Handgrip and functional capacity in Chronic Obstructive Pulmonary Disease patients

Authors

  • Andrea Lúcia Gonçalves da Silva Course of Physiotherapy, Department of Health and Physical Education, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil Coordinator of Research Group “Health Rehabilitation and its Interfaces”, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil Hospital Physiotherapy CCGS Service
  • Eduardo Garmatz Hospital Physiotherapy CCGS Service
  • Cássia da Luz Goulart Fellowship in Scientific Initiation, Course of Physiotherapy University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
  • Lisiane Lisboa Carvalho Fellowship in Scientific Initiation, Course of Physiotherapy University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
  • Dannuey Machado Cardoso Course of Physiotherapy, Department of Health and Physical Education, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil Graduate Program in Respiratory Sciences, Federal University of Rio Grande do Sul, Porto Alegre/RS, Brazil
  • Dulciane Nunes Paiva Course of Physiotherapy, Department of Health and Physical Education, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil Graduate Program in Health Promotion, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil

DOI:

https://doi.org/10.1590/1980-5918.030.003.AO08

Abstract

Introduction: In the Chronic Obstructive Pulmonary Disease (COPD) both pulmonary and systemic condition increase dyspnea, intolerance to exercise and inactivity. Objective: To evaluate possible association between Hand Grip Strength (HGS) and the distance covered in the Six-Minute Walk Test (6MWT) in patients with Chronic Obstructive Pulmonary Disease (COPD). Methods: A cross-sectional study that evaluated 34 patients with COPD from moderate to very severe stages. The HGS test was performed with a manual hydraulic dynamometer (Jamar®, California, USA) with three bilateral measures, allowing 60-seconds rest time in-between measurements. Afterwards, the patients were submitted to the 6MWT along a 30-meters level corridor following the rules of the American Thoracic Society. Results: Average age 62.7±7.2 years old, body mass index 26.7±6.9 Kg/m². The value of the HGS in the dominant hand was 28.0±8.7 Kgf and in the non-dominant hand was 26.7±7.7 Kgf (99.2% of the predicted value and 106.3% of the predicted value, respectively). The subjects covered in average 421.0±110.4 meters in the 6MWT and there has been detected direct and significant correlation between the distance covered and the HGS of the dominant hand (r=0,430; p=0,011) and non-dominant (r=0,502; p=0,002). The patients with COPD that presented lower HGS also covered less distance in the 6MWT. Conclusion: The hand grip strength was directly associated with the functional capacity assessed through the distance covered in the Six-Minute Walk Test in the evaluated trial.

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Published

2017-09-29

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Original Article

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