A kontrollált és nem kontrollált alsó végtagi dinamikus tréning hatása krónikus obstruktív tüdobetegségben szenvedok rehabilitá ciójában

Translated title of the contribution: The effect of controlled and uncontrolled dynamic lower extremity training in the rehabilitation of patients with chronic obstructive pulmonary disease

János Varga, K. Boda, Attila Somfay

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Pulmonary rehabilitation has become a part of the integrated management of patients with chronic obstructive pulmonary disease (COPD). The lower extremity dynamic training has been proved to be the most effective element of the program. Objective: Does the supervised training have more favorable effect in case of similar program? Patients and methods: In two groups: 54 patients, supervised (group K, n = 22) and not supervised (group NK, n = 32) by physiotherapists, chosen at random have been investigated. Both groups consisted of hospitalized patients of the same severity (forced expiratory volume in one second) [FEV1 (average ± SD)]: K: 51.0 ± 16.1 vs. NK: 51.9 ± 15.6% pred). Group K performed physiotherapist-supervised cycling training in the Pulmonology Ambulance Unit 3-4 times a week for 45 minutes doing an 8-week period and group NK performed training in the form of cycling, stepping on stairs or dynamic walking at home with the same duration, weekly periodicity and time interval. Results: After rehabilitation vital capacity (VC) (K: 3.0 ± 0.8 vs. 3.3 ± 0.7 I, p <0.05), emphysema ratio (RV/TLC): K: 53.5 ± 10.1 vs. 51.6 ± 9.9, p <0.05) in the supervised group, and alveolar volume (VA) in the not supervised group (NK: 4.3 ± 0.9 vs. 4.7 ± 0.9 I, p <0.05) significantly improved. Improvement of exercise capacity was more effective in group K (K: 92.7 ± 33.9 vs. 106.4 ± 34.5 W, p <0.001; NK: 95.8 ± 36.7 vs. 99.9 ± 35.1 W, p <0.05). In both groups aerobic capacity (VO2: K: 1.2 ± 0.4 vs. 1.3 ± 0.4 l/min, p <0.01, NK: 1.1 ± 0.4 vs. 1.2 ± 0.4 l/min, p <0.01; VO2/kg: K: 16.1 ± 5.5 vs. 17.5 ± 5.8 ml/kg/mm, p <0.01, NK: 16.2 ± 5.3 vs. 16.7 ± 4.8 ml/kg/min, p <0.01) and anaerobic threshold level [AT (pred VO2%)] (K: 36.6 ± 9.8 vs. 42.8 ± 10.2%, p <0.001; NK: 40.8 ± 12.0 vs. 44.6 + 11.6%, p <0.001) significantly improved. Heart rate reserve: (K: 17.7 ± 22.7 vs. 28.8 ± 31.5 l/min, p <0.01; NK: 20.4 ± 21.2 vs. 25.0 ± 21.6 l/min, p <0.01) improved at the same level of exercise. The Borg scale of dyspnoe (0-10): (K: 6.4 ± 2.5 vs. 5.7 ± 2.7, p <0.05; NK: 7.5 ± 1.8 vs. 6.9 ± 2.2, p <0.05) was reduced and quality of life score (0-24): K: 11.5 ± 0.7 vs. 9.0 ± 2.8, p <0.005; NK: 11.6 ± 2.3 vs. 7.0 ± 1.9, p <0.005) was improved. Conclusion: In both group dynamic lower extremity training caused improvement in exercise capacity. The favorable metabolic effect of training was shown by the change of anaerobic threshold resulting in less carbon dioxide production during analogous exercise. This reduction led to less ventilation reducing the work of breathing in supervised group. The more favorable adaptation taking place in the group supervised by physiotherapists might have resulted from the controlled higher intensity of the training.

Original languageHungarian
Pages (from-to)2249-2255
Number of pages7
JournalOrvosi Hetilap
Volume146
Issue number44
Publication statusPublished - 2005

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Chronic Obstructive Pulmonary Disease
Lower Extremity
Physical Therapists
Rehabilitation
Exercise
Anaerobic Threshold
Work of Breathing
Pulmonary Medicine
Ambulances
Vital Capacity
Emphysema
Forced Expiratory Volume
Periodicity
Carbon Dioxide
Walking
Ventilation
Heart Rate
Quality of Life
Lung
prednylidene

ASJC Scopus subject areas

  • Medicine(all)

Cite this

A kontrollált és nem kontrollált alsó végtagi dinamikus tréning hatása krónikus obstruktív tüdobetegségben szenvedok rehabilitá ciójában. / Varga, János; Boda, K.; Somfay, Attila.

In: Orvosi Hetilap, Vol. 146, No. 44, 2005, p. 2249-2255.

Research output: Contribution to journalArticle

@article{42016f1ca723450b91917b471fbe52fb,
title = "A kontroll{\'a}lt {\'e}s nem kontroll{\'a}lt als{\'o} v{\'e}gtagi dinamikus tr{\'e}ning hat{\'a}sa kr{\'o}nikus obstrukt{\'i}v t{\"u}dobetegs{\'e}gben szenvedok rehabilit{\'a} ci{\'o}j{\'a}ban",
abstract = "Pulmonary rehabilitation has become a part of the integrated management of patients with chronic obstructive pulmonary disease (COPD). The lower extremity dynamic training has been proved to be the most effective element of the program. Objective: Does the supervised training have more favorable effect in case of similar program? Patients and methods: In two groups: 54 patients, supervised (group K, n = 22) and not supervised (group NK, n = 32) by physiotherapists, chosen at random have been investigated. Both groups consisted of hospitalized patients of the same severity (forced expiratory volume in one second) [FEV1 (average ± SD)]: K: 51.0 ± 16.1 vs. NK: 51.9 ± 15.6{\%} pred). Group K performed physiotherapist-supervised cycling training in the Pulmonology Ambulance Unit 3-4 times a week for 45 minutes doing an 8-week period and group NK performed training in the form of cycling, stepping on stairs or dynamic walking at home with the same duration, weekly periodicity and time interval. Results: After rehabilitation vital capacity (VC) (K: 3.0 ± 0.8 vs. 3.3 ± 0.7 I, p <0.05), emphysema ratio (RV/TLC): K: 53.5 ± 10.1 vs. 51.6 ± 9.9, p <0.05) in the supervised group, and alveolar volume (VA) in the not supervised group (NK: 4.3 ± 0.9 vs. 4.7 ± 0.9 I, p <0.05) significantly improved. Improvement of exercise capacity was more effective in group K (K: 92.7 ± 33.9 vs. 106.4 ± 34.5 W, p <0.001; NK: 95.8 ± 36.7 vs. 99.9 ± 35.1 W, p <0.05). In both groups aerobic capacity (VO2: K: 1.2 ± 0.4 vs. 1.3 ± 0.4 l/min, p <0.01, NK: 1.1 ± 0.4 vs. 1.2 ± 0.4 l/min, p <0.01; VO2/kg: K: 16.1 ± 5.5 vs. 17.5 ± 5.8 ml/kg/mm, p <0.01, NK: 16.2 ± 5.3 vs. 16.7 ± 4.8 ml/kg/min, p <0.01) and anaerobic threshold level [AT (pred VO2{\%})] (K: 36.6 ± 9.8 vs. 42.8 ± 10.2{\%}, p <0.001; NK: 40.8 ± 12.0 vs. 44.6 + 11.6{\%}, p <0.001) significantly improved. Heart rate reserve: (K: 17.7 ± 22.7 vs. 28.8 ± 31.5 l/min, p <0.01; NK: 20.4 ± 21.2 vs. 25.0 ± 21.6 l/min, p <0.01) improved at the same level of exercise. The Borg scale of dyspnoe (0-10): (K: 6.4 ± 2.5 vs. 5.7 ± 2.7, p <0.05; NK: 7.5 ± 1.8 vs. 6.9 ± 2.2, p <0.05) was reduced and quality of life score (0-24): K: 11.5 ± 0.7 vs. 9.0 ± 2.8, p <0.005; NK: 11.6 ± 2.3 vs. 7.0 ± 1.9, p <0.005) was improved. Conclusion: In both group dynamic lower extremity training caused improvement in exercise capacity. The favorable metabolic effect of training was shown by the change of anaerobic threshold resulting in less carbon dioxide production during analogous exercise. This reduction led to less ventilation reducing the work of breathing in supervised group. The more favorable adaptation taking place in the group supervised by physiotherapists might have resulted from the controlled higher intensity of the training.",
keywords = "Aerob capacity, Chronic obstructive pulmonary disease, Exercise capacity, Lower extremity dynamic training, Metabolic effect, Pulmonary rehabilitation",
author = "J{\'a}nos Varga and K. Boda and Attila Somfay",
year = "2005",
language = "Hungarian",
volume = "146",
pages = "2249--2255",
journal = "Orvosi Hetilap",
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TY - JOUR

T1 - A kontrollált és nem kontrollált alsó végtagi dinamikus tréning hatása krónikus obstruktív tüdobetegségben szenvedok rehabilitá ciójában

AU - Varga, János

AU - Boda, K.

AU - Somfay, Attila

PY - 2005

Y1 - 2005

N2 - Pulmonary rehabilitation has become a part of the integrated management of patients with chronic obstructive pulmonary disease (COPD). The lower extremity dynamic training has been proved to be the most effective element of the program. Objective: Does the supervised training have more favorable effect in case of similar program? Patients and methods: In two groups: 54 patients, supervised (group K, n = 22) and not supervised (group NK, n = 32) by physiotherapists, chosen at random have been investigated. Both groups consisted of hospitalized patients of the same severity (forced expiratory volume in one second) [FEV1 (average ± SD)]: K: 51.0 ± 16.1 vs. NK: 51.9 ± 15.6% pred). Group K performed physiotherapist-supervised cycling training in the Pulmonology Ambulance Unit 3-4 times a week for 45 minutes doing an 8-week period and group NK performed training in the form of cycling, stepping on stairs or dynamic walking at home with the same duration, weekly periodicity and time interval. Results: After rehabilitation vital capacity (VC) (K: 3.0 ± 0.8 vs. 3.3 ± 0.7 I, p <0.05), emphysema ratio (RV/TLC): K: 53.5 ± 10.1 vs. 51.6 ± 9.9, p <0.05) in the supervised group, and alveolar volume (VA) in the not supervised group (NK: 4.3 ± 0.9 vs. 4.7 ± 0.9 I, p <0.05) significantly improved. Improvement of exercise capacity was more effective in group K (K: 92.7 ± 33.9 vs. 106.4 ± 34.5 W, p <0.001; NK: 95.8 ± 36.7 vs. 99.9 ± 35.1 W, p <0.05). In both groups aerobic capacity (VO2: K: 1.2 ± 0.4 vs. 1.3 ± 0.4 l/min, p <0.01, NK: 1.1 ± 0.4 vs. 1.2 ± 0.4 l/min, p <0.01; VO2/kg: K: 16.1 ± 5.5 vs. 17.5 ± 5.8 ml/kg/mm, p <0.01, NK: 16.2 ± 5.3 vs. 16.7 ± 4.8 ml/kg/min, p <0.01) and anaerobic threshold level [AT (pred VO2%)] (K: 36.6 ± 9.8 vs. 42.8 ± 10.2%, p <0.001; NK: 40.8 ± 12.0 vs. 44.6 + 11.6%, p <0.001) significantly improved. Heart rate reserve: (K: 17.7 ± 22.7 vs. 28.8 ± 31.5 l/min, p <0.01; NK: 20.4 ± 21.2 vs. 25.0 ± 21.6 l/min, p <0.01) improved at the same level of exercise. The Borg scale of dyspnoe (0-10): (K: 6.4 ± 2.5 vs. 5.7 ± 2.7, p <0.05; NK: 7.5 ± 1.8 vs. 6.9 ± 2.2, p <0.05) was reduced and quality of life score (0-24): K: 11.5 ± 0.7 vs. 9.0 ± 2.8, p <0.005; NK: 11.6 ± 2.3 vs. 7.0 ± 1.9, p <0.005) was improved. Conclusion: In both group dynamic lower extremity training caused improvement in exercise capacity. The favorable metabolic effect of training was shown by the change of anaerobic threshold resulting in less carbon dioxide production during analogous exercise. This reduction led to less ventilation reducing the work of breathing in supervised group. The more favorable adaptation taking place in the group supervised by physiotherapists might have resulted from the controlled higher intensity of the training.

AB - Pulmonary rehabilitation has become a part of the integrated management of patients with chronic obstructive pulmonary disease (COPD). The lower extremity dynamic training has been proved to be the most effective element of the program. Objective: Does the supervised training have more favorable effect in case of similar program? Patients and methods: In two groups: 54 patients, supervised (group K, n = 22) and not supervised (group NK, n = 32) by physiotherapists, chosen at random have been investigated. Both groups consisted of hospitalized patients of the same severity (forced expiratory volume in one second) [FEV1 (average ± SD)]: K: 51.0 ± 16.1 vs. NK: 51.9 ± 15.6% pred). Group K performed physiotherapist-supervised cycling training in the Pulmonology Ambulance Unit 3-4 times a week for 45 minutes doing an 8-week period and group NK performed training in the form of cycling, stepping on stairs or dynamic walking at home with the same duration, weekly periodicity and time interval. Results: After rehabilitation vital capacity (VC) (K: 3.0 ± 0.8 vs. 3.3 ± 0.7 I, p <0.05), emphysema ratio (RV/TLC): K: 53.5 ± 10.1 vs. 51.6 ± 9.9, p <0.05) in the supervised group, and alveolar volume (VA) in the not supervised group (NK: 4.3 ± 0.9 vs. 4.7 ± 0.9 I, p <0.05) significantly improved. Improvement of exercise capacity was more effective in group K (K: 92.7 ± 33.9 vs. 106.4 ± 34.5 W, p <0.001; NK: 95.8 ± 36.7 vs. 99.9 ± 35.1 W, p <0.05). In both groups aerobic capacity (VO2: K: 1.2 ± 0.4 vs. 1.3 ± 0.4 l/min, p <0.01, NK: 1.1 ± 0.4 vs. 1.2 ± 0.4 l/min, p <0.01; VO2/kg: K: 16.1 ± 5.5 vs. 17.5 ± 5.8 ml/kg/mm, p <0.01, NK: 16.2 ± 5.3 vs. 16.7 ± 4.8 ml/kg/min, p <0.01) and anaerobic threshold level [AT (pred VO2%)] (K: 36.6 ± 9.8 vs. 42.8 ± 10.2%, p <0.001; NK: 40.8 ± 12.0 vs. 44.6 + 11.6%, p <0.001) significantly improved. Heart rate reserve: (K: 17.7 ± 22.7 vs. 28.8 ± 31.5 l/min, p <0.01; NK: 20.4 ± 21.2 vs. 25.0 ± 21.6 l/min, p <0.01) improved at the same level of exercise. The Borg scale of dyspnoe (0-10): (K: 6.4 ± 2.5 vs. 5.7 ± 2.7, p <0.05; NK: 7.5 ± 1.8 vs. 6.9 ± 2.2, p <0.05) was reduced and quality of life score (0-24): K: 11.5 ± 0.7 vs. 9.0 ± 2.8, p <0.005; NK: 11.6 ± 2.3 vs. 7.0 ± 1.9, p <0.005) was improved. Conclusion: In both group dynamic lower extremity training caused improvement in exercise capacity. The favorable metabolic effect of training was shown by the change of anaerobic threshold resulting in less carbon dioxide production during analogous exercise. This reduction led to less ventilation reducing the work of breathing in supervised group. The more favorable adaptation taking place in the group supervised by physiotherapists might have resulted from the controlled higher intensity of the training.

KW - Aerob capacity

KW - Chronic obstructive pulmonary disease

KW - Exercise capacity

KW - Lower extremity dynamic training

KW - Metabolic effect

KW - Pulmonary rehabilitation

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