Resistance Training With Elastic Tubing Improves Muscle Strength, Exercise Capacity, and Post-Exercise Creatine Kinase Clearance in Subjects With COPD

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dc.contributor.authorSilva, Bruna Sa [UNESP]
dc.contributor.authorRamos, Dionei [UNESP]
dc.contributor.authorCamillo, Carlos A.
dc.contributor.authorTrevisan, Iara B. [UNESP]
dc.contributor.authorArévalo, Giovanna A. [UNESP]
dc.contributor.authorFreire, Ana Paula Cf [UNESP]
dc.contributor.authorLeite, Marceli R. [UNESP]
dc.contributor.authorde Lima, Fabiano F. [UNESP]
dc.contributor.authorGobbo, Luis A. [UNESP]
dc.contributor.authorRamos, Ercy Mc [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionBrazil and University Pitágoras UNOPAR
dc.date.accessioned2019-10-06T17:14:50Z
dc.date.available2019-10-06T17:14:50Z
dc.date.issued2019-07-01
dc.description.abstractBACKGROUND: Among the types of physical exercise, resistance exercises have been gaining significant attention in the COPD population. The aim of this study was to compare effects of conventional resistance training and of training by using elastic tubes on muscle strength, exercise capacity, and creatine kinase clearance in subjects with COPD. METHODS: Twenty-eight subjects with COPD were randomized into the following: resistance training with the elastic tubing group and resistance training with the weight-machine training group (conventional resistance group), performed 3 times a week for 12 weeks. The subjects were submitted to spirometry, functional exercise capacity (the 6-min walk test), muscle strength (dynamometry), and the repetition maximum test. Differences between the initial and final evaluations (Δ) and the (final - initial evaluations)/initial evaluations ×100 (Δ%) of each group were expressed as mean [95% CI]. RESULTS: Nineteen subjects (FEV1 % predicted, 52 ± 18; years, 65 ± 8) completed the training program. Similar improvements were observed in both modalities on muscle strength (knee extension, Δ%18 [6 to 29]; knee flexion, Δ%35 [17 to 54]; elbow flexion, Δ%28 [9 to 48]; shoulder abduction, Δ%41 [25 to 58] and shoulder flexion, Δ%31 [11 to 51] in the weight-machine training group (conventional resistance group); knee extension, Δ%15 [8 to 21]; knee flexion, Δ%28 [15 to 41]; elbow flexion, Δ%36 [22 to 51]; and shoulder abduction, Δ%43 [32 to 55] and shoulder flexion, Δ%43 [25 to 61] in the elastic tubing group, P < .05 for intra-group analysis and P > .05 for between groups analysis), 6-min walk test (baseline 493 ± 67m vs 12 weeks 526 ± 78 in the weight-machine training group (P = .10); baseline 493 ± 71 vs 12 weeks 524 ± 68 in the elastic tubing group (P < .01), P = .88 between groups). The elastic tubing group had lower accumulated creatine kinase levels between 24 and 72 h ((Δ%-24 [-31 to 16] than subjects in the weight-machine training group Δ%3 [-21 to 28], P = .042 between the groups. CONCLUSIONS: Training with elastic resistance provided similar changes in muscle strength and exercise capacity to conventional resistance group in the subjects with COPD. The elastic tubing group had faster creatine kinase clearance after a training session than the weight-machine training group (conventional resistance group). The ease of its application associated with similar training benefits to conventional training supported its application in clinical routine.en
dc.description.affiliationSkeletal Muscle Assessment Laboratory Department of Physical Education São Paulo State University (UNESP)
dc.description.affiliationDepartment of Physical Therapy São Paulo State University (UNESP)
dc.description.affiliationUniversity of Londrina Department of Physiotherapy Brazil and University Pitágoras UNOPAR Departmentt of Rehabilitation Sciences
dc.description.affiliationUnespSkeletal Muscle Assessment Laboratory Department of Physical Education São Paulo State University (UNESP)
dc.description.affiliationUnespDepartment of Physical Therapy São Paulo State University (UNESP)
dc.format.extent835-843
dc.identifierhttp://dx.doi.org/10.4187/respcare.05975
dc.identifier.citationRespiratory care, v. 64, n. 7, p. 835-843, 2019.
dc.identifier.doi10.4187/respcare.05975
dc.identifier.issn1943-3654
dc.identifier.lattes9801061258149563
dc.identifier.orcid0000-0002-3310-7336
dc.identifier.scopus2-s2.0-85068886417
dc.identifier.urihttp://hdl.handle.net/11449/190489
dc.language.isoeng
dc.relation.ispartofRespiratory care
dc.rights.accessRightsAcesso restrito
dc.sourceScopus
dc.subjectCOPD
dc.subjectcreatine kinase
dc.subjectelastic resistance
dc.subjectexercise training
dc.subjectmuscle strength
dc.subjectrehabilitation
dc.titleResistance Training With Elastic Tubing Improves Muscle Strength, Exercise Capacity, and Post-Exercise Creatine Kinase Clearance in Subjects With COPDen
dc.typeArtigo
unesp.author.lattes9801061258149563[10]
unesp.author.orcid0000-0002-3310-7336[10]

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