Source: Annual Congress 2006 - Training strategies and education in rehabilitation
Disease area: Airway diseases

Abstract

Pulmonary rehabilitation (PR) improves dyspnea, exercise tolerance and quality of life in COPD patients. Few programs include water training.
Objetives
To explore safety and potential benefits of low intensity water training as a component of PR.
Methods
40 patients. Group 1: high intensity upper and lower extremities training, twice weekly, three months; Group 2: half sessions at a swimming pool, 70% of peak heart rate, active and strength exercises. SpO2 measured at neck, thorax and waist water level.
Pre and post PR: spirometry, 6 minute walking test (6MWT), cardiopulmonary exercise test (CPT) and St.George´s Respiratory Questionnaire (SGRQ).
Results
No baseline differences between groups. Outcomes in table. All water sessions completed with no discomfort and SpO2> 95 %.

	Group 1 (land) n=20			Group 2 (land+water) n=20
Variables	Pre	Post	p	Pre	Post	p
FEV1	1.14±0.71	1.65±0.62	0.69	1.23±0.55	1.27±0.53	0.56
6MW (m)	442.4±75.6	484.8±59.1	<0.001	471.7±66.7	478±80.0	0.64
CPT (Watts)	62.9±37.6	74.9±35.7	<0.001	73.7±29.8	78.2±28.1	0.22
Borg	2.47±1.22	2.05±1.17	0.07	2.25±1.69	1.6±1.5	0.06
SGRQ t	35.4±15.6	28.26±12.4	<0.001	37.9±14.1	38.9±19.2	0.79
SGRQ sympt	26.4±18.9	21.2±16.8	0.05	30.1±19.2	30.9±20.9	0.84
SGRQ act	59.1±19.9	50.7±21.06	<0.001	55.7±27.2	60.9±25.5	0.33
SGRQ impt	24.±17.67	18.0±11.5	0.01	28.5±13.7	28.7±21.2	0.94

Conclusions
Low intensity water training, safe and well tolerated, showed no benefits when reducing land training to half. Higher intensity or more sessions might improve outcomes with this attractive exercising alternative.

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Citations should be made in the following way:
M. V. Lopez Varela, T. Anido, A. Cuello, S. Pena (Montevideo, Uruguay). Pulmonary rehabilitation outcomes in COPD patients including water training. Eur Respir J 2006; 28: Suppl. 50, 3193

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