We included 11 r and omized controlled trials ( 331 participants ) and 2 previous systematic review s. The meta-analyses showed equal improvements in HRQoL , walking distance and exercise capacity .
In conclusion , we found significantly increased leg muscle strength favouring a combination of RT with ET compared with ET alone .
Resistance training ( RT ) is thought to be effective in preventing muscle depletion , whereas endurance training ( ET ) is known to improve exercise capacity and health-related quality of life ( HRQoL ) in chronic obstructive pulmonary disease ( COPD ) .
Our objectives were to assess the efficiency of combining RT with ET compared with ET alone .
Upper extremity exercise training in chronic obstructive pulmonary disease.
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 design ed 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 r and omly 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
We included 11 r and omized controlled trials ( 331 participants ) and 2 previous systematic review s. The meta-analyses showed equal improvements in HRQoL , walking distance and exercise capacity .
In conclusion , we found significantly increased leg muscle strength favouring a combination of RT with ET compared with ET alone .
Resistance training ( RT ) is thought to be effective in preventing muscle depletion , whereas endurance training ( ET ) is known to improve exercise capacity and health-related quality of life ( HRQoL ) in chronic obstructive pulmonary disease ( COPD ) .
Our objectives were to assess the efficiency of combining RT with ET compared with ET alone .