Clinical effects of sub-maximum ergometry exercise rehabilitation in patients with chronic obstructive pulmonary disease

doi:10.12047/j.cjap.0126.2015.021

Abstract

Abstract: Objective: To study the rehabilitation effects ergometry on COPD patients. Methods: Thirty COPD out-patients in our Hospital were randomly divided into 2 groups. Rehabilitation group, 15 patients, performed leg ergometry exercise of 80% peak Watt×30min/d ×3d/w ×12w. Another 15 patients were control group without exercise. All patients received conventional therapy. Pulmonary function testing (PFT), cardiopulmonary exercise testing (CPET), arterial blood gas analysis (ABG), Borg and CAT sores were done at both baseline and 12 w. Results: There was no statistically difference in lung function testing, blood gas analysis and cardiopulmonary exercise test when pre- exercises between 2 sub-groups. The IC, peak VO₂and peak ,W of rehabilitation group significantly increased (P<0.05); and Borg and CAT scores significantly decreased (P<0.05) from baseline; and other PFT and ABG did not change (P>0.05). While there was no difference in control group (P>0.05). Conclusion: Leg submaximal ergometry rehabilitation improves health condition and ameliorate dyspnea symptoms in COPD patients.

Key words: COPD, ergometry cycling, rehabilitation, Sub-maximal Exercise, cardiopulmonary exercise testing, Pulmonary function testing

CLC Number:

R563

WU Hao, SUN Xing-guo, GU Wen-chao, QI Guang-sheng, ZHOU Wei-ju, YUAN Ya-ping, DENG Guo-ping. Clinical effects of sub-maximum ergometry exercise rehabilitation in patients with chronic obstructive pulmonary disease[J]. CJAP, 2015, 31(4): 382-384.

References

[1] 中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2013年修订版). 中华结核和呼吸杂志, 2013, 36(4): 1-10.
[2] 孟申. 从肺康复指南的更新看肺康复研究的进展.中华结核和呼吸杂志, 2010, 33(3): 216-218.
[3] American College of Chest Physicians/American Association of Cardiovascular and Pulmonary Rehabilitation. Pulmonary rehabilitation: joint ACCP /AACVPR evidence-based guidelines. ACCP/AACVPR Pulmonary Rehabilitation Guidelines Panel[J]. Chest, 2007, 131(suppl 5): 4S-42S.
[4] 文红, 郑劲平. 慢性阻塞性肺疾病患者肺康复下肢运动处方的制定[J]. 中国康复医学杂志, 2006, 9(21): 860-863.
[5] 吴浩, 周志才, 刘锦铭, 等. 慢性阻塞性肺疾病在峰值运动时的心肺运动试验改变特点[J].国际呼吸杂志, 2012, 32(17): 1281-1285.
[6] Finnerty JP, Keeping I, Bullough I, et al.The effectiveness of outpatient pulmonary rehabilitation in chronic lung disease: a randomized controlled trial[J]. Chest, 2001, 119(6): 1705-1710.
[7] 吴浩,孙兴国,刘锦铭.心肺运动试验应用于慢性阻塞性肺疾病的研究进展[J]. 国际呼吸杂志, 2011, 31: 38-41.
[8] Alexander JL, Phillips WT, Wagner CL.The effect of strength training on functional fitness in older patients with chronic lung disease enrolled in pulmonary rehabilitation[J]. Rehabil Nurs, 2008, 33(3): 91-97.
[9] Skumlien S, Skogedal EA, Bjortuft O, et al.Four weeks' intensive rehabilitation generates significant health effects in COPD patients[J]. Chron Respir Dis, 2007, 4(1): 5-13.
[10] 刘艳玲, 孙兴国, 高华, 等. 心肺运动指导个体化心衰患者康复的初步总结报告[J]. 中国应用生理学杂志, 2015, 31(4): 374-377.
[11] Hui KP, Hewitt AB.A simple pulmonary rehabilitation program improves health outcomes and reduces hospital utilization inpatients with COPD[J]. Chest, 2003, 124: 94-97.
[12] Eduardo M, Francisco O, Pilar C, et al.Randomized trial of non-invasive ventilation combined with exercise training in patients with chronic hypercapnic failure due to chronic obstructive pulmonary disease[J]. Respir Med, 2014, 108(12): 1741-1751.
[13] Gigliotti F, Coli C, Bianchi R, et al.Exercise training improves exertional dyspnea in patients with COPD: evidence of the role of mechanical factors[J]. Chest, 2003, 123(6): 1794-1802.
[14] Porszasz J, Emtner M, Goto S, et al.Exercise training decreases ventilatory requirements and exercise-induced hyperinflation at submaximal intensities in patients with COPD[J]. Chest, 2005, 128(4): 2025-2034.
[15] Pepin V, Saey D, Laviolette L, et al.Exercise capacity in chronic obstructive pulmonary disease: mechanisms of limitation[J]. COPD, 2007, 4(3): 195-204.
[16] 周明娟,谈馨媛,郑劲平, 等. 慢性阻塞性肺疾病运动康复治疗方案中无氧阈的应用价值[J]. 中国实用内科杂志, 2009, 29(8): 717-719.
[17] Casaburi R, Patessio A, Wasserman K, et al.Reductions in exercise lactic acidosis and ventilation as a result of exercise training in patients with obstructive lung disease[J]. Am Rev Respir Dis, 1991, 143: 9-18.