PURPOSE: To evaluate the effects of individually designed exercise programme by anaerobic treshold, aerobic ability and maximal oxygen uptake of the predicted value on patients with severe COPD. Also to evaluate the effects of exercise programme to strength of m.quardiceps femoris, m.triceps brachii and m.biceps brachii by dynamometric measures.
METHODS: Selected 11 patients , aged 72±5 with severe COPD (FEV1 <35% of predicted value; FEV1/FVC < 45, pO2 = 60-72 mmHg). Patients passed pulmocardial testing on treadmill before exercise programme and after 6 months by protocoll "slow test“ (at 1 km/h, after every 3 min increase of speed 0,1 km/h, evaluation=0). We measured anaerobic treshold, aerobic ability and maximal oxygen uptake of the predicted value. Also we measured dynamometrically the strength of muscles. The circuit of conditioning 6 months lasting exercise programme was designed to improve strength and endurance of upper and lower limb muscles. We showed exercise programm ( included simple exercises as sitting and standing, exercises for m.quadriceps and unsuported arm exercise) for every patient individually. We used interval method and every exercise repeated three times. Patients used Borg`s scale between exercise series to avoid breathlessness and them recommended pay attention to breathing technic. They got instructions for walking training. They did exercise every day during 20 min and filled the training diary. Patients passed programme at their home and had possibilities to contact with physioterapist by phone or do a visit.
RESULTS: We found after 6 months training the increase of anaerobic treshold 14,01%, increase the maximal uptake of predicted value 25,5% and increase aerobic ability 5,9%. Also we registered improvement of strength of muscles by the dynamometric measures.
CONCLUSIONS: The individually designed exercise programm to gently restore locomotor function of individual joint muscles by series of careful stretching exercise plus gentle repetitions of muscle contraction and relaxation may improve aerobic ability and increase anaerobic treshold on patients with severe COPD.
CLINICAL IMPLICATIONS: The home-realized individually designed exercise programme on patients with severe COPD is effective and likely inexpensive.
DISCLOSURE: The following authors have nothing to disclose: Erve Sõõru, Katrin Kõre, Ave Nagelmann
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