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Downhill walking influence on physical condition and quality of life in patients with COPD: A randomized controlled trial

Background: Chronic Obstructive Pulmonary Disease (COPD), in addition to its respiratory problems, is accompanied by several musculoskeletal consequences. The aim of this study is to investigate the effectiveness of eccentric exercise in the form of downhill walking (DW) on respiratory capacity, phy...

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Autores principales: Moezy, Azar, Erfani, Azadeh, Mazaherinezhad, Ali, Mousavi, Seyed Ali Javad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Iran University of Medical Sciences 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6108258/
https://www.ncbi.nlm.nih.gov/pubmed/30159300
http://dx.doi.org/10.14196/mjiri.32.49
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author Moezy, Azar
Erfani, Azadeh
Mazaherinezhad, Ali
Mousavi, Seyed Ali Javad
author_facet Moezy, Azar
Erfani, Azadeh
Mazaherinezhad, Ali
Mousavi, Seyed Ali Javad
author_sort Moezy, Azar
collection PubMed
description Background: Chronic Obstructive Pulmonary Disease (COPD), in addition to its respiratory problems, is accompanied by several musculoskeletal consequences. The aim of this study is to investigate the effectiveness of eccentric exercise in the form of downhill walking (DW) on respiratory capacity, physical function and quality of life (QOL) in patients with COPD. Methods: The randomized controlled trial was carried out during 2014 - 2015 in Hazrat-e-Rasool Hospital in Tehran, Iran. The study design was as an assessor blind RCT on 32 patients with COPD that randomly assigned to the eccentric training (ET) and control (CON) groups. Patients in ET group received a 12-week DW exercise on the treadmill while the patients in the control group were only treated by COPD conventional medications and walked on paved surfaces. Functional tests, FEV1, FEV1 to FVC and St. George’s Respiratory Questionnaire (SGRQ) were used to assess the subject’s physical status and QOL pre and post-intervention. Results: The FEV1 (p=0.008), FEV1/FVC (p=0.002), six-minute walk test (p=0.029), timed up & go test (p=0.023), SGRQ symptom (p=0.022), SGRQ activity (p=0.007), SGRQ impact (p=0.033) and total score of SGRQ (p=0.013) improved significantly in the ET group compare to the CON group. Conclusion: DW could have positive influence on physical status and QOL of patients with COPD.
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spelling pubmed-61082582018-08-29 Downhill walking influence on physical condition and quality of life in patients with COPD: A randomized controlled trial Moezy, Azar Erfani, Azadeh Mazaherinezhad, Ali Mousavi, Seyed Ali Javad Med J Islam Repub Iran Original Article Background: Chronic Obstructive Pulmonary Disease (COPD), in addition to its respiratory problems, is accompanied by several musculoskeletal consequences. The aim of this study is to investigate the effectiveness of eccentric exercise in the form of downhill walking (DW) on respiratory capacity, physical function and quality of life (QOL) in patients with COPD. Methods: The randomized controlled trial was carried out during 2014 - 2015 in Hazrat-e-Rasool Hospital in Tehran, Iran. The study design was as an assessor blind RCT on 32 patients with COPD that randomly assigned to the eccentric training (ET) and control (CON) groups. Patients in ET group received a 12-week DW exercise on the treadmill while the patients in the control group were only treated by COPD conventional medications and walked on paved surfaces. Functional tests, FEV1, FEV1 to FVC and St. George’s Respiratory Questionnaire (SGRQ) were used to assess the subject’s physical status and QOL pre and post-intervention. Results: The FEV1 (p=0.008), FEV1/FVC (p=0.002), six-minute walk test (p=0.029), timed up & go test (p=0.023), SGRQ symptom (p=0.022), SGRQ activity (p=0.007), SGRQ impact (p=0.033) and total score of SGRQ (p=0.013) improved significantly in the ET group compare to the CON group. Conclusion: DW could have positive influence on physical status and QOL of patients with COPD. Iran University of Medical Sciences 2018-06-14 /pmc/articles/PMC6108258/ /pubmed/30159300 http://dx.doi.org/10.14196/mjiri.32.49 Text en © 2018 Iran University of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
spellingShingle Original Article
Moezy, Azar
Erfani, Azadeh
Mazaherinezhad, Ali
Mousavi, Seyed Ali Javad
Downhill walking influence on physical condition and quality of life in patients with COPD: A randomized controlled trial
title Downhill walking influence on physical condition and quality of life in patients with COPD: A randomized controlled trial
title_full Downhill walking influence on physical condition and quality of life in patients with COPD: A randomized controlled trial
title_fullStr Downhill walking influence on physical condition and quality of life in patients with COPD: A randomized controlled trial
title_full_unstemmed Downhill walking influence on physical condition and quality of life in patients with COPD: A randomized controlled trial
title_short Downhill walking influence on physical condition and quality of life in patients with COPD: A randomized controlled trial
title_sort downhill walking influence on physical condition and quality of life in patients with copd: a randomized controlled trial
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6108258/
https://www.ncbi.nlm.nih.gov/pubmed/30159300
http://dx.doi.org/10.14196/mjiri.32.49
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