Physical conditioning and respiratory muscle training applied to patient with primary Sjogren syndrome: a case study

Abstract

Sjogren's Syndrome (SS) is a rheumatic progressive autoimmune disorder
that has primary and secondary manifestations, the majority of patients are women, and the onset is most common in middle age. The major characteristic is the glandular dysfunction but musculoskeletal and cardiopulmonary systems can be involved in the inflammatory process. In this case study, the purpose was evaluated the efficacy of a physical conditioning and respiratory muscle training applied to a patient with primary S.S. The intervention was elaborated based on physical evaluation, effort ergometric test, spirometry, 6 minute walk test, and cardiopulmonary variables. The conditioning program with contínuos
progressive load was performed in ergometric track, and accompanying to
stretching to axial and limbs muscles with expansive exercises. The protocol was to performed 3 times a week, during 6 weeks. The respiratory muscle training used was IMT and PEP with threshold. The results showed increasing on the distance walked and decreasing on the heart frequency and arterial pressure. The oxygen saturation didn't showed beneficial results with this protocol. Thus, in these experimental conditions, the studied treatment protocol was beneficial to gain in the maximal pressure inspiratory and expiratory, life quality, sleep, and physical performance.