Effects of upper limb resistance exercise on aerobic capacity, muscle strength, and quality of life in COPD patients: a randomized controlled trial

Silva, Cássio Magalhães da Silva e; Neto, Mansueto Gomes; Saquetto, Micheli Bernardone; Conceição, Cristiano Sena da; Souza‐Machado, Adelmir

doi:10.1177/0269215518787338

Cited by 37 publications

(38 citation statements)

References 41 publications

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“…The total number of subjects included in this study was 514. Twelve studies reported no between-group differences in subject characteristics [22-33]. One study reported significantly lower mean body weight in the UL training group than that in the control group [34].…”

Section: Resultsmentioning

confidence: 99%

“…According to the GOLD classification of the severity of COPD, included studies were divided as follows: (1) nine studies had individuals with severe COPD [22-29,34], (2) four studies had individuals with moderate COPD [30-33], and (3) two studies [35,36] did not describe the percentage of the predicted FEV 1 (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…The supported ULE training utilized arm cycle ergometry [23,30]. For ULS training, free-weight [22,26,27,29,32,33,36] and weight machines [30,31] were used to target the major UL muscles involved in respiration and UL functions. Only one study that investigated the effect of ULC training included UL crank ergometry, unsupported UL training, and weight training [30].…”

Section: Resultsmentioning

confidence: 99%

“…UL exercise progression was done by increasing resistance [22,24-27,29-32,34,35], the number of repetitions per set [22,27,32,35], the number of sets per session [22,24,29-32], and maintaining the perceived exertion rating of 12 to 14 [25,31,35,36] or dyspnea scores of three on the Borg scale [25,30]. Three studies did not specify the exercise progression method [23,28,33]. A few studies reported that ULE and ULS were safe [22,29], practical [22,29,31,32], and cost-effective [22].…”

Section: Resultsmentioning

confidence: 99%

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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

et al. 2019

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ObjectiveTo determine effects of different modes of upper limb training on dyspnea and quality of life of individuals with chronic obstructive pulmonary disease (COPD) having different disease severity.MethodsRandomized clinical trials were retrieved from five electronic databases. Risk of bias and quality of evidence were assessed using the Cochrane Collaboration’s tool and the GRADE approach, respectively. Effects of upper limb training compared to control were identified using standardized mean difference and 95% confidence interval.ResultsFifteen studies with 514 subjects were included. When compared to control, upper limb endurance and strength training with moderate quality of evidence resulted in significant improvement in dyspnea. However, quality of life was not significantly different between upper limb training of all modes of and the control. The upper limb training was more effective in reducing dyspnea in patients with severe COPD than in those with mild to moderate levels of COPD. Although quality of life was slightly improved by upper limb training for those with moderate or severe level of COPD, such improvement did not reach a significant level when compared to the control.ConclusionUpper limb endurance and strength training could significantly improve dyspnea in individuals with chronic obstructive pulmonary disease. Thus, incorporating the upper limb training into pulmonary rehabilitation is recommended to reduce dyspnea, especially for those with severe patients. Further studies with larger sample size and standardized training protocol are needed to confirm these finding (Registration No. CRD42018102805).

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

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

et al. 2019

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“…Gejala yang dirasakan pasien pada umumnya adalah batuk berdahak yang semakin parah pada saat pagi hari, sesak nafas, dan penurunan kemampuan atau ketahanan dalam melakukan aktivitas (Malini, Fatmadona, Rahman, & Afriyanti, 2018 Pursed lip breathing dan pernapasan diafragma yang diberikan pada pasien PPOK dapat disertai dengan peregangan pada otot-otot tubuh bagian atas (upper limb stretching). Peregangan pada otot tubuh akan meningkatkan massa otot, kekuatan, dan ketahanan dalam melakukan aktivitas atau proses latihan fisik (Silva, Neto, Saquetto, Conceicao, & Machado, 2018). Peregangan otot tubuh bagian atas juga mampu mengoptimalkan fungsi neuromekanik dari otot pernapasan yang menurun pada pasien PPOK (Kaymaz et al, 2018).…”

Section: Pendahuluanunclassified

Pengaruh Pemberian Pursed Lip-Breathing, Diaphragmatic Breathing, dan Upper Limb Stretching Terhadap Skala Dispnea pada Pasien PPOK

2019

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Respiratory muscle weakness in patients with Chronic Obstructive Pulmonary Disease (COPD) is a problem that can affect the patient's ability to conduct daily activities. The aim of this study to see the difference between the intervention group given the pursed-lip breathing exercises, diaphragmatic breathing, and upper limb stretching with the control group which not given therapy. 38 COPD patients were grouped into intervention groups (n = 18) and control group (n = 18) randomly. The intervention group was given pursed-lip breathing, diaphragmatic breathing, and upper limb stretching for 4 weeks as much as two times for each week, while the control group was not given exercise. The dyspnea scale was measured using the MRC Dyspnea Scale questionnaire and was categorized as mild (scale 1), medium (scale 2-3) and severe (scale 4-5). The result showed there was a difference in dyspnea (p value 0.008) for intervention group and there is no difference in the dyspnea for control group that was not given exercise (p value 0.655). In conclusion, pursed lip breathing, diaphragmatic breathing, and upper limb stretching can give more significant benefits when done sustainably, especially for COPD patients.

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Effects of a cardiopulmonary rehabilitation protocol on functional capacity, dyspnea, fatigue, and body composition in individuals with post‐COVID‐19 syndrome: A randomized controlled trial

Gomes dos Santos,

Vieira da Costa,

Cordeiro de Souza

et al. 2024

Physiotherapy Res Intl

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Background and ObjectiveReduced functional capacity, dyspnea, fatigue, and changes in body composition are common in patients with post‐COVID‐19 syndrome (PCS), and cardiopulmonary rehabilitation may improve these parameters. Thus, the present study verified the effects of cardiopulmonary rehabilitation (respiratory, aerobic, and resistance muscle training) on submaximal exercise tolerance, dyspnea, fatigue, and body composition.MethodsThis controlled and randomized clinical trial applied a six‐week outpatient intervention protocol in individuals over 18 years old (n = 33) with a diagnosis of COVID‐19 confirmed by polymerase chain reaction. These individuals were allocated to cardiopulmonary rehabilitation (n = 17) or control groups (i.e., educational lectures; n = 16). The cardiopulmonary rehabilitation group performed respiratory, aerobic, and resistance muscle training. Submaximal exercise tolerance, dyspnea, fatigue, and body composition were assessed before and after the protocol.ResultsAfter 6 weeks, the cardiopulmonary rehabilitation group increased the tolerance to submaximal exercise, with a difference of 100.46 m (95% confidence interval [CI]: 7.40–193 m) in the distance walked on the six‐minute walk test, reduced dyspnea (−1.45, 95% CI: −1.98–−0.92) in the modified Medical Research Council, and increased 0.63 kg (95% CI: 0.09–1.18 kg) of muscle mass in the upper limbs compared with the control group.ConclusionThe six‐week cardiopulmonary rehabilitation protocol improved functional capacity, reduced dyspnea, and increased muscle mass in the upper limbs in individuals with PCS. Thus, these results supported the protocol use in this population and encourage further studies to assess its effectiveness in a large sample.

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Effects of upper limb resistance exercise on aerobic capacity, muscle strength, and quality of life in COPD patients: a randomized controlled trial

Abstract: Upper limb resistance exercise improved the exercise capacity, respiratory muscle strength, and quality of life.

Cited by 37 publications

References 41 publications

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

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

Pengaruh Pemberian Pursed Lip-Breathing, Diaphragmatic Breathing, dan Upper Limb Stretching Terhadap Skala Dispnea pada Pasien PPOK

Effects of a cardiopulmonary rehabilitation protocol on functional capacity, dyspnea, fatigue, and body composition in individuals with post‐COVID‐19 syndrome: A randomized controlled trial

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