Functionality of patients with Chronic Obstructive Pulmonary Disease at 3 months follow-up after elastic resistance training: a randomized clinical trial

Grigoletto, Isis; Silva, Bruna Spolador de Alencar; Freire, Ana Paula Coelho Figueira; Santos, Ana Paula Soares dos; Lima, Fernando Parra dos Anjos; Ramos, Dionei; Ramos, Ercy Mara Cípulo

doi:10.1016/j.pulmoe.2018.09.005

Cited by 7 publications

(2 citation statements)

References 11 publications

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“…Common progressions for aerobic training included increased duration of the session, 28 , 29 increased walking speed, 16 , 32 and addition of weights when walking 16 , 32 to maintain adequate intensity measured by heart rate, perceived dyspnea, or rate of perceived exertion. Common progressions for resistance training included: increased repetitions and sets 19 , 30 , 34 , 35 , 39 , 40 ; heavier weights 28 ; higher resistance elastic bands/tubing by increasing their thickness, diameter, and/or adding additional bands/tubing 30 , 37 , 38 ; and increased intensity measured by RM testing. 37 , 38 One study conducting aerobic training 17 and 5 studies conducting combined aerobic and resistance training 18 , 27 , 31 , 33 , 41 did not report the method of exercise progression.…”

Section: Resultsmentioning

confidence: 99%

Pulmonary Rehabilitation Using Minimal Equipment for People With Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis

et al. 2023

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Objective Pulmonary rehabilitation programs that use minimal equipment for exercise training, rather than gymnasium equipment, would enable delivery of PR to a greater number of people with chronic obstructive pulmonary disease (COPD). The effectiveness of minimal equipment programmes in people with COPD is unclear. This systematic review and meta-analysis aimed to determine the effects of PR using minimal equipment for aerobic and/or resistance training in people with COPD. Methods Literature databases were searched up to September 2022 for randomized controlled trials (RCTs) comparing the effect of minimal equipment programs with usual care or with exercise equipment-based programs, for exercise capacity, health-related quality of life (HRQoL), and strength. Results Nineteen RCTs were included in the review and 14 RCTs were included in the meta-analyses, which reported low to moderate certainty of evidence. Compared with usual care, minimal equipment programs increased 6-minute walk distance (6MWD) by 85 m (95% CI = 37 to 132). No difference in 6MWD was observed between minimal equipment and exercise equipment-based programs (14 m, 95% CI = −27 to 56). Minimal equipment programs were more effective than usual care for improving HRQoL (standardized mean difference = 0.99; 95% CI = 0.31 to 1.67) and were not different from exercise equipment-based programs for improving upper limb strength (6 N; 95% CI = −2 to 13) or lower limb strength (20 N; 95% CI = −30 to 71). Conclusions In people with COPD, pulmonary rehabilitation programs using minimal equipment elicit clinically significant improvements in 6MWD and HRQoL and are comparable with exercise equipment-based programs for improving 6MWD and strength. Impact Pulmonary rehabilitation programs using minimal equipment may be a suitable alternative in settings where access to gymnasium equipment is limited. Delivery of pulmonary rehabilitation programs using minimal equipment may improve access to pulmonary rehabilitation worldwide, particularly in rural and remote areas and in developing countries.

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Section: Resultsmentioning

confidence: 99%

Pulmonary Rehabilitation Using Minimal Equipment for People With Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis

et al. 2023

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“…Participants will be contacted via a phone call (or in person, if needed) every 7 to 14 days to assess the need for increased training intensity. This protocol was developed based on previous studies of exercise training in people with cancer [ 22 , 26 - 28 ] as well as of resistance training with elastic bands in people with chronic obstructive pulmonary disease [ 29 , 30 ].…”

Section: Methodsmentioning

confidence: 99%

Effects of Semisupervised Exercise Training on Health Outcomes in People With Lung or Head and Neck Cancer: Protocol for a Randomized Controlled Trial

Grigoletto¹,

Cavalheri²,

Gobbo³

et al. 2023

JMIR Res Protoc

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Background Lung or head and neck cancers are known for their high prevalence and mortality rates. Chemotherapy and radiotherapy are usually recommended as cancer treatment for these malignancies; however, they can negatively impact both the physical and mental status of patients. Hence, it is reasonable to consider resistance and aerobic exercise training to prevent these negative health outcomes. Further, several factors prevent patients from attending outpatient exercise training programs, and, therefore, a semisupervised home-based exercise training program may be seen as a well-accepted alternative. Objective The aim of this study will be to investigate the effects of a semisupervised home-based exercise training program on physical performance, body composition, and self-reported outcomes; changes in the initial cancer treatment dose prescribed; number of hospitalizations at 3, 6, and 9 months; and 12-month survival in people with primary lung or head and neck cancer. Methods Participants will be randomly allocated to the training group (TG) or control group (CG). The TG will undergo semisupervised home-based resistance and aerobic exercise training throughout their cancer treatment. The resistance training will be performed using elastic bands (TheraBand) twice a week. The aerobic training (ie, brisk walk) will be performed for at least 20 minutes per day outdoors. The equipment and tools used during the training sessions will be provided. This intervention will start the week before treatment commencement, will be performed throughout the duration of the treatment, and will continue for 2 weeks after treatment completion. The CG will undergo usual care (ie, cancer treatment with no formal exercise prescription). Assessments will take place 2 weeks before the beginning of the usual cancer treatment and 2 weeks after treatment completion. The measures of physical function (peripheral muscle strength, functional exercise capacity, and physical activity), body composition, and self-reported outcomes (symptoms of anxiety and depression, health-related quality of life, and symptoms related to the disease and treatment) will be collected. We will report on any change in the initial cancer treatment dose prescribed; number of hospitalizations at 3, 6, and 9 months; and 12-month survival. Results In February 2021, the clinical trial registration was approved. Recruitment and data collection for the trial are ongoing (as of April 2023, 20 participants had already been randomized), and findings of this study are likely to be published late in 2024. Conclusions This exercise training as a complementary treatment for patients with cancer is likely to promote positive effects on the health outcomes assessed, over and above any change in the CG, and prevent the reduction of initial cancer treatment dose prescribed. If these positive effects are shown, they will likely impact long-term outcomes such as hospitalizations and 12-month survival. Trial Registration Brazilian Clinical Trials Registry (ReBEC) RBR-5cyvzh9; https://ensaiosclinicos.gov.br/rg/RBR-5cyvzh9. International Registered Report Identifier (IRRID) PRR1-10.2196/43547

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Self-management interventions for people with chronic obstructive pulmonary disease

Schrijver

Lenferink

Brusse‐Keizer

et al. 2022

Cochrane Database of Systematic Reviews

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Functionality of patients with Chronic Obstructive Pulmonary Disease at 3 months follow-up after elastic resistance training: a randomized clinical trial

Cited by 7 publications

References 11 publications

Pulmonary Rehabilitation Using Minimal Equipment for People With Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis

Pulmonary Rehabilitation Using Minimal Equipment for People With Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis

Effects of Semisupervised Exercise Training on Health Outcomes in People With Lung or Head and Neck Cancer: Protocol for a Randomized Controlled Trial

Self-management interventions for people with chronic obstructive pulmonary disease

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