Efeitos agudos de diferentes intensidades de pressão expiratória positiva sobre os volumes pulmonares em pacientes com acidente vascular encefálico

(1)

(2)

!"#!

(3)

(4)

(5)

$

%& '($

)

* + )$

) , ) + '

- . c 0 +$($ .%

(6)

(7)

*) %$'&+$, -.

! # c # 0 3 4 3 c # c # 3

c # 0 c 5 ! 3 6 , c 3

c , 3 c c # # 3 # c 7 c #

c ,

! # 8 5 5 5 # c c 5 0 3

c ! # # # c 3 #

0 c !" # c 0 5 3 # !

# 0 c c 6 3 c ! 3 c # " 7 c 3

# # c # !" 0 58 8 0 c7

, # ) 9 $ 5 # c 0 c # !"

3 # # 0 c c 0 , , 3 c # "

7 c 3 , " # c 3 # c # !" 3 c ! 3 0 c7 c

:c 3 5

# c " %9 5 3 c 5

5 5 3 ) 0 3 # ) 3

) 5 ( c " ' c 0 # #

0 # ; " #

c

# #

c 5 5 ! 5 3 # c : c # 3 # c 7 c 3 # 5

3 < # # , 3 , # c

c # 7 c 3 8 c c # : # #

(8)

# . ) , # 3 # #

c # c # # :0 ; 3 0 c7 8 # # c

0 # # c # !" c !" # c # 5 3 c

c c 6 # 60 #

# ) , ) - . c 0 #

# 5 # c # 5 c c 5 ! # 5

# # # !" + )$ , # 60

!" c 7 c c c

, # =7 > #

c : c # 8 # c ,

c # # " # 3 c 0

" , , 5 " 0 3

5

# !" # c ' ) 3 - . 3

. 3 c 5 3 ) 0 3 60 0 3 :c 60 3

" . c ? , ; c !"

# # # 60 8 c c ,

, $ c 3 @ , 95 3 A 3 $ 6

# 6 3 - $ c # 0

c 3 5 # , # # 3 5 " 3 ,

0 3 , c

(9)

> 3 3 ' ' c 0

( c c c 3 ( 3 C , 3 5 )

' , c 5 5 # c c , 3

5

, 0 # c c 3 ( $ 3 )7 c

3 # , # c 3 3 6 3 0

c 3 0 c7 " # c !" 3 0 c7

c !" c c ' , c c c 3 # 8 58

# # c 3 # ; , # :0 5

c 6 # # + )$ :c # 3 ' c

$ 6 3 - 3 ) 9 5 - c 0 # 5

# 5 ; # , c 3 5

, # # c # < # 6 c ' , # ;

# , # c 3 # # 0 # 3 5

(10)

D>

0 c

5 c !" E

(11)

/+0)&-)% +' <0

H ($>) +IJ KH

H H ) 0 " - KL

H H H c . c % c 6 c F .%G KL

H H K ! # .% KM

H H N # ) # .% KO

H H L " %<# 0 F % G KP

H H Q # % c F %G NH

H K 5; 0 NQ

H K H 5; 0 NQ

H K K 5; 0 % # c: c NQ

K ' >%)( ( % 'R> NM

K H , NS

K K c !" NS

K N # c R c , NO

K L ( c NO

K L H 0 !" # 8 c LT

K L K 0 !" !" LH

K L K H % # LN

K L K K ' 0 c LQ

K L N # % c F %G LQ

K L L " %<# 0 F % G LO

K Q % QH

K M c %<# QK

K S c QN

K O 6 % : c QN

N )% +-> % ( + J QL

L $ -+ J SS

Q )% %)U$ ( SP

(12)

&.

%$

1)$2& /) .

5 5

>

.% c . c % c 6 c

c CK : V

> # c >

) # c ) c

> < 6c c 5

># < 6c c #

. # c . !

! 5 0 W c

%)

, 7 c c : c

% KQ SQX < %<# ! '8 < (

# c . !

) , 7 c ) #

C C

( ( c 7 c c6 0

Y 2 K _Z _# _' _Z

(' [ c ' #

-' $4

"

% c < %<#

% 6< " %<# '6<

% " %<# 0

( 6< " ( # '6<

(13)

)> ) # !" > ,

K !" 8 c < 7

> c >

$( " # $

> -% > - 0 % c c

> <# > # %<#

> 2> c # # !" #

c c #

> # > # ( #

> > # >

+ )$ + 0 ) $

+Y ) +

+ % + c

. .

. 5 . c 5 W

. c . < > 6c c 5

. c # . < > 6c c #

. # . > 6c c

. 5 . %<# 5 W

. c . %<# c < 6c c 5

. c # . %<# c < 6c c #

. # . %<# # 6c c

.% H . %<# ! #

.% H2 . [ c >

. 5 . ( # 5 W

. c . ( # c < 6c c 5

. c # . ( # c < 6c c #

. # . ( # # 6c c

.) . )

.

(14)

(15)

&.

%$ &*/) .

H # !" c . " # NN

K < $ \3 NP

N ! # 8 c NH \ LH

L % # W Y ? \ LN

Q ' 0 c W ' c ) '\ LL

M 0 " > 7 c # > c 5 LS

S > @ 0 LS

O !" # c 0 # LP

P .6 0 % LP

HT ' c < 6 c QT

(16)

&.

&*/) .

)

&*-H . c c < 6c c c # #

.% # c # !" , c 3 % HT3 % HQ3

% KT c # !" c < 6c c 3 c < 6c c # 3 c <

6c c 5 5 W ₇₃

K > # # 3 # <# # c c

# % HT3 % HQ % KT c CK c # !"

0 8 ₇₄

N '8 c c 5 , 7 c # # !"

, 3 % HT3 % HQ3 % KTc CK c # !" ] # c

c 5 !" 0 c ₇₅

L . <# 0 # c <

6c c 3 c < 6c c # 3 c < 6c c 5

(17)

&.

%$

1$ .

)

&*-> 5 H

6 c 0 8 0 # " < 3 (' 3 !"

# ! 4 c #

(18)

&. %$ 34,%&'$

#7 c > - 0 % c c PK

(19)

15$ &2-6 5 0 " %<#

0 F % G 5 c 6 c c # < c 5 # c c

# c . c % c 6 c F .%G 7 -%-.6 c KH 0: c

.% HM 0: 60 # # < (' # # c

0 !" # 3 # 4 c # 0

# # # W c 7

% HT3 HQ KT c CK $./ %-.6 % 0 c

F. G # .% !" # c % , # c

. !" # !" , NLNX3 NPQ3KX LNH3OX % HT3

% HQ % KTc CK # .% HOMX3 KHO OX KTP QX F# ^ T TTTHG %

58 c !" > # # c

# c .% F# ^ T TTTHG $ c c 5

5 0 # c % HT F# ^ T TTHG % HQF# ^ T TQG

# .% 5 0 !" % KT F# ^ T THG , c # c

# !" , 0 # c # .% 5 0

0 # # 6c c F. #G . <#

# 6c c F. #G # c , . #

c # !" . # 7 % -,' /.8-6

# !" 5 0 # .% , #7 c 0

c c # c , HT c CK #

(20)

2) . 9 2$6 c . c % c 6 c ] ] > # ) # ]

" 0 %<# ]

:$;<-)%.6 ? ] ) # 9 9 ] 9 # 9] ) # 9 > #9] 0

(21)

(22)

c 0 c c 6 c F .%G 8 c c

3 # ! c : c , 7 c R 58 # c # c

c # c # : !" ' 4 3 HQ

# # .% # H _% ₅

# # c c 5 7 , HNS HMO 0

c .% # HTT TTT 5 # 7 5 0 4 7

8c K N _!" _<

# c c .% 4 KT # 5 3

" 6 c 8 !" c 7 c

c c 4 0 # 0 0 N3L

% !" c c : c c : c 3 # c c .% "

# # .%3 , 7 c 6 c 3 c # c !"

< " 6 c c8 5 8 c c c , .%

# ! 5 3 ! 3 3 !" 3

c 7 c ! # Q

# c c # .% # c # ,

06 c # # # !" c #

! # 06 0 !" # c: c #

!" # , # # c c .% # c

# " <# # 0 F % G % 8c c c 5; 0

# " 0 8 0 # 5 0 8

# c <# c !" 3 c !" 0 !" # "

(23)

c 0 # c 3 # 5 3 5 < c 6c # # c

# c c .% # c # 3 0 3

!" , # # 6 c % # < # c

# 0 !" c # c ! # 06 # : ! 3 ,

c W c S _% _c _c _! ₅ _!

% # c c .%

0 0 5 c 5; 0 0 c ! ,

% # 0 # c < 6c c

# c F %G % # 0 !" 0

# # !" # c 0 # c " % 8

6 0 , 0 c c

OP c # c _ # :c <3 0 #

0 c # < c 5 8

<O

> 4 0 c 0 !" ; " c 5 0 3 7 c

5 c c # c c , # 0: P _% ₄

c c : c 3 # c # # ) # 3 8 # 3 #

# 5 0 !" 0 60 0 0

c # 6c F. #G c # 3 0 c c <

c c # F. c #G3 0 c c < c c 5 F. c G 0

c 5 F. 5G #7 c

(24)

% 5 c 6 c c # < c 5 0:

c # .%

# # $2&.8- %$ & $) /)

H H H c . c % c 6 c

!" .% # !" ' 4 8 ` c : c

6# 0 0 # 5 !" c !" c 5 3 #

0 c c KL !" `HT _c _c _: _c _{c : c} _#

# # 0 !" , KL # 0 c c # c !

3 0 c 0 HH3HK

c c !" .% 8 c c c # !"

# 3 # 6 c , 7 c .% , 7 c 8 c #

5 !" 8 c 5 # c # 3 # # c 7 5 ,

# c c c 08 c : 8 c8 .%

6 c c # c8 5 c , #

c < 0 , c # 5

c ! 0 c c 7 c c , 7 c 8

# ! c : c # 0 c # " 0

$ c " c 5 ! 3 0W #

c c 7 c HN3HL

.% # ! c c c c c !" < "

" c 6 c 3 # 8 0 0 c ! 0 3 #

# ; c 0 4 5 ,

(25)

c 3 4 5 c !" c 3 !" W c 3 !

< 3 !" c 7 c 0 c 0 # c

# ! , # 5 # 0 c

5 3 5 c c HQ

4 5 0 c 3 # 2 #

F# 2 !" c c # G " c : c

c ! ( 0: c # 2 # # 7 c

# !" # 3 c 5 !" # 5

3 c , 7 c # c # # # 3 c #

0 0 ( c # c c #

# !" 5 # 0 c c 5

# 2 # c ca c

# HN3HM

# 8 # ! # c 3 , c c #

7 c # 0 8 # 0 c

# c 6 c _ < c 5 !" < 3

c # c ! c # 0 c $

.% 6 # !" # c # c < 5 #

< 5 # c , c #

# " # 3 8 c c

(26)

H H K ! # # c c .%

# c c .% , # c # c ! c c

# 2 # 0 ! " # # 0 0

! ca c # % # c 0 c # c

, # !" ! 4 c c < 6c c 4 c

5 # 4 c 0 c # < c

# !" S

! # # c # .% c 0

c # < c !" ca c # 3 , 0 0 !" # "

c c c # 3 < # <# c

0 # ! 4 c #

# " 3 # , # !" , :5 W c c

# 3 , # # 0 c # c < 0

8 !" # 0 4 5 # 0 HO KT

# ! # 0 #

c 7 c # 3 c 5

<3 # 8 c " # 8 c % " c

, 7 c # 3 !" ! c 0

c < 6c c 3 , 58 " # # c #

, 5 c 4 c # HO3KH3KK

% c 0 !" 5 6 c 0:

# 8 c 5 0 , # 8 c c c # c #

# !" ca c # , # 8 c

(27)

6 c % # 8 c # c # # ,

! 5 c 5; 0 0 !"

c 3 , !" c c 3 #

c # c4# 6 c 3 c # #

# c c! # c 4

# ! 5 2 KN

3 c 5; 0 5 0 5 6 c

0: c .% F b KNG c # c 0: 60 F b KTG3

5 0 0 c # c 0 ! F . G3 0 <#

H F.% HG # 0 6< 5 #

.% , c # # c KL ₅ _c

KTHH3 # !_{3 c} _{KK # c} _c _.%

, 0 !" ! c # F ( 6<G <# F % 6<G

c 0 0 # c !" 3 < : c

c # F(' G3 c c , 4 c #

0 !" c # c # 5 0

0: c .% 5 : , 4 c # <# KQ

% c # c c .%3 " # _,

! 4 c # 0 c c c

!" 4 c # # c c .%KT

3 0 c !" !" ! c # ,

c , " c # ! ! 0 # :0

0 0 c # c ! # c # c 0 !"

(28)

H H N # ) # .%

# ) # # 08 8c c 3 5

c 08 , # # c: c c c c #

# c c .% # # 4 5 0 0 5 c

!" ! c # 5 c c 8c c <# "

# 4 c # KM

# 80 0 ! # ) #

# c # .% $ KS₃ _c

# 0: c # .% c # # NM # c

# .% 0 K # FHO # HO # c G # c

0 , # " 4 c # # c < <#

08 > c % c LTX % 6<3 N 8

HT # ! H 0 Q KS

0 8 0 # " % 6< #

# c # c 0 FLN c CK d HM c CK 2 ST c CK

d HP c CK G FQM c CK d HS c CK 2 LM d HQG % 6< #

! 4 c <# ,

# 0 # < 0 3 <# c !" c ,

# 0 !" c # c ! # KS

) c KH # c # .% HO ; 60 5; 0 0

# 4 c # c c NTX 6< O

H 0 NT 08 0 ! ! c

(29)

! 7 c c # .% #

3 c ! # c , 0 HO

# c 3 # c 0 3 #

# ) # c , 7 c # c c .% %

# HL 0: 3 S # c .% # 8 c S ; 60 0

c ! # # c 0 c 6 c c # <

c 5 08 % % c , # # c

# .% c 0 . F-G3 . X3 .% HF-G3 % 6<

Fc CK G % 6< FXG3 c 0 c NK3NX

!" # c 0 KO

% c c , # c c .%3 # 8 c 3 #

5 !" 0 c 3 c # c # !" c #

5 # W c 0 , c # c

0: 60 KO

3 # ) # # 06 8c c , #

c 0 # c , # 5

0 ! c 5; 0 # 0 ! c # c ! , c c

# c c .%

H H L " %<# 0

# " <# # 0 F % G 8 8c c # ) # ,

0 0 c HPST3 c , #

0 8 5 < # " <# % # " 0 0 V 3

(30)

0 8 c % # " c 0 KM

HTK c CK NT3NH

c # , , # c 06 0

c c c # , :c : ; 60 <#

+ W c 60 # # c #

06 0 c # # " <# ;

<# c # c < # 7 c <# 3

c , 3 # " <# 0 8 # 0 %

5 < # " < # " Q KT c CK NT3NH

# 0 c c " # 6 # 5 c 06 0 7 c c c

<#

c % 5 # c # #

# " # # " 8 c 0 8 #

< 08 0 # < #

# " F !" _ 5 c G3 # " < 0 8 8

, # " # # c # "

0 8 , !" < % 0 c #

# , 0 8 3 # 0 0 !" 3 # <#

0 # M

!" % 8 ; 0 #7 c , #

!" 0 8 5 <# !" 3 # 8

< <# NK _% _c _5; ₀ _{c # c}

c 3 # 0 c 0 3 5 6 < 0 c 3

(31)

c !" c < !" # 0 c # 0

0 , c NK3NN _c ₅ ₀ _!"

0 # c c c c c c c 0 F( GNL

3 !" c ! , # c # <

c 5 08 % # < # ) #

5 c c 0 _ , 5 :c

# # c # , # 3 8 8c c 5 < c 6c

!"

% # ) # 7 0 c

0: 60 NK ₀ _# _c ₅ _c: _c NQ3NM_{3 #}

# c 6c c 3 # # c 5 NS _!

5 0 W c F GNO3NP _% _{3 "} _< _{0 7 c} _c _{: c}

c ! , # # % # c c .%

# 80 ! " !" 0 !"

! c 6 c c # < c 5

H H L # W c F %G

C c # , # c c # 0

c 5 # a c 8 c c c

HPSS # LT _% _5; ₀ _c _# ₀

# 3 # " # 3 0 c 5 c

c c # c 5 3 c !

(32)

# 0 ! 5 # # # a c 8 c 3 5

c6 c 0 # # 6c c # 5

" # # c # c c ! c # !" 0

! , c c 3 4 c # 3

4 c <# # , # c # < c 5 #

c c : c W c c , " c # !

c ! 6 c ) c 3 0 c !" 0 8

6 0 # # W c F %GO

% 8 c # # 3 c c # 3 5 c

, , c <" c # c 3 0 !" 0 # 6c c

# !" % c c #

6c c # OP c < 0 < #

W c 4 c c 0:c 8 :0 c : c a

# P3 LH_F _HG

+ # 0 c 5 c < 0 <

# # < c 5 3 c 0 # c 8 c 3 c _

ca # c # F G3 , # 0 !"

# c 3 # 8 HKT C " c c

< , 0 ( c c 5

# c , # c c c c # # 8

S

8 c c 3 8 # :0 5 0 ! 0

c < 6c c 3 8 3 c 5 ! c # #

(33)

0 # 5 3 3 8 8 , # c #

0 ! ! # !" # # !" S

8 0 0 # " # # 0 3 8 # 0

c # c " 0 ! 0 # c 3 0 <# 0

# # 5 !" c # #

6c c LN ₀ _c _c _: _c ₃ ₀ _!" ₀ _#

8c c # # < c:c 5

# :0

# W c 0 " KTHK # LLH

H # !" OP c c !" # ! 6 c

0 " 3 0 " 0 " #

$ 8 c c c # % LL _, _%

3 c < 6c c 8 0 7 c # c < 6c c

(34)

c 0 , c < 6c c 5 W c # c c #

3 , 0 c < 6c c " !" 0 0

5 W 3 0 c 0 LL _% ₃ _D# _{6c c E3} _c

c # < # , 0 ! 0 # 3

# 3 , c # c c # ,

0 # !" % 8 # # # c 6 c

(35)

H K 5; 0

H K H

0 !" "

%<# 0 F % G 5 c 6 c c # < c 5 # c

c # c . c % c 6 c F .%G 08

# W c

H K K % # c: c

e 0 0 ! 0 # N % FHT

c CK 3 HQ c CK KTc CK G # c c .% ; 60 ]

e 0 c # 0 # c

% # c # c # !" c c # >#3

(36)

(37)

K H c # ,

8 # , <# #

- 5 # . c f '4 c ) # 3

# # + 0 ) $ F+ )$G3

# : c # KTHK > # c 2 ;

0 !" c c : c # 8 c 3 !" # 3 ! c

# 0 # 3 # 0 !" # c

<#

K K c !"

c # KK # c c .% F : M

c 0 c 5 0 c G c NP MP c c

$ 3 c # 8 c C # + 0 6 - #

# c $ # .% HM ; 60

# c # .% , _ 3 < (' c 0 # # c #

# c c " # 5 5 : c #

c 0 7 c

$ # .%3 c c 8 c "

c .%3 c 08 c # c 3 c

: c 0 ] (' , " c c !" F^HO3Q

? 2 KG 5 FgNT ? 2 KG] " # c 5 c : c ] c

c c # " c # !" ] "

c 5 c ] " # # " c

(38)

c 5 , # ! # c !" % c 8 <c " #

# c # 0 0 !" ] # c 0 _ # c !"

6 c F !" c 3 0 G 3 c

# c # # c 0 !" $ # c 3 c

c c 8 c " 3 # , _ 3 < (' ] "

5 " # c 5 c : c # <c

; # c , # # 8 c 5 < 0

# F OTX . G & QQ

K N # c 8 c # ,

# c 5 08 # 0 #

c c 5 # c # ,

c 0 c c F> -%G F #7 c G3 5 0 !"

c " # 5 c !" # , 3 3 #

# 3 , 5 8 c c c ) !"

HPM2PM KQH2PS $ c 4 # ; 5 _ # c !"

# 7 R c , F % G + 0 ) $

F+ )$G3 5 # c 0 60 4 TPQ2KTHH

K L ( # c

> # c 2 ; c 5 _ 3 , c

# 3 c : c c # # # .%3 # c 3

c # c 3 c # 3 < : c c # ,

(39)

A c 9 2>9c \ _F+ _G _> _'(\ _F _? _{- ? 3 $ @}

93 + G3 , 7 c c : c F G !" # 8 c < 7 F KG 08

<: <: KTQT3 $ \ _{F 9} _{3 '} _{3 +} _{G F} _KG3

, 7 c # F )G3 # 8 c F# G (' #

c 0 !" F #7 c G

(40)

K L H 0 !" # 8 c

08 5 ! ca c ) HHT FA 9\_{3 "} ₃ _G

F NG3 c 5 # 8c c ( $ c ' 3 $ !"

Z ( F($'%>) G

c 0 # 3

c c c # :0 c c c 3 # 3

6 c c #W c 5 !

" cc # 58 0 c c #W #

c 0: # !" # # #

(41)

N ! # 8 c 3 ) HHT A 9\

K L K 0 !" !" #

K L K H % #

!" # # c ; 60 c c

# !" c 60 0 _ !" 3

: # c # c Q HT

c c c # c # c # 08

(42)

0 # !" 3 c ,

# !" 6< F# < _ c # c # >G

<# !" 6< F# < 0 .)G <

!" 0 5 0 # , ; ! D <# 0 E

:c 5 <# !" ! # # c 6 %

c # c 6< : 7 3 c N c 0

c 60 K # :0 QM _c _.% _H3 _{. 3} _{# c} _<

<# F % G < <# ! 8 F % KQ SQXG : c >

F.% H2 . G

> 0 60 !" # c 0

5 0 4 5 # c # !" c c 0

# 0 60 # 8 c QQ _{# c} _{8c c 3} _c ₈

c 5 3 # 5 3 0 7 c # 0 5 c

# !" , # " c ! c

> F >G > 2%) QM3QS _{, #}

# W Y Y F # 3 - 3 + G F LG c #

c c # c @ # # # , # c 5

08 0 N F. # \₃ _c? ₃

(43)

L % # W Y Y \_{F #} _{3 -} _{3 +} _G

K L K K . '6< $(

# " 4 c # 0 08 0 c W

' c ) '\_{F'( )} _' _{c 3 ) c;} _Y _{3 +YG F} _QG _c ₃

# c 5 # c

5 0 0 5 0 5 c

c 60 c # 0 c W c :c 8 K

a # , 0 # 6< " 7 c #

# 4 c c QO ₅ _c _# _#

# 08 0

5 !" ! c # F ( 6<G3 c # c

, <# !" 6< # < .) # !"

(44)

, # !" 6< F >G <# !" 6< 3 8

0 5 # # c " 5 5 c c # c 2 0 6

# , # " c # , # QO _c ₀ _{!" 3}

c 0 6< 5 6< c c # 0 3 , 0 "

# QX 7 # 0 0 5 c # c

c 0 # 0 c QP3MT

# " # F $( G 3 5 c # c ,

<# !" , F # c ) c ) G

# !" 6< 3 # D E3 c c : # c c

, # c # c c c 0 c W

c 0 $( 08 HT # #

# : # NT MH3MK3MN _, _! _{# 0}

c # 5 !" 0 7 c ML _>

c 0 # c c 0

(45)

K L N # W c F %G

3 # # c !" % 3 0

# 0 08 # W c %\ _F_'

' ' " 3 ( 6 G 08 , # c 6 c 0

c # < c 5 c # 3 >#3 > 53 0 " # #

# 0 ) ₀

8c c c # 0 # 06 O3LN ₀ ₃

# 6 c 6 c c # c 7 c # <

c 5 08 OP # c # c # :c c # <

c 5 c # 08 ca 0 O

3 # , 8 FM a G c 5 # 5 a c

< 0 < 08 0 # c 8 c 3 c c 7

c # < c 5 c 0:c # : c

a # # G c 0 c 3 5G 45

3 cG 3 # c < 3 G 5 c 3 G 5 3 G c : c

# c c c 0 c " # # c

" G 8 3 5G 5 < # 3 cG # 8

0 8 < , #

c 3 # < c c 5 # 8

< " # 3 # c"

# LK # " 3 NS # " #

5 HT # " F HGQT3MQ _% _c _{!" # #} _#

(46)

c 7 c # c 5 >#3 > 5

F MGLH

c 0 c !"

c 6 c ca c :0 F 7 " 7

" # G c , 7 c , !" NT C #

c # # 3 0 c # < c 5

c # # # :c !" LH3QH

c 08 * + , & c # F >

' 3 ( 6 G , 0 < " > 3 ,

3 c 3 0 5 c 5 c c

0 8 c 08 * + - . # c c 0 c

c , 0 c < " > , 08

* + (/ , # 5 !" 0 8 0 # " 0 c c

c c

0 60 # !" , 3 !" 7

% 0 60 0 . # c #

F. c #3 . c . 5G3 0 <# # 6c c F. G

c # . c < 6c c # F. c #G . c < 6c c 5

F. c G . 5 W F. 5G 0 # # 6c c F. cG

c # . c < 6c c # F. c #G . c < 6c c 5

F. c G . 5 W F. 5G3 0 60 # # # F> #G3 #

<# F> <#G3 # c c # F> G3 c c 5 F# c

(47)

M 0 " N c # c 5

(48)

0 ; ca c 5 !" , #

c 0 !" ; ca c c , c #

< 0 c !" _ ca N N 6 3

# ; c 3 c !"

c 5 !" < &3 h = F # 3 6

# < G # c 5 !" 6 c a c , 7 c

, !" c 5 !" MTC $ c 5 !" 6 c

< &3h = c c c 0 !" HT $

c 5 !" a c 0 c < h 0 c

! , # c 3 0 !" HOT

K L L " %<# F % G

% # c # c 2 ; # !" c 5 ! 5

c c c F OG !" %

06 0 % # 6 c : c c ; 60

, # " , 0 0 T KT c CK F' c 9 ' c \ ₊ _G

F PG 06 0 c # c c F. 3 + G

# ; 08 < c 6 c F HTG 0 # c

# c , # !" F# < # #

5 c G c c # # # c

(49)

O !" # c 0 #

(50)

(51)

K Q %

HH < c 0 !" c %<#

KH # .% _HM _#

. # # Hi

:0 % Q

. # Ki :0

% Q . _:0 # _{% Q} # Ki

. # # Ni

:0 % Q c

NT j

. # Hi :0

% Q

. # #

Q

. # Ni :0

% Q

c NT j $ $>8- % +-. )

!"

F% # G

) # '6< F ( 6<3 % 6< $( G Hi 0 !"

0 !" .

c !" N $:0 %

Ki 0 !" %<c : bQ

$" c 0 !" # #

bH

(52)

K M c %<#

> # c 2 ; 0 - 5

# . c f '4 c ) # $ # 3

# 3 0 !" # # 6< # "

# $ 3 0 !" 0 #

c % :c 0 !" 0 #

!" 08 # c 0 # # c #

, 7 c :0 % FHT c CK 3 HQ c CK KT c CK G # c

# c

0 !" 0 # 7

!" % F # !" , G3 !" N

% # !" N % F c # !" G F HHG # :

0 !" # !" , 3 %

# c # !" Q c # : #

!" % NT 6

0 # !" , % HT3 HQ KT c CK c

# 6 # : # !" N %

F c # !" G

# c !" % 08 06 0 % c N :0

# " ; 60 F PG c # c # c #

08 < c 6 c F HTG , # c <# #

(53)

K S 6 c

5 c c 0 # " 0

c F. G # 0 # 5 c # c c .% # 0 HS

HTQ # c6 c ! 8 0

c HTL KP # @ OQX :0 T TQ

KT # c # # <#

K O 6 % : c

c 0 8 0 # " 0 5 !"

08 # A ? #

6 0 60 # 8 c !" # 5 0 !"

# $ . @ @ 9 c # c ' ** c

7 c ! F .%G % 0 #

6 0 a c F $ . G + # 0 !" #

% # > 6

1 & & 0 " Q T # 2 + 5 : :0

(54)

(55)

c # c " #

@$& -. */%-. %$ &@$)$, $. , $,.&% %$. %$ )$..8- A3&) ()& -.& &2

(56)

&'-% &'-%(> + % ( %)%$>% ($>%$ ( % % )% J %& () >k)(

(>(. )% . -+'% +-' $ )% %' (%$>% ' ( %$>%

. +- ) %$ % V-(

)

15$ &2-6 5 0 " %<#

0 F % G 5 c 6 c c # < c 5 # c c

c . c % c 6 c F .%G

7 -%-.6 c KH # c c .% HM 0: 60 #

# < : c c # F(' G 0 !" 08

!" # c # 0 !" 0 # 08

# W c F %G 7 % c

HT3 HQ KT c CK

$./ %-.6 % !" 0 c F. G # % HT3 % HQ % KT c CK

# .% 5 0 HOMX3 KHO OX KTP QX F# ^ T TTTHG ,

, # c c . NLNX3 NPQ3KX

LNH3OX % 58 c # # c

# c .% F# ^ T TTTHG $ c c 5

5 0 # c % HT F# ^ T TTHG % HQ F# ^ T TQG

!" # !" # # .% !" , c # % KT

c # !" # F# ^ T THG $ , 7 c # #

5 # c 0 ! !" # !"

# % HT3 % HQ % KT F# ^ T THG $ 0 # c # .%

5 0 0 # # 6c c F. #G .

<# # 6c c F. #G # c ,

. # c # !" . # 7 %

-,' /.8-6 % . 7 c

# !" # .% #7 c 0 c c

(57)

2) . 9 2$6 c . c % c 6 c ] ] > # ) # ]

" 0 %<# ]

($>) +IJ

c 0 c c 6 c F .%G 8 c c c # c

R c # 5 4 # 5 c c

0 c c W c c H ₀ _c _c _: _c

c # c # .% 8 # # 4 K _!

c .% , # 2 # "

c : c c ! c c # 3 c !"

5 # 0 c c 5 c 3 0

# a c 06 4 c c c c <# !" 2 # !" 3

ca c # 8 c N3L

c # c ! # # .% , " c !

ca c # 0 O O PX KTX Q # c 0

c 5 0 c 3 , c 5 # , # c # c 3 "

c 0 c 3 .% ; c # c ! # Q3M

# ! c 6 c #

c 7 c 0 S _!" _{c 7 c} ₀ _{# c} _c _.%

6 c # 2 # O _$ _# _#

: c 0 # !" # 0 c 7 c

ca c 4 c # ! 4 c " c

! # 0 c !" 0 # N3P3HT _$

(58)

c # c , 7 c .%3 0 !" 3 0

# c # c 4 c # N3HT3HH

%< 0 ! , # c

5; 0 0 !" 3 0 #

: c 4 c # " %<# 0 08

c c F % G c # c !" 7 c _ <# !" 3 # #

# " # 0 0 8 5; 0 % 8 # "

# 0 8 0 # :0 ,

# c <# c !" 3 c !" 0 !" # " HK

0 % c #7 c 3 5 3 # 6

6c , # c # # c # !"

0 !" 3 0 # c 5; 0 # 0 0 HN

# :0 c ! 0 # c < 6c c #

# W c F %G # 0 !" 0 c # 6c c

F. >G c # 0 c c < 6c c # F. c #G3 0

c c < 6c c 5 F. c G 0 c 5 F. 5G % 8

8c c , " , c 5 !" # c # 0 !" # c

" 0 0 # !" # !" HL3HQ _5; ₀ _# ₀

c 6 c c < 6c c %

0: c # .%

'R>

(

; 5 # 0 "

(59)

c # # 0 c !" 0 F# " F G3 , 7 c c : c F G

!" # 8 c < 7 F KG c c : c # 8 c 3 #

# " c # $ 0 !" 0

# 3 # !" # c <# 08 %

3

# c c .% 0: 60 # # 3

7 : c c # F(' G > # c #

c 0 # : c # KTHK

c : # c c c .% c 08

c # c 3 c : c 0 3 (' gHO3Q

? 2 K _{^NT ? 2} K₃ _c ₅ _c _{: c 3} _c _c

c # " !" 3 " c 5 c

3 # c c # " 7 c c

<c : # c , # # c # 0 3 c

0 _ # c !" 6 c c !" c 3 0 ]

3 c # c # # c 0 !" > # c

c 0 c c F> -%G # , # 0

# 7 R c , F % G + )$3 5 # c 0 60 4

TPQ2KTHH

45

6 0 !" !" #

08 # W Y Y F # 3 - 3 + G

(60)

# # # !" HS _! _c _# ₀ ₀₈

# # 6< $( c 0 c W

' c ) ' F'( ) ' c 3 ) c; Y 3 +YG # c # 0

c HO ₀ _c _# _# _{# #} _!"

HP3KT

6 # c F >

3 ' 3 ( 9G , 08 c 6 c c c

0 c F. #G c # 3 0 c c <

6c c # F. c #G3 0 c c < 6c c 5 F. c G 0

c 5 F. 5GKH _% ₆ _c _{6 c c} _# _c ₇

c # < c 5 08 OP # c # c

# :c c # < c 5 c # 08 ca 0 KH3KK

# c c 5 KN ₁ KL

06 0 % c c ; 60

T c CK KT c CK F' c 9 ' c \ ₊ _{G c #} _c

c F. 3 3 + G # ; 08 < c 6 c

0 !" 0 # 7 c c

% HG # !" , F)>G3 KG !" % NG #

!" % , c c 0 3 FHT3HQ KT c CK G

08 # 0 # # c %

# c 2 ; # !" c " 5 c < 5 !

c > 0 ! Q % c

(61)

0 60 0

c # 6c c 3 . # c # ] 0 <#

# 6c c F. #G3 0 # # 6c c F. #G3 #

# F> #G3 <# F> <#G # c c # F> G3 c c

5 , # # !" # F> 2> G , 7 c

# F )G 6 0 60 0 c c 60

! # c # : c

# Q , !"

5 c c 0

# " 0 c F. G # 0 # 5 c # c c .%

# 0 HT _HTQ _# _{c c} _! ₈

0 c HTL KP + OQX :0 T TQ

KT # c # # <#

c 0 8 0 # " 0 5 !"

08 2 . #

0 60 # 8 c !" # $ . + +

# 0 !" # c c 0 60 7 c !

% 0 # c # c ' **

0 a c F $ . G + # 0 !" #

% # > 6

1 & & 0 " Q T # 2 + 5 :

(62)

$./ %-.

* 45

c # KH # c c .% HM ; 60

# 3 < (' <c : c c # c c

.%3 # # c # c 8c c # !

c # , # , ! # "

c c c 60 $ 5 H c 0 # 8 3

# ! 4 c # 5 # $"

5 0 ! : c c # !" 0 60 % !" 0

# 8 c 5 0 ! c 0 # c #

.% !" 0 60 # 8 c . 3 .% H % ! 4 c

# <# # c c .% 0 c 0

: !" # c c 5 0 # !" 0

( <3 % < $(

* 4 5 " 7 * & & 8 5 7

H . # c # .% # !"

# 3 % c # !"

# !" # 0 . # 5 # 3 .% . b

T LSO d T HK . b T QLN d T HON % 3 % c

. # .% !" # c F# ^ T TTTHG

% , # c . !" # !" # NLNX3

NPQ3KX LNH3OX % HT3 % HQ % KT # .% HOMX3 KHO OX KTP QX F#

^ T TTTHG % c # 5 0 ! %

(63)

c 0 . 7 c F# ^ T TTTHG $ # .%

5 0 c # # 8 ! c 0

c c # 5 0 c % HQ % KT F# ^ T TQG

5 0 ! c 0 !" 0 !" > 3 > <#

> 7 % # !" # F# ^ T TTTH3 K 3

G c 5 0 , % c > c

# c .% F# ^ T TTTHG c 5 0 K

% !" > <# > % 5 # #

# 5 0 ! # c , c #

0 c > % HQ % KTF K %G > % HT3 % HQ % KTF K G

$ > # :0 c # # c # #

% HT3 % HQ % KT F K G % c c

5 F# ^ T TTHG # c # .% % , , 5 0

c c 5 # c % HTF# ^ T TTHG % HQF# ^ T TQG

!" # !" # a $ # .% 5 0 !" c c

5 , c # % KTc # !" # F# ^ T THG c #

5 0 N , 7 c # 5 #

, 0 !" !" # !"

# F# ^ T TTH3 N G $" 5 0

% , 7 c # 3 # 3 5

# c 0 ! !" # !" #

% HT3 % HQ % KTF# ^ T THG

% !" c 5 !" c # # . 3 5 0

(64)

6c c # FLN MX NS QXG F N G $ # .%3 # !"

# 3 % HT % HQFQH LX3 QH MX LP QXG c # 5 ;6

# c # !" !" # c c % KT

FQQ LXG F N G $" 5 0 # c !

c # 3 !" # c # !" c # c < 6c c

# F > G % KT

* 4 5 " 7 * & & 8

% # 0 0

# c # .% !" # c $ c # >

# c c .% 5 0 # 0 c

% . <# F. G , . # F. G

, , # c . # 0 c

% . # 0 F L G $ c # 5

5 0 , # .% . . % HT c

# !" 5 0 c # " %

c # !" F L G $ # c " 5 0 c !

c # 5 # . , , . # 0 c

% 0 5 c # !" F L CG 0

c # c c # c c #

5 !" % 3 c < 6c c # #

(65)

&.'/..8-# # # c c # c c .% 8 c #

c 0 0 c # c ! # # c N3HT

# , 0 !" # c # .%

" , # c c !" ! #

0 c c a c c # 0 KM3

, % c # " # 0

# c # c c .% # c

!" % 3 5 # 0 c

: , 7 c # 3 # 8 c !

# % # .% , # c ( c ,

# c c .% " # , 0 c # #

c # # " > #3 > <# > # 0

c % 3 # 8 c ! # .% ,

# c c c , 7 c c c 5 #

.% !" # c , # 0 60

c c < 6c c c c # 0

# c F LG % , ; 60 : . 0

c # c # 3 # c #

!" c # 5 PT NX3OP NX OP SX # % HT3 % HQ % KT

# c 0 3 # c # .% " c .

# c c # # !" # 0

c # ># c c % HTH K X3HTK NX HTN NX

(66)

c c c c : c 0 : c #

c !" ! c # # c

. c c # !" F HG 0 . c

_ , 4 c 0 0: c .% " c

0 #

# 80 5; 0 0 0 # # c c

.% - HT ₀ ₀ _# ₅ _<3

# 8 c " # 8 c 3 # c c . 0 ;

60 08 % # 0 7 3

# !" # 3 # 0 !" 0 6 !" # c # c % !"

c # !" # 8 c c " # 8 c

5 0 0 c LX # 8 c

0 !" # 0 !" 0 6 3 # 8 c # 0

c c < 6c c KQ3MX !" " # 8 c % !"

, c # 0 c 5 0 # 0

9# _# _{# c} _c _.%3 ₅ ₀ _{c #a c}

# c 0 9# _# _# _!" _,

0 c c < 6c c OHP 3 # LSO

# # .% % c #a c # 5 : 0

9# _c ₀ _!" ₀ _# ₀ _!" _<

# 08 # ! 5 c , # c # " # 0

# ! W c % 3 " 99

0 # " # c 5 !" c # c < 6c c

(67)

) # # ( a c 8 c % c

# !" !" 0 c #

# c c .% c # c ; 60 Q HX HN QX % 3

0 ! c 5 # c !"

8c c 0 !" # c , ; 0 c45

c !" NTi c # !" HH

# # # c # # 6 c c c 3 3

! 0 c 7 c 0 !"

!" # c , # ! c !"

% c c c c : c

.% !" c #

0 60 # c #

% c c " 3 , !" % # 0

0 # 0: c .% ; 60 8

0 .% 8 c # c # %

# !" # c # c < 6c c # c

# 0 % 3 !" % c 5; 0

# 0 0 0 # 0 c c

# c , HT c CK # c c .%

(68)

H Y 3 - C 3 C h 3 C A3 C%3 3 - >C c 0

9 ? 0 c 9

$ c c c KTHK] NKN FH KG KTQ*HQ

K 9 3 3 c 3 ( c ? ) 5 ' KTTL] LL HNQ

LH

N ))3 ) $)3 ' Y 3 > -3 . 3 > <

-( # 9 ' c > c ? 0 0 )

> c 9 ' ) 5 KTHH] PK HOL HPT

L @ A3 )A 5 c # @

? ) 5 KTTT]HL SP OS

Q 0 3 '] C 3 ] ' 3 > ] 3 -'] c 3 )

C # c ( c c ? Q h @ +# ' c #

? KTTS] NO HOPP HPTL

M - ? 9 3 Y] c 3 ] 3 ] . , 3 ] c 5 3 )] % 3 ']

- #? 3 ).] . 3 0 9 # c c c c c

(69)

S C @ ) 3 ) 3 A 3 A # 9 c c c # c

5 ? ' KTTH] SS STT K

O % 0 # 9 c ) # 9 $ 5 KTTS] HQP

HHQ KM

P c ) !" ! # . ) 0

$ c c KTHH] HPFLG QOS QOO

HT - 3 ] c )] ) ( ? c # @ #

) # ' KTTN] HMO HTP HN

HH > < - 3 . 3 ))3 > 3 ( 6c % 3 c > 3

0 ( ) # 9 > c 5 c 9

@ c c ? 0 0 c 9 ' ) 5 KTTQ] OM HPSL SO

HK '9 >) 0 %<# 9 c 9 0 %<# 9

> # ) # 9 c KTTS] QKFHTG HNTO HNKS

HN ' ) 3 ) 3 3 - 3 '. #

> # c 0 %<# 9 > #9 0 c

(70)

HL 0 3 c )3 3 # c c # 9 # 9 0

c # ) # ' KTTT] HMH HQLM*HQQK

HQ 3 Y 9 '3 3 @ 0 59

# c c c 9 ## 9 HPPM] OH KMOT*KMOP

HM c > c c c 93 % # ) # 9 c 9 > 2%)

# 9 % ) # KTTQ] KM NHP NNO

HS 3 >3 ) $ 0 0 7 c # #

! 5 ! 5 c KTTS] NNFLG NPS LTM

HO c > c c c 93 % # # 9 c 9 > ]%)

# 9 c ) # ' KTTK] HMM QHO MKL

HP 4; 3 ) ] ) , 3 .)] $ c 3 ] 0 3 - ] 0 c 3 -] 0 .]

0 3 %] ' 3 ' ] 3 ] 3 . 7 c # "

# F $( G 0: 60 5 c7 c

KTHK]NOFMG STT STS

KT $ 3 3 - ' 3 $ 9 -% ) c 0 c

' < # 9 # 0 9 0 ' ) HPPP] NK

(71)

KH 0 3 # c c # 9 # 9 ' c

KTTN] QP HK*HM

KK 3 Y 9 '3 3 0 3 0 3 3 ' c? >3

) c @ 0 59 # c c c

9 c 9 c c 9 HPPM] HO KMOT KMOP

KN 0 3 Z '3 ? 5 3 5 , , - 3 0 9 ' < c

0 @ 5c < c # % #

# 9 ; KTTP] NNFHHG LP MT

KL '3 ( (3 ' 3 3 ## '3 ' c '3 )3 3

c A C9# c c c c

) # ' HPPP] HMT OTO*OHM

KQ C )3 A 3 ' 3 - h-3 0 -3 0 Y%3 % c

%<# 9 0 @ 9 # -%% KTTO] NHF NG

LKP LNK

KM A 3 Y] 9 3 ] 3 ] 93 ] ? 93 '(] Y 3 -] ' < 3 c

c c # c ? c @ # <

(72)

1$ # ,0 &.$ %$.')& &2 %$ +7%& $ %$.2&- 3 %)8- .$A-B B @/,>8- 3/ +-, ) $

@-)> %-. +C.'/ -. )$.3&) ()&-.

)/3- )/3- '-, )- $

+-. ) b HM b HM

4,$)- HHC Q ' HH Q '

% %$ D ,-.E QQ SdP NN QM N d P OK T OMP

D:*F+!_E _{KS HS d N LO} _{KM OO d N SN} _{T OHP}

D E N KH d T SN N OT d T QS T THl

DG3)$% E OO K d HK S PS L d HK S T TLl

#D E K QQ d T MH N TP d T LM T TTSl

#DG3)$% E OM d HH L PS S d HK Q T THl

#F T SP d T TM T OH d T TN T KKT

D E Q TH d H OM M PP d H SH T TTNl

+ A D'+H! E SQ TM d NH O HHM d LM T TTMl

+ A DG3)$% E SM H d KO S HHH O d NO S T TTQl

+ A D'+H! E PH S d KK O HKL O d NL H T TTNl

+ A DG3)$% E PK HT d KN HHL Q d NT O T TKl

D'+ H! E MH S d KT S PM Q d KQ K T TTTKl

DG3)$% E ML S d KH K PO P d KN T TTTHl

l ! c 0 #^T TQ C 3 ' ] (' * [ c ' # ] Y 2 K _*

, # , ] . c # c . ! ] .% H 0 <# !

(73)

> 6c c

) #

!" >

, % HT % HQ % KT

)c # !" T Q T T T Q H T H Q K T K Q N T N Q l l l ll l l . F G

Caixa Torácica Pulmonar

) #

!" >

, %HT %HQ %KT

)c # !" T Q T T T Q H T H Q K T K Q N T N Q Grupo AVE Grupo Controle

l l l

ll

.

F

G

< > 6c c 5

) #

!" >

, %HT %HQ %KT

)c # !" T Q T T T Q H T H Q K T K Q N T N Q l l l ll . F G 5 ) # !" >

, %HT %HQ %KT

)c # !" T Q T T T Q H T H Q K T K Q N T N Q ll

l l l

l l

.

F

G

H . c # 6c c c # # .% # c

# !" , c 3 % HT3 % HQ3 % KT c # !" 6c c 3 c < 6c c

(74)

> # ( # HT % ∆ HQ % ∆ KT % ∆ T H K N L Q ** m

> # %<#

HT % ∆ HQ % ∆ KT % ∆ T H K N L Q ** m

> # >

HT % ∆ HQ % ∆ KT % ∆ T H K N L Q M S O Grupo AVE Grupo Controle ** m

> # ( #

) # !" > , HT

% % HQ % KT

)c # !" T K L M O HT HK HL HM * * *

** > # %<#

) #

!" >

, % HT % HQ % KT

)c # !" T K L M O HT HK HL HM % * * S eg u n d o s

> # >

) #

!" >

, % HT %HQ % KT

)c # !" T K L M O HT HK HL HM Grupo AVE Grupo Controle * * *

K > # # F> #G3 <# F <#G F> G % HT3 % HQ % KT c CK n > #] n > <#] n > ] > #

# !" , 3 % HT3 % HQ3 % KTc CK c # !" ] % > <# # !" , 3 % HT3 % HQ3 % KTc CK c # !" ] > # !"

(75)

c > 5

) #

!" >

, % HT % HQ % KT

)c # !" T HT KT NT LT QT MT ST * * * ** S eg u n d o s

, 7 c ) #

) #

!" >

, % HT % HQ % KT

)c # !" T HT KT NT Grupo AVE Grupo Controle †‡ †‡ †‡ †‡ †‡ †‡ ) # !" 2 # .% ) # !" >

, % HT % HQ % KT

)c # !" T KT LT MT OT HTT HKT

QH LX QH MX LP QX QQ LX

NTX NNX NHX KL OX

HO MX HQ LX HP QX HP OX NT PX QT PX HO KX X 5 !" 0 c # ) # !" >

, % HT % HQ % KT

)c # !" T KT LT MT OT HTT HKT Abd CTa CTp

LN MX LO QX LS LX LL PX

NS QX NN HX NL QX NQ KX

HO PX HO LX HO HX HP PX HP LX NO QX LK HX X 5 !" 0 c

N 8 c c 5 ) # !" , 3 % HT3 % HQ3 % KT

c CK c # !" ] # c c 5 !" . # .% #

(76)

Parede Torácica Grupo AVE Res pira ção Tran

quila _PEP10 _PEP15 _PEP20 Rec uper ação 25 26 27 28 29 30 A V o lu m e (l ) Parede Torácica Grupo Controle Res pira ção Tran

quila _PEP10 _PEP15 _PEP20 Rec uper ação 25 26 27 28 29 30 E V o lu m e (l ) Caixa Torácica Pulmonar Grupo AVE

Res pira

ção Tran

quila _PEP10 _PEP15 _PEP20 Rec uper ação 14.0 14.5 15.0 15.5 B V o lu m e (l ) Caixa Torácica Pulmonar Grupo Controle

Res pira

ção Tran

quila _PEP10 _PEP15 _PEP20 Rec uper ação 14.0 14.5 15.0 15.5 F V o lu m e (l ) Caixa Torácica Abdominal Grupo AVE

Res pira

ção Tran

quila _PEP10 _PEP15 _PEP20 Rec uper ação 3.0 3.5 4.0 4.5 C V o lu m e (l ) Caixa Torácica Abdomial Grupo Controle

Res pira

ção Tran

quila _PEP10 _PEP15 _PEP20 Rec uper ação 3.0 3.5 4.0 4.5 G V o lu m e (l ) Abdominal Grupo AVE Res pira ção Tran

quila _PEP10 _PEP15 _PEP20 Rec uper ação 7.0 7.5 8.0 8.5 9.0 9.5 10.0 D Vif Vef V o lu m e (l ) Abdominal Grupo Controle Res pira ção Tran

quila _PEP10 _PEP15 _PEP20 Rec uper ação 7.0 7.5 8.0 8.5 9.0 9.5 10.0 Vef Vif H V o lu m e (l )

L . <# F. G 0 # F. G # 6c c # .%] ># # .%] > # .%] 5 #

(77)

(78)

# c !"

% 0: c .% % # # !" c #

c , c # 0: 60 5 0

, % # !" 3 # c

c # c < c c # 3 5 c ,

# !" # !" 8

0 # # 8 0: c .% "

c c 5 0 !" %

0: c .% , c #

) # 0 c c c # # c c .%

(79)

(80)

H C 3 = 3 A ? ' 0 c ?

# # c c %<#

) 0 @ 0 c > #9 KTHK] HTFLG QHQ QKL

K 5 -3 - %3 c 3 '3 ' 3 > <

- # $ C # NM

0 9 , 9 0 @ c c

? ) 0 # KTHK] HMFLG NTH NTO

N 3 3 . ) 3 8 > c 9

c c 9 ) 0 5 c KTTP] KQFHG P HQ

L )3- '3 '-%3 5 '> 3 Y' 6

> 7 c ' # c . c 5 8c

&&( 9 ' 9 > 5 0 c cc

&&( 9 , KTHK] POFMG QHP QKS

Q 6 ''3 3 0 ) ( # c !"

, 0 # c c c 0 c c 6 c ) 0

(81)

M ' ) 3 ) 3 3 - 3 '. #

> # c 0 %<# 9 > #9

0 c ) # 9 KTTP] QLFLG QTL QTO

S 9 -3 )3 ' c ! a c #

0: c # # c 0 c c 6 c

) () 7 c KTTP] QQ MO

O 0 3 # c c # 9 # 9 ' c

KTTN] QP HK*HM

P . 3 . )3 '9 ' 3 ( ' (' 3

-'3 )) # W c 0 " ) 0

# KTHK] HMFMG LNP LQN

HT !" ' 4 ' >% c . c

5 ' , # # # 0 a c c

0 c c 5 !" ' 4 KTTM

HH 3 0 - 3 ) c .' 0 c : c c

# c # 8 c # . 0 ! #45 c

(82)

HK 3 C 5 .3 ' ' c ) # # 9 c c 0 9

0 3 5 c , 9 0 @ # ) 0

' % # KTHK] HOFHG NT NL

HN o 0 3 c > # 0 !" Q "

3 ' 3 KTHT

HL + # 3 c9 ) 5 !" c L " 3 ' 3 KTTL

HQ 3 ' ] 3 C ] $ 3 ] # 3 -''] ' 3

5 ! 0 !" c # # c # 8 c ,

9 , 4 KTTO] HFKG PT PS

HM ' ( 3 ) ' )3 Z3 -3 >>3 - 3

-' '8 #7 c ; c c 7 c

# !" 0 c c 6 c 0 " ) 0

+ 0 #3 " 8 # KTHK] HOFNHG KK NH

HS ' ) )3 ? ; ''3 3 .3 ) 3

c 0 c # c 9 ( c c ? ,

(83)

HO ))3 ) $)3 ' Y 3 > -3 . 3 > <

- ( # 9 ' c > c ? 0 0

) > c 9 ' ) 5 KTHH] PK HOL HPT

HP - 3 ] c )] ) ( ? c # @

# ) # ' KTTN] HMO HTP HN

KT > < - 3 . 3 ))3 > 3 ( 6c % 3 c

> 3 0 ( ) # 9 > c 5

c 9 @ c c ? 0 0 c 9 ' ) 5 KTTQ]

OM HPSL SO

KH % 0 # 9 c ) # 9

$ 5 KTTS] HQP HHQ KM

KK c ) !" ! # .

) 0 $ c 7 c KTHH] HPFLG QOS QOO

KN ( -3 )3 ) c %C>3 " 3

% c # 9 # 9 c # c

(84)

KL . 90 3 $] hpc 3 ] Y ¸3 ] p 3 (] ? 3 0

# c 0 # c # >

) 9 KTHH] H L

KQ ' C=3 .%3 .3 > 0 !"

! ' c ) # ( 0: c # c . c

5 ) 0 $ c 7 c KTHH] HPFHG QM MT

KM A ? 3 )-] 3 Y] Y c ? )' # #

% $ S " ' 59 % 0 3 KTTP

KS %3 ' ) 3 0 % > ' c

) # # ' ' 0 c W > # c

C # 8 c C # ( ' % c KTTS] HO HHPP HKTK

KO - 3 ($ ] 3 'C] # 3 > ] 3 %

# c 0 5 0 # 0:

# 8 c c 4 KTHH] HTFLG MNQ MLK

KP 9 9 #9 @ 9 c c % ) # HPPP]

(85)

NT '9 >) 0 %<# 9 c 9 0 %<# 9

> # ) # 9 c KTTS] QKFHTG HNTO HNKS

NH '3 5 3 3 A 9 c ) #

0 %<# 9 # %

% ' ? ) # 9 KTTS] QK FOG HTTT HTTQ

NK 0 =3 Z ) ' # c #

<# c <# 0: 60

# c 0 KTTO] KFOG PP HTS

NN 5 =3 > 3 3 C 3 ) c ' % # " # 0

<# c6c c 0 " 6 #

' 0 KTTL] HSFLG LN QT

NL ? 0 # c , @ 9 c c ) #

KTTK] LSFSG SOM SPM

NQ - 5 -3 %3 - > 3 59 )$3 A '3 = - 0

%<# 9 5 A 9 c

(86)

NM ? 3 ] 9 ? 0 3 Y] 3 # 0 9 % ?

<# c c9 c 5 # c 9 C KTHK]

PPFNG NKL N

NS r 3 A % # 9 #9 @ # 0 <# 9

# 5 5 c c 9 9 c 0 @

c c KTHT] QL KMH*KMS

NO ' 3 0 # A %< c > %% ) c < c

9 # c 5 c 3 5 5 0

9 # 9 9 c > #9 KTHH] KKFNG Q HT

NP C $ 3 + <# 9 # 0 @ 9 #

0 59 # < c @ #

< c # @ s KTHK QSFPG HQNT H

LT ' 3 ( c 0 # 9 # 9 @ # 9

c t# c u 9 3 HPSS

LH 3 %-(>% c @ 9

0 9 0 >. # c (%%% > %

(87)

LK 0 3 c )3 3 3 -3

# 9 5 # # # 59

# c # 9 # 9 5 c KTTH] KP

MT ST

LN 3 Y 9 '3 3 0 3 0 3 3

' c? >3 ) c @ 0 59 # c

c c 9 c 9 c c 9 HPPM] HO KMOT

KMOP

LL Y Y3 ' ' # 0 c 5 c

5 5 ## 9 HPMS] N LTS LKK

LQ 0 9 ' 5 % ) # ' KTTQ] NH LL*QM

LM c )3 3 ) (3 - 3 3 '

c @ ? c # # 5 # @

% ) # KTTN HKQ LQP*LMQ

LS ## '3 )3 3 c )3 '3 -3

c 0 c 5 c @ 9# 5

(88)

LO $ '3 3 - (3 '3 3 )3

5 c # 0 # #

5 F - G # t 5 c u % ) # KTTH] HO LOP

LP 0 3 ( (3 )3 3 Y 9 3 Y 9 3 ' 3

3 c 3 @ ? 3 h 3 ' c? > ) # 9 c 9 c

c < c @ < 9 # <# 9 @

## 9 KTTK] PK HPQN HPMN

QT '3 ( (3 ' 3 3 ## '3 ' c '3 )3

3 c A C9# c

c c c ) # ' HPPP] HMT OTO OHM

QH A '%3 A A3 ' c? > 9 c @

@ c # 5 c ## 9 HPPK] SK HNNO*HNLS

QK 3 0 3 0 3 ' 3 ? 3 >

# c 9 c @ ## 9 HPPL] SS

HKKL HKNH

QN Y 9 '3 3 h 3 0 3 c 3 )3 3

' c? > ) 5 c c c , 5 < c

(89)

QL . (3 3 3 0 3 Y %3 Y ? %

$3 Y ? 3 $ 3 = ?9 3 )

9 c 9# < c c 0 9 # @ 0

c c 5 c 0 # 9 > < KTTQ] MT SKN SKP

QQ 3 >3 ) $ 0 0 7 c #

# ! 5 ! 5 c

KTTS] NNFLG NPS LTM

QM c > * >

# !" # KTTK] KPFNG KTS KH

QS c > c c c 93 % # ) # 9 c 9 > 2%)

# 9 % ) # KTTQ] KM NHP NNO

QO c? - 3 C9 )% ' < # 9 # 0

# < ) 0 ) # HPMP] PP MPM STK

QP c > c c c 93 % # # 9 c 9 > ]%)

# 9 c ) # ' KTTK]

(90)

MT $ 3 3 - ' 3 $ 9 -% ) c 0

c ' < # 9 # 0 9 0

' ) HPPP] NK SHP SKS

MH - 3 $ c 3 - ; '3 -3 - 3 3 ) # 3

? @ ? 3 < # 9 # @ #

5 s % ) # KTTM] KS POT K

MK C 3 ) 3 c 3 A # 9 #

0 0 # 9 c ) #

' HPPL] HQT HMSO HMON

MN + 9 3 A ' < . $ ( # 9

C 9 5; c > < HPPQ] QT NSH NSQ

ML 4; 3 ) ] ) , 3 .)] $ c 3 ] 0 3 - ] 0 c 3 -]

0 .] 0 3 %] ' 3 ' ] 3 ] 3 F # G

. 7 c # " # F $( G 0:

60 5 c7 c KTHK

MQ 0 3 Z '3 ? 5 3 5 , , - 3 0 9 '

< c 0 @ 5c < c

(91)

(92)

34,%&'$ > - 0 % c c

+$(.%) ( % % %) - )( ) $ % $ )>%

%$>) % (U$ ( v %

% )> '%$> % ( ( >%) (

$.K/&. %-) $.3-,.02$ 6% % 0 5

)&$, %-) $.3-,.02$ 6 i i

>%)' % $ %$>('%$> -(.)% % % - )% (

L M 6 % # "

<# # 0 5 0 # # c c c

0 c c 6 c

N 6 F G F G 6 c 0 F G # c # 3

0 3 # , , c 5; 0 5 0

# !" :0 " %<# 0

F % G 5 c 6 c c # < c 5 # c

c # c . c % c 6 c F .%G

6 08 c 0 !" , 6

c 6 0 !" c : c 3 58 6 0 !"

(93)

0 # !" N %

> 0 " # c # # 0 # a 0 3 # " c 5 "

# # # c " <# c _

!"

H 6 $ " c LT 0 6

KT # c c c c : c .%3 NP ST 3

: c c # ^HO3Q ? 2 K gNT ? 2 K3 " # c

5 c : c # 3 " c 5

c 3 # # " c "

c 3 c c c # " 3 # , ,

c 5 , # ! # c !" % ,

c # !" 3 # c c KT

60

6 c " : 3 # " 08

# !" 3 ; 3 " " , 0 0 c 3 ; !"

c # c !" % 0 6 # ,

# # c 3 , , c c c 8 3

0 3 0 6 # #

# c # 6 # # , c ;

(94)

# , # 5 " # c 0

# c #

L L 6 8 5 08 0 !"

!" # 0 # 08

c # !" # 6 5 c c # c !" %

!" < !" 3 0 #

6 " ! #

c c c c "

! c , c

c # 6 # c # 7 R c ,

+ )$ # , " 0 c !"

0: " c # < 7 c ) !" HPM2PM

$ c 4 , 5 5 8 c # " 0

# c 2 # 5 c

F 6

# c # !" 8 0 6 . c7 8 0 # c # c #

# 6 , ,

(95)

c , c # 5; 0 # , 3 c 6 3

c 5 :c 0 0 c c # c # 0

# , O

P

11111111111111111111111111111111111111111

c # # ,

111111111111111111111111111111111111111111

, ) # 60

+ ' .- %$ %C2&% . @ 2-) $, ) ) $+ '-, - '-+ -. 3$.K/&. %-)$.

)$.3-,.02$ -/ -+& 4 %$ = &' $+ $.K/&. % ,&2$).&% %$ $%$) %-

&-) ,%$ %- -) $ ) 27. %-. $,%$)$>-. '& %-. 1 &A- -/ 3-) $ $@-,$F$ + &

w#, c #, 5 w c

> FOLG OHNMKSKO

(96)

% ! ) 3 HNT # x KTH $ 0 3

)$

> FOLG PPKP HNSN 1 w c 5

-+& 4 %$ = &' $+ $.K/&. 6

,%$)$>-6 ! # 3 # + 0 6 3 HMMM $ 2)$ %

QPTSO PST -, -6 > FOLG NKHQ NHNQ] %

(97)

34,%&'$ &'9 %$ 2 &

>8-H

/, $.3-,.02$ 6 &. ++ ,/$ $ 2$. 1)

1-) ()&- %$ &.&- $) 3& ,$/+- )%&- .'/ )

PROTOCOLO: ARQUIVO: PASTA/PC:

Pesquisador Responsável: Data da avaliação:

DADOS PESSOAIS Nome:

Responsável: Endereço:

Telefone:

Idade: Data de nascimento: Sexo: ANAMNESE

Diagnóstico:

Tempo de diagnóstico: HDA:

Hemiplegia/Hemiparesia: ( ) D ( ) E

Tipo de AVC: ( ) Isquêmico ( ) Hemorrágico Medicações:

Antecedentes pessoais: ( ) hemoptise ( ) edema ( ) angina ( )deslocamento de retina ( ) aneurisma ( ) crise hipertensiva recente ( ) doenças pulmonares ( )outros

Antecendentes familiares:

HÁBITOS DE VIDA:

Tabagista: ( ) sim ( ) não Ex-tabagista: ( ) sim ( ) não Cigarros/dia:

Quanto tempo fumante: Quanto tempo parou de fumar:

Etilista: ( ) sim ( ) não Ex-etilista: ( ) sim ( ) não

MEDIDAS ANTROPOMÉTRICAS Data:

Peso: Altura: Imc:

SINAIS VITAIS

PA: FR:

FC: SapO2:

PROVA DE FUNÇÃO PULMONAR: ESPIROMETRIA

Dados VR/ Lim Inf. Prova 1 Prova 2 Prova 3 Prova 4 Prova 5

CVF VEF1

PEF FEF 25% -

(98)

MANOVACUOMETRIA

PI max PE max

VR: VR:

1 1

2 2

3 3

4 4

5 5

6 6

SNIP VR: 1 2 3 4 5 6 7 8 9 10 11

SINAIS VITAIS PÓS- PROTOCOLO