Effects of Different Modes of Upper Limb Training in Individuals With Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis

Kruapanich, Chathipat; Tantisuwat, Anong; Thaveeratitham, Premtip; Lertmaharit, Somrat; Ubolnuar, Nutsupa; Mathiyakom, Witaya

doi:10.5535/arm.2019.43.5.592

Cited by 16 publications

(11 citation statements)

References 43 publications

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“…Our results are consistent with those of another meta-analysis study that found that UL endurance and strength training could significantly improve dyspnea in individuals with COPD. [ 35 ] Some authors attributed relief of breathlessness to a corresponding decrease in ventilatory demand during exercise due to enhanced mechanical efficiency. [ 36 , 37 ]…”

Section: Discussionmentioning

confidence: 99%

Effect of muscle training on dyspnea in patients with chronic obstructive pulmonary disease

et al. 2021

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Background: Rehabilitation training is beneficial for patients with chronic obstructive pulmonary disease (COPD). This study was aimed at evaluating the efficacy of muscle training on dyspnea. Methods: We used 5 common databases for conducting a meta-analysis included PubMed, the Cochrane Library, Science Direct, Web of Science and Clinical Trials.gov, and eligible randomized controlled trials (RCTs) were included. The main results of include studies were dyspnea of patients who had a clinical diagnosis of COPD measured using Borg score and Medical Research Council (MRC) or modified Medical Research Council (mMRC) scale as the criteria before and after intervention. The intervention measures included respiratory or expiratory muscles or upper limb (UL) or lower limb (LL) training. The mean differences (MD) with the 95% confidence interval (CI) were considered for summary statistics. We also assessed risk of bias using the Cochrane collaboration's tool, and the value of I 2 was applied to evaluate the heterogeneity of the trials. Results: Fourteen RCTs with 18 interventions (n = 860 participants) were included. Muscle training significantly improved dyspnea during exercise and in the daily life of patients with COPD (MD, 95% CI: −0.58, −0.84 to −0.32, P < .0001 and −0.44, −0.65 to −0.24, P < .0001, respectively). In the subgroup analyses, the trials that used respiratory muscle and UL trainings significantly improved dyspnea during exercise (MD, 95% CI: −0.72, −1.13 to −0.31, P = .0005 and −0.53, −0.91 to −0.15, P = .007, respectively). The studies also showed that the participants in the rehabilitation group, who received respiratory muscle and UL trainings, had a significant improvement of dyspnea in daily life (MD, 95% CI: −0.38, −0.67 to −0.09, P = .01 and −0.51, −0.80 to −0.22, P = .0007, respectively). Conclusion: There were some limitations that most of the subjects in this study were patients with moderate to severe COPD and were male, and the training period and duration were different. The analyses revealed that respiratory muscle and UL trainings can improve dyspnea in patients with COPD during exercise and in daily life.

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Section: Discussionmentioning

confidence: 99%

Effect of muscle training on dyspnea in patients with chronic obstructive pulmonary disease

et al. 2021

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“…Meanwhile, reduction in upper limb activities can result in upper limb muscle maladaptation and functional limitation, which in turn leads to patients having to limit daily PA. Therefore, upper limb endurance and strength training are recommended as important components of pulmonary rehabilitation to reduce fatigue and dyspnoea in daily PA (Kruapanich et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Physical activity trajectories and their determinants in patients with chronic obstructive pulmonary disease: A cohort study

Zhang

Huang

et al. 2023

Journal of Clinical Nursing

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Aims and Objectives:The aim was to identify latent trajectories in physical activity (PA) and their determinants in adults with chronic obstructive pulmonary disease (COPD) based on the socio-ecological model.Background: PA has been linked to poor long-term outcomes in patients with COPD.However, few studies have explored their PA trajectories and their predictors.Design: Cohort study. Methods:We used data from a national cohort and included 215 participants. PA was quantified using a short PA questionnaire, and group-based trajectory modelling was used to explore the PA trajectories. Multinomial logistic regression was conducted to identify the predictors of PA trajectories. Generalised linear mixed models were used to elucidate the associations between predictors and PA during follow-up. A STROBE checklist was used to guide the reporting of this study.Results: Three PA trajectory patterns were identified among 215 COPD participants with an average age of 60.51 ± 8.87: stable inactive group (66.7%), sharp decline group (25.7%) and stable active group (7.5%). The logistic regression showed that age, sex, income, peak expiratory flow, upper limb capacity, depressive symptoms, the frequency of contact with children were PA predictors. Upper limb capacity weakness and depressive symptoms were found to be associated with a sharp decline in PA during follow-up.Conclusions: This study revealed three PA trajectories among patients with COPD. In addition to strengthening the physical functions and mental health of patients, support from the family, community and society also play a crucial role in promoting PA of patients with COPD. Relevance to ClinicalPractice: It is essential to identify distinct PA trajectories in patients with COPD to develop future interventions that promote PA. No Patient or Public Contribution: A national cohort study was used and no patients or the public were involved in the design and implementation of this study.

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“…These symptoms can be effectively improved by training and the upper body movement ability in COPD patients can also be enhanced (25). However, it is unknown whether upper body training is more effective for improving health-related quality of life (26).…”

Section: Upper Body Trainingmentioning

confidence: 99%

Expert consensus and operational guidelines on exercise rehabilitation of chronic obstructive pulmonary disease with integrating traditional Chinese medicine and Western medicine

et al. 2021

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The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the noncommercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license).

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Effects of Different Modes of Upper Limb Training in Individuals With Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis

Cited by 16 publications

References 43 publications

Effect of muscle training on dyspnea in patients with chronic obstructive pulmonary disease

Effect of muscle training on dyspnea in patients with chronic obstructive pulmonary disease

Physical activity trajectories and their determinants in patients with chronic obstructive pulmonary disease: A cohort study

Expert consensus and operational guidelines on exercise rehabilitation of chronic obstructive pulmonary disease with integrating traditional Chinese medicine and Western medicine

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