Impact of Resistance Training on FEV1 and Functional Exercise Capacity among COPD Patients: A Meta-analysis

Abstract Objective The purpose of this study was to investigate the effectiveness of elastic resistance training on improving muscle strength, functional exercise capacity, health-related quality of life (HRQoL), and dyspnea in people with stable chronic obstructive pulmonary disease (COPD). Methods For this systematic review, PubMed, The Cochrane Library, Embase (OVID), PEDro, SciELO, and CINAHL were searched from inception to November 2019. Included studies were randomized clinical trials in which people with stable COPD were allocated to (1) an experimental group that received lower-limb resistance training, upper-limb resistance training, or both using elastic resistance; or (2) a control group that received no or sham resistance training or conventional resistance training using weight machines. Data extraction was performed by 3 review authors. The methodological quality of the studies was assessed using the PEDro scale. Eight studies on 332 participants were included. Results Knee extensor strength was higher in the experimental group (standardized mean difference = 0.52, 95% CI = 0.09–0.95) compared with the non-exercise control group. Compared with the conventional exercise control, the experimental group presented similar effects for muscle strength, functional exercise capacity, HRQoL, and dyspnea (95% CI overlapped the line of no effect for all). Conclusions Elastic resistance training improves muscle strength in people with COPD. The current review suggests elastic resistance as a potential alternative to conventional resistance training using weight machines, as they show similar effects on muscle strength, functional exercise capacity, HRQoL, and dyspnea. Impact Due to its beneficial effects, including reduced risk of exacerbation-related hospitalizations, exercise training is viewed as the cornerstone of pulmonary rehabilitation in people with COPD. This study shows that elastic resistance training can be an effective, portable, practical, and low-cost alternative to conventional weight resistance training. Lay Summary Training with elastic resistance tubes or bands—which are easy to carry, easy to use, and relatively low cost—can be an effective way to improve strength for people with COPD and promote similar benefits to those achieved with weight machines.

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Correlations Between Small Airway Function, Ventilation Distribution, and Functional Exercise Capacity in COPD Patients

Lung ◽

10.1007/s00408-014-9626-1 ◽

2014 ◽

Vol 192 (5) ◽

pp. 653-659 ◽

Cited By ~ 12

Author(s):

Agnaldo José Lopes ◽

Thiago Thomaz Mafort

Keyword(s):

Exercise Capacity ◽

Small Airway ◽

Ventilation Distribution ◽

Airway Function ◽

Copd Patients ◽

Functional Exercise ◽

Functional Exercise Capacity

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Motivational interviewing to increase physical activity in people with chronic health conditions: a systematic review and meta-analysis

Clinical Rehabilitation ◽

10.1177/0269215514536210 ◽

2014 ◽

Vol 28 (12) ◽

pp. 1159-1171 ◽

Cited By ~ 152

Author(s):

Paul D O’Halloran ◽

Felicity Blackstock ◽

Nora Shields ◽

Anne Holland ◽

Ross Iles ◽

...

Keyword(s):

Physical Activity ◽

Motivational Interviewing ◽

Exercise Capacity ◽

Cardiorespiratory Fitness ◽

Meta Analysis ◽

Chronic Health Conditions ◽

Health Conditions ◽

Chronic Health ◽

Functional Exercise ◽

Functional Exercise Capacity

Objective: A systematic review and meta-analysis of randomized controlled trials to determine if motivational interviewing leads to increased physical activity, cardiorespiratory fitness or functional exercise capacity in people with chronic health conditions. Data sources: Seven electronic databases (MEDLINE, PsychINFO, EMBASE, AMED, CINHAL, SPORTDiscus and the Cochrane Central Register of Controlled trials) were searched from inception until January 2014. Trial selection: Two reviewers independently examined publications for inclusion. Trials were included if participants were adults (>18 years), had a chronic health condition, used motivational interviewing as the intervention and examined physical activity, cardiorespiratory fitness or functional exercise capacity. Data extraction: Two reviewers independently extracted data. Risk of bias within trials was assessed using the Physiotherapy Evidence Database Scale. Data synthesis: Meta-analyses were conducted with standardized mean differences and 95% confidence intervals (CIs) were calculated. The Grades of Recommendation, Assessment, Development and Evaluation approach was used to evaluate the quality of the evidence. Results: Eleven publications (of ten trials) were included. There was moderate level evidence that motivational interviewing had a small effect in increasing physical activity levels in people with chronic health conditions relative to comparison groups (standardized mean differences = 0.19, 95% CI 0.06 to 0.32, p = 0.004). Sensitivity analysis based on trials that confirmed treatment fidelity produced a larger effect. No conclusive evidence was observed for cardiorespiratory fitness or functional exercise capacity. Conclusion: The addition of motivational interviewing to usual care may lead to modest improvements in physical activity for people with chronic health conditions.

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Does Whole-Body Vibration Improve the Functional Exercise Capacity of Subjects With COPD? A Meta-Analysis

Respiratory Care ◽

10.4187/respcare.04763 ◽

2016 ◽

Vol 61 (11) ◽

pp. 1552-1559 ◽

Cited By ~ 12

Author(s):

A. B. Cardim ◽

P. E. Marinho ◽

J. F. Nascimento ◽

H. K. Fuzari ◽

A. Dornelas de Andrade

Keyword(s):

Exercise Capacity ◽

Meta Analysis ◽

Whole Body Vibration ◽

Whole Body ◽

Body Vibration ◽

Functional Exercise ◽

Functional Exercise Capacity

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Efficacy of an mHealth intervention to stimulate physical activity in COPD patients after pulmonary rehabilitation

European Respiratory Journal ◽

10.1183/13993003.00083-2016 ◽

2016 ◽

Vol 48 (4) ◽

pp. 1019-1029 ◽

Cited By ~ 40

Author(s):

Sigrid N.W. Vorrink ◽

Helianthe S.M. Kort ◽

Thierry Troosters ◽

Pieter Zanen ◽

Jan-Willem J. Lammers

Keyword(s):

Physical Activity ◽

Lung Function ◽

Usual Care ◽

Exercise Capacity ◽

Pulmonary Rehabilitation ◽

Mhealth Intervention ◽

Positive Effects ◽

Copd Patients ◽

Functional Exercise ◽

Functional Exercise Capacity

Physical inactivity in patients with chronic obstructive pulmonary disease (COPD) is associated with poor health status and increased disease burden. The present study aims to test the efficacy of a previously developed mobile (m)Health intervention to improve or maintain physical activity in patients with COPD after pulmonary rehabilitation.A randomised controlled trial was performed in 32 physiotherapy practices in the Netherlands. COPD patients were randomised into intervention or usual care groups. The intervention consisted of a smartphone application for the patients and a monitoring website for the physiotherapists. Measurements were performed at 0, 3, 6 and 12 months. Physical activity, functional exercise capacity, lung function, health-related quality of life and body mass index were assessed.157 patients started the study and 121 completed it. There were no significant positive effects of the intervention on physical activity (at 0 months: intervention 5824±3418 steps per weekday, usual care 5717±2870 steps per weekday; at 12 months: intervention 4819±2526 steps per weekday, usual care 4950±2634 steps per weekday; p=0.811) or on the secondary end-points. There was a significant decrease over time in physical activity (p<0.001), lung function (p<0.001) and mastery (p=0.017), but not in functional exercise capacity (p=0.585).Although functional exercise capacity did not deteriorate, our mHealth intervention did not improve or maintain physical activity in patients with COPD after a period of pulmonary rehabilitation.

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Lung hyperinflation and functional exercise capacity in patients with COPD – a three-year longitudinal study

BMC Pulmonary Medicine ◽

10.1186/s12890-018-0747-9 ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 2

Author(s):

Linn T. Aalstad ◽

Jon A. Hardie ◽

Birgitte Espehaug ◽

Einar Thorsen ◽

Per S. Bakke ◽

...

Keyword(s):

Longitudinal Study ◽

Exercise Capacity ◽

Lung Hyperinflation ◽

Functional Exercise ◽

Functional Exercise Capacity

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Elastic Taping’s Effect on Exercise Capacity in Recreational Runner with Inspiratory Muscle Training

Surabaya Physical Medicine and Rehabilitation Journal ◽

10.20473/spmrj.v1i1.16166 ◽

2019 ◽

Vol 1 (1) ◽

pp. 25

Author(s):

Asriningrum Asriningrum ◽

Dewi Poerwandari ◽

Andriati Andriati ◽

Soenarnatalina Soenarnatalina

Keyword(s):

Muscle Strength ◽

Exercise Capacity ◽

Inspiratory Muscle ◽

Inspiratory Muscle Training ◽

Muscle Training ◽

P Values ◽

Pressure Threshold ◽

Functional Exercise ◽

Functional Exercise Capacity ◽

Recreational Runners

Background: Running is a new trend of recreational sports in Indonesia. About 70% of recreational runners have difficulty in improving exercise capacity due to exercise-related transient abdominal pain (ETAP), caused by fatigue of the diaphragmatic muscles. Previous studies have shown that various training methods may increase diaphragmatic muscle strength and endurance, for example, inspiratory muscle training (IMT). Unfortunately, improvement of inspiratory muscle strength and endurance after exercise and IMT are still varies. Therefore, other methods are needed to optimize the effect of IMT. Application of the elastic taping on thoracic wall during exercise allows the inspiratory muscles to contract optimally which might improve functional capacity.Aim: To assess the effect of elastic taping on inspiratory muscle training using the pressure threshold IMT, in increasing the functional exercise capacity of recreational runners. Functional capacity was measured based on VO2max value, rating of perceived breathlessness (RPB) and rating of perceived exertion (RPE).Methods: an experimental study involved 14 nonsmoker recreational runners, ages 20-40 years, at Outpatient Clinic of Physical Medicine and Rehabilitation Department of Dr. Soetomo Hospital Surabaya. Subjects were divided into two groups (pressure threshold IMT with and without elastic taping groups), which were observed for four weeks. IMT was done five times a week, twice a day, with 30 repetitions, and 60% resistance 30 RM using Respironics®. Elastic taping Leukotape® was applied on the first until fifth day in each IMT sessions. The running exercises were done three times a week with EnMill® Treadmill ETB-03195 with a speed of 4.5 mph and 0% inclination. RBP, RPE and VO2max were measured using Borg Dyspneu scale, Borg Scale, and Bruce Treadmill Protocol test, respectively, before the first exercise and after 4 weeks of exercise.Results: There were an improvement of functional exercise capacity in both groups which were marked with a decline of RPB and RPE and increase of VO2max (p values < 0.05). However, there were no significant differences in the decrease of RPB and RPE and an increase of VO2max between groups (p values of were 0.31, 0.83, and 0.13, respectively). The effect of the elastic taping (r2 = 0.99) was not reflected in the differences of RPB, RPE and increasing VO2max.Conclusion: Inspiratory muscle training using pressure threshold IMT with or without the elastic taping for four weeks can improve exercise capacity of recreational runners.

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