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  • Progressive Resistance Exercise Improves Muscle Strength and May Improve Elements of Performance of Daily Activities for People With COPD A Systematic Review

    Author(s)
    D. O⿿Shea, Simone
    F. Taylor, Nicholas
    Paratz, Jennifer D.
    Griffith University Author(s)
    Paratz, Jenny D.
    Year published
    2009
    Metadata
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    Abstract
    Background: Skeletal muscle weakness and its impact on exercise tolerance in many people with COPD provide a rationale for the intervention of progressive resistance exercise during pulmonary rehabilitation. To optimize rehabilitation outcomes, clinicians prescribing resistance programs require up-to-date information on effectiveness, safety, and feasibility. Therefore, the review aimed to update the current evidence for progressive resistance exercise for people with COPD. Methods: Using the keywords of "COPD" and "strength/resistance/weight training," controlled trials relating to progressive resistance exercise for ...
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    Background: Skeletal muscle weakness and its impact on exercise tolerance in many people with COPD provide a rationale for the intervention of progressive resistance exercise during pulmonary rehabilitation. To optimize rehabilitation outcomes, clinicians prescribing resistance programs require up-to-date information on effectiveness, safety, and feasibility. Therefore, the review aimed to update the current evidence for progressive resistance exercise for people with COPD. Methods: Using the keywords of "COPD" and "strength/resistance/weight training," controlled trials relating to progressive resistance exercise for people with COPD were identified through electronic database searches and citation tracking. Data from the identified trials were extracted and assessed by two independent reviewers. Standardized mean differences (effect sizes) with 95% CIs were determined, and overall effects were calculated using metaanalysis. Main results: Eighteen controlled trials (including 10 trials published in the last 5 years) demonstrated moderate effects for increases in muscle strength after short-term progressive resistance exercise. Despite effects favoring progressive resistance exercise for cycling tests when compared with no intervention, and daily tasks such as sit-to-stand and stair climbing, trials reporting these outcomes had a higher risk of bias. Conclusions: Short-term progressive resistance exercise can lead to appreciable increases in muscle strength for people with COPD, which may carry over to the performance of some daily activities. Future research should place emphasis on activity and participation level outcomes, and focus on determining the longer term outcomes and optimal methods for maintaining outcomes in this population.
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    Journal Title
    Chest
    Volume
    136
    DOI
    https://doi.org/10.1378/chest.09-0029
    Copyright Statement
    Self-archiving of the author-manuscript version is not yet supported by this journal. Please refer to the journal link for access to the definitive, published version or contact the authors for more information.
    Subject
    Clinical Sciences not elsewhere classified
    Clinical Sciences
    Publication URI
    http://hdl.handle.net/10072/61435
    Collection
    • Journal articles

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