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Papers by Veronica Wittmer
Udesc Em Acao, Jan 16, 2013
Marise Wypyszynski da Costa Ligório -Fisioterapeuta, Mestre em Engenharia de Produção, Professora... more Marise Wypyszynski da Costa Ligório -Fisioterapeuta, Mestre em Engenharia de Produção, Professora de Fisioterapia do Centro Universitário Vila Velha (UVV), Vila Velha-ES -sisewip@ig.com.br RESUMO. Introdução: A prática regular de programas de exercícios físicos, voltados para o desenvolvimento da força muscular e flexibilidade, tem sido recomendada como meio de atenuar ou reverter os efeitos negativos relacionados ao envelhecimento. A flexibilidade é um componente essencial para manutenção das funções corporais básicas. Entretanto, apesar dessa importância, os métodos utilizados para avaliação da flexibilidade são escassos e com aplicabilidade limitada. Objetivo: Avaliar a influência de um programa de atividades físicas na flexibilidade de 17 idosos participantes do Projeto de Extensão da Unidade Básica de Saúde de Vila Nova, localizada no município de Vila Velha (ES). Métodos: Em março de 2009 avaliou-se a flexibilidade dos pacientes através dos testes: distância mão-chão, alcance lateral direito, alcance lateral esquerdo, Shober e Shober modificado. Após a avaliação inicial, os pacientes realizaram atividades físicas, 2 vezes por semana até julho de 2009, sendo reavaliados através dos mesmos testes iniciais. Para análise dos resultados usou-se o teste t-student pareado, considerando o nível de significância de 5%. Resultados: Observa-se melhora significante (p<0,05) nos testes de distância mão-chão (pré-tratamento: 15,3±5,9cm; pós-tratamento: 9,4±4,4cm), alcance lateral direito (pré-tratamento: 25,1±7,8cm; pós-tratamento: 20,4±6,4cm), alcance lateral esquerdo (pré-tratamento: 27,7±5,8cm; pós-tratamento: 22,4±5,4cm), sem melhora significante nos demais testes. Conclusões: O tratamento proposto melhorou a flexibilidade corporal dos idosos, o que é de suma importância para reduzir as limitações nas atividades de vida diária.
Brazilian Journal of Physical Therapy, 2006
Pulmonary Pharmacology & Therapeutics, 2015
Pulmonary Arterial Hypertension (PAH) is a disease associated with increased arteriolar resistanc... more Pulmonary Arterial Hypertension (PAH) is a disease associated with increased arteriolar resistance in the lungs. Due to hypoxemia, some physiological mechanisms can be posteriorly affected, including respiratory and cardiovascular reflexes, but this has not yet been fully investigated. This study aimed to evaluate how these mechanisms were affected by monocrotaline (MCT)-induced PAH and the possible therapeutic role of angiotensin converting enzyme inhibitor (ACEi), captopril, in reversing this remodeling process. Groups of Wistar rats received MCT injections (60 mg kg(-1)). Three weeks later, they received captopril (CPT, 100 mg kg(-1)) in their drinking water (MCT + CPT) or water alone (MCT) for 2 weeks. As control, saline-treated animals received captopril in their drinking water (CPT) or water alone (CON), also for 2 weeks. Results showed that PAH was fully induced in the MCT group, evidenced by a high pulmonary index. Gasometrical and respiratory analyses showed hypoxemia and compensatory hyperventilation. CPT treatment brought these parameters to similar values to those observed in the CON group. We observed that autonomic dysfunction in the MCT group was suppressed by CPT. Finally, cardiovascular reflexes analysis showed increased chemoreflex responses in the MCT group, while baroreflex sensibility was decreased. Surprisingly, CPT normalized these reflex responses to values similar to the CON group. The present study demonstrates that MCT-induced PAH induces compensatory respiratory responses, dysautonomia, and baroreflex dysfunction and increases chemoreflex responses. The data also indicate that CPT was effective in reversing these cardio-respiratory disorders, suggesting that ACEi could be a potential therapeutic target for PAH.
Chest
Continuous positive airway pressure (CPAP) has been used to improve cardiopulmonary function and ... more Continuous positive airway pressure (CPAP) has been used to improve cardiopulmonary function and reduce pulmonary edema symptoms in patients with congestive heart failure (CHF). The objective of this study was to evaluate the efficacy of CPAP therapy on pulmonary function and exercise tolerance in patients with CHF. Prospective blind randomized clinical study. Twenty-four patients with class II or III CHF and dilated cardiomyopathy were randomly assigned to 30 min of CPAP therapy and respiratory exercises (CPAP group) or respiratory exercise only (control group) once a day for 14 days. Evaluation of pulmonary function was performed measuring FEV1 and FVC. Exercise tolerance was assessed measuring the distance walked during the 6-min walking test (6MWT). These parameters were measured before treatment and 4 days, 9 days, and 14 days later. CPAP therapy caused a progressive increase (p < 0.05) in both FVC (maximum of 16% after 9 days) and FEV1 (maximum of 14% after 14 days) compare...
Udesc Em Acao, Jan 16, 2013
Marise Wypyszynski da Costa Ligório -Fisioterapeuta, Mestre em Engenharia de Produção, Professora... more Marise Wypyszynski da Costa Ligório -Fisioterapeuta, Mestre em Engenharia de Produção, Professora de Fisioterapia do Centro Universitário Vila Velha (UVV), Vila Velha-ES -sisewip@ig.com.br RESUMO. Introdução: A prática regular de programas de exercícios físicos, voltados para o desenvolvimento da força muscular e flexibilidade, tem sido recomendada como meio de atenuar ou reverter os efeitos negativos relacionados ao envelhecimento. A flexibilidade é um componente essencial para manutenção das funções corporais básicas. Entretanto, apesar dessa importância, os métodos utilizados para avaliação da flexibilidade são escassos e com aplicabilidade limitada. Objetivo: Avaliar a influência de um programa de atividades físicas na flexibilidade de 17 idosos participantes do Projeto de Extensão da Unidade Básica de Saúde de Vila Nova, localizada no município de Vila Velha (ES). Métodos: Em março de 2009 avaliou-se a flexibilidade dos pacientes através dos testes: distância mão-chão, alcance lateral direito, alcance lateral esquerdo, Shober e Shober modificado. Após a avaliação inicial, os pacientes realizaram atividades físicas, 2 vezes por semana até julho de 2009, sendo reavaliados através dos mesmos testes iniciais. Para análise dos resultados usou-se o teste t-student pareado, considerando o nível de significância de 5%. Resultados: Observa-se melhora significante (p<0,05) nos testes de distância mão-chão (pré-tratamento: 15,3±5,9cm; pós-tratamento: 9,4±4,4cm), alcance lateral direito (pré-tratamento: 25,1±7,8cm; pós-tratamento: 20,4±6,4cm), alcance lateral esquerdo (pré-tratamento: 27,7±5,8cm; pós-tratamento: 22,4±5,4cm), sem melhora significante nos demais testes. Conclusões: O tratamento proposto melhorou a flexibilidade corporal dos idosos, o que é de suma importância para reduzir as limitações nas atividades de vida diária.
Brazilian Journal of Physical Therapy, 2006
Pulmonary Pharmacology & Therapeutics, 2015
Pulmonary Arterial Hypertension (PAH) is a disease associated with increased arteriolar resistanc... more Pulmonary Arterial Hypertension (PAH) is a disease associated with increased arteriolar resistance in the lungs. Due to hypoxemia, some physiological mechanisms can be posteriorly affected, including respiratory and cardiovascular reflexes, but this has not yet been fully investigated. This study aimed to evaluate how these mechanisms were affected by monocrotaline (MCT)-induced PAH and the possible therapeutic role of angiotensin converting enzyme inhibitor (ACEi), captopril, in reversing this remodeling process. Groups of Wistar rats received MCT injections (60 mg kg(-1)). Three weeks later, they received captopril (CPT, 100 mg kg(-1)) in their drinking water (MCT + CPT) or water alone (MCT) for 2 weeks. As control, saline-treated animals received captopril in their drinking water (CPT) or water alone (CON), also for 2 weeks. Results showed that PAH was fully induced in the MCT group, evidenced by a high pulmonary index. Gasometrical and respiratory analyses showed hypoxemia and compensatory hyperventilation. CPT treatment brought these parameters to similar values to those observed in the CON group. We observed that autonomic dysfunction in the MCT group was suppressed by CPT. Finally, cardiovascular reflexes analysis showed increased chemoreflex responses in the MCT group, while baroreflex sensibility was decreased. Surprisingly, CPT normalized these reflex responses to values similar to the CON group. The present study demonstrates that MCT-induced PAH induces compensatory respiratory responses, dysautonomia, and baroreflex dysfunction and increases chemoreflex responses. The data also indicate that CPT was effective in reversing these cardio-respiratory disorders, suggesting that ACEi could be a potential therapeutic target for PAH.
Chest
Continuous positive airway pressure (CPAP) has been used to improve cardiopulmonary function and ... more Continuous positive airway pressure (CPAP) has been used to improve cardiopulmonary function and reduce pulmonary edema symptoms in patients with congestive heart failure (CHF). The objective of this study was to evaluate the efficacy of CPAP therapy on pulmonary function and exercise tolerance in patients with CHF. Prospective blind randomized clinical study. Twenty-four patients with class II or III CHF and dilated cardiomyopathy were randomly assigned to 30 min of CPAP therapy and respiratory exercises (CPAP group) or respiratory exercise only (control group) once a day for 14 days. Evaluation of pulmonary function was performed measuring FEV1 and FVC. Exercise tolerance was assessed measuring the distance walked during the 6-min walking test (6MWT). These parameters were measured before treatment and 4 days, 9 days, and 14 days later. CPAP therapy caused a progressive increase (p < 0.05) in both FVC (maximum of 16% after 9 days) and FEV1 (maximum of 14% after 14 days) compare...