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Effect of Unsupported Upper Limb Endurance Training Versus Lower Limb Endurance Training in Patients with Chronic Obstructive Pulmonary Disease
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Back ground: This clinical trial was carried out to compare the effect of Unsupported upper limb endurance training (USULET) and Lower limb endurance training (LLET) in patients with chronic obstructive pulmonary disease (COPD).
Subjects: 40 patients with COPD.
Method: All subjects were randomly assigned to either Group1: USULET or Group2: LLET. Both groups were assessed for six minute walk test distance (6MWTD)&quality of life (by chronic respiratory disease questionnaire - CRDQ) at baseline&after 6 weeks of endurance training program, as the outcome measures.
Results: Intra group comparison showed a statistically significant difference in 6MWTD&CRDQ score before and after the training program in both the groups. LLET as compared to USULET showed statistically significant improvement in 6MWTD, emotional and mastery score of CRDQ. However the dyspnoea&fatigue score of CRDQ showed equal improvements in both the groups
Conclusion: Both the training modes caused significant improvement in functional capacity&Quality of life, but LLET caused statistically significant improvement as compared to USLLET in functional capacity&emotional&mastery score of CRDQ.
Keywords
- Shrikrishna D, Hopkinson N S. Skeletal muscle dysfunction in COPD, Respiratory medicine: COPD update,vol.5, issue 1, Feb 2009, pg.7-13.
- Spruit M A, Gooselink R, Troosters T, De Paepe K & Decramer M. Resistance versus endurance training in patients with COPD & peripheral muscle weakness, European Respiratory Journal,2002,19:1072-1078.
- Clini E, Costi S, Romagnoli M, Florini F. Rehabilitation of COPD: which training modality? Monaldi Arch Chest Dis,2004,61:3,167-173.
- Franssen Frits M. E., Broekhuizen R, Janssen p.p., Wouters Emiel F.M., et al. Limb muscle dysfunction in COPD: Effects of muscle wasting & exercisetraining, Medicine & science in sports & exercise, Jan 005,vol.37, issue 1, pp 2-9.
- Global initiative for chronic obstructive lung disease, Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease, executive summary, updated 2005.
- ATS statement: guidelines for the six minute walk test, Am J Respir Crit Care Med, May 2003, 1:167(9):1287.
- Guyatt G H, Berman L B, Townsend M,et al. A measure of quality of life for clinical trials in chronic lung disease, Thorax 1987,42:773-778.
- Holland A E, Hill C J, Nehez E, Ntoumenopoulos G. Does unsupported upper limb exercise training improve symptoms & quality of life for patients with COPD? Jr. of cardiopulmonary rehabilitation,2004,24:422-427.
- American Thoracic Society Statement. Pulmonary rehabilitation-1999. Am J Respir Crit Care Med 1999,159:1666-82.
- Cooper C B, Desensitization to dyspnoea in COPD with specificity for exercise training mode; International journal of COPD,2009;4,33-43.
- Boxall A M, Barclay L R N, Allyn S, et al. Managing COPD in the community: A randomized control trial of home based pulmonary rehabilitation for elderly household patients, Chest 2000; 58(5); 977-82.
- Lake F R, Handerson K, Briffa T, et al. Upper limb and lower limb exercise training in patients with chronic airflow obstruction, Chest, May 1990, 97(5): 1077-82.
- Carolyn L Rochester, Journal of rehabilitation research & development, Sept/Oct. 2003, vol.40, no.5, supplement 2, pg.59-80.
- Bluementhal J A, Babyak A, Moore K A, et al. Effects of exercise training on older patients with major depression, Archieves of internal medicine, vol.159, no.19,Oct 1999.
- Westermayer R., The cognitive model of anxiety, Addictioninfo.org.
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