
Chronic obstructive pulmonary disease (COPD) is recognized as one of the most relevant conditions worldwide, due to its high morbidity and mortality. Patients classified by GOLD as groups B and E are strongly encouraged to participate in pulmonary rehabilitation (PR) programs. Dance has been shown to be equally or, at times, more effective as a rehabilitation strategy when compared to other types of physical activity.
ObjectivesTo compare the effect of conventional rehabilitation and the effect of conventional rehabilitation added to dance in patients with COPD.
MethodsThis is a conventional randomized controlled clinical trial to be carried out at the Pulmonary Rehabilitation Laboratory at Veiga de Almeida University (UVA). Patients diagnosed with COPD, of both sexes, will be evaluated. Eligible participants will complete quality of life questionnaires – 36-item Short Form (SF-36), the COPD Assessment Test (CAT) and the Hospital Anxiety and Depression Scale (HADS). Additionally, patients will undergo pulmonary function tests, including spirometry, in addition to the six-minute walk test (6MWT), the handgrip test and the one maximum repetition test (1RM test). Finally, participants will be randomly divided into two groups: one group will perform conventional PR twice a week and the other group will perform conventional PR once a week and dance rehabilitation on another day of the same week for a total duration of 12 weeks. The evaluation tests will be repeated at the end of the intervention.
ResultsIt is expected that after the 12 weeks of intervention, G2 participants will have obtained greater and better results in relation to exercise capacity, QoL and peripheral muscle strength when compared to G1.
ConclusionWe believe that intervention using dance in conjunction with conventional PR may demonstrate improved benefits in exercise capacity and consequent improvement in QoL, by increasing the performance of resistance exercises, promoting a longer period of aerobic exercise compared to the level of anaerobic exercise, together with the use of strength exercises.
ImplicationsCOPD is a multifactorial and systemic disease that can cause several conditions, such as dyspnea and decreased exercise capacity, culminating in a reduction in the QoL of patients. Among the indicated treatments, PR is highly valued due to its cost-effectiveness. Currently, there are few studies in literature on the use of dance as PR. The availability found indicates dance as an effective rehabilitation strategy for patients with COPD. Thus, by comparing groups of PR and PR plus dance, it is possible to find a way to enhance the effects of PR in patients with COPD, promote an improvement in QoL, and eventually maintain high adherence rates to PR. Consequently, it is assumed that there will be a decrease in the abandonment of PR programs and, consequently, an improvement in symptoms and exercise capacity of patients with COPD.
Conflict of interest: The authors declare no conflict of interest.
Funding: CNPq, Grant numbers #301967/2022-9 e #401633/2023-3; FAPERJ, Grant numbers #E-26/200.929/2022; CAPES, Finance Code 001.
Ethics committee approval: No. 6.596.570.
Registration: Not applicable.
