Partitioning strength exercises as an alternative training modality for patients with <scp>COPD</scp>

Vaes, Anouk W.

doi:10.1111/resp.13087

Cited by 4 publications

(4 citation statements)

References 16 publications

(34 reference statements)

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“…They reported no differences, although exercises with both arms elevated above shoulder level significantly increased heart rate, blood pressure and perceived exertion . However, in the accompanying editorial, Vaes noted that this was a single, small study and may not have been representative of the population.…”

Section: Copdmentioning

confidence: 91%

Year in review 2017: Chronic obstructive pulmonary disease and asthma

Benton

Lim

et al. 2018

Respirology

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Section: Copdmentioning

confidence: 91%

Year in review 2017: Chronic obstructive pulmonary disease and asthma

Benton

Lim

et al. 2018

Respirology

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“…Partitioned exercise, exercising a single limb at a time [53], for example, cycling 15 min each leg opposed to 30 min with both legs [54,55] has been proposed to optimize training intensity in patients with COPD. Partitioned exercise reduces the overall ventilatory requirement yet places same metabolic and functional demands on the targeted muscle [56]. Partitioned exercise training could be a reasonable option for IPF.…”

Section: Alternate Adjunct Therapies and Exercise Interventionsmentioning

confidence: 99%

Pulmonary rehabilitation in idiopathic pulmonary fibrosis

Dowman,

Holland

2024

Current Opinion in Pulmonary Medicine

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Purpose of review This review synthesizes the expanding evidence for pulmonary rehabilitation that has led to its recommended inclusion in the holistic care of people with idiopathic pulmonary fibrosis (IPF), as well as discussing strategies that may maximize and sustain benefits. Recent findings Pulmonary rehabilitation is an effective intervention leading to significant improvements in exercise tolerance, symptoms, and quality of life for people with IPF. Improvements in symptoms and quality of life can persist longer term, whereas functional capacity does not; therefore, strategies to preserve functional capacity are an important area of research. Referral early in the disease course is encouraged to promote longer lasting effects. Evidence that high-intensity interval training may optimize benefits of exercise training is emerging. Supplemental oxygen is frequently used to manage exercise-induced desaturation, although its use as an adjunct therapy requires more evidence. Summary Current evidence strongly supports the inclusion of pulmonary rehabilitation in the standard holistic care of IPF, with early participation encouraged. Further research is needed to establish the optimal exercise strategies, modalities and adjunct therapies that enhance outcomes of pulmonary rehabilitation and promote longer lasting effects.

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“…Rather, the heterogeneous response patterns may result from differences in study design, including differences in resistance training protocols. Indeed, the cardiopulmonary limitations of COPD patients may call for specific modifications to resistance training exercises in order to further reduce the physiological demand . At present, we know little about this perspective, with only a handful of studies investigating the efficacy of different resistance exercise modalities …”

Section: Introductionmentioning

confidence: 99%

“…Conventional resistance training of the legs typically involves two‐legged exercises. In moderate to severe COPD, this is likely to involve too much muscle mass to allow for optimal activation (and arguably adaptation) . Intuitively, this is readily solvable by using one‐legged resistance exercises, which naturally reduces the amount of active muscle mass.…”

Section: Introductionmentioning

confidence: 99%

Muscular performance decreases with increasing complexity of resistance exercises in subjects with chronic obstructive pulmonary disease

et al. 2019

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Chronic obstructive lung disease (COPD) is associated with impaired muscle functions in addition to the impaired cardiopulmonary capacity inherent to the disease.The purpose of this study was to compare muscular performance between COPD subjects (COPD, n = 11, GOLD grade II/III; FEV 1 = 53 ± 14% predicted; 61 ± 7 years) and healthy controls (HC, n = 12, 66 ± 8 years) in three resistance exercises with different complexity: (a) one-legged knee extension (1KE), and (b) one-and (c) twolegged leg press (1LP and 2LP, respectively). For each exercise, muscular performance was defined as repetitions to exhaustion at 60% of one-repetition maximum or overall exercise volume, calculated as the sum of three exercise sets. In HC, muscular performance increased progressively with increasing physiological complexity: 1KE < 1LP < 2LP. Using 1KE as reference value, muscular performance increased by 1.9 (repetitions) or 4.6-fold (volume) in 1LP and 3.1 or 7.1-fold in 2LP. In COPD, similar increases occurred going from 1KE to 1LP (1.9 or 4.4-fold change), but not from 1LP to 2LP, where no further increase occurred. In conclusion, in COPD, performance is impaired in exercises involving larger amounts of muscle mass (>1LP), advocating utilization of one-legged resistance protocols for rehabilitation purposes. K E Y W O R D Scardiorespiratory capacity, chronic obstructive lung disease, muscular performance, resistance training, strength training, unilateral training How to cite this article: Mølmen KS, Evensen Thy E, Thallaug Dalane S, Ellefsen S, Falch GS. Muscular performance decreases with increasing complexity of resistance exercises in subjects with chronic obstructive pulmonary disease. Transl Sports Med.

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Partitioning strength exercises as an alternative training modality for patients with COPD

Abstract: http://onlinelibrary.wiley.com/doi/10.1111/resp.13056/abstract

Cited by 4 publications

References 16 publications

Year in review 2017: Chronic obstructive pulmonary disease and asthma

Year in review 2017: Chronic obstructive pulmonary disease and asthma

Pulmonary rehabilitation in idiopathic pulmonary fibrosis

Muscular performance decreases with increasing complexity of resistance exercises in subjects with chronic obstructive pulmonary disease

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