Effects of eccentric vs concentric cycling training on patients with moderate COPD

被引:15
|
作者
Inostroza, Mauricio [1 ,2 ]
Valdes, Omar [1 ,3 ]
Tapia, German [1 ]
Nunez, Oscar [1 ]
Jose Kompen, Maria [1 ]
Nosaka, Kazunori [4 ]
Penailillo, Luis [1 ,5 ]
机构
[1] Univ Finis Terrae, Fac Med, Sch Kinesiol, Exercise Sci Lab, Santiago, Chile
[2] Univ Metropolitana Ciencias Educ, Dept Kinesiol, Santiago, Chile
[3] Univ Amer, Fac Hlth Sci, Santiago, Chile
[4] Edith Cowan Univ, Ctr Exercise & Sports Sci Res, Sch Med & Hlth Sci, Joondalup, WA, Australia
[5] Univ Andres Bello, Fac Rehabil Sci, Sch Phys Therapy, Exercise & Rehabil Sci Lab, 700 Fernandez Concha, Santiago, Chile
关键词
Chronic obstructive pulmonary disease; Muscle strength; Rate of force development; Functional performance; Body composition; Quality of life; OBSTRUCTIVE PULMONARY-DISEASE; EXERCISE CAPACITY; METABOLIC DEMAND; REHABILITATION; RELIABILITY; ADAPTATION; PREDICTORS; STRENGTH;
D O I
10.1007/s00421-021-04850-x
中图分类号
Q4 [生理学];
学科分类号
071003 ;
摘要
Purpose The present study compared the effects of eccentric cycling (ECC) and conventional concentric cycling (CONC) training on muscle function, body composition, functional performance, and quality of life (QOL) of patients with moderate chronic obstructive pulmonary disease (COPD). Methods Twenty patients (age: 69.6 +/- 10.1 years, forced expiratory volume in 1-s: 73.2 +/- 11.4% of predicted) were randomly allocated to ECC (n = 10) or CONC (n = 10) group. They performed 12 weeks of ECC or CONC training at similar perceived exertion. The workload, heart rate (HR), blood oxygen saturation (SpO(2)), and dyspnea were monitored during cycling. Outcomes measures included maximal voluntary isometric contraction (MVC) strength of the knee extensors, rate of force development (RFD), lower limb fat-free (LLFFM) and fat (LLFM) mass, 6-min walking test (6MWT), timed up-and-go test (TUG), stairs ascending (SAWT) and descending walking time (SDWT), and QOL assessed by the Saint George's respiratory questionnaire. Results ECC produced on average threefold greater (P < 0.001) workload (211.8 +/- 106.0 kJ) than CONC (78.1 +/- 62.6 kJ) over 34 training sessions. ECC showed 1.5 +/- 2.1% greater SpO(2), 24.7 +/- 4.1% lower HR, and 64.4 +/- 29.6% lower dyspnea in average than CONC (P < 0.001). ECC increased LLFFM (4.5 +/- 6.2%; P = 0.03), while CONC decreased LLFM (3.3 +/- 6.4%; P = 0.04) after training. Both ECC and CONC reduced (P < 0.05) SAWT (- 16.1 +/- 9.3% vs - 10.1 +/- 14.4%) and SDWT (- 12.2 +/- 12.6% vs - 14.4 +/- 14.7%), and improved (P < 0.05) QOL (33.4 +/- 38.8 vs 26.1 +/- 36.6%) similarly, but only ECC improved (P < 0.05) RFD (69-199%), TUG (13.6 +/- 13.6%), and 6MWT (25.3 +/- 27.7%). Conclusion These results suggest that ECC training with less cardio-pulmonary demands was more effective in increasing functional performance and muscle mass for COPD patients than CONC training.
引用
收藏
页码:489 / 502
页数:14
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