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Recommendation of physical activity for patients with severe COPD: an integrative review

International Physical Medicine & Rehabilitation Journal
Fabiana do S da Silva Dias de Andrade,1 Renato da Costa Teixeira,2 Lilian Rose Mascarenhas,2 Pollyanna Dórea Gonzaga de Menezes,3 Fabianne de Jesus Dias de Sousa,Karla Rocha Carvalho Gresik,Poliana Stephane Matos Costa,Thayrine Rocha Barbosa,Camila BS Primitivo de Oliveira,Juçara dos S Carvalho Coelho,NoemiConceição Santos Góes,6Alesi Andrade Oliveira6

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Introduction: Chronic obstructive pulmonary disease (COPD) is characterized by irreversible but treatable airflow obstruction, and it is estimated that 210 million people suffer from the disease.
Objectives: To describe the main benefits of high-intensity physical training within pulmonary rehabilitation programs for patients with severe COPD.
Methods: An integrative review of the scientific literature involving only randomized clinical studies that applied high-intensity physical training to patients diagnosed with moderate to severe COPD, available in full and published between 2015 and 2020.
Conclusion: After a critical and careful reading of the mentioned articles, the authors of this research recommend the use of moderate to high intensity physical activity even for patients with moderate to severe COPD, as long as physical criteria are rigorously evaluated and the team is properly prepared to perform the tasks. physical modalities suggested here.


severe chronic obstructive pulmonary disease, pulmonary rehabilitation, physical training, physiological changes, limb muscle dysfunction, airway limitations, rehabilitation programs, muscle performance, cardiopulmonary performance, expiratory pressure levels