Meta- analysis revealed few clinical ly relevant and statistically significant benefits of " add-on " therapies on exercise performance compared with exercise training .
The aim of this review was to identify the effectiveness of therapies added on to conventional exercise training to maximise exercise capacity in patients with chronic obstructive pulmonary disease ( COPD ) .
Effects of whole body vibration in patients with chronic obstructive pulmonary disease--a randomized controlled trial.
INTRODUCTION To date endurance and strength training are established and evidence -based exercise methods in patients with chronic obstructive pulmonary disease ( COPD ) . There is an unmet need for further research in new and complementary exercise modalities . Additional whole body vibration training during pulmonary rehabilitation may be such a new approach that has not yet been investigated in patients with COPD . METHODS Eighty-two patients ( 65 ± 9 yrs , FEV(1 ) pred . 38 ± 11 % , female 51 % ) with COPD in GOLD stage III to IV assessed for a 3-week inpatient multidisciplinary rehabilitation program were on top r and omly assigned to one of two intervention groups : ( 1 ) 3 × 3 min of bilateral dynamic squat exercises on a side-alternating vibration platform at 24 - 26 Hz three times per week ( WBV ) and ( 2 ) a control group ( CON ) with the same amount of exercise time without WBV . RESULTS Thirty-six patients completed the study in each group . The improvement in 6-min walking distance was significantly higher in the WBV-group when compared to the CON-group ( WBV : 64 ± 59 m , CON : 37 ± 52 m with a between-group difference of 27 m [ 95 % CI , 1 - 53 ] , p = 0.046 ) . The time required for a sit-to-st and test also decreased more markedly in the WBV-group than in the CON-group ( WBV : -4.0 ± 4.8 s , CON : -2.0 ± 3.1 s with a between-group difference of -1.9 s [ 95 % CI , -4.0 to 0.1 ] , p = 0.067 ) . Improvements in health-related quality of life were similar in both groups . CONCLUSIONS WBV training seems to be a promising new exercise modality for patients with COPD and may enhance the effects of a multidisciplinary rehabilitation program
Meta- analysis revealed few clinical ly relevant and statistically significant benefits of " add-on " therapies on exercise performance compared with exercise training .
The aim of this review was to identify the effectiveness of therapies added on to conventional exercise training to maximise exercise capacity in patients with chronic obstructive pulmonary disease ( COPD ) .