Chest
Upper Extremity Exercise Training in Chronic Obstructive Pulmonary Disease
Section snippets
Subjects
Forty-five subjects were recruited from participants in the University of California at San Diego ¢UCSD) Pulmonary Rehabilitation Program. This is a comprehensive multidisciplinary program for patients with stable COPD and includes education, instruction in techniques of physical and respiratory therapy, exercise training, and psychosocial support. Subjects were assigned randomly to one of three groups: two groups using upper-extremity exercise; and a control group with no upper-extremity
Patients and Baseline Results
For the 45 patients initially enrolled in the study, there were no significant differences between groups for any of the baseline measurements.
Twenty-eight of the 45 patients completed the study, including the requirement of at least six weeks of uninterrupted training. There were 11 control subjects, eight GR trainers, and nine PNF trainers. Seventeen patients did not complete the study for the following reasons: interfering medical problems in ten; nonmedical problems in six; and
DISCUSSION
The results of this study indicate that upper-extremity training resulted in improved upper-extremity performance for these patients with COPD; however, upper-extremity training did not result in improved performance for tests unrelated to training, including arm cycle ergometry, ventilatory muscle endurance, and simulated ADL testing. Nevertheless, many patients reported subjective improvement in their ability to perform daily activities involving the upper extremities.
Studies of exercise
REFERENCES (29)
- et al.
The breathing pattern in chronic obstructive lung disease during the performance of some common daily activities
Chest
(1973) - et al.
Comparison of isocapnic hyperventilation and walking exercise training at home in pulmonary rehabilitation
Chest
(1986) - et al.
Physical training fails to improve ventilatory muscle endurance in patients with chronic obstructive pulmonary disease
Chest
(1982) - et al.
Rehabilitation of patients with chronic obstructive pulmonary disease
Am Rev Respir Dis.
(1976) - et al.
Exercise training and testing in patients with chronic obstructive pulmonary disease
Basics of RD
(1981) - et al.
Dyssynchronous breathing during arm but not leg exercise in patients with chronic airflow obstruction
N Engl J Med.
(1986) - et al.
Specificity of arm training on aerobic power during swimming and running
Med Sci Sports Exer.
(1984) - et al.
Task specific changes in maximal oxygen uptake resulting from arm versus leg training
Ergonomics
(1978) - et al.
Effects of training on the physiological responses to one- and two-leg work
J Appl Physiol
(1975) - et al.
Metabolic and cardiovascular adjustment to arm training
J Appl Physiol
(1978)
The nature of the training response: peripheral and central adaptations to one-legged exercise
Acta Physiol Scand
Pulmonary ventilation, blood gases, and blood pH after training of the arms or the legs
J Appl Physiol
ATS Statement-Snowbird workshop on standardization of spirometry
Am Rev Respir Dis.
Pulmonary function testing guidelines and controversies
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Supported in part by the Easter Seal Research Foundation of the National Easter Seal Society and National Institutes of Health grant RR00827 from the Division of Research Resources for the Clinical Research Center.