Effects of 2 Exercise Training Programs on Physical Activity in Daily Life in Patients With COPD

Probst, Vanessa Suziane; Kovelis, Demétria; Hernandes, Nídia A.; Camillo, Carlos Augusto; Cavalheri, Vinícius; Pitta, Fábio

doi:10.4187/respcare.01110

Cited by 72 publications

(70 citation statements)

References 38 publications

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“…The comprehensive assessments of exercise capacity include peripheral muscle function, functional exercise capacity (6-min walk test), and the level of physical activity in daily life. 43 However, none of these parameters was measured in this study. Second, lung volume changes were also not measured before and after PR.…”

Section: Limitations Of the Studymentioning

confidence: 78%

“…40 Improvement of respiratory muscle strength is important in that it associates with the reduction in dyspnea. [41][42][43] Mechanisms about improvement of respiratory muscle strength after general exercise training are not quite clear. Since exercise increases ventilation by more than 12-fold, it is expected that exercise training will constitute a training load to the respiratory muscle.…”

Section: Discussionmentioning

confidence: 99%

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Benefits of Pulmonary Rehabilitation in Patients With COPD and Normal Exercise Capacity

et al. 2013

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BACKGROUND: Pulmonary rehabilitation (PR) is beneficial for patients with COPD, with improvement in exercise capacity and health-related quality of life. Despite these overall benefits, the responses to PR vary significantly among different individuals. It is not clear if PR is beneficial for patients with COPD and normal exercise capacity. We aimed to investigate the effects of PR in patients with normal exercise capacity on health-related quality of life and exercise capacity. METHODS: Twenty-six subjects with COPD and normal exercise capacity were studied. All subjects participated in 12-week, 2 sessions per week, hospital-based, out-patient PR. Baseline and post-PR status were evaluated by spirometry, the St George's Respiratory Questionnaire, cardiopulmonary exercise test, respiratory muscle strength, and dyspnea scores. RESULTS: The mean FEV 1 in the subjects was 1.29 ؎ 0.47 L/min, 64.8 ؎ 23.0% of predicted. After PR there was significant improvement in maximal oxygen uptake and work rate. Improvements in St George's Respiratory Questionnaire scores of total, symptoms, activity, and impact were accompanied by improvements of exercise capacity, respiratory muscle strength, maximum oxygen pulse, and exertional dyspnea scores (all P < .05). There were no significant changes in pulmonary function test results (FEV 1 , FVC, and FEV 1 /FVC), minute ventilation, breathing frequency, or tidal volume at rest or exercise after PR. CONCLUSIONS: Exercise training can result in significant improvement in health-related quality of life, exercise capacity, respiratory muscle strength, and exertional dyspnea in subjects with COPD and normal exercise capacity. Exercise training is still indicated for patients with normal exercise capacity.

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Section: Limitations Of the Studymentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Benefits of Pulmonary Rehabilitation in Patients With COPD and Normal Exercise Capacity

et al. 2013

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“…The breathing pattern was kept free. This protocol is an adaptation of the protocols of Hill et al 21 and Beckerman et al 32 The calisthenics-and-breathing exercises group performed a program of specific exercises aimed at improving biomechanics and chest mobility, adapted from the program described by Probst et al 11 The sequence of exercises was designed so that the complexity progressively increased every month. A series of 9 exercises, each one performed 15 times, was carried out (Table 1).…”

Section: Physical Training Programmentioning

confidence: 99%

“…5 In the literature, the forms of therapeutic approach to respiratory muscles are inspiratory muscle training, 8 which uses overload for such training, and calisthenics-andbreathing exercises, which are characterized by breathing exercises and stretching of respiratory muscles and/or by exercises involving the trunk and upper limbs to improve mobility of the rib cage muscles. [9][10][11][12] As for inspiratory muscle training, a meta-analysis 8 showed that it is an effective type of training for subjects with COPD, for increasing the strength and endurance of inspiratory muscles, reducing dyspnea, and improving functional capacity. The authors further suggest that those who would benefit most are those with inspiratory muscle weakness.…”

Section: Introductionmentioning

confidence: 99%

“…13 Calisthenics-and-breathing exercises, in turn, are able to readjust the length-tension ratio of the respiratory muscles, increase thoracoabdominal mobility, reduce the sensation of dyspnea, and increase the capacity for exercise. [9][10][11][12] However, despite being frequently employed in clinical practice, scientific evidence of these benefits is scarce, because there is a lack of reports in the literature about such an approach.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Inspiratory Muscle Training and Calisthenics-and-Breathing Exercises in COPD With and Without Respiratory Muscle Weakness

et al. 2015

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BACKGROUND: Patients with COPD may experience respiratory muscle weakness. Two therapeutic approaches to the respiratory muscles are inspiratory muscle training and calisthenics-andbreathing exercises. The aims of the study are to compare the effects of inspiratory muscle training and calisthenics-and-breathing exercises associated with physical training in subjects with COPD as an additional benefit of strength and endurance of the inspiratory muscles, thoracoabdominal mobility, physical exercise capacity, and reduction in dyspnea on exertion. In addition, these gains were compared between subjects with and without respiratory muscle weakness. METHODS: 25 subjects completed the study: 13 composed the inspiratory muscle training group, and 12 composed the calisthenics-and-breathing exercises group. Subjects were assessed before and after training by spirometry, measurements of respiratory muscle strength and test of inspiratory muscle endurance, thoracoabdominal excursion measurements, and the 6-min walk test. Moreover, scores for the Modified Medical Research Council dyspnea scale were reported. RESULTS: After intervention, there was a significant improvement in both groups of respiratory muscle strength and endurance, thoracoabdominal mobility, and walking distance in the 6-min walk test. Additionally, there was a decrease of dyspnea in the 6-min walk test peak. A difference was found between groups, with higher values of respiratory muscle strength and thoracoabdominal mobility and lower values of dyspnea in the 6-min walk test peak and the Modified Medical Research Council dyspnea scale in the inspiratory muscle training group. In the inspiratory muscle training group, subjects with respiratory muscle weakness had greater gains in inspiratory muscle strength and endurance. CONCLUSIONS: Both interventions increased exercise capacity and decreased dyspnea during physical effort. However, inspiratory muscle training was more effective in increasing inspiratory muscle strength and endurance, which could result in a decreased sensation of dyspnea. In addition, subjects with respiratory muscle weakness that performed inspiratory muscle training had higher gains in inspiratory muscle strength and endurance but not of dyspnea and submaximal exercise capacity. (ClinicalTrials.gov registration NCT01510041.)

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Interventions for promoting physical activity in people with chronic obstructive pulmonary disease (COPD)

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Cox

Abramson

et al. 2020

Cochrane Database of Systematic Reviews

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Effects of 2 Exercise Training Programs on Physical Activity in Daily Life in Patients With COPD

Cited by 72 publications

References 38 publications

Benefits of Pulmonary Rehabilitation in Patients With COPD and Normal Exercise Capacity

Benefits of Pulmonary Rehabilitation in Patients With COPD and Normal Exercise Capacity

Effects of Inspiratory Muscle Training and Calisthenics-and-Breathing Exercises in COPD With and Without Respiratory Muscle Weakness

Interventions for promoting physical activity in people with chronic obstructive pulmonary disease (COPD)

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