The effects of elastic tubing-based resistance training compared with conventional resistance training in patients with moderate chronic obstructive pulmonary disease: a randomized clinical trial

被引:54
作者
Cipulo Ramos, Ercy Mara [1 ]
de Toledo-Arruda, Alessandra Choqueta [1 ,2 ]
Fosco, Luciana Cristina [1 ]
Bonfim, Rafaela [1 ]
Bertolini, Giovana Navarro [1 ]
Guarnier, Flavia Alessandra [3 ]
Cecchini, Rubens [3 ]
Pastre, Carlos Marcelo [1 ]
Langer, Daniel [4 ]
Gosselink, Rik [4 ]
Ramos, Dionei [1 ]
机构
[1] State Univ Sao Paulo, Dept Physiotherapy, Presidente Prudente, Brazil
[2] Univ Sao Paulo, Sch Med, Dept Clin Med, Sao Paulo, Brazil
[3] Univ Estadual Londrina, Londrina, Parana, Brazil
[4] Katholieke Univ Leuven, Dept Rehabil Sci, Fac Kinesiol & Rehabil Sci, Leuven, Belgium
关键词
Chronic obstructive pulmonary disease; muscle strength; rehabilitation; resistance training; QUALITY-OF-LIFE; PERIPHERAL MUSCLE WEAKNESS; EXERCISE CAPACITY; 6-MINUTE WALK; COPD; STRENGTH; REHABILITATION; LIMITATION; ENDURANCE; TERM;
D O I
10.1177/0269215514527842
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: To investigate the effects of elastic tubing training compared with conventional resistance training on the improvement of functional exercise capacity, muscle strength, fat-free mass, and systemic inflammation in patients with chronic obstructive pulmonary disease. Design: A prospective, randomized, eight-week clinical trial. Setting: The study was conducted in a university-based, outpatient, physical therapy clinic. Subjects: A total of 49 patients with moderate chronic obstructive pulmonary disease. Interventions: Participants were randomly assigned to perform elastic tubing training or conventional resistance training three times per week for eight weeks. Main measures: The primary outcome measure was functional exercise capacity. The secondary outcome measures were peripheral muscle strength, health-related quality of life assessed by the Chronic Respiratory Disease Questionnaire (CRDQ), fat-free mass, and cytokine profile. Results: After eight weeks, the mean distance covered during six minutes increased by 73 meters (69) in the elastic tubing group and by 42 meters (+/- 59) in the conventional group (p < 0.05). The muscle strength and quality of life improved in both groups (P < 0.05), with no significant differences between the groups. There was a trend toward an improved fat-free mass in both groups (P = 0.05). After the first and last sessions, there was an increase in interleukin 1 (IL-1) and interleukin 10 (IL-10) in both groups, while tumour necrosis factor alpha (TNF-) was stimulated only in the conventional training group. Conclusion: Elastic tubing training had a greater effect on functional exercise capacity than conventional resistance training. Both interventions were equally effective in improving muscle strength and quality of life.
引用
收藏
页码:1096 / 1106
页数:11
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