Arm Exercise and Hyperinflation in Patients With COPD

Gigliotti, Francesco; Coli, Claudia; Bianchi, Roberto; Grazzini, Maddalena; Stendardi, Loredana; Castellani, Carla; Scano, Giorgio

doi:10.1378/chest.128.3.1225

Cited by 71 publications

(68 citation statements)

References 30 publications

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“…Furthermore, differences in trapezius muscle effort between groups increased with arm elevation. This can be explained by previous findings showing that arm elevation in COPD patients is associated with changes in lung volumes and loss of vital capacity [9][10][11][12][13][14][15][16].…”

Section: Discussionmentioning

confidence: 87%

“…Patients with COPD experience a relatively high metabolic load and dyspnoea during the performance of self-paced domestic arm ADL compared to healthy control subjects [6]. Moreover, arm elevation in patients with COPD has been associated with loss of vital capacity [9][10][11][12][13][14][15][16]. Therefore, arm activities, especially when involving arm elevation, are demanding for accessory inspiratory muscles, such as the trapezius muscle [17].…”

Section: Introductionmentioning

confidence: 99%

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Characteristics of daily arm activities in patients with COPD

et al. 2014

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Arm activities are required for maintenance of self-care and independent living. This study aimed to investigate whether and to what extent arm activities of daily living (ADL) in chronic obstructive pulmonary disease (COPD) patients differ compared to healthy controls and the extent to which they perform arm ADL at a relatively higher upper limb muscle effort.Daily arm and leg activities were assessed using accelerometers in the home environment (COPD: n521, healthy: n524; part 1). The relative efforts of the trapezius, deltoid and biceps muscles were studied using electromyography during domestic arm ADL in a laboratory setting (COPD: n517, healthy: n515; part 2).After correction for walking time, the time spent on arm ADL was similar between COPD patients and healthy control subjects (p50.52), while the intensity of arm activities was lower in COPD patients (p50.041). In the laboratory setting, arm ADL were performed at a lower intensity by COPD patients, while the trapezius muscle effort was significantly higher during several arm ADL compared to healthy control subjects (p,0.05).COPD patients have a similar duration of arm ADL compared to healthy subjects after correction for walking time, but perform arm activities at a lower intensity. Moreover, patients perform some arm ADL at a relatively higher muscle effort. @ERSpublications COPD patients perform daily arm activities less intensively than healthy subjects but require more muscle effort

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Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Characteristics of daily arm activities in patients with COPD

et al. 2014

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“…The lower limbs play an important role in exercise training programmes because the quadriceps are the major muscles for patients' mobilisation [14][15][16]. Even with light exercise, a weak lower limb will increase ventilatory demands, thus aggravating dynamic hyperinflation in COPD patients, who may then be discouraged from undertaking further exercise [17,18]. A pulmonary rehabilitation programme must contain an exercise training programme that is easy to perform with good compliance and good clinical efficacy.…”

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confidence: 99%

Efficacy of a cell phone-based exercise programme for COPD

Liu

Wang²,

Lin³

et al. 2008

Eur Respir J

154

191

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The application of a supervised endurance exercise training programme in a home setting offering convenience and prolonged effects is a challenge.In total, 48 patients were initially assessed by the incremental shuttle walk test (ISWT), spirometry and the Short Form-12 (SF-12) quality-of-life questionnaire, and then every 4 weeks for 3 months thereafter and again after 1 yr. During the first 3 months, 24 patients in the cell phone group were asked to perform daily endurance walking at 80% of their maximal capacity by following the tempo of music from a program installed on a cell phone. The level of endurance walking at home was readjusted monthly according to the result of ISWT. In the control group, 24 patients received the same protocol and were verbally asked to take daily walking exercise at home.Patients in the cell phone group significantly improved their ISWT distance and duration of endurance walking after 8 weeks. The improvements in ISWT distance, inspiratory capacity and SF-12 scoring at 12 weeks persisted until the end of the study, with less acute exacerbations and hospitalisations.In the present pilot study, the cell phone-based system provides an efficient, home endurance exercise training programme with good compliance and clinical outcomes in patients with moderate-to-severe chronic obstructive pulmonary disease.

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“…In a study by Gigliotti et al 44 it was verified that training of the upper limbs, in a chronic manner, was able to reduce the symptom of dyspnea associated with increased inspiratory capacity and reduce the sensation of effort in the upper limbs.…”

Section: Discussionmentioning

confidence: 97%

Efeitos de um treinamento resistido com tubos elásticos sobre a força muscular, qualidade de vida e dispneia de pacientes com doença pulmonar obstrutiva crônica

et al. 2016

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RESUMOO objetivo deste estudo foi analisar os efeitos do treinamento resistido com tubos elásticos e aparelhos de musculação (convencional) sobre a força muscular, qualidade de vida e dispneia em pacientes com doença pulmonar obstrutiva crônica (DPOC). Pacientes alocados em grupos de treinamento com tubos elásticos (ETG, n=9) e convencional (CRG, n=10) foram avaliados por força isométrica e questionários de qualidade de vida (CRQ) e dispneia (MRC). A força isométrica aumentou em ~25% em ambos os grupos em todos os movimentos (p<0,05). MRC e o domínio dispneia de CRQ apresentaram melhoras de -28,70% e -6,05 % no ETG, e -33,33% e -16,23% no CRG, respectivamente. Força de flexão de ombro e cotovelo apresentaram correlação negativa com a variável MRC (p<0,05) para CRG. Ambas intervenções foram benéficas para aumento da força e redução do MRC, com aumento da força de membros superiores correlacionado à redução da sensação de dispneia nos pacientes com DPOC. Palavras-chave: Exercício. Doença pulmonar obstrutiva crônica. Qualidade de vida. ABSTRACTThe objective of this study was to analyze the effects of resistance training with elastic tubes and weight machines (conventional) on muscle strength, quality of life and dyspnea in patients with chronic obstructive pulmonary disease (COPD). Patients were allocated in training groups with elastic tubes (ETG, n = 9) and conventional (CRG, n = 10) and evaluated by isometric strength and quality of life questionnaire (CRQ) and dyspnea (MRC). Isometric strength increased by ~25% in both groups in all movements (p <0.05). MRC and the CRQ dyspnea domain showed improvement of -28.70% and -6.05% in the ETG, and -33.33% and -16.23% at CRG, respectively. Shoulder and elbow flexion showed a negative and significant correlation with MRC (p <0.05), for CRG. Both interventions were beneficial for increasing the strength and reducing the MRC score, and increased strength of upper limbs correlated to the reduction of the sensation of dyspnea in patients with COPD.

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Arm Exercise and Hyperinflation in Patients With COPD

Cited by 71 publications

References 30 publications

Characteristics of daily arm activities in patients with COPD

Characteristics of daily arm activities in patients with COPD

Efficacy of a cell phone-based exercise programme for COPD

Efeitos de um treinamento resistido com tubos elásticos sobre a força muscular, qualidade de vida e dispneia de pacientes com doença pulmonar obstrutiva crônica

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