IMPACT OF LOWER-LIMB ENDURANCE TRAINING ON DYSPNEA SCALE AND PULMONARY FUNCTION TEST RESULTS IN COPD PATIENTS

Respirology ◽  
2017 ◽  
Vol 22 ◽  
pp. 104-105
2018 ◽  
Vol 6 (12) ◽  
pp. 2354-2358 ◽  
Author(s):  
Amira Permatasari Tarigan ◽  
Pandiaman Pandia ◽  
Erna Mutiara ◽  
Andika Pradana ◽  
Ella Rhinsilva ◽  
...  

BACKGROUND: Patients with chronic obstructive pulmonary disease (COPD) exhibit persistent dyspnea in daily activities and irreversible airflow obstruction. These will finally lead to an inability to carry on daily activities and markedly decrease their quality of life. Endurance training was considered as therapy modality to alleviate several symptoms experienced by COPD patients. AIM: This study aims to identify the impact of lower-limb exercise on dyspnea and spirometry test results in COPD patients. METHODS: We performed a quasi-experimental study in July 2017 on 20 stable COPD patients divided both in group C and D according to GOLD 2017 criteria. Patients were given an individualised dose of stationary cycling twice a week for one month in which every session lasted 5-20 minutes gradually. Before and after rehabilitation program, pulmonary function tests were measured by spirometry to obtain per cent predicted of Forced Expiratory Volume in 1 second (FEV1), Forced Volume Capacity (FVC), Peak Expiratory Flow (PEF) and Forced Expiratory Flow at 25-75% of the pulmonary volume (FEF25-75), and dyspnea was measured by the mMRC index. Statistical analysis was performed by Wilcoxon and T-dependent test. RESULTS: Baseline value of FVC (49.6 ± 21.6%) increased significantly to 59.65 ± 16.53% after one month of endurance training program (p = 0.01). Surprisingly, there was also a significant increase in FEV1 value from 46.9 ± 21.7 to 52.9 ± 20.7% (p < 0.005). The increase of FVC and FEV1 in group C was slightly higher than in group D although not statistically significant (p = 0.29; p = 0.25 respectively). However, no difference was observed in PEF and FEF25-75 value (p > 0.05). Patients’ dyspnea scale also showed significant improvement (p < 0.001) from mMRC median scale 2 (range 1-3) to 1 (range 0-2) in both groups C and D. There was no exacerbation found during rehabilitation program. CONCLUSION: Twice a week lower-limb endurance training for one-month improved dyspnea and pulmonary function test results in COPD patients safely and effectively.


2019 ◽  
Vol 129 (1) ◽  
pp. 184-191 ◽  
Author(s):  
Nicholas E. Burjek ◽  
Kristen E. Rao ◽  
John P. Wieser ◽  
Michael A. Evans ◽  
Erin E. Toaz ◽  
...  

2013 ◽  
Vol 39 (6) ◽  
pp. 701-710 ◽  
Author(s):  
Helena Mocelin ◽  
Gilberto Bueno ◽  
Klaus Irion ◽  
Edson Marchiori ◽  
Edgar Sarria ◽  
...  

OBJECTIVE: To determine whether air trapping (expressed as the percentage of air trapping relative to total lung volume [AT%]) correlates with clinical and functional parameters in children with obliterative bronchiolitis (OB).METHODS: CT scans of 19 children with OB were post-processed for AT% quantification with the use of a fixed threshold of −950 HU (AT%950) and of thresholds selected with the aid of density masks (AT%DM). Patients were divided into three groups by AT% severity. We examined AT% correlations with oxygen saturation (SO2) at rest, six-minute walk distance (6MWD), minimum SO2 during the six-minute walk test (6MWT_SO2), FVC, FEV1, FEV1/FVC, and clinical parameters.RESULTS: The 6MWD was longer in the patients with larger normal lung volumes (r = 0.53). We found that AT%950 showed significant correlations (before and after the exclusion of outliers, respectively) with the clinical score (r = 0.72; 0.80), FVC (r = 0.24; 0.59), FEV1 (r = −0.58; −0.67), and FEV1/FVC (r = −0.53; r = −0.62), as did AT%DM with the clinical score (r = 0.58; r = 0.63), SO2 at rest (r = −0.40; r = −0.61), 6MWT_SO2 (r = −0.24; r = −0.55), FVC (r = −0.44; r = −0.80), FEV1 (r = −0.65; r = −0.71), and FEV1/FVC (r = −0.41; r = −0.52).CONCLUSIONS: Our results show that AT% correlates significantly with clinical scores and pulmonary function test results in children with OB.


Author(s):  
Oleksandr Onikiienko ◽  
Valentyn Polyakov ◽  
Ganna Senatorova ◽  
Margaryta Gonchar

CHEST Journal ◽  
2009 ◽  
Vol 136 (4) ◽  
pp. 4S
Author(s):  
Veronica Fusco-Garcia ◽  
Miriam Lagunas-Fitta ◽  
Cristina Gutierrez ◽  
Sucheta Pai ◽  
Balavenkatesh Kanna ◽  
...  

2011 ◽  
Vol 56 (7) ◽  
pp. 995-1001 ◽  
Author(s):  
A. A. de Camargo ◽  
T. Justino ◽  
C. H. S. de Andrade ◽  
C. Malaguti ◽  
S. Dal Corso

PLoS ONE ◽  
2015 ◽  
Vol 10 (5) ◽  
pp. e0126617 ◽  
Author(s):  
Debbie Zagami ◽  
Jessica Hockenhull ◽  
Alanna Bodger ◽  
Krishna Bajee Sriram

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