The effects of elastic tubing-based resistance training compared with conventional resistance training in patients with moderate chronic obstructive pulmonary disease: a randomized clinical trial

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Data

2014-11-01

Autores

Cipulo Ramos, Ercy Mara [UNESP]
Toledo-Arruda, Alessandra Choqueta de [UNESP]
Fosco, Luciana Cristina [UNESP]
Bonfim, Rafaela [UNESP]
Bertolini, Giovana Navarro [UNESP]
Guarnier, Flavia Alessandra
Cecchini, Rubens
Pastre, Carlos Marcelo [UNESP]
Langer, Daniel
Gosselink, Rik

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Sage Publications Ltd

Resumo

Objective: To investigate the effects of elastic tubing training compared with conventional resistance training on the improvement of functional exercise capacity, muscle strength, fat-free mass, and systemic inflammation in patients with chronic obstructive pulmonary disease.Design: A prospective, randomized, eight-week clinical trial.Setting: The study was conducted in a university-based, outpatient, physical therapy clinic.Subjects: A total of 49 patients with moderate chronic obstructive pulmonary disease.Interventions: Participants were randomly assigned to perform elastic tubing training or conventional resistance training three times per week for eight weeks.Main measures: The primary outcome measure was functional exercise capacity. The secondary outcome measures were peripheral muscle strength, health-related quality of life assessed by the Chronic Respiratory Disease Questionnaire (CRDQ), fat-free mass, and cytokine profile.Results: After eight weeks, the mean distance covered during six minutes increased by 73 meters (69) in the elastic tubing group and by 42 meters (+/- 59) in the conventional group (p < 0.05). The muscle strength and quality of life improved in both groups (P < 0.05), with no significant differences between the groups. There was a trend toward an improved fat-free mass in both groups (P = 0.05). After the first and last sessions, there was an increase in interleukin 1 (IL-1) and interleukin 10 (IL-10) in both groups, while tumour necrosis factor alpha (TNF-) was stimulated only in the conventional training group.Conclusion: Elastic tubing training had a greater effect on functional exercise capacity than conventional resistance training. Both interventions were equally effective in improving muscle strength and quality of life.

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Chronic obstructive pulmonary disease, muscle strength, rehabilitation, resistance training

Como citar

Clinical Rehabilitation. London: Sage Publications Ltd, v. 28, n. 11, p. 1096-1106, 2014.