Upper extremity exercise training in chronic obstructive pulmonary disease
Deutscher übersetzter Titel: | Training der oberen Extremitaet bei chronischer obstruktiver Lungenerkrankung |
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Autor: | Ries, Andrew L.; Ellis, Birgitta; Hawkins, Randy W. |
Erschienen in: | Chest |
Veröffentlicht: | 93 (1988), 4, S. 688-692, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 0012-3692, 1931-3543 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU198910035246 |
Quelle: | BISp |
Abstract
Many patients with chronic obstructive pulmonary disease (COPD) report greater limitation for activities involving the upper extremities than the lower extremities. Exercise training has generally emphasized lower-extremity exercise. We designed and evaluated two simple, practical, and widely applicable upper-extremity training programs in 45 patients with COPD participating concurrently in a comprehensive, multidisciplinary pulmonary rehabilitation program. Patients were randomly assigned to one of the following three groups: (1) gravity-resistance (GR) upper-extremity training; (2) modified proprioceptive neuromuscular facilitation (PNF) upper-extremity training; or (3) no upper-extremity training (control). Patients were evaluated before and after at least six weeks of uninterrupted training. Twenty-eight patients completed the study. Compared to controls, both GR and PNF patients demonstrated improved performance on tests specific to the training performed (upper-extremity performance test, maximal level and endurance on isokinetic arm cycle). There were no significant changes on isotonic arm cycle, ventilatory muscle endurance, or simulated activities of daily-living tests. Ratings of perceived breathlessness and fatigue decreased significantly in all groups for several tests. We conclude that specific upper-extremity training may be beneficial in the rehabilitation of patients with COPD and warrants further investigation. Verf.-Referat