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BMC Pulmonary Medicine

, 14:146

COPD and occupational lung disease

Abstract

BackgroundStrength training and neuromuscular electrical stimulation NMES are effective training modalities for improving muscle function, exercise performance and health status in individuals with COPD. The aim of the present study was to analyze the metabolic load of these training modalities at baseline, half-way, and at the end of an eight-week interdisciplinary pulmonary rehabilitation program in a subgroup of individuals with COPD of the DICES trial.

MethodsOf 24 individuals with COPD FEV1: 34 ± 2% predicted, men: 58%, age: 66 61–68 years, peak oxygen uptake VO2, peak minute ventilation VE, heart rate, oxygen saturation and symptom scores were assessed during HF-NMES 75 Hz, LF-NMES 15 Hz and strength training at three moments during their pulmonary rehabilitation program.

ResultsIntervention-related peak VO2 did not change over time during HF-NMES, LF-NMES or strength training. Intervention-related peak VE did not change over time during strength training or LF-NMES and increased slightly, but significantly over time during HF-NMES. Peak VO2 and VE were significantly higher during strength training compared to HF-NMES or LF-NMES. Oxygen saturation significantly decreased after the first measurements during HF-NMES and strength training group to baseline, while no significant changes in oxygen saturation were observed during the other measurements. Heart rate significantly increased compared to baseline in all groups at all moments and was significantly higher after strength training compared to HF-NMES or LF-NMES. Median end scores points for dyspnea, fatigue and muscle pain ranged from 1 to 3, from 0.5 to 2 and from 0 to 6 after HF-NMES, from 2 to 3, from 2 to 5 and from 0 to 9 after LF-NMES and from 2 to 5, from 1.5 to 4 and from 0 to 28 after strength training respectively.

ConclusionsTo conclude, the metabolic load and symptom scores remain acceptable low over time with increasing training loads during HF-NMES, LF-NMES or strength training.

Trial registrationTrial registration: NTR2322

KeywordsChronic obstructive pulmonary disease Neuromuscular electrical stimulation Pulmonary rehabilitation Strength training Electronic supplementary materialThe online version of this article doi:10.1186-1471-2466-14-146 contains supplementary material, which is available to authorized users.

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Autor: Maurice JH Sillen - Frits ME Franssen - Anouk W Vaes - Jeannet ML Delbressine - Emiel FM Wouters - Martijn A Spruit

Fuente: https://link.springer.com/



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