Exercise training in interstitial lung disease: lumping or splitting?

Curtis, Katrina; Hopkinson, Nicholas S

doi:10.1136/thoraxjnl-2016-209929

Cited by 7 publications

(5 citation statements)

References 17 publications

(13 reference statements)

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“…Breathing therapy has been revealed to be an important component of a multimodal therapy for lung fibrosis as well as for pulmonary hypertension (31)(32)(33)(34)(35)(36)(37)(38)(39)(40). Surprisingly, we found that only 57 of all 1,456 patients with lung fibrosis (3.9%) were treated with breathing therapy.…”

Section: Discussionmentioning

confidence: 75%

Large Variability of Frequency and Type of Physical Therapy in Patients in the German Network for Systemic Sclerosis

Belz

Moinzadeh

Riemekasten³

et al. 2020

Arthritis Care & Research

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Objective. To determine the type and frequency of physical therapy (PT) prescribed by physicians for patients in the registry of the German Network for Systemic Sclerosis.Methods. The data for 4,252 patients were analyzed using descriptive statistics, chi-square tests, and odds ratios (ORs).Results. Overall, 37.4% of patients (1,590 of 4,252) received PT at the end of a yearly follow-up. The most frequently used type of PT was lymphatic drainage (n = 1,061, 36.8%), followed by exercise therapy (n = 1,047, 36.3%) and heat therapy (n = 689, 23.9%). More than three-fourths of treated patients (82%) received 1 or 2 different forms of PT simultaneously. The prescription of PT was associated with the extent of skin fibrosis as measured by the modified Rodnan skin thickness score (<10 [41.8% of patients], 11-20 [55.8% of patients], and >21 [63.9% of patients]; P < 0.001). Patients with musculoskeletal involvement (e.g., arthritis, muscle weakness, joint contractures, tendon friction rubs) had a higher chance of receiving PT than patients without these symptoms, with corresponding ORs ranging from 1.96 (95% confidence interval [95% CI] 1.69-2.28) for joint contractures to 3.83 (95% CI 2.89-5.08) for arthritis. When comparing the type of PT prescription across the initial and all follow-up visits from 2003 to 2017, significant alterations with a decreasing frequency of patients receiving PT could be observed (P = 0.001).Conclusion. To our knowledge, this is the first study reporting the use of PT in patients with systemic sclerosis (SSc) in a large cohort. Although SSc is characterized by considerable disability and restriction of motion, <40% of patients received PT.

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Section: Discussionmentioning

confidence: 75%

Large Variability of Frequency and Type of Physical Therapy in Patients in the German Network for Systemic Sclerosis

Belz

Moinzadeh

Riemekasten³

et al. 2020

Arthritis Care & Research

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“…Even though conclusive validations are scarce with the need for future testing in randomized controlled trials and in real life, we tried to build a scheme of exercise training based on the available data for COVID-19 patients at the moment (Table 1). Consequently, in addressing the urgent need for a structured exercise program for long-COVID-19, it being considered as a multifactorial disease, we reviewed exercise training recommendations validated for similar diseases from a pathophysiological point of view [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39]. Table 2 reports different pathophysiology features of COVID-19 and related landmark diseases with specific characteristics.…”

Section: Exercise Training In Post-covid-19 Patientsmentioning

confidence: 99%

Exercise Training in Post-COVID-19 Patients: The Need for a Multifactorial Protocol for a Multifactorial Pathophysiology

Cattadori

Marco

Baravelli

et al. 2022

JCM

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The battle against COVID-19 has entered a new phase with Rehabilitation Centres being among the major players, because the medical outcome of COVID-19 patients does not end with the control of pulmonary inflammation marked by a negative virology test, as many patients continue to suffer from long-COVID-19 syndrome. Exercise training is known to be highly valuable in patients with cardiac or lung disease, and it exerts beneficial effects on the immune system and inflammation. We therefore reviewed past and recent papers about exercise training, considering the multifactorial features characterizing post-COVID-19 patients’ clinical conditions. Consequently, we conceived a proposal for a post-COVID-19 patient exercise protocol as a combination of multiple recommended exercise training regimens. Specifically, we built pre-evaluation and exercise training for post-COVID-19 patients taking advantage of the various programs of exercise already validated for diseases that may share pathophysiological and clinical characteristics with long-COVID-19.

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“…Exercise training is important in the management of adults with chronic pulmonary conditions. Systematic reviews, undertaken in clinical populations, such as adults with chronic obstructive pulmonary disease (COPD) [1,2], cystic fibrosis (CF) [3,4], non-CF bronchiectasis, interstitial lung diseases (ILDs) [5][6][7], asthma [8], and nonsmall cell lung cancer (NSCLC) [9][10][11] have shown that exercise training is effective at increasing components of cardiorespiratory fitness (i.e. the peak rate of oxygen uptake; VO 2peak ) and exercise capacity (i.e.…”

Section: Introductionmentioning

confidence: 99%

Effects of high intensity interval training on exercise capacity in people with chronic pulmonary conditions: a narrative review

Sawyer

Cavalheri

Hill

2020

BMC Sports Sci Med Rehabil

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Background: Exercise training is important in the management of adults with chronic pulmonary conditions. However, achieving high intensity exercise may be challenging for this clinical population. There has been clinical interest in applying interval-based training as a strategy to optimise the load that can be tolerated during exercise training. Evidence for such an approach is limited in most chronic pulmonary populations. Main body: In this narrative review, we provide an appraisal of studies investigating whole-body high intensity interval training (HIIT) in adults with chronic obstructive pulmonary disease (COPD). This is the first review to also include studies investigating HIIT in people with conditions other than COPD. Studies undertaken in adults with a chronic pulmonary condition were reviewed when participants were randomised to receive; (i) HIIT or no exercise or, (ii) HIIT or moderate intensity continuous exercise. Data were extracted on peak rate of oxygen uptake (VO 2peak ; 'cardiorespiratory fitness') and maximal work rate (W max ; 'exercise capacity'). In people with COPD, two studies demonstrated between-group differences favouring HIIT compared with no exercise. There appears to be no advantage for HIIT compared to continuous exercise on these outcomes. In people with cystic fibrosis (CF), no studies have compared HIIT to no exercise and the two studies that compared HIIT to continuous exercise reported similar benefits. In people prior to resection for non-small cell lung cancer, one study demonstrated a between-group difference in favour of HIIT compared with no exercise on VO 2peak. In people with asthma, one study demonstrated a between-group difference in favour of HIIT compared with no exercise on VO 2peak and one that compared HIIT to continuous exercise reported similar benefits. No studies were identified non-CF bronchiectasis or interstitial lung diseases. Conclusions: High intensity interval training increases cardiorespiratory fitness and exercise capacity when compared with no exercise and produces a similar magnitude of change as continuous exercise in people with COPD. There is a paucity of studies exploring the effects of HIIT in other chronic pulmonary conditions.

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Exercise training in interstitial lung disease: lumping or splitting?

Cited by 7 publications

References 17 publications

Large Variability of Frequency and Type of Physical Therapy in Patients in the German Network for Systemic Sclerosis

Large Variability of Frequency and Type of Physical Therapy in Patients in the German Network for Systemic Sclerosis

Exercise Training in Post-COVID-19 Patients: The Need for a Multifactorial Protocol for a Multifactorial Pathophysiology

Effects of high intensity interval training on exercise capacity in people with chronic pulmonary conditions: a narrative review

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