Handgrip strength is associated with dyspnoea and functional exercise capacity in male patients with stable COPD

Wu, Zhida; Han, Yan-zhao; Niu, Mei′e; Chen, Y.; Zhang, X. Q.; Qian, Hongying

doi:10.5588/ijtld.18.0269

Cited by 11 publications

(9 citation statements)

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“…31 The ULET may play an important role in PR, as reduced muscle strength of the UL has been found to correlate with worse outcomes including reduced distance in walk tests, [34][35][36] reduced quality of life, 34,37 reduced muscle mass, 35,36,38 and increased dyspnea symptoms. 34,36 In addition, handgrip strength as a measure of the UL muscle capacity has been reported to be correlated with exacerbation frequency and also with left ventricular geometry. 38,39 Previous studies, similar to our study, have shown that resistance ULET could increase strength and muscle function, enhance ADL performance, and subsequently improve COPD consequences.…”

Section: Discussionmentioning

confidence: 99%

Effect of Strength Versus Strength and Endurance Upper Limb Exercise Training in Patients With Chronic Obstructive Pulmonary Disease

Karagiannis

Savva

Korakakis

et al. 2021

Journal of Cardiopulmonary Rehabilitation and Prevention

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C hronic obstructive pulmonary disease (COPD) is characterized by dyspnea, fatigue, exercise intolerance, poor quality of life, and high rates of morbidity and mortality. 1 In addition, peripheral muscle weakness 2 and inability to perform activities of daily living (ADL) with the upper limbs (UL) are common findings among patients with COPD. 3 Pulmonary rehabilitation (PR) programs are offered worldwide for the management of COPD and exercise training is a core component of PR. 4 Evidence suggests that exercise training can improve muscle function in patients with COPD, 2,5 and can drive improvements of oxidative 6 and exercise capacity, 4,5,7 and reduce ventilatory requirements and dyspnea. 8 Although similar beneficial effects have also been reported in patients with COPD for resistance and endurance training, 9 the specifics and the relative contribution of the upper limb exercise training (ULET) in PR of these patients remain unclear. 5 Findings from previous systematic reviews evaluating ULET in patients with COPD were inconsistent with respect to the translation of UL functional improvements reported to outcome measures such as health-related quality of life (HRQL), dyspnea, and ADL. [10][11][12][13] Recent evidence from a systematic review and meta-analysis indicates no effect in dyspnea and HRQL when endurance ULET was compared with resistance ULET, or when ULET combined with lower limb exercise training was compared with lower limb training alone. 3 Recent PR guidelines included endurance and resistance exercise for developing cardiorespiratory function, musculoskeletal fitness, and HRQL. 5,14 Upper limb exercise training has also been recommended given the evidence for improvements in UL function 5 ; however, the effectiveness of ULET in ADL of patients with COPD, as well as the optimal type of ULET, has yet to be determined due to the limited evidence comparing the effectiveness of different UL training interventions. 3 Given the lack of evidence from studies combining endurance and resistance ULET on patient-relevant outcomes, the main objective of the present study was to evaluate the effects of a rehabilitation program including resistance ULET with and without the addition of endurance ULET on ADL, HRQL, peripheral muscle strength, dyspnea, and fatigue perception in patients with COPD. METHODSPatients with stable COPD were referred for a PR program at Nicosia General Hospital. Consecutive patients were approached over a period of 18 mo (December 2017 to June 2019). Patients were included if they had: (1) diagnosis of

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Section: Discussionmentioning

confidence: 99%

Effect of Strength Versus Strength and Endurance Upper Limb Exercise Training in Patients With Chronic Obstructive Pulmonary Disease

Karagiannis

Savva

Korakakis

et al. 2021

Journal of Cardiopulmonary Rehabilitation and Prevention

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show abstract

“…Because bleeding is less common in the wrist joint compared with other joints in hemophilia (16), we did not include it in the evaluation of ROM or muscle strength in this study. However, grip strength is an index of muscle strength and is also correlated with cardiopulmonary function (17); thus, we evaluated grip strength as an index of general physical function in this study. The result showed that grip strength of the patients in their 30s was 83.5% of the reference value, which decreased with age.…”

Section: Discussionmentioning

confidence: 99%

Survey of motor function and activities of daily living in hemophilia patients with HIV

et al. 2021

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This study aimed to clarify the current status of motor function, activities of daily living (ADL), and instrumental ADL (IADL) in hemophilia patients with HIV infection due to treatment with non-heat-treated blood products as they now enter middle and old age. Participants were 70 such patients (mean age, 52.1 years), and their range of motion (ROM), muscle strength, extremity circumference, walking speed, ADL, and IADL were evaluated at checkups of motor function, ADL, and IADL that were held during patients' association meetings. Results showed that ROM was limited in all joints. Ankle dorsiflexion, hip abduction, and shoulder abduction were particularly restricted. Decreased muscle strength was most frequent in ankle plantarflexion, followed by hip extension. The proportion of patients with walking speed and grip strength below reference values increased with age. Walking speed was 73.9-110.9% of reference values. Factors affecting walking speed were knee flexion, ankle dorsiflexion, and hip extension muscle strength. Grip strength was 58.0-83.5% of reference values. Thigh girth most greatly differed between the patients and healthy individuals. Among the ADL items, "standing up from the floor" was reported as "difficult"/"cannot do" by 45.7% of the patients. The most common IADL problem was "putting away futons", which 17.2% responded was "difficult"/"cannot do". Parents were the most common helpers with household tasks (12.9%). "Decreased muscle strength/limited ROM" was the most frequently reported troublesome problem (35.7%). These results reveal the current status of motor function, ADL, and IADL limitations in hemophilia patients with HIV.

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“…The most common clinical presentation of COPD is limitation of daily living activites due to breathlessness sensation. Dyspnoea first occurs during high-intensity physical exercise, later during milder effort, finally at rest, eventually resulting in physical inactivity, lifestyle change and social isolation 1,[76][77][78] . Chronic fatigue is a highly prevalent sign in the COPD population.…”

Section: Clinical Phenotypes Of Copdmentioning

confidence: 99%

“…Coincidence of two specific phenotypes: chronic bronchitis + frequent excerbator or BCO + frequent exacerbator are associated with a more negative influence of disease on patients quality of life and the course of the disease 77,87 . The most severe COPD patients with clinically balanced triple mixture of emphysematous + chronic bronchitic + frequent exacerbation phenotypes suffer from severe symptoms, poorer quality of life, sleep disturbances, and highest levels of depression and anxiety 92 .…”

Section: Coincidence/co-presence Of More Phenotypesmentioning

confidence: 99%

Chronic obstructive pulmonary disease - diagnosis and management of stable disease; a personalized approach to care, using the treatable traits concept based on clinical phenotypes. Position paper of the Czech Pneumological and Phthisiological Society

et al. 2020

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Handgrip strength is associated with dyspnoea and functional exercise capacity in male patients with stable COPD

Cited by 11 publications

References 0 publications

Effect of Strength Versus Strength and Endurance Upper Limb Exercise Training in Patients With Chronic Obstructive Pulmonary Disease

Effect of Strength Versus Strength and Endurance Upper Limb Exercise Training in Patients With Chronic Obstructive Pulmonary Disease

Survey of motor function and activities of daily living in hemophilia patients with HIV

Chronic obstructive pulmonary disease - diagnosis and management of stable disease; a personalized approach to care, using the treatable traits concept based on clinical phenotypes. Position paper of the Czech Pneumological and Phthisiological Society

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