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Neuromuscular and acute symptoms responses to progressive elastic resistance exercise in patients with chronic obstructive pulmonary disease: Cross-sectional study

BACKGROUND: Quadriceps muscle training is a key part in the rehabilitation of chronic obstructive pulmonary disease (COPD) patients. However, exercise intensity prescription and progression with the typically used elastic bands is challenging. We aimed to evaluate neuromuscular, acute symptoms and c...

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Autores principales: Calatayud, Joaquin, Torres-Castro, Rodrigo, Vera-Uribe, Roberto, Olivares-Valenzuela, Álvaro, Guzmán-González, Benjamín, Torres, María E., Sepúlveda-Cáceres, Nicolás, Andersen, Lars L., Cruz-Montecinos, Carlos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9643623/
https://www.ncbi.nlm.nih.gov/pubmed/36388881
http://dx.doi.org/10.3389/fmed.2022.934410
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author Calatayud, Joaquin
Torres-Castro, Rodrigo
Vera-Uribe, Roberto
Olivares-Valenzuela, Álvaro
Guzmán-González, Benjamín
Torres, María E.
Sepúlveda-Cáceres, Nicolás
Andersen, Lars L.
Cruz-Montecinos, Carlos
author_facet Calatayud, Joaquin
Torres-Castro, Rodrigo
Vera-Uribe, Roberto
Olivares-Valenzuela, Álvaro
Guzmán-González, Benjamín
Torres, María E.
Sepúlveda-Cáceres, Nicolás
Andersen, Lars L.
Cruz-Montecinos, Carlos
author_sort Calatayud, Joaquin
collection PubMed
description BACKGROUND: Quadriceps muscle training is a key part in the rehabilitation of chronic obstructive pulmonary disease (COPD) patients. However, exercise intensity prescription and progression with the typically used elastic bands is challenging. We aimed to evaluate neuromuscular, acute symptoms and cardiorespiratory responses (heart rate and dyspnea) during progressive elastic resistance exercise in patients with COPD. METHODS: Fourteen patients diagnosed with moderate-very severe COPD performed knee extensions at different elastic resistance levels (i.e., colors). The neuromuscular activity was recorded using surface electromyography for the rectus femoris, vastus lateralis and vastus medialis, together with rate of perceived exertion, perceived quadriceps fatigue, dyspnea, oxygen saturation and heart rate. RESULTS: For the vastus lateralis and rectus femoris, increase of muscle activity was evident from a two-level increment when using the red color. For the vastus medialis, there were no muscle activity progressions. Dyspnea, quadriceps fatigue and especially rate of perceived exertion increased in a dose-response fashion and were correlated with the resistance level and muscle activity at the three muscles. CONCLUSION: Heavy elastic resistance exercise is feasible in COPD patients without excessive dyspnea and a stable cardiorespiratory response. In general, at least two elastic resistance increments are needed to enhance muscle activity for the vastus lateralis and rectus femoris, while there is no increase for the vastus medialis. These results may help to individualize exercise dosing during elastic resistance training in patients with COPD.
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spelling pubmed-96436232022-11-15 Neuromuscular and acute symptoms responses to progressive elastic resistance exercise in patients with chronic obstructive pulmonary disease: Cross-sectional study Calatayud, Joaquin Torres-Castro, Rodrigo Vera-Uribe, Roberto Olivares-Valenzuela, Álvaro Guzmán-González, Benjamín Torres, María E. Sepúlveda-Cáceres, Nicolás Andersen, Lars L. Cruz-Montecinos, Carlos Front Med (Lausanne) Medicine BACKGROUND: Quadriceps muscle training is a key part in the rehabilitation of chronic obstructive pulmonary disease (COPD) patients. However, exercise intensity prescription and progression with the typically used elastic bands is challenging. We aimed to evaluate neuromuscular, acute symptoms and cardiorespiratory responses (heart rate and dyspnea) during progressive elastic resistance exercise in patients with COPD. METHODS: Fourteen patients diagnosed with moderate-very severe COPD performed knee extensions at different elastic resistance levels (i.e., colors). The neuromuscular activity was recorded using surface electromyography for the rectus femoris, vastus lateralis and vastus medialis, together with rate of perceived exertion, perceived quadriceps fatigue, dyspnea, oxygen saturation and heart rate. RESULTS: For the vastus lateralis and rectus femoris, increase of muscle activity was evident from a two-level increment when using the red color. For the vastus medialis, there were no muscle activity progressions. Dyspnea, quadriceps fatigue and especially rate of perceived exertion increased in a dose-response fashion and were correlated with the resistance level and muscle activity at the three muscles. CONCLUSION: Heavy elastic resistance exercise is feasible in COPD patients without excessive dyspnea and a stable cardiorespiratory response. In general, at least two elastic resistance increments are needed to enhance muscle activity for the vastus lateralis and rectus femoris, while there is no increase for the vastus medialis. These results may help to individualize exercise dosing during elastic resistance training in patients with COPD. Frontiers Media S.A. 2022-10-26 /pmc/articles/PMC9643623/ /pubmed/36388881 http://dx.doi.org/10.3389/fmed.2022.934410 Text en Copyright © 2022 Calatayud, Torres-Castro, Vera-Uribe, Olivares-Valenzuela, Guzmán-González, Torres, Sepúlveda-Cáceres, Andersen and Cruz-Montecinos. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Calatayud, Joaquin
Torres-Castro, Rodrigo
Vera-Uribe, Roberto
Olivares-Valenzuela, Álvaro
Guzmán-González, Benjamín
Torres, María E.
Sepúlveda-Cáceres, Nicolás
Andersen, Lars L.
Cruz-Montecinos, Carlos
Neuromuscular and acute symptoms responses to progressive elastic resistance exercise in patients with chronic obstructive pulmonary disease: Cross-sectional study
title Neuromuscular and acute symptoms responses to progressive elastic resistance exercise in patients with chronic obstructive pulmonary disease: Cross-sectional study
title_full Neuromuscular and acute symptoms responses to progressive elastic resistance exercise in patients with chronic obstructive pulmonary disease: Cross-sectional study
title_fullStr Neuromuscular and acute symptoms responses to progressive elastic resistance exercise in patients with chronic obstructive pulmonary disease: Cross-sectional study
title_full_unstemmed Neuromuscular and acute symptoms responses to progressive elastic resistance exercise in patients with chronic obstructive pulmonary disease: Cross-sectional study
title_short Neuromuscular and acute symptoms responses to progressive elastic resistance exercise in patients with chronic obstructive pulmonary disease: Cross-sectional study
title_sort neuromuscular and acute symptoms responses to progressive elastic resistance exercise in patients with chronic obstructive pulmonary disease: cross-sectional study
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9643623/
https://www.ncbi.nlm.nih.gov/pubmed/36388881
http://dx.doi.org/10.3389/fmed.2022.934410
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