Two different training programmes for patients with COPD: A randomised study with 1-year follow-up

Arnardóttir, Ragnheiður Harpa; Sörensen, Stefan; Ringqvist, Ivar; Larsson, Kjell

doi:10.1016/j.rmed.2005.03.043

Cited by 31 publications

(37 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…International guidelines present evidence of physiological benefits associated with higher aerobic training intensities, 41 in accordance with historical studies by Casaburi et al, 42 Maltais et al, 43 Puente-Maestu et al, 44 and Gimenez et al, 45 but also more recently by Lacasse et al, 32 Laviolette et al, 28 Bernard et al, 34 Montes de Oca et al, 36 Dourado et al, 37 Arnardóttir et al, 38 Foglio et al, 39 Normandin et al, 40 and Hsieh et al 46 Those studies reported improvements in the 6MWT, incremental exercise test, and constant-load exercise test with a pulmonary rehabilitation program but without any evidence of significant differences in these outcomes as an effect of the aerobic training intensities applied. On the other hand, more research is needed focusing on patients' goals.…”

Section: Effect Of Aerobic Training Intensity On Exercise Tolerancesupporting

confidence: 64%

“…There is evidence of a positive effect on HRQOL, as shown by studies by Bernard et al, 34 Pereira et al, 35 Montes de Oca et al, 36 Dourado et al, 37 Arnardóttir et al, 38 and Foglio et al, 39 , even considering the wide range of intensities in those heterogeneous pulmonary rehabilitation program interventions (type, modality, duration, and frequency). The multi-center study by Laviolette et al 28 with 168 subjects with COPD also found improvement in the SGRQ after the pulmonary rehabilitation program but lacked any description of the exercise intensity applied.…”

Section: Effect Of Aerobic Training Intensity On Hrqolmentioning

confidence: 93%

See 1 more Smart Citation

Pulmonary Rehabilitation in COPD: Effect of 2 Aerobic Exercise Intensities on Subject-Centered Outcomes—A Randomized Controlled Trial

et al. 2015

View full text Add to dashboard Cite

BACKGROUND: Exercise training is an important component of pulmonary rehabilitation, but it remains questionable how training intensity affects patient-centered outcomes. The aim of this study was to compare the effects of 2 aerobic training intensities on health-related quality of life (HRQOL), symptom control, and exercise tolerance in subjects with COPD. METHODS: Thirtyfour subjects with mild to very severe COPD participated in an equivalence/non-inferiority randomized controlled trial with a parallel group blinded to 60 or 80% maximum work rate (W max ) aerobic training intensity. The intervention was an out-patient pulmonary rehabilitation program conducted 3 times/week for 8 weeks. Outcomes were assessed with the St George Respiratory Questionnaire (primary outcome), Mahler's dyspnea index, London Chest Activity of Daily Living scale, 6-min walk test, and constant-load and incremental exercise tests. RESULTS: Subjects were randomly allocated to aerobic training intensity of 60% W max (group 1, n ‫؍‬ 17) or 80% W max (group 2, n ‫؍‬ 17). Although there were significant improvements in all outcomes for both groups, there were no between-group differences in mean change in the St George Respiratory Questionnaire (P ‫؍‬ .31, 95% CI ؊12.0 to 3.9), Mahler's dyspnea index (P ‫؍‬ .38), London Chest Activity of Daily Living scale (P ‫؍‬ .92), 6-min walk test (P ‫؍‬ .50, 95% CI 6.2-71.1), constant-load exercise test (P ‫؍‬ .50), and incremental exercise test (P ‫؍‬ .12). There was only one exercise-related adverse event of cardiac symptoms. CONCLUSIONS: Aerobic training intensity of at least 60% W max has a positive impact on COPD patient-centered outcomes, with no additional benefit of increasing intensity to 80% W max in HRQOL, symptom control, and exercise tolerance, challenging the present clinical attitude of rehabilitation professionals. (ClinicalTrials.gov registration NCT01944072.)

show abstract

Section: Effect Of Aerobic Training Intensity On Exercise Tolerancesupporting

confidence: 64%

Section: Effect Of Aerobic Training Intensity On Hrqolmentioning

confidence: 93%

Pulmonary Rehabilitation in COPD: Effect of 2 Aerobic Exercise Intensities on Subject-Centered Outcomes—A Randomized Controlled Trial

et al. 2015

View full text Add to dashboard Cite

show abstract

“…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: 76%

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

Semple¹

2016

S Afr J SM

View full text Add to dashboard Cite

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.

show abstract

“…according to arnadóttir et al 18 , prolonged and expensive pulmonary rehabilitation models that include several weekly sessions have yielded important beneficial effects in obstructive pulmonary disease patients, however these programs cannot always be conducted in the clinical practice. different protocols with fewer training sessions, such as twice or three times a week 13,17,19,20 , have also proved to be efficient.…”

Section: Discussionmentioning

confidence: 99%

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

Roceto

Takara

Machado

et al. 2007

Rev. bras. fisioter.

View full text Add to dashboard Cite

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.

show abstract

Two different training programmes for patients with COPD: A randomised study with 1-year follow-up

Cited by 31 publications

References 42 publications

Pulmonary Rehabilitation in COPD: Effect of 2 Aerobic Exercise Intensities on Subject-Centered Outcomes—A Randomized Controlled Trial

Pulmonary Rehabilitation in COPD: Effect of 2 Aerobic Exercise Intensities on Subject-Centered Outcomes—A Randomized Controlled Trial

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

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

Contact Info

Product

Resources

About