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

Abstract

Objective: To determine the efficacy of aerobic combined with strength training exercise in the improvement of exercise tolerance and quality of life of mild and moderate chronic obstructive pulmonary disease patients.
Subjects and Materials: Subjects included were; physician diagnosed COPD , pulmonary function test compatible with COPD, stable patients, exercise limitation manifested as shortness of breath. Exclusion criteria were clinical evidence of cardiovascular or neuromuscular diseases.
Outcome: Improvement of peripheral muscle mass ,exercise tolerance using 6 minute walk and improvement in the quality of life.
Results: Nine patients completed the exercise program. Mean age is 71 +/- 7.Pre-training lung function studies showed mild to moderate airflow obstruction. Anthropometric measurements revealed normal body mass indexes. Upper and lower extremities exercise using bicycle , treadmill and arm cycle showed significant increase in the right arm and left thigh circumference with mean difference of 1.3cm +/- 0.32cm and 1.14 cm +/- 0.28 respectively. Marginal improvement in lung function which is not significant. Six minute walking distance improved to 631 m +/- 148 m with significant mean difference of 218 meters post exercise training. Improvement in the quality of life showed significant change in performing their activities of daily living.
Conclusion: Aerobic combined with strength training exercise improved patients exercise capacity and tolerance. No improvement seen in the pulmonary function test.The greatest benefit in the combined modality exercise is the improvement in the baseline dyspnea index of patients.

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Citations should be made in the following way:
O. M. A. Panlaqui, T. O. Aquino, C. S. Dalisay (Quezon City, Philippines). Exercise tolerance and quality of life improvement following aerobic and strength training exercise in patients with chronic obstructive pulmonary disease. Eur Respir J 2006; 28: Suppl. 50, 3204

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