<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1659-4436</journal-id>
<journal-title><![CDATA[Pensar en Movimiento: Revista de ciencias del ejercicio y la salud]]></journal-title>
<abbrev-journal-title><![CDATA[Pensar en Movimiento]]></abbrev-journal-title>
<issn>1659-4436</issn>
<publisher>
<publisher-name><![CDATA[Escuela de Educación Física de la Universidad de Costa Rica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1659-44362025000100176</article-id>
<article-id pub-id-type="doi">10.15517/pensarmov.v23i1.62242</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Benefits of hydrotherapy in patients with chronic obstructive pulmonary disease: additional outcomes of a randomized clinical trial]]></article-title>
<article-title xml:lang="es"><![CDATA[Beneficios de la hidroterapia en pacientes con enfermedad pulmonar obstructiva crónica: resultados adicionales de un ensayo clínico aleatorizado]]></article-title>
<article-title xml:lang="pt"><![CDATA[Benefícios da hidroterapia em pacientes com doença pulmonar obstrutiva crônica: resultados adicionais de um ensaio clínico randomizado]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gallo-Silva]]></surname>
<given-names><![CDATA[Bruna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zamunér]]></surname>
<given-names><![CDATA[Antonio Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cerezer-Silva]]></surname>
<given-names><![CDATA[Viviane]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gullo Ferreira]]></surname>
<given-names><![CDATA[Danilo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Iwai Sakabe]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Kel de Souza]]></surname>
<given-names><![CDATA[Luana Daniele]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bertholo]]></surname>
<given-names><![CDATA[Vanessa Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira Brasil]]></surname>
<given-names><![CDATA[Mayara Thaysa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aparecida Moreno]]></surname>
<given-names><![CDATA[Marlene]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Metodista de Piracicaba (UNIMEP)  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Católica del Maule  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade Metodista de Piracicaba (UNIMEP)  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidade Metodista de Piracicaba (UNIMEP)  ]]></institution>
<addr-line><![CDATA[Piracicaba ]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Faculdades Integradas Einstein de Limeira (FIEL)  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Faculdades Integradas Einstein de Limeira (FIEL)  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Faculdades Integradas Einstein de Limeira (FIEL)  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,Faculdades Integradas Einstein de Limeira (FIEL)  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af9">
<institution><![CDATA[,Universidade Metodista de Piracicaba (UNIMEP)  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>23</volume>
<numero>1</numero>
<fpage>176</fpage>
<lpage>197</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1659-44362025000100176&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1659-44362025000100176&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1659-44362025000100176&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The objective of this article was to assess the effect of hydrotherapy on the functional status, dyspnea, BODE index, and quality of life in patients with COPD. A randomized, controlled clinical trial was carried out with 24 COPD patients, randomly divided in two groups: 1) aquatic training group (ATG), participating in an aquatic training (AT) program of intermittent (moderate/high) intensity that took place three times a week, for 8 weeks; and 2) control group (CG), which received guidance on a healthy lifestyle and did not participate in supervised exercises. The variables (functional status, dyspnea, BODE index, and quality of life) were assessed before and after the intervention period. The level of significance was established in 5%. Results show that the ATG presented significant improvements in daily life activities (LCADL total &#916; score: -10.1, p = .01), in functional status (PFSDQ-M, total &#916; score: -16.9, p = .01), dyspnea (&#916;MRC: -1.37, p = .003), BODE index (&#916;: -1.25, p = .048) and quality of life (total &#916; score: -7.4, p = 0.02). The CG did not show any significant changes. As a conclusion, intermittent aquatic aerobic training of moderate/high intensity fostered a clinically relevant improvement for most patients with COPD in terms of quality of life, limitations in daily life activities, dyspnea, and in the BODE mortality predictor index.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El objetivo del artículo fue evaluar el efecto de la hidroterapia sobre el estado funcional, disnea, índice BODE y calidad de vida en pacientes con enfermedad pulmonar obstructiva crónica (EPOC). Se realizó un ensayo clínico aleatorizado y controlado con 24 pacientes con EPOC, asignados aleatoriamente a dos grupos: 1) grupo de entrenamiento acuático (GEA), que participó en un programa de entrenamiento acuático de intensidad intermitente (moderada/alta) 3 veces a la semana durante 8 semanas; 2) grupo control (GC), que recibió orientación sobre estilo de vida saludable y no realizó ejercicios supervisados. El estado funcional, disnea, índice BODE y calidad de vida fueron evaluados antes y después del período de intervención. El nivel de significancia se estableció en el 5%. Los resultados muestran que el GEA presentó una mejora significativa en las actividades de la vida diaria (&#916; puntaje total de LCADL: -10.1, p = .01), en el estado funcional (PFSDQ-M, &#916; puntaje total: -16.9, p = .01), disnea (&#916;MRC: -1.37, p = .003), índice BODE (&#916;: -1,25, p = .048) y calidad de vida (&#916;puntaje total: -7.4, p = .02). El GC no presentó cambios significativos. Se concluye que el entrenamiento aeróbico acuático intermitente de intensidad moderada/alta promovió una mejora clínicamente relevante en los pacientes con EPOC en términos de calidad de vida, limitaciones en las actividades de la vida diaria, disnea, y en el índice BODE, predictor de mortalidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo O objetivo deste artigo foi avaliar o efeito da hidroterapia sobre o estado funcional, dispneia, índice BODE e qualidade de vida em pacientes com doença pulmonar obstrutiva crônica (DPOC). Um ensaio clínico randomizado e controlado foi realizado com 24 pacientes com DPOC, divididos aleatoriamente em dois grupos: 1) grupo de treinamento aquático (GEA), que participou de um programa de treinamento aquático de intensidade intermitente (moderada/alta) 3 vezes por semana durante 8 semanas; 2) grupo controle (GC), que recebeu orientações sobre estilo de vida saudável e não realizou exercícios supervisionados. O estado funcional, a dispneia, o índice BODE e a qualidade de vida foram avaliados antes e após o período de intervenção. O nível de significância adotado foi de 5%. Os resultados mostram que o GEA apresentou uma melhora significativa nas atividades de vida diária (&#916; escore LCADL total: -10,1, p = 0,01), no status de desempenho (PFSDQ-M, &#916; pontuação total: -16,9, p = 0,01), dispneia (&#916;MRC: -1,37, p = 0,003), índice BODE (&#916;: -1,25, p = 0,048) e qualidade de vida (&#916; escore total: -7,4, p = 0,02). O GC não apresentou alterações significativas. Conclui-se que o treinamento aeróbio aquático intermitente de intensidade moderada/alta promoveu melhora clinicamente relevante em pacientes com DPOC em termos de qualidade de vida, limitações nas atividades de vida diária, dispneia e no índice BODE, preditor de mortalidade.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[lung diseases]]></kwd>
<kwd lng="en"><![CDATA[hydrotherapy]]></kwd>
<kwd lng="en"><![CDATA[quality of life]]></kwd>
<kwd lng="en"><![CDATA[physical activity]]></kwd>
<kwd lng="es"><![CDATA[enfermedades pulmonares]]></kwd>
<kwd lng="es"><![CDATA[hidroterapia]]></kwd>
<kwd lng="es"><![CDATA[calidad de vida]]></kwd>
<kwd lng="es"><![CDATA[actividad física]]></kwd>
<kwd lng="pt"><![CDATA[doenças pulmonares]]></kwd>
<kwd lng="pt"><![CDATA[hidroterapia]]></kwd>
<kwd lng="pt"><![CDATA[qualidade de vida]]></kwd>
<kwd lng="pt"><![CDATA[atividade física]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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