Effects of home‐based lower limb resistance training on muscle strength and functional status in stable Chronic obstructive pulmonary disease patients

Chen, Yi; Niu, Mei′e; Zhang, Xiuqin; Qian, Hongying; Xie, Anwei; Wang, Xiya

doi:10.1111/jocn.14131

Cited by 39 publications

(68 citation statements)

References 101 publications

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“…A significant difference in extensor ER and extensor and flexor TW was found when compared to the WG. Additionally, the improvement in extensor TW (15%) of LG was equal to the minimal clinical importance difference value, 38 while the improvement of extensor TW (22%) and flexor TW (62%) of the WG was significantly greater. The improved upper limb muscle endurance may be explained by the fact that these muscles were not being trained to the maximum extent during physical activity.…”

Section: Discussionmentioning

confidence: 89%

“…Studies have shown that skeletal muscle dysfunction (declined skeletal muscle strength and endurance compared with healthy sedentary controls) exists in patients with mild COPD, even before respiratory symptoms are present. 37 , 38 Muscle atrophy appears as a major cause of decreased skeletal muscle strength, 39 while the circumference of the upper and lower limbs can strongly predict COPD mortality compared to BMI. 40 Similarly, skeletal muscle dysfunction as an independent risk factor can predict mortality in patients with COPD, 41 and it is closely related to reduced physical activity, exercise capacity, and quality of life.…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of water-based Liuzijue exercise on respiratory muscle strength and peripheral skeletal muscle function in patients with COPD

Wu¹,

Liu²,

Liu³

et al. 2018

COPD

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ObjectsThe purpose of this study was to quantitatively assess the effects of water-based Liuzijue exercise on patients with COPD and compare it with land-based Liuzijue exercise.Materials and methodsParticipants were randomly allocated to one of three groups: the water-based Liuzijue exercise group (WG), the land-based Liuzijue exercise group (LG), and the control group (CG). CG participants accepted no exercise intervention, while training groups performed Liuzijue exercise according to Health Qigong Liuzijue (People’s Republic of China) in different environments for 60-min sessions twice a week for 3 months.ResultsOf the 50 patients enrolled, 45 (90%) completed the 3-month intervention. The CG showed decreased expiratory muscle strength, extensor and flexor endurance ratio (ER) of the elbow joints and flexor peak torque (PT), total work (TW), and ER of the knee joints (p<0.05). Both training groups showed improved respiratory muscle strength, which differed from the CG (p<0.001). In addition, extensor and flexor TW of the elbow joints in the training groups were increased (p<0.01), and the WG differed from the CG in extensor TW and ER and flexor TW (p<0.01), while the LG differed from the CG in flexor TW and extensor ER (p<0.05). PT, PT/body weight (BW), and TW in the knee joint extensor in the training groups were increased as well (PT and PT/BW: p<0.05, TW: p<0.01), and the WG differed from the CG in terms of knee joints outcomes, while the LG differed from the CG in flexor TW only (p<0.05).ConclusionWater-based Liuzijue exercise has beneficial effects on COPD patients’ respiratory muscle strength and peripheral skeletal muscle function, and additional benefits may exist in endurance of upper limbs and strength and endurance of lower limbs when compared with land-based Liuzijue exercise.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Effectiveness of water-based Liuzijue exercise on respiratory muscle strength and peripheral skeletal muscle function in patients with COPD

Wu¹,

Liu²,

Liu³

et al. 2018

COPD

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“…[ 14 , 15 , 17 , 18 , 24 – 27 ] However, it is generally known that conventional exercise training requires equipment, an exercise location, and medical personnel to supervise its safety, which poses a heavy burden on patients’ families and health resources. [ 21 , 28 – 31 ] Compared with conventional exercise modalities, Qigong is simple, soft, and relax, and the playing space and exercise equipment are not restrictive, [ 38 , 39 , 41 – 45 , 49 , 50 ] besides, Qigong emphasizes the importance of the inner body while physical exercise focuses on the outer body. [ 66 ] Qigong is a traditional form of mind–body exercise, which is an important branch of TCM and dates back thousands of years.…”

Section: Discussionmentioning

confidence: 99%

“…[ 26 , 27 ] At same time, conventional exercise training usually conducted by various facilities, including treadmill, cycle ergometer, weight training machines, and other types of equipment, [ 21 , 28 , 29 ] brings a huge burden to patients, patients’ family, and social healthcare resources. [ 30 , 31 ] Hence, convenient and cost-effective exercise training methods should be explored for COPD patients.…”

Section: Introductionmentioning

confidence: 99%

Effect of Liuzijue Qigong on patients with chronic obstructive pulmonary disease

Guo

et al. 2018

Medicine

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Background:Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality worldwide with a substantial and increasing social and economic burden. Liuzijue Qigong is a kind of traditional Chinese Qigong exercises that Traditional Chinese Medicine practitioners prescribe to individuals with COPD to strengthen the internal organs’ function. Liuzijue Qigong was recommended for use in COPD rehabilitation, and some clinical trials indicate that Liuzijue Qigong would produce better functional capacity and quality of life of individuals with COPD. The objective of this study is to conduct a systematic review of the existing studies to assess effectiveness and safety of Liuzijue Qigong for the prevention or treatment of COPD in patients.Methods:We will perform the comprehensive literature search in English and Chinese electronic database. The publication period will be from inception to the search date. In addition, the clinical trial registries, dissertations, informal publication, grey literature, reference lists of studies, systematic reviews, and conference abstracts will also be collected. Two reviewers will identify relevant studies, extract data information, and then assess the methodical quality by the Cochrane risk of bias assessment tool. Only randomized controlled trials comparing Liuzijue Qigong against other intervention or nonintervention will be included. Data will be synthesized by either fixed-effect or random-effect model regarding to a heterogeneity test. The routine lung function, arterial blood gas tensions, partial pressure of carbon dioxide, functional capacity, 30 seconds sit-to-stand test, respiratory function, maximal inspiration pressure, maximal expiratory pressure, airway resistance, and specific airway conductance will be assessed as primary outcomes. The secondary outcomes involved dyspnea, and fatigue levels, respiratory muscle strength, upper and lower limb muscle strength, handgrip strength test, and health-related quality of life and safety. Meta-analysis will be performed by using Cochrane's Review Manager software (version 5.3.5).Results:This systematic review and meta-analysis will provide a high-quality synthesis and evaluate the efficacy and safety based on current relevant literature evidence of Liuzijue Qigong intervention for COPD patient.Conclusion:Our systematic review will provide evidence to determine whether Liuzijue Qigong is an effective and safe approach to prevention and treatment of COPD patients.

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“…However, given the diversity of the home-based programs reviewed, the effectiveness of resistance training was not well established in terms of increasing both strength and functional ability. Large homogeneity in other home-based resistance training protocols have been observed in patients with COPD 35 , diabetes 36 , and kidney disease. 37 A key explanation for this is likely the lack of progression and intensity achievable in a home-setting, and whilst manipulating set and repetition quantities outside conventional ranges may mitigate this 32 , further research in optimising home-based resistance exercise is needed.…”

Section: Rationalementioning

confidence: 99%

Characteristics of effective home-based resistance training exercise in patients with chronic disease: a scoping review protocol

Wilkinson

Billany

Lightfoot

et al. 2019

Preprint

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Regular exercise, principally resistance training, is an effective method to promote muscle hypertrophy and attenuate muscle atrophy during various atrophic conditions . There is growing interest in the evaluation of home-based resistance training programmes. These programmes have the potential to overcome common barriers to participation, such as accessibility and affordability. The objective of the scoping review is to map the available evidence to provide an overview of what characteristics, principles, and components are required for an effective home-based resistance training programme in patients with chronic disease. The four specific objectives of the scoping review will be to: 1) conduct a systematic search of the published and grey literature for studies reporting on home-based resistance training in patients with chronic disease; 2) map out the characteristics and range of methodologies (including exercise protocols and outcome measures) used in effective home-based resistance training; 3) examine reported challenges and limitations of home-based resistance training; and 4) propose recommendations for optimizing home-based resistance training protocols in this population.

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Effects of home‐based lower limb resistance training on muscle strength and functional status in stable Chronic obstructive pulmonary disease patients

Abstract: Our developed home-based LLRT intervention is simple, safe and feasible in stable COPD patients and could hence be promoted in clinical practice.

Cited by 39 publications

References 101 publications

Effectiveness of water-based Liuzijue exercise on respiratory muscle strength and peripheral skeletal muscle function in patients with COPD

Effectiveness of water-based Liuzijue exercise on respiratory muscle strength and peripheral skeletal muscle function in patients with COPD

Effect of Liuzijue Qigong on patients with chronic obstructive pulmonary disease

Characteristics of effective home-based resistance training exercise in patients with chronic disease: a scoping review protocol

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