Combining functional exercises with exercise training in COPD: a randomized controlled trial
Increasing physical activity in daily life (PADL) in chronic obstructive pulmonary disease (COPD), mainly in short-term training programs, is still a challenge. The combination of functional exercises with aerobic and resistance training may be a strategy to improve PADL and limitations in activitie...
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Published in | Physiotherapy theory and practice Vol. 40; no. 5; p. 952 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
01.05.2024
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Subjects | |
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Abstract | Increasing physical activity in daily life (PADL) in chronic obstructive pulmonary disease (COPD), mainly in short-term training programs, is still a challenge. The combination of functional exercises with aerobic and resistance training may be a strategy to improve PADL and limitations in activities of daily living (ADL) in COPD.
To evaluated the short- and medium-term effects of the combination of functional exercises with aerobic and resistance training.
Seventy-six patients were randomized into (1) functional training group who performed resistance and aerobic and functional exercises; (2) conventional training group (CTG) who performed resistance and aerobic exercise; or (3) usual care group who performed respiratory physiotherapy. Patients were evaluated for PADL (activity monitor), ADL limitations (London Chest Activity of Daily Living scale [LCADL]), functional exercise capacity (6-minute walk test [6MWT]), and peripheral muscle strength before and after eight weeks. Medium-term effects were evaluated 12 weeks after the training.
There were no changes or differences between groups in PADL and in 6MWT post-intervention and 12 weeks post-training. Only CTG showed a reduction in the total score on LCADL scale after the intervention and increase at follow-up (score: 20 ± 8; 17 ± 6; 19 ± 8, pre-intervention, post-intervention, and 12 weeks post-training, respectively,
= 0.001), without differences between groups (
= 0.375). There were increases in the muscle strength of knee flexors (
= 0.016) and extensors (
< 0.001) after the intervention only in CTG.
Combined aerobic and resistance training with functional exercises failed to improve PADL and ADL limitations in COPD. Eight weeks of conventional training improved ADL. This, however, was not superior to the results from the other groups and was not sustained at medium-term 12 weeks post-training. |
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AbstractList | Increasing physical activity in daily life (PADL) in chronic obstructive pulmonary disease (COPD), mainly in short-term training programs, is still a challenge. The combination of functional exercises with aerobic and resistance training may be a strategy to improve PADL and limitations in activities of daily living (ADL) in COPD.
To evaluated the short- and medium-term effects of the combination of functional exercises with aerobic and resistance training.
Seventy-six patients were randomized into (1) functional training group who performed resistance and aerobic and functional exercises; (2) conventional training group (CTG) who performed resistance and aerobic exercise; or (3) usual care group who performed respiratory physiotherapy. Patients were evaluated for PADL (activity monitor), ADL limitations (London Chest Activity of Daily Living scale [LCADL]), functional exercise capacity (6-minute walk test [6MWT]), and peripheral muscle strength before and after eight weeks. Medium-term effects were evaluated 12 weeks after the training.
There were no changes or differences between groups in PADL and in 6MWT post-intervention and 12 weeks post-training. Only CTG showed a reduction in the total score on LCADL scale after the intervention and increase at follow-up (score: 20 ± 8; 17 ± 6; 19 ± 8, pre-intervention, post-intervention, and 12 weeks post-training, respectively,
= 0.001), without differences between groups (
= 0.375). There were increases in the muscle strength of knee flexors (
= 0.016) and extensors (
< 0.001) after the intervention only in CTG.
Combined aerobic and resistance training with functional exercises failed to improve PADL and ADL limitations in COPD. Eight weeks of conventional training improved ADL. This, however, was not superior to the results from the other groups and was not sustained at medium-term 12 weeks post-training. |
Author | Ramos, Dionei Cipulo Ramos, Ercy Mara Burtin, Chris Grigoletto, Isis Marques Vanderlei, Franciele Marçal Camillo, Carlos Augusto Uzeloto, Juliana Francisco de Lima, Fabiano |
Author_xml | – sequence: 1 givenname: Fabiano surname: Francisco de Lima fullname: Francisco de Lima, Fabiano organization: REVAL-Rehabilitation Research Center, BIOMED-Biomedical Research Institute, Faculty of Rehabilitation Sciences, Hasselt University, Diepenbeek, Belgium – sequence: 2 givenname: Carlos Augusto surname: Marçal Camillo fullname: Marçal Camillo, Carlos Augusto organization: Department of Rehabilitation Sciences, University Pitágoras (UNOPAR), Londrina, Brazil – sequence: 3 givenname: Isis surname: Grigoletto fullname: Grigoletto, Isis organization: Faculty of Science and Technology, Postgraduate Program in Physiotherapy, São Paulo State University (UNESP), São Paulo, Brazil – sequence: 4 givenname: Juliana surname: Uzeloto fullname: Uzeloto, Juliana organization: Faculty of Science and Technology, Postgraduate Program in Physiotherapy, São Paulo State University (UNESP), São Paulo, Brazil – sequence: 5 givenname: Franciele surname: Marques Vanderlei fullname: Marques Vanderlei, Franciele organization: Faculty of Science and Technology, Postgraduate Program in Physiotherapy, São Paulo State University (UNESP), São Paulo, Brazil – sequence: 6 givenname: Dionei orcidid: 0000-0002-2956-7399 surname: Ramos fullname: Ramos, Dionei organization: Faculty of Science and Technology, Postgraduate Program in Physiotherapy, São Paulo State University (UNESP), São Paulo, Brazil – sequence: 7 givenname: Chris surname: Burtin fullname: Burtin, Chris organization: REVAL-Rehabilitation Research Center, BIOMED-Biomedical Research Institute, Faculty of Rehabilitation Sciences, Hasselt University, Diepenbeek, Belgium – sequence: 8 givenname: Ercy Mara surname: Cipulo Ramos fullname: Cipulo Ramos, Ercy Mara organization: Faculty of Science and Technology, Postgraduate Program in Physiotherapy, São Paulo State University (UNESP), São Paulo, Brazil |
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SubjectTerms | Activities of Daily Living Aged Exercise Therapy - methods Exercise Tolerance Female Humans Male Middle Aged Muscle Strength - physiology Pulmonary Disease, Chronic Obstructive - physiopathology Pulmonary Disease, Chronic Obstructive - rehabilitation Pulmonary Disease, Chronic Obstructive - therapy Resistance Training - methods Treatment Outcome Walk Test |
Title | Combining functional exercises with exercise training in COPD: a randomized controlled trial |
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