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Titre : | Impact of Resistance Training in Chronic Obstructive Pulmonary Disease Patients During Periods of Acute Exacerbation (2014) |
Auteurs : | Rodrigo C. Borges ; Celso R. Carvalho |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/9, 2014) |
Article en page(s) : | p. 1638-1645 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Broncho-pneumopathie chronique obstructive ; Hospitalisation ; Qualité de vie ; Rééducation et réadaptation |
Mots-clés: | Hospitalization ; Quality of life ; Resistance training ; Entraînement en résistance ; Pulmonary Disease ; Chronic Obstructive |
Résumé : |
Objective To evaluate the effects of whole-body resistance training on exercise capacity, health-related quality of life (HRQOL), and muscle strength in patients hospitalized for exacerbation of chronic obstructive pulmonary disease. Design Randomized controlled trial. Setting University hospital. Participants Patients (N=46) were randomized to either a control group (CG) or training group (TG), and 29 patients completed the study. Intervention Training consisted of weight-lifting exercises for 6 muscle groups in the upper and lower limbs (2 sets of 8 repetitions each), and the initial load was set at 80% of the 1-repetition maximum load. Main Outcome Measures Patients were evaluated on the second day of hospitalization, at hospital discharge, and 30 days postdischarge. Patients were evaluated on the basis of the 6-minute walking distance (6MWD), HRQOL, muscle strength, systemic inflammatory markers, and level of physical activity in daily life (PADL). Results The CG showed a reduction in the strength of lower-limb muscles (P<.05 but not in the>.05). In contrast, patients from the TG improved strength in the lower-limb muscles and 6MWD during and 30 days after hospitalization (P<.05 the tg also improved impact domain in hrqol after hospitalization. no improvement padl was observed tg. finally a reduction blood levels of inflammatory markers only> Conclusions Our results suggest that resistance training during hospitalization improves the 6MWD, HRQOL, and lower-limb muscle strength, without altering the levels of systemic inflammation. However, future research should explore this intervention in larger randomized trials. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314003992 |