An Evaluation of Two Approaches to Exercise Conditioning in Pulmonary Rehabilitation

Normandin, Edgar; McCusker, Corliss; Connors, MaryLou; Vale, Frederick; Gerardi, Daniel A.; ZuWallack, Richard

doi:10.1378/chest.121.4.1085

Cited by 131 publications

(61 citation statements)

References 25 publications

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“…However, activities of daily life require submaximal effort more so than they require maximal effort. Thus, from a practical viewpoint, low-intensity PR, which is easier to perform, may lead to improved long-term adherence (Normandin et al 2002). In COPD patients, 12 weeks of home-based PR was shown to improve exercise capacity and the Borg scale, which were then maintained longer than when using hospital-based outpatient PR (Strijbos et al 1996), while low intensity peripheral muscle training at home and once a week under the supervision of a physiotherapist in the hospital was reported to improve exercise tolerance and breathlessness (Clark et Data are expressed as means ± S.D.…”

Section: Discussionmentioning

confidence: 99%

Effective Home-Based Pulmonary Rehabilitation in Patients with Restrictive Lung Diseases

Kagaya

Takahashi

Sugawara

et al. 2009

Tohoku J. Exp. Med.

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Section: Discussionmentioning

confidence: 99%

Effective Home-Based Pulmonary Rehabilitation in Patients with Restrictive Lung Diseases

Kagaya

Takahashi

Sugawara

et al. 2009

Tohoku J. Exp. Med.

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“…However, in addition to walking and cycling, other exercise modalities have been described during PR for COPD patients, e.g. resistance training [2], callisthenics [3], arm cranking [4] and stair climbing [5]. In clinical rehabilitation, a combination of several of these exercises, is often applied.…”

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confidence: 99%

Cardiopulmonary stress during exercise training in patients with COPD

Probst¹

2006

European Respiratory Journal

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Exercise training is an essential component of pulmonary rehabilitation. However, the cardiopulmonary stress imposed during different modalities of exercise training is not yet known.In the present study, the cardiopulmonary stress of a 12-week exercise training programme in 11 chronic obstructive pulmonary disease (COPD) patients (forced expiratory volume in one second 42¡12%pred, age 69¡6 yrs) was measured. Pulmonary gas exchange and cardiac frequency (fC) of three training sessions were measured with a portable metabolic system at the beginning, mid-term and end of the programme. Symptoms were assessed with Borg scores.The exercise intensity was compared with the recommendations for exercise training by the American College of Sports Medicine (ACSM). Training effects were significant (maximum change in work: 14¡11 Watts, 6-min walk test: 44¡36 m). Whole body exercises (cycling, walking and stair climbing) consistently resulted in higher cardiopulmonary stress (oxygen uptake (V9O 2 ), minute ventilation and fC) than arm cranking and resistance training. Dyspnoea was higher during cycling than resistance training. Patients exercised for .70% (.20 min) of the total exercise time at .40% of the V9O 2 reserve and fC reserve (''moderate'' intensity according to the ACSM) throughout the programme.The cardiopulmonary stress resistance training is lower than during whole-body exercise and results in fewer symptoms. In addition, exercise testing based on guidelines using a fixed percentage of baseline peak performance and symptom scores achieves and sustains training intensities recommended according to the American College of Sports Medicine.

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“…Both groups scored similarly on other outcomes, including quality of life and overall dyspnoea. Therefore the authors conclude that both types of training may confer benefits to the COPD population and should be utilised according to patient functional capacity and preference [27]. However, the exercise completed in this study fails to meet the recommendations for training, which should encompass at least three sessions per week.…”

Section: Comparison and Summarymentioning

confidence: 77%

“…However, both of these tests may also be affected by other factors, including patient arthritis, weakness or pain. Other measures have also been used in practice, including assessment of maximal cardiopulmonary exercise tests, which assess maximal capacity rather than endurance, and assessment of dyspnoea [27]. However, there is a general move towards utilising composite measures of outcome performance in order to assess improvement in numerous areas and provide a comprehensive analysis of patient benefits and physiological improvement [17].…”

Section: Monitoring Exercise Intensity and Outcomementioning

confidence: 99%

Prescribing and Monitoring Exercise Intensity in Pulmonary Rehabilitation: Review

Glynn¹

2015

Int J Phys Med Rehabil

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This review intends to explore the impact of various levels of exercise intensity on physiological performance in a group of participants undergoing pulmonary rehabilitation. Specifically, this study aims to determine prescribing and monitoring exercise intensity in pulmonary rehabilitation. Although numerous studies have emerged in the past decade revealing the advantages of different aerobic exercise for pulmonary rehabilitation, this review has examined the nature of exercise training as part of a pulmonary rehabilitation programme in patients with Chronic Obstructive Pulmonary Disease. This review will allow for greater confidence in any observed treatment effects, and will also provide novel information related to physiological and quality of life outcomes in patients with pulmonary disease. Information gained from this review is believed to allow for more individualised and appropriate exercise prescription for pulmonary rehabilitation programmes, as well as promote greater consistency and clarity related to the psychological and social impacts of varying levels of exercise intensity.

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An Evaluation of Two Approaches to Exercise Conditioning in Pulmonary Rehabilitation

Cited by 131 publications

References 25 publications

Effective Home-Based Pulmonary Rehabilitation in Patients with Restrictive Lung Diseases

Effective Home-Based Pulmonary Rehabilitation in Patients with Restrictive Lung Diseases

Cardiopulmonary stress during exercise training in patients with COPD

Prescribing and Monitoring Exercise Intensity in Pulmonary Rehabilitation: Review

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