INTRODUÇÃO: pacientes que tiveram Covid-19, independente do espectro clínico da doença, podem apresentar sintomas persistentes após a alta hospitalar por até 14 meses. Estes pacientes apresentam comprometimentos funcionais e de qualidade de vida sendo, portanto, indicada a reabilitação pulmonar. Este estudo avaliou os aspectos funcionais e a qualidade de vida de pacientes pós-Covid-19 atendidos em um programa de reabilitação pulmonar. MÉTODOS: trata-se de um estudo prospectivo do tipo coorte clínica. Os pacientes pós-Covid-19 que integraram um programa de reabilitação pulmonar por seis semanas consecutivas foram avaliados em relação às variáveis funcionalidade pelo Índice de Barthel e pela escala PCFS, e a qualidade de vida pelo SF-36 na admissão (T0) e após seis semanas de reabilitação (T1). RESULTADOS: Onze pacientes que participaram do estudo apresentaram melhora da funcionalidade tanto pelo Índice de Barthel (p<0,01) como pela escala PCFS (p<0,01) e, também, melhora da qualidade de vida nos domínios capacidade funcional (p< 0,01), limitação por aspectos físicos (p<0,05) e aspectos sociais (p<0,01) no T1 em relação ao T0. CONCLUSÃO: pacientes pós-Covid-19 apresentaram melhora da funcionalidade e da qualidade de vida após um programa de reabilitação pulmonar.

Background/Objective: A substantial proportion of infected individuals develop persistent symptoms after the acute phase of COVID-19, regardless of initial disease severity. Long COVID (LC) remains a public health challenge characterized by impaired functional exercise capacity (FEC) and quality of life (QoL). We systematically synthesized evidence on the effects of in-person outpatient pulmonary rehabilitation (OPR) with individualized and supervised exercise in adults with LC. Methods: Following PROSPERO (CRD42023389365), this study reviewed randomized controlled trials (RCTs) and observational cohort studies (OCSs) published between November 2019 and January 2026 in MEDLINE/PubMed, Web of Science, PEDro, and EMBASE. Results: Fifteen studies (n = 803) were included. OPR improved FEC (6MWT; MD: 53.72 m, 95% CI 43.69–63.75) and 30″SST (MD: 4.68, 95% CI 3.59–5.77) and reduced exertional dyspnea. RCTs showed benefits in physical (MD: 8.04, 95% CI 3.02–13.05) and mental QoL (MD: 6.60, 95% CI 2.01–11.18) and dyspnea impact, with inconsistent PF findings. Fatigue showed a trend toward improvement but was measured using heterogeneous patient-reported tools in RCTs and OCSs. Conclusions: Supervised PR improves FEC, QoL, and dyspnea in individuals with LC. In patients with fatigue/PEM, systematic assessment and continuous symptom monitoring are essential. High-quality controlled studies are needed to strengthen evidence and clinical guide.

Introdução: A fibromialgia é considerada como uma síndrome reumatológica de diagnóstico clínico a partir do relato do paciente em relação à presença de algia difusa por mais de três meses, sem trauma, de caráter não inflamatório, associada a distúrbios cognitivos e do sono, além de fadiga e rigidez. Classificada como o segundo diagnóstico mais encontrado em doenças reumatológicas, impacta negativamente na capacidade funcional dos pacientes devido à complexidade da etiopatogenia e suas sequelas. Dados epidemiológicos desta enfermidade em pacientes do norte do Brasil são escassas, tornando tal pesquisa de relevância. Objetivo Geral: Traçar o perfil epidemiológico da fibromialgia em pacientes diagnosticadas do departamento de referência em reumatologia do município de Gurupi-TO. Materiais e Métodos: Foram selecionadas 60 mulheres com idade entre 18 e 75 anos, diagnosticadas com fibromialgia. Por meio de entrevista, as voluntárias responderam aos questionários de levantamento epidemiológico (com caracterização do perfil sociodemográfico e do histórico da doença). Resultados: A amostra de fibromiálgicas do Sul do Estado do Tocantins apresentou perfil epidemiológico similar ao restante do Brasil, com baixa escolaridade e elevados níveis de intensidade álgica.

Background: Previous studies have experimentally investigated and simulated the effects of dynamic hyperinflation on respiratory system resistance variables in populations with different respiratory diseases. However, the acute effects of exercise on these parameters in healthy young adults are unknown; therefore, the objective of this study was to investigate the effects of a submaximal exercise test on the resistance of the respiratory system in healthy adult individuals. Methods: This is an observational study conducted with healthy adults. Fifty healthy volunteers were recruited, of both sexes, over the age of 18, with no previous uncontrolled respiratory diseases and normal spirometry, with an average age of 32.2 ± 11.6 years old and an average BMI of 24.3 ± 3.87 kg/m². The participants underwent an anamnesis, the Impulse Oscillometry Test (IOS) with the variables R5, R20, X5, Fres and AX, followed by the six-minute walk test (6MWT), another IOS measure, immediately after the 6MWT, finishing with a spirometry test. A paired t-test was used for the analyses. Results: Our results showed that the volunteers exhibited a decrease after the 6MWT in the oscillometry parameters R5 (0.35 to 0.32, p = 0.0001), R20 (0.33 to 0.30, p < 0.0001), X5 (−0.13 to −0.10, p < 0.0001), Fres (13.07 to 11.70, p = 0.0042) and AX (0.48 to 034, p = 0.01). In addition, the volunteers walked an average of 623.34 ± 42.6 m in the 6MWT, which represents around 96.6% of what was predicted for this group. Conclusions: Submaximal exercise, as assessed by the 6MWT, acutely reduces respiratory impedance in healthy individuals, which can facilitate moderate-intensity physical activity, preventing sedentary behavior.

Background and Objective: International guidelines emphasise the importance of objective cough assessment for evaluating therapeutic efficacy. Cough negatively impacts quality of life and generates high costs for healthcare systems. However, the accuracy of cough frequency monitors remains unclear. This study aimed to identify tools developed to monitor cough frequency and evaluate their accuracy. Methods: Observational studies involving adults, children, or infants who used cough frequency monitors were included from the Pubmed/MEDLINE, EMBASE, and Web of Science databases published up to 24 November 2024. Two independent reviewers performed the screening, data extraction, and quality assessment of the studies using QUADAS‐2. Summary estimates of diagnostic accuracy were calculated with meta‐analysis using bivariate mixed effects regression. Results: Nineteen studies were included in the review. In the 16 studies included in the meta‐analysis with 52,612 events, sensitivity was 89% (95% CI 0.84–0.93, I ² 89.3%) and specificity was 99% (95% CI 0.98–1.00, I ² 88.2%). The area under the curve (AUC) of 0.96 indicated excellent discriminative capacity. In the 11 devices and 4 applications identified, individual accuracy was > 0.9. Conclusion: The tools are accurate in distinguishing between cough and non‐cough sounds, but their clinical application still presents technical challenges and requires investment. Future research should improve the monitors, maintaining high accuracy but allowing for agile, cost‐effective assessment.