Combining functional exercises with exercise training in COPD: a randomized controlled trial

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dc.contributor.authorFrancisco de Lima, Fabiano [UNESP]
dc.contributor.authorMarçal Camillo, Carlos Augusto
dc.contributor.authorGrigoletto, Isis [UNESP]
dc.contributor.authorUzeloto, Juliana [UNESP]
dc.contributor.authorMarques Vanderlei, Franciele [UNESP]
dc.contributor.authorRamos, Dionei [UNESP]
dc.contributor.authorBurtin, Chris
dc.contributor.authorCipulo Ramos, Ercy Mara [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.contributor.institutionHasselt University
dc.contributor.institutionUniversidade Estadual de Londrina (UEL)
dc.contributor.institutionUniversity Pitágoras (UNOPAR)
dc.date.accessioned2023-07-29T15:42:32Z
dc.date.available2023-07-29T15:42:32Z
dc.date.issued2022-01-01
dc.description.abstractIntroduction: Increasing physical activity in daily life (PADL) in chronic obstructive pulmonary disease (COPD), mainly in short-term training programs, is still a challenge. The combination of functional exercises with aerobic and resistance training may be a strategy to improve PADL and limitations in activities of daily living (ADL) in COPD. Objective: To evaluated the short- and medium-term effects of the combination of functional exercises with aerobic and resistance training. Methods: Seventy-six patients were randomized into (1) functional training group who performed resistance and aerobic and functional exercises; (2) conventional training group (CTG) who performed resistance and aerobic exercise; or (3) usual care group who performed respiratory physiotherapy. Patients were evaluated for PADL (activity monitor), ADL limitations (London Chest Activity of Daily Living scale [LCADL]), functional exercise capacity (6-minute walk test [6MWT]), and peripheral muscle strength before and after eight weeks. Medium-term effects were evaluated 12 weeks after the training. Results: There were no changes or differences between groups in PADL and in 6MWT post-intervention and 12 weeks post-training. Only CTG showed a reduction in the total score on LCADL scale after the intervention and increase at follow-up (score: 20 ± 8; 17 ± 6; 19 ± 8, pre-intervention, post-intervention, and 12 weeks post-training, respectively, p = 0.001), without differences between groups (p = 0.375). There were increases in the muscle strength of knee flexors (p = 0.016) and extensors (p < 0.001) after the intervention only in CTG. Conclusions: Combined aerobic and resistance training with functional exercises failed to improve PADL and ADL limitations in COPD. Eight weeks of conventional training improved ADL. This, however, was not superior to the results from the other groups and was not sustained at medium-term 12 weeks post-training.en
dc.description.affiliationFaculty of Science and Technology Postgraduate Program in Physiotherapy São Paulo State University (UNESP)
dc.description.affiliationREVAL–Rehabilitation Research Center BIOMED–Biomedical Research Institute Faculty of Rehabilitation Sciences Hasselt University
dc.description.affiliationDepartment of Physiotherapy Postgraduate Program in Rehabilitation Sciences State University of Londrina (UEL)
dc.description.affiliationDepartment of Rehabilitation Sciences University Pitágoras (UNOPAR)
dc.description.affiliationUnespFaculty of Science and Technology Postgraduate Program in Physiotherapy São Paulo State University (UNESP)
dc.identifierhttp://dx.doi.org/10.1080/09593985.2022.2148146
dc.identifier.citationPhysiotherapy Theory and Practice.
dc.identifier.doi10.1080/09593985.2022.2148146
dc.identifier.issn1532-5040
dc.identifier.issn0959-3985
dc.identifier.scopus2-s2.0-85144087826
dc.identifier.urihttp://hdl.handle.net/11449/249481
dc.language.isoeng
dc.relation.ispartofPhysiotherapy Theory and Practice
dc.sourceScopus
dc.subjectChronic obstructive pulmonary disease
dc.subjectexercise training
dc.subjectphysical activity
dc.titleCombining functional exercises with exercise training in COPD: a randomized controlled trialen
dc.typeArtigo
unesp.author.orcid0000-0002-2956-7399[6]
unesp.departmentFisioterapia - FCTpt

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Presidente Prudente - FCT - Faculdade de Ciências e Tecnologia