Effect of three exercise programs on patients with chronic obstructive pulmonary disease

Dourado, Victor Zuniga; Tanni, Suzana Erico; Antunes, Letícia Cláudia de Oliveira; Paiva, Sérgio Alberto Rupp de; Campana, Álvaro Oscar; Rennó, Ana Cláudia Muniz; Godoy, Irma

doi:10.1590/s0100-879x2009000300007

Cited by 50 publications

(68 citation statements)

References 35 publications

(55 reference statements)

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“…Both groups had significant improvement in Saint George's Respiratory Questionnaire score (see Table 4). This is in accordance with previous studies, which also found improved health-related quality of life and dyspnea after either high-intensity 2,28,32 or lowintensity exercise training [5][6][7]27 . Although the enduranceand-strength group had a greater improvement in Saint George's Respiratory Questionnaire score, this difference was not significant, compared to the improvement in the calisthenics-and-breathing group (see Table 4).…”

Section: Discussionsupporting

confidence: 93%

“…2,4 Programs that include high-intensity exercise (such as endurance and strength training) and lowintensity training (such as callisthenic exercises in the sitting and standing position, moving the upper limbs against gravity) improve outcomes that are relevant to patients (eg, overall dyspnea, functional performance, and health status). 2,[5][6][7] On the other hand, high-intensity programs tend to result in deeper physiological improvements, being especially efficient in increasing exercise capacity and muscle force. 2 However, an important issue not yet investigated is whether different exercise training programs result in different post-program effects on the level of physical activity in daily life in this population.…”

Section: Introductionmentioning

confidence: 99%

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Effects of 2 Exercise Training Programs on Physical Activity in Daily Life in Patients With COPD

et al. 2011

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Effects of 2 Exercise Training Programs on Physical Activity in Daily Life in Patients With COPD

et al. 2011

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“…It consisted of stretching of the upper and lower limbs and treadmill exercise started at 80% of the speed and inclination obtained in the exercise treadmill test. 28 The training intensity was adjusted over the weeks by using the sensation of dyspnea as a parameter, keeping it between 4 and 6 on the Borg CR 10 scale, 29 and always keeping the heart rate at 85% of maximum. Oxygen was supplemented during exercise, when the S pO 2 was below 88%.…”

Section: Physical Training Programmentioning

confidence: 99%

Effects of Inspiratory Muscle Training and Calisthenics-and-Breathing Exercises in COPD With and Without Respiratory Muscle Weakness

et al. 2015

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BACKGROUND: Patients with COPD may experience respiratory muscle weakness. Two therapeutic approaches to the respiratory muscles are inspiratory muscle training and calisthenics-andbreathing exercises. The aims of the study are to compare the effects of inspiratory muscle training and calisthenics-and-breathing exercises associated with physical training in subjects with COPD as an additional benefit of strength and endurance of the inspiratory muscles, thoracoabdominal mobility, physical exercise capacity, and reduction in dyspnea on exertion. In addition, these gains were compared between subjects with and without respiratory muscle weakness. METHODS: 25 subjects completed the study: 13 composed the inspiratory muscle training group, and 12 composed the calisthenics-and-breathing exercises group. Subjects were assessed before and after training by spirometry, measurements of respiratory muscle strength and test of inspiratory muscle endurance, thoracoabdominal excursion measurements, and the 6-min walk test. Moreover, scores for the Modified Medical Research Council dyspnea scale were reported. RESULTS: After intervention, there was a significant improvement in both groups of respiratory muscle strength and endurance, thoracoabdominal mobility, and walking distance in the 6-min walk test. Additionally, there was a decrease of dyspnea in the 6-min walk test peak. A difference was found between groups, with higher values of respiratory muscle strength and thoracoabdominal mobility and lower values of dyspnea in the 6-min walk test peak and the Modified Medical Research Council dyspnea scale in the inspiratory muscle training group. In the inspiratory muscle training group, subjects with respiratory muscle weakness had greater gains in inspiratory muscle strength and endurance. CONCLUSIONS: Both interventions increased exercise capacity and decreased dyspnea during physical effort. However, inspiratory muscle training was more effective in increasing inspiratory muscle strength and endurance, which could result in a decreased sensation of dyspnea. In addition, subjects with respiratory muscle weakness that performed inspiratory muscle training had higher gains in inspiratory muscle strength and endurance but not of dyspnea and submaximal exercise capacity. (ClinicalTrials.gov registration NCT01510041.)

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“…(12) No presente estudo, viuse que sujeitos graves têm maiores benefícios nos treinos de força muscular isolado ou associado ao treinamento aeróbico e que a união dos treinamentos demonstraram uma melhora na qualidade de vida quando comparado com o treinamento de aeróbico isolado ou somente o treinamento da musculatura respiratória. (8) Em relação à associação dos treinos, a revisão sugere que os achados corroboram para uma melhora da força muscular e da capacidade para realizar exercícios nos dois regimes de músculos dos membros superiores, latíssimo do dorso, peitoral maior e abdominais durante um mínimo de seis semanas de treino por 2 a 3 vezes por semana, (16) sendo necessário maiores estudos que protocolem número de repetições e séries e que avaliem diretamente a função pulmonar.…”

Section: Discussionunclassified

Efeitos Do Treino De Endurance E De Força Em Pacientes Com Doença Pulmonar Obstrutiva Crônica: Um Estudo De Revisão

Mangabeira¹,

Macedo²

2013

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ResumoIntrodução: A Doença Pulmonar Obstrutiva Crônica (DPOC) é uma enfermidade crônica (causada principalmente pelo tabagismo) que se caracteriza pela obstrução não totalmente reversível do fluxo aéreo. Os pacientes podem apresentar dispnéia, intolerância ao exercício e mudanças na percepção da qualidade de vida. Estas manifestações melhoram discretamente com terapias clínicas, porém, o condicionamento físico realizado a partir de treinamentos para endurance e força parece fundamental visto que otimiza a condição cardiorrespiratória e musculoesquelética, diminui a sintomatologia e aumenta a capacidade para o exercício. Objetivo: Buscar evidências sobre a influência destes treinos direcionados para a musculatura periférica e seu impacto na dispnéia, tolerância ao esforço e na qualidade de vida desta população. Metodologia: Trata-se de uma revisão de atualização de tema. Utilizaram-se livros e artigos (publicados entre 2000 e 2011) nas bibliotecas virtuais Lilacs; Scielo; Bireme; PubMed; e MedLine coletados entre setembro a novembro de 2011. Resultados: Foram encontrados seis artigos (publicados entre 2001 a 2010) que demonstraram benefícios dos treinos com freqüência mínima de 2 a 3 vezes/semana durante um período mínimo de seis semanas, sobre as variáveis, principalmente no estadiamento moderado e grave da DPOC. Conclusão: O tratamento para pacientes com DPOC deve englobar, além do tratamento conservador, treinos aeróbicos e anaeróbicos dos músculos periféricos, sendo necessários estudos cujos protocolos sejam definidos por volume e intensidade de treinamento.Palavras-chave: Doença pulmonar obstrutiva crônica; Força muscular; Dispnéia. EFFECTS OF ENDURANCE AND STRENGTH TRAINING IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASEAbstract Introduction: Chronic Obstructive Pulmonary Disease (COPD) is a chronic disease (mainly caused by smoking) that is characterized by a non-reversible airflow limitation. Patients may present with dyspnea, exercise intolerance and changes in the perception of quality of life. These manifestations with clinical therapies improve slightly, but the fitness achieved from training for endurance and strength seems essential since optimizes cardiorespiratory and musculoskeletal condition, reduces symptoms and improves exercise capacity. Objective:To find evidence about the influence of the execise training designed to the peripheral muscles and its impact on dyspnea, exercise tolerance and quality of life. Methods: This is a revision update theme. We used books and articles (published between 2000 and 2011) in virtual libraries Lilacs, SciELO; Bireme; PubMed, MedLine and collected between September and November 2011. Results: Six articles (published from 2001 to 2010), which demonstrated benefits of training with a minimum frequency of 2 to 3 times / week for at least six weeks on the variables were found, especially in staging moderate and severe COPD. Conclusion: The treatment for patients with COPD should include, in addition to conservative treatment, aerobic and anaerobic trainin...

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Effect of three exercise programs on patients with chronic obstructive pulmonary disease

Cited by 50 publications

References 35 publications

Effects of 2 Exercise Training Programs on Physical Activity in Daily Life in Patients With COPD

Effects of 2 Exercise Training Programs on Physical Activity in Daily Life in Patients With COPD

Effects of Inspiratory Muscle Training and Calisthenics-and-Breathing Exercises in COPD With and Without Respiratory Muscle Weakness

Efeitos Do Treino De Endurance E De Força Em Pacientes Com Doença Pulmonar Obstrutiva Crônica: Um Estudo De Revisão

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