Endurance and Strength Training in Patients With COPD

Mador, M. Jeffery; Bozkanat, Erkan; Aggarwal, Ajay; Shaffer, Mary; Kufel, Thomas J.

doi:10.1378/chest.125.6.2036

Cited by 140 publications

(79 citation statements)

References 34 publications

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“…other pulmonary rehabilitation protocols also found an improvement in Qol in asthmatic and Copd patients [20][21][22][23][24] . wijkstra et al 25 used the CRQ to investigate how a home exercise program could interfere in the quality of life of Copd patients.…”

Section: Discussionmentioning

confidence: 78%

Eficácia da reabilitação pulmonar uma vez na semana em portadores de doença pulmonar obstrutiva

Roceto

Takara

Machado

et al. 2007

Rev. bras. fisioter.

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Background: obstructive pulmonary diseases may interfere negatively with patients' quality of life (Qol). Specific Qol questionnaires such as the Chronic Respiratory Questionnaire (CRQ) have been used to quantify the impact of the disease and measure the effects of different rehabilitation protocols. objective: to evaluate the effectiveness of pulmonary rehabilitation performed once a week in association with exercises at home among patients with obstructive pulmonary disease, by means of CRQ comparisons, maximum respiratory pressures (mIp and mEp) and six-minute walking distance test (6mwd), before and after treatment. methods: this study was developed in the physical therapy outpatient clinic of the hospital. thirty-four patients of both sexes with obstructive pulmonary disease were evaluated, and nineteen (mean age: 60.8 ± 14.2 years) were included in the study. these subjects all underwent physiotherapeutic evaluation and reevaluation with the CRQ and measurements of mIp, mEp and 6mwd. the physical therapy consisted of respiratory, aerobic and resistance exercises once a week for 12 weeks, together with home exercises twice a week. Results: the wilcoxon test and Spearman correlation were used. Statistically significant differences between evaluations before and after rehabilitation were found for all CRQ domains (p≤ 0.05), mIp (p= 0.01) and mEp (p= 0.002). Conclusion: the proposed program improved Qol and promoted increases in maximum respiratory pressures among these patients with obstructive pulmonary disease, even though the current literature suggests that higher frequency of training is needed.

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Section: Discussionmentioning

confidence: 78%

Eficácia da reabilitação pulmonar uma vez na semana em portadores de doença pulmonar obstrutiva

Roceto

Takara

Machado

et al. 2007

Rev. bras. fisioter.

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“…(24) The short-term benefits comparison of the post-PRP and current evaluation values revealed no statistically significant differences. The levels of anxiety (p = 0.127), depression (p = 0.228), quality of life (p = 0.157) and 6MWD (p = 0.254) remained stable.…”

Section: Resultsmentioning

confidence: 85%

Repercussões tardias de um programa de reabilitação pulmonar sobre os índices de ansiedade, depressão, qualidade de vida e desempenho físico em portadores de DPOC

et al. 2009

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Objective: To assess the 24-month effects of a pulmonary rehabilitation program (PRP) on anxiety, depression, quality of life and physical performance of COPD patients. Methods: Thirty patients with COPD (mean age, 60.8 ± 10 years; 70% males) participated in a 12-week PRP, which included 24 physical exercise sessions, 24 respiratory rehabilitation sessions, 12 psychotherapy sessions and 3 educational sessions. All patients were evaluated at baseline (pre-PRP), at the end of the treatment (post-PRP) and two years later (current) by means of four instruments: the Beck Anxiety Inventory; the Beck Depression Inventory; Saint George's Respiratory Questionnaire; and the six-minute walk test (6MWT). Results: The comparison between the pre-PRP and post-PRP values revealed a significant decrease in the levels of anxiety (pre-PRP: 10.7 ± 6.3; post-PRP: 5.5 ± 4.4; p = 0.0005) and depression (pre-PRP: 11.7 ± 6.8; post-PRP: 6.0 ± 5.8; p = 0.001), as well as significant improvements in the distance covered on the 6MWT (pre-PRP: 428.6 ± 75.0 m; post-PRP: 474.9 ± 86.3 m; p = 0.03) and the quality of life index (pre-PRP: 51.0 ± 15.9; post-PRP: 34.7 ± 15.1; p = 0.0001). There were no statistically significant differences between the post-PRP and current evaluation values. Conclusions: The benefits provided by the PRP in terms of the indices of anxiety, depression and quality of life, as well as the improved 6MWT performance, persisted throughout the 24-month study period.Keywords: Pulmonary disease, chronic obstructive; Rehabilitation; Exercise; Quality of life; Anxiety; Depression. ResumoObjetivo: Analisar os efeitos, após 24 meses, de um programa de reabilitação pulmonar (PRP) sobre os níveis de ansiedade, depressão, qualidade de vida e desempenho físico em pacientes com DPOC. Métodos: Trinta pacientes com DPOC (idade média, 60,8 ± 10 anos; 70% do sexo masculino) participaram de um PRP com 12 semanas de duração, incluindo 24 sessões de exercício físico, 24 sessões de reeducação respiratória, 12 sessões de psicoterapia e 3 sessões educacionais. Os pacientes foram avaliados na linha de base (pré-PRP), ao término do PRP (pós-PRP) e dois anos mais tarde (momento atual) através de quatro instrumentos: Inventário de Ansiedade de Beck; Inventário de Depressão de Beck; Questionário Respiratório do Hospital Saint George; e teste da caminhada de 6 minutos (TC6). Resultados: A comparação entre o pré-PRP e o pós-PRP revelou uma redução significativa dos níveis de ansiedade (pré-PRP: 10,7 ± 6,3; pós-PRP: 5,5 ± 4,4; p = 0,0005) e de depressão (pré-PRP: 11,7 ± 6,8; pós-PRP: 6,0 ± 5,8; p = 0,001), assim como melhoras na distância percorrida no TC6 (pré-PRP: 428,6 ± 75,0 m; pós-PRP: 474,9 ± 86,3 m; p = 0,03) e no índice de qualidade de vida (pré-PRP: 51,0 ± 15,9; pós-PRP: 34,7 ± 15,1; p = 0,0001). Não houve diferenças estatisticamente significativas entre os resultados do pós-PRP e os do momento atual. Conclusões: Os benefícios obtidos através do PRP sobre os índices de ansiedade, depressão e qualidade de vida, assim como no TC6, persis...

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“…9 In addition to the studies referenced in Table I, a number of researchers have looked at a combination of strength-endurance interventions in COPD patients. 2,4,3,28,32 Results from these studies do in some instances support a combined programme over endurance or resistance training alone. The reported additive effects of combined interventions (resistance and endurance) in some studies have gained support for its incorporation into rehabilitation programmes.…”

Section: Pulmonary Rehabilitation Immobilitymentioning

confidence: 78%

COPD: Is there evidence to support a role for resistance training in improving measurable health-related quality of life in pulmonary rehabilitation?

Semple¹,

McKune

2007

S. Afr. j. sports med.

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Chronic obstructive pulmonary disease (COPD) is one of the leading causes of morbidity and mortality. As such, the disease places a significant burden on health care services. Although the pathogenesis of COPD is complex, progressive airflow limitation and a chronic inflammatory response are two hallmark characteristics of the disease. In addition, systemic manifestations such as peripheral muscle dysfunction have recently received considerable attention in the literature. Pulmonary rehabilitation is an evidence-based multidisciplinary intervention that has been shown to produce clinically relevant outcomes. One important component of rehabilitation is exercise. With the majority of COPD patients presenting with muscle weakness and exercise intolerance, the inclusion of resistance training into a pulmonary rehabilitation programme would seem appropriate. Compared with other exercise/training modalities only a small number of studies have investigated the effects of resistance training in COPD patients. Although further research is required to identify the optimal mode, intensity and frequency, it appears that resistance training may prove to be a valuable intervention for COPD patients enrolled in pulmonary rehabilitation programmes.

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Endurance and Strength Training in Patients With COPD

Cited by 140 publications

References 34 publications

Eficácia da reabilitação pulmonar uma vez na semana em portadores de doença pulmonar obstrutiva

Eficácia da reabilitação pulmonar uma vez na semana em portadores de doença pulmonar obstrutiva

Repercussões tardias de um programa de reabilitação pulmonar sobre os índices de ansiedade, depressão, qualidade de vida e desempenho físico em portadores de DPOC

COPD: Is there evidence to support a role for resistance training in improving measurable health-related quality of life in pulmonary rehabilitation?

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