de intensidade variável, classicamente atribuída ao distúrbio ventilatório. Nesse sentido, o uso da ventilação mecânica não invasiva (VMNI), concomitante à reabilitação pulmonar (RP) em pacientes DPOC, tem sido proposto para permitir o treinamento físico em pacientes gravemente limitados. Com o intuito de analisar a fundamentação científica, opinião de autores, ou consenso sobre a VMNI e seus efeitos adicionais à RP, foi realizada revisão das modalidades mais utilizadas durante o exercício em pacientes com DPOC (CPAP, binível, PS e PAV). A modalidade ventilação proporcionalmente assistida, associada ao treinamento físico, mostrou maior eficácia pela magnitude do efeito em reduzir a dispnéia e melhorar a tolerância ao exercício. Em contrapartida, a pressão positiva contínua nas vias aéreas foi a menos expressiva em termos de benefícios.

ConScientiae Saúde, 2009

Evidências consistentes apoiam a reabilitação pulmonar no manejo de pacientes com doenças respira... more Evidências consistentes apoiam a reabilitação pulmonar no manejo de pacientes com doenças respiratórias crônicas, mostrando que ela é eficaz em reduzir o sintoma de dispneia, aumentar a tolerância ao esforço e melhorar a qualidade de vida dessa população. Objetivamos avaliar a frequência da prescrição, o perfil dos pacientes, bem como o tipo de recomendação acerca da atividade física no contexto da reabilitação pulmonar. Nesse sentido, 40 médicos pneumologistas responderam um questionário fechado sobre a abordagem terapêutica de pacientes pneumopatas crônicos. Pouco mais da metade da amostra avaliada recomenda reabilitação pulmonar aos seus pacientes. Essa recomendação tem sido predominantemente endereçada a pacientes com doença pulmonar obstrutiva crônica. A caminhada livre constitui a atividade mais encorajada por esses profissionais. Esforços são necessários para incorporar a reabilitação pulmonar precoce em pacientes, após exacerbação aguda da doença, e aumentar a iniciativa de ...

Jornal Brasileiro de Pneumologia, 2009

Está bem estabelecido que, além do acometimento pulmonar, a DPOC apresenta consequências sistêmic... more Está bem estabelecido que, além do acometimento pulmonar, a DPOC apresenta consequências sistêmicas que podem convergir para a disfunção muscular periférica, com maior fadigabilidade muscular, menor tolerância ao exercício e menor sobrevida nesses pacientes. Tendo em vista as repercussões negativas da fadiga muscular precoce na DPOC, esta revisão teve como objetivo discutir os principais achados da literatura relacionados aos seus determinantes metabólicos e bioenergéticos e suas repercussões funcionais, bem como seus métodos de identificação e de quantificação. O substrato anatomofuncional da maior fadigabilidade muscular na DPOC parece incluir a redução dos níveis de fosfatos de alta energia, a redução da densidade mitocondrial, a lactacidemia precoce, o aumento da amônia sérica e a perfusão muscular reduzida. Essas alterações podem ser evidenciadas por falência de contração, redução da taxa de disparo das unidades motoras e maior recrutamento de unidades motoras numa dada ativida...

Respiratory Care, 2013

BACKGROUND: Chest wall mobility is often measured in clinical practice, but the correlations betw... more BACKGROUND: Chest wall mobility is often measured in clinical practice, but the correlations between chest wall mobility and respiratory muscle strength and lung volumes are unknown. We investigate the associations between chest wall mobility, axillary and thoracic cirtometry values, respiratory muscle strength (maximum inspiratory pressure and maximum expiratory pressure), and lung volumes (expiratory reserve volume, FEV 1 , inspiratory capacity, FEV 1 /FVC), and the determinants of chest mobility in healthy subjects. METHODS: In 64 healthy subjects we measured inspiratory capacity, FVC, FEV 1 , expiratory reserve volume, maximum inspiratory pressure, and maximum expiratory pressure, and chest wall mobility via axillary and thoracic cirtometry. We used linear regression to evaluate the influence of the measured variables on chest wall mobility. RESULTS: The subjects' mean ؎ SD values were: age 24 ؎ 3 years, axillary cirtometry 6.3 ؎ 2.0 cm, thoracic cirtometry 7.5 ؎ 2.3 cm; maximum inspiratory pressure 90.4 ؎ 10.6% of predicted, maximum expiratory pressure 92.8 ؎ 13.5% of predicted, inspiratory capacity 99.7 ؎ 8.6% of predicted, FVC 101.9 ؎ 10.6% of predicted, FEV 1 98.2 ؎ 10.3% of predicted, expiratory reserve volume 90.9 ؎ 19.9% of predicted. There were significant correlations between axillary cirtometry and FVC (r ‫؍‬ 0.32), FEV 1 (r ‫؍‬ 0.30), maximum inspiratory pressure (r ‫؍‬ 0.48), maximum expiratory pressure (r ‫؍‬ 0.25), and inspiratory capacity (r ‫؍‬ 0.24), and between thoracic cirtometry and FVC (r ‫؍‬ 0.50), FEV 1 (r ‫؍‬ 0.48), maximum inspiratory pressure (r ‫؍‬ 0.46), maximum expiratory pressure (r ‫؍‬ 0.37), inspiratory capacity (r ‫؍‬ 0.39), and expiratory reserve volume (r ‫؍‬ 0.47). In multiple regression analysis the variable that best explained the axillary cirtometry variation was maximum inspiratory pressure (R 2 0.23), and for thoracic cirtometry it was FVC and maximum inspiratory pressure (R 2 0.32). CONCLUSIONS: Chest mobility in healthy subjects is related to respiratory muscle strength and lung function; the higher the axillary cirtometry and thoracic cirtometry values, the greater the maximum inspiratory pressure, maximum expiratory pressure, and lung volumes in healthy subjects.