Impacto do exercício físico combinado na percep？？o do estado de saúde da pessoa com doen？a pulmonar obstrutiva crónica

aim: the aim of the study was to evaluate the effectiveness of a 10-week combined training programme (aerobic and strength exercise) compared to an aerobic training programme, and respiratory physiotherapy on copd patients？ health. methods: fifty subjects with moderate to severe copd were randomly assigned to two groups. combined group (cg, n=25) who underwent combined training, and aerobic group (ag, n=25) who underwent aerobic training. these were compared with fifty copd subjects who underwent respiratory physiotherapy, breathing control and bronchial clearance techniques (rp group, n = 50). we evaluated health state through two questionnaires, st.george？s respiratory questionnaire (sgrq) and sf-36, at the beginning and at the end of the programme. results: the cg group showed differences (p<0.0001) in modification rates in state of health compared to the ag and rp groups in the activity (64 ± 9%, 19 ± 7%, 1 ± 15%) , impact (35 ± 5%, 20 ± 18%, 1 ± 14%) and total (41 ± 9%, 26 ± 17%, 1 ± 15%) domains assessed by the sgrq, and the physical function (109 ± 74%, 22 ± 12%, 0.1 ± 18%), physical role (52 ± 36%, 11 ± 15%, 1.3 ± 21%) and vitality (83 ± 39%, 14 ± 38%) domains assessed by sf-36. conclusion: these results suggest that combined training in subjects with copd appears to be a more effective method, with better clinical changes, and improvements in health state perception.