Upper limb exercise training for COPD

McKeough, Zoe J.; Velloso, Marcelo; Lima, Vanessa Pereira; Alison, Jennifer A.

doi:10.1002/14651858.cd011434

Cited by 15 publications

(22 citation statements)

References 23 publications

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“…Many studies just concerned on lower body training to decrease impact in COPD patient, and there are just little studies that concerned mainly to upper limb training. However, upper limb training can improve lung function and functional capacity, then reduce symptoms and improve quality of life in patients with COPD [ 5 ], [ 6 ]. Supported and unsupported arm training have increased the endurance capacity and result in reduced breathlessness in daily life with a patient with COPD [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

The The Impact of Upper Limb Training with Breathing Maneuver in Lung Function, Functional Capacity, Dyspnea Scale, and Quality of Life in Patient with Stable Chronic Obstructive of Lung Disease

Tarigan

Ananda

Pandia

et al. 2019

Open Access Maced J Med Sci

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BACKGROUND: Exercise tolerance is one of the main impacts of COPD. COPD patients often experience dyspnea and fatigue after doing daily activities using their limb parts, even in simple thing such as lifting or grooming. Nowadays, many pulmonologists concerned in pulmonary rehabilitation to modify some limb training with breathing manoeuvre to get positive impact in stable COPD patient. AIM: The purpose of this study is to examine the impact of this modified upper limb training in lung function, functional capacity, dyspnea scale, and quality of life in patients with stable COPD. METHOD: This was a quasi-experimental study held in 2017 on 22 stable COPD patients (based on GOLD 2018 criteria). Patients were given modified upper limb training with breathing manoeuvre that leads and monitored by a physiotherapist and physician in 10-20 minutes twice a week for 8 weeks. Before and after completed all sessions of training, we measured pulmonary functions test include FEV1 and FVC, functional capacity by 6 MWT, dyspnea scale by mMRC, and quality of life by CAT assessment. Statistical analysis was performed by Wilcoxon and paired t-test. RESULTS: There was an improvement of lung function, both FEV1 (40.7 ± 13.8 to 47.3 ± 14.2; p-value 0.001) and FVC (50.7 ± 14.1 to 54.1 ± 14.7; p-value: 0.207) after training. There was a significant change of functional capacity in 6 MWT mean (277.3 ± 80.8 to 319.1 ± 78.3; p-value: 0.001). There was an improved quality of life after training, measured by decreasing in CAT score (23.9 ± 5.5 to 18.3 ± 5.2; p-value: 0.000). There was no significant change in the mMRC scale (p-value: 0.429) CONCLUSION: There was an improvement of lung function, functional capacity, and quality of life in stable COPD after upper limb training with breathing manoeuvre in stable COPD patients.

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Section: Introductionmentioning

confidence: 99%

The The Impact of Upper Limb Training with Breathing Maneuver in Lung Function, Functional Capacity, Dyspnea Scale, and Quality of Life in Patient with Stable Chronic Obstructive of Lung Disease

Tarigan

Ananda

Pandia

et al. 2019

Open Access Maced J Med Sci

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“…The study of upper limb exercise training for patients with diseases that cause weakness is similar to that for patients with chronic obstructive pulmonary disease (COPD), which is a disease that makes it difficult to move the upper limb due to breathlessness and early fatigue of upper limbs. Previously, patients with COPD have performed an unsupported upper limb training program and have shown improvements in physical functioning with or without lower limb training (Ries et al, 2007;Costi et al, 2009;Pan et al, 2012;McKeough et al, 2016). After hitting the drum with a bouncing mallet, the upper limb movement does not support the weight of the arm.…”

Section: Discussionmentioning

confidence: 99%

Drum Communication Program Intervention in Older Adults With Cognitive Impairment and Dementia at Nursing Home: Preliminary Evidence From Pilot Randomized Controlled Trial

Miyazaki¹,

Okuyama

Mori³

et al. 2020

Front. Aging Neurosci.

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Introduction: Inactivity and consequent deterioration of cognitive and physical function is a major concern among older adults with the limited walking ability and need a high level of care in nursing homes. We aimed to test whether a drumming communication program (DCP) that uses the rhythmic response function of the elderly with cognitive impairment, dementia, and other debilitating disorders would improve their cognitive and physical function. Methods: We conducted a Randomized Controlled Trial (RCT) to investigate the effects of the DCP in 46 nursing home residents who needed high levels of nursing care. The participants were randomly assigned to an intervention and control group. The intervention group attended 30 min of the DCP thrice a week for 3 months. Cognitive function was measured using the Mini-Mental State Examination-Japanese (MMSE-J) and Frontal Assessment Battery (FAB). Physical function was measured using grip strength and active upper limb range of motion with the dominant hand. Body composition was measured using bioelectrical impedance analysis (BIA). These measures were analyzed before and after the DCP intervention period, and data for the two groups were compared thereafter. Results: Initially, the participants had low scores on the MMSE-J, and 84.78% of them used wheelchairs. Following the DCP intervention, the MMSE-J and FAB scores of the DCP group improved significantly. In terms of motor function, the active range of motion of the wrist palmar and the shoulder flexion improved in the intervention group. Regarding body composition, the skeletal muscle mass index, total body protein, and the dominant hand muscle mass that was adding physical load decreased.

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“…Respiratory muscle training improves the inspiratory 29 associated with upper limb exercise and shows that the increase in inspiratory force is significantly higher, despite a different finding in a recent meta-analysis of resistive upper limb exercise in patients with chronic obstructive pulmonary disease. 30 Being able to improve performance, exercise capacity, sensation of dyspnea and improvement in the prognostic factor of the inspiratory fraction. 31 muscle strength, quality of life, and exercise capacity, while decreasing dyspnea.…”

Section: Discussionmentioning

confidence: 99%

“…This result was in contrast to previous evidence that indicated that some form of upper limb training, compared to no upper limb training or sham intervention, reduced dyspnea in patients with chronic obstructive pulmonary disease. 30…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2018

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Upper limb exercise training for COPD

Cited by 15 publications

References 23 publications

The The Impact of Upper Limb Training with Breathing Maneuver in Lung Function, Functional Capacity, Dyspnea Scale, and Quality of Life in Patient with Stable Chronic Obstructive of Lung Disease

The The Impact of Upper Limb Training with Breathing Maneuver in Lung Function, Functional Capacity, Dyspnea Scale, and Quality of Life in Patient with Stable Chronic Obstructive of Lung Disease

Drum Communication Program Intervention in Older Adults With Cognitive Impairment and Dementia at Nursing Home: Preliminary Evidence From Pilot Randomized Controlled Trial

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

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