CELSO RICARDO FERNANDES DE CARVALHO
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina - Docente
LIM/20 - Laboratório de Terapêutica Experimental, Hospital das Clínicas, Faculdade de Medicina
LIM/54 - Laboratório de Bacteriologia, Hospital das Clínicas, Faculdade de Medicina - Líder
LIM/20 - Laboratório de Terapêutica Experimental, Hospital das Clínicas, Faculdade de Medicina
LIM/54 - Laboratório de Bacteriologia, Hospital das Clínicas, Faculdade de Medicina - Líder
16 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 16
- Barriers to daily life physical activities for Brazilian children with asthma: a cross-sectional study(2020) SOUSA, Andrey Wirgues; CABRAL, Anna Lucia Barros; MARTINS, Milton Arruda; CARVALHO, Celso R. F.Background Objective: To identify barriers to daily life physical activities (DLPA) and to evaluate physical activity levels for children with asthma and without asthma. Method: This is a cross-sectional study that enrolled 130 children with asthma and 54 non-asthma, from 7 to 12 years old. All of the children in both groups used an accelerometer for 6 consecutive days to assess DLPA and completed a questionnaire to evaluate barriers to physical activity. Accelerometer was used to measure each child's total number of steps, as well as the number of steps and the time spent in moderate-to-vigorous physical activity (MVPA). The barrier questionnaire to DLPA included 11 questions, divided into three domains: personal, social and environmental. Results: The most commonly described barrier to DLPA in the asthma and non-asthma groups was an unsafe environment (23.6% vs 28.5%, respectively). The asthma group reported having asthma (19%) and lack of parental encouragement (17.3%) as being other important barriers to DLPA. It was also observed that the asthma and non-asthma groups presented similar values for the total number of steps (13,379 +/- 3,837 vs 14,055 +/- 3,914, respectively, p > 0.05), number of steps in MVPA (5,654 +/- 1,988 vs. 6,025 +/- 2,058, p > 0.05), and time spent in MVPA (46 +/- 16 min vs. 50.8 +/- 14.7 min, p > 0.05). Conclusions: An unsafe environment is the main barrier to physical activity for Brazilian children. Moreover, a lack of parental encouragement and having asthma were considered to be barriers to physical activity. And lastly, children have similar levels of physical activity whether they have asthma or do not have asthma.
- Physical activity levels in women with lymphangioleiomyomatosis(2020) QUEIROZ, Douglas Silva; OLIVEIRA, Martina R.; AMARAL, Alexandre F.; SILVA, Cibele C. B. Marques Da; BALDI, Bruno G.; SALGE, Joao M.; CARVALHO, Carlos R. R.; CARVALHO, Celso R. F.
- Identification of asthma phenotypes based on extrapulmonary treatable traits(2020) FREITAS, Patricia Duarte; XAVIER, Rafaella Fagundes; MCDONALD, Vanessa M.; GIBSON, Peter G.; CORDOVA-RIVERA, Laura; FURLANETTO, Karina C.; OLIVEIRA, Joice M. De; CARVALHO-PINTO, Regina M.; CUKIER, Alberto; STELMACH, Rafael; CARVALHO, Celso R. F.
- Clinical control, quality of life, physical activity levels, and psychosocial factors according to illness perception in subjects with asthma: a cluster analysis(2020) SILVA, Simone; FREITAS, Patricia; PASSOS, Natalia; XAVIER, Rafaella; KIM, Fabiana; STELMACH, Rafael; PINTO, Regina; CARVALHO, Celso
- The effect of bronchodilators in the exercise capacity and thoracoabdominal mechanics of subjects with bronchiectasis: a randomized crossover, double-blinded, placebo-controlled trial(2020) SILVA, Cibele C. B. Marques Da; QUEIROZ, Douglas Silva; ATHANAZIO, Rodrigo A.; CORSO, Simone L.; RACHED, Samia; LUNARDI, Adriana C.; VITORASSO, Renato; MORIYA, Henrique T.; FONSECA, Alfredo; CARVALHO, Celso R. F.
- Effects of elastic tape on thoracoabdominal mechanics, dyspnea, exercise capacity, and physical activity level in nonobese male subjects with COPD(2020) PINTO, Thiago Fernandes; XAVIER, Rafaella Fagundes; LUNARDI, Adriana Claudia; SILVA, Cibele Cristine Berto Marques da; MORIYA, Henrique Takachi; VITORASSO, Renato Lima; TORSANI, Vinicius; AMATO, Marcelo Brito Passos; STELMACH, Rafael; SALGE, Joao Marcos; CARVALHO-PINTO, Regina Maria; CARVALHO, Celso R. F.Subjects with severe and very severe chronic obstructive pulmonary disease (COPD) present thoracoabdominal asynchrony (TAA) that reduces ventilatory efficiency and exercise capacity. However, no therapeutic intervention has focused on reducing TAA. The purpose of this study was to evaluate the effects of elastic tape (ET) on thoracoabdominal mechanics, dyspnea symptoms, exercise capacity, and physical activity level in nonobese male subjects with severe-to-very severe COPD. This crossover, randomized trial included nonobese males with severe to very severe COPD. ET was placed on the chest wall and abdomen to reduce TAA. Subjects were evaluated at three hospital visits, each 7 days apart. At visit 1, thoracoabdominal kinematic and pulmonary ventilation were evaluated by optoelectronic plethysmography and electrical impedance tomography, respectively, both at rest and during isoload exercise testing. At visit 2, a cardiopulmonary exercise test (CPET; 10 W/min) was performed until exhaustion. Between the visits, subjects used a physical activity monitor (PAM) (at least 5 days of measurement; 10 h/day). At visit 3, all the tests were repeated in the opposite order of the previous randomization. During the isoload exercise, subjects with ET presented lower tidal and minute volumes (P = 0.01) and reduced TAA (P = 0.02) and dyspnea (P = 0.04). During the CPET, subjects with ET presented an increase in peak oxygen consumption (V)over dotO(2peak); L/min and mL.kg(-1).min(-1); P = 0.01), test duration (P = 0.009), and maximal load (P = 0.03). Moderate and vigorous physical activity (MVPA), which was evaluated by the PAM, was also increased in subjects with ET (P = 0.01). ET reduced TAA and dyspnea and increased exercise capacity and the duration of MVPA in nonobese male subjects with severe-to-very severe COPD NEW & NOTEWORTHY Elastic tape can be used as a new and low-cost intervention to reduce thoracoabdominal asynchrony and sedentary behavior as well as improve exercise capacity and physical activity level in nonobese male subjects with severe-to-very severe chronic obstructive pulmonary disease.
- Distinct phenotypes in COVID-19 may require distinct pulmonary rehabilitation strategies(2020) FRANCA, Eduardo Eriko Tenorio de; ELIHIMAS JUNIOR, Ubirace; SCHWINGEL, Paulo Adriano; CARVALHO, Celso R. F.; BRASILEIRO-SANTOS, Maria do SocorroThe novel coronavirus (SARS-CoV-2) has distinct clinical manifestations that can vary from an asymptomatic condition to severe acute respiratory failure. Phenotypes are attributable to different pathophysiological mechanisms and require different treatment strategies. The assessment and identification of different phenotypes can guide therapy configurations such as oxygen therapy, non-invasive ventilation, airway management, and tracheal intubation. Further studies are essential to provide information on the influence of phenotypes in the decision of rehabilitation strategies. The sequelae left in the respiratory system of COVID-19 survivors and its limitations will be a challenge for rehabilitation services worldwide. Lung injuries are directly related to the phenotypes presented, and depending on the degree of these injuries, rehabilitation strategies can be targeted. We believe that differentiating patients, according to their respective phenotypes, can improve decision-making in treatment and individualized rehabilitation.
- SARS CoV-2 (COVID-19): lessons to be learned by Brazilian Physical Therapists(2020) PINTO, Thiago Fernandes; CARVALHO, Celso R. F. de
- The relationship between heart rate and VO2 in moderate-to-severe asthmatics(2020) MENDES, Felipe A. Rodrigues; TEIXEIRA, Renata Nakata; MARTINS, Milton A.; CUKIER, Alberto; STELMACH, Rafael; MEDEIROS, Wladimir Musetti; CARVALHO, Celso R. F.Objective: The main purpose of this study was to evaluate whether the %HRR-%VO2R relationship and %HRR-VO2peak relationship are affected in patients with moderate or severe asthma and whether airway obstruction and aerobic capacity influence these relationships. Methods: A linear regression was calculated using the paired %VO2R-%HRR and %VO2peak-%HRR for 93 subjects with asthma. The mean slope and y-intercept were calculated and compared with the line of identity (y-intercept = 0, slope = 1) for all patients and subgroups for the following conditions: low and normal VO2peak and low and normal FEV1. Results: The slope and intercepts of %VO2R-%HRR were similar to the line of identity for all groups (p > 0.05), and the regressions between %HRR and %VO2peak did not coincide with the line of identity for all groups (p < 0.05). There were no associations between the intercepts of the %HRR-VO2peak and the %HRR-%VO2R relationship with the VO2peak (p > 0.05) or FEV1 (p > 0.05). Conclusions: This is the first study to confirm a constant equivalence between %HRR and %VO2R in outpatients with moderate or severe asthma. Our data also suggest that the relationship between %HRR and %VO2peak is unreliable. These results support the use of %HRR in relation to %VO2R to estimate exercise intensity in this population, independently of the pulmonary function and fitness level.
- The effect of aerobic and breathing exercises on clinical control and psychosocial status in patients with moderate and severe asthma: a RCT(2020) KIM, Fabiana; ROCHA, Jaqueline; BOS, Denielli Da Silva Goncalves; BERTO, Cibele; LUNARDI, Adriana; WIRGUES, Andrey; FREITAS, Patricia Duarte; STELMACH, Rafael; CUKIER, Alberto; CARVALHO, Celso