Impact of Resistance Training in Chronic Obstructive Pulmonary Disease Patients During Periods of Acute Exacerbation

Borges, Rodrigo Cerqueira; Carvalho, Celso Ricardo Fernandes

doi:10.1016/j.apmr.2014.05.007

Cited by 59 publications

(125 citation statements)

References 34 publications

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“…Objective measures included accelerometers (n=18, 50%),16,17,20–23,27,29,33,36,37,41,44–49,51 pedometers (n=8, 22%)18,25,30,32,34,35,38,50 and an activity monitor (n=1) 31. PA was also measured subjectively using validated tools such as Seven-Day PA Recall Questionnaire (n=1),19 PA Scale for the Elderly (PASE) questionnaire (n=1),15 Community Healthy Activities Model Program for Seniors (CHAMPS) questionnaire (n=1)26 and the International PA Questionnaire (IPAQ; n=3) 24,39,53.…”

Section: Resultsmentioning

confidence: 99%

Exercise training alone or with the addition of activity counseling improves physical activity levels in COPD: a systematic review and meta-analysis of randomized controlled trials

Lahham¹,

McDonald²,

Holland³

2016

COPD

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BackgroundPhysical inactivity is associated with poor outcomes in COPD, and as a result, interventions to improve physical activity (PA) are a current research focus. However, many trials have been small and inconclusive.ObjectiveThe aim of this systematic review and meta-analysis was to study the effects of randomized controlled trials (RCTs) targeting PA in COPD.MethodsDatabases (Physiotherapy Evidence Database [PEDro], Embase, MEDLINE, CINAHL and the Cochrane Central Register for Controlled Trials) were searched using the following keywords: “COPD”, “intervention” and “physical activity” from inception to May 20, 2016; published RCTs that aimed to increase PA in individuals with COPD were included. The PEDro scale was used to rate study quality. Standardized mean differences (effect sizes, ESs) with 95% confidence intervals (CIs) were determined. Effects of included interventions were also measured according to the minimal important difference (MID) in daily steps for COPD (599 daily steps).ResultsA total of 37 RCTs with 4,314 participants (mean forced expiratory volume in one second (FEV1) % predicted 50.5 [SD=10.4]) were identified. Interventions including exercise training (ET; n=3 studies, 103 participants) significantly increased PA levels in COPD compared to standard care (ES [95% CI]; 0.84 [0.44–1.25]). The addition of activity counseling to pulmonary rehabilitation (PR; n=4 studies, 140 participants) showed important effects on PA levels compared to PR alone (0.47 [0.02–0.92]), achieving significant increases that exceeded the MID for daily steps in COPD (mean difference [95% CI], 1,452 daily steps [549–2,356]). Reporting of methodological quality was poor in most included RCTs.ConclusionInterventions that included ET and PA counseling during PR were effective strategies to improve PA in COPD.

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Section: Resultsmentioning

confidence: 99%

Exercise training alone or with the addition of activity counseling improves physical activity levels in COPD: a systematic review and meta-analysis of randomized controlled trials

Lahham¹,

McDonald²,

Holland³

2016

COPD

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“…In this sense, Evans and collaborators have reported that, in addition to improve 6-minutewalk test distance, one-legged cycle training increased peak oxygen uptake and improved respiratory function in patients with COPD (Evans et al, 2015). The increased exercise tolerance driven by training in patients with pulmonary disease could be also due to its effects on skeletal muscle since it results in increased lower limb strength in exercised COPD patients (Borges and Carvalho, 2014;Iepsen et al, 2015;Wang et al, 2014b). Troosters and collaborators observed that the increase in quadriceps strength produced by resistance training in patients with COPD was accompanied by an anabolic switch of the skeletal muscle and a reduction in myostatin levels (Troosters et al, 2010).…”

Section: Article In Pressmentioning

confidence: 91%

“…Troosters and collaborators observed that the increase in quadriceps strength produced by resistance training in patients with COPD was accompanied by an anabolic switch of the skeletal muscle and a reduction in myostatin levels (Troosters et al, 2010). On the other hand, the positive effects driven by exercise training on health status seem to be related to a reduction of systemic inflammation in patients with COPD (Borges and Carvalho, 2014;Loprinzi et al, 2014;Wang et al, 2014b) or asthma (França-Pinto et al, 2015;Vieira et al, 2014).…”

Section: Article In Pressmentioning

confidence: 93%

Frailty and sarcopenia as the basis for the phenotypic manifestation of chronic diseases in older adults

Angulo

Assar

Rodríguez‐Mañas

2016

Molecular Aspects of Medicine

143

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“…Physiotherapy modalities explored in the trials included exercise sessions with aerobic or resistance exercise, 26,30,36 expiration with glottis open in lateral posture (ELTGOL), 38 PEP, 27 intrapulmonary percussive ventilation, 32 NMES, 33,34 manual chest therapy and active cycle of breathing techniques, 29,31,35 a controlled breathing program, 28 and either standard physical therapy 37 (not specified) or combined training, including breathing techniques and exercise. [23][24][25] Table 3 shows the full details on treatment and interventions for each study.…”

Section: Treatment Modalitiesmentioning

confidence: 99%

“…The authors divided the different treatment modalities into several groups: seven studies included chest physical therapy, 22,27,29,31,32,35,38 one study used breathing techniques, 28 three studies included physical exercise, 26,30,36 two studies used electrostimulation, 33,34 three studies included a combination of treatment modalities, [23][24][25] and one study included standard physical therapy (not specified). 37 …”

Section: Treatment Modalitiesmentioning

confidence: 99%

Results of Physiotherapy Treatments in Exacerbations of Chronic Obstructive Pulmonary Disease: A Systematic Review

Torres‐Sánchez

Cruz-Ramírez

Cabrera‐Martos

et al. 2017

Physiotherapy Canada

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Purpose: The objective of this study was to review clinical trials of the effectiveness of physiotherapy compared with standard care, focused mainly on the functional status of patients hospitalized for acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods: Search strategies were developed for each of the databases (PubMed, Scopus, and Web of Science). The study eligibility criteria were as follows: (1) The objective was to assess the effect and efficacy of physiotherapy compared with standard care (which included only medical and pharmacological treatment); (2) adults subjects had AECOPD; (3) one of the outcome measures was functional status, defined as an individual's ability to perform the normal daily activities required to meet basic needs, fulfill usual roles, and maintain health and well-being; (4) it was a clinical trial; (5) it was written in English; (6) it was published between January 2009 and February 2016; and (7) the full-text article was available. Results: The review revealed that for patients hospitalized for AECOPD, exercise, neuromuscular electrical stimulation, breathing exercises, and chest therapy significantly improved their functional status compared with standard care. Conclusions: A variety of physiotherapy modalities have been shown to improve functional status compared with standard care among patients hospitalized for AECOPD; other outcome measures also showed improvements.Key Words: chronic obstructive pulmonary disease; hospitalization; cardiorespiratory physiotherapy; rehabilitation; systematic review. RÉ SUMÉObjectif : recenser les essais cliniques sur l'efficacité de la physiothé rapie par rapport aux soins conventionnels pour é valuer l'é tat fonctionnel des patients hospitalisé s pour exacerbations aiguë s de la maladie pulmonaire obstructive chronique (EAMPOC). Mé thodologie : des straté gies de recherche ont é té mises au point pour chaque banque de donné es (PubMed, Scopus et Web of Science). Critè res d'admissibilité des é tudes : (1) l'é tude vise à é valuer l'effet et l'efficacité de la physiothé rapie par rapport aux soins conventionnels (traitement mé dical et mé dicamenteux seulement); (2) les sujets adultes souffrent d'EAMPOC; (3) un des ré sultats mesuré s est l'é tat fonctionnel, dé fini comme la faculté d'une personne à accomplir les activité s quotidiennes né cessaires pour ré pondre à ses besoins fondamentaux, assumer ses rô les habituels et maintenir sa santé et son bien-ê tre; (4) il s'agit d'un essai clinique; (5) l'article est ré digé en anglais; (6) l'é tude a é té publié e entre janvier 2009 et fé vrier 2016; (7) le texte inté gral de l'article est disponible. Ré sultats : le recensement ré vè le que l'exercice, la stimulation é lectrique neuromusculaire, les exercices de respiration et la physiothé rapie respiratoire amé liorent de fac¸on significative l'é tat fonctionnel de patients hospitalisé s pour EAMPOC par rapport aux soins conventionnels. Conclusions : divers soins de physiothé rapie ont prouvé leur efficacité pour...

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Impact of Resistance Training in Chronic Obstructive Pulmonary Disease Patients During Periods of Acute Exacerbation

Cited by 59 publications

References 34 publications

Exercise training alone or with the addition of activity counseling improves physical activity levels in COPD: a systematic review and meta-analysis of randomized controlled trials

Exercise training alone or with the addition of activity counseling improves physical activity levels in COPD: a systematic review and meta-analysis of randomized controlled trials

Frailty and sarcopenia as the basis for the phenotypic manifestation of chronic diseases in older adults

Results of Physiotherapy Treatments in Exacerbations of Chronic Obstructive Pulmonary Disease: A Systematic Review

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