The Effect of Mild/Moderate Lower or Upper Extremity Resistance Exercises on Pulmonary Functions and Quality of Life
Öz
In our study, we aimed to investigate the effects of
lower or upper extremity resistance exercises on lung function and quality of
life in people with chronic respiratory problems. Twenty chronic lung patients and 15 healthy subjects
aged 35-80 were volunteered. In
total 4 groups were formed by dividing these two groups randomly into 2 subgroups within
themselves to perform lower and upper extremity resistance exercises. The home
exercise program was 2-3 times a day, 3 days a week, and how to perform
exercises were demonstrated to the participants. The training duration was planned
for 2 to 4 months. Before and after the training program respiratory functions
(FEV1, FVC, FEV1/ FVC, PEF, MEF75, MEF50,
MEF25) of the participants were evaluated by spirometric
measurements and the quality of life was determined by St George’s Respiratory
Questionnaire (SGRQ). The statistical significance level was accepted as p
<0,05. When the respiratory function test parameters of the participants
were compared before and after the exercise program, no significant difference
was found (p> 0,05). After the exercise program, the quality of life
questionnaire scores of the patient group decreased significantly (p <0,001).
As a result, it was seen that mild/moderate lower or upper extremity resistance
exercises in patients with chronic lung problems could improve the quality of
life if performed regularly in the home environment. Additionally, it was
thought that in order to transform this quality improvement into the
spirometric measurements, better planning of the intensity and closer
monitoring of continuity of exercise could be useful.
Anahtar Kelimeler
lower extremity exercises upper extremity exercises respiratory functions quality of life
Kaynakça
- 1. Lopez AD, Shibuya K, Rao C et al. Chronic obstructive pulmonary disease current burden and future projections. European Respiratory Journal. 2006; 27(2): 397-412.
- 2. Yılmaz A, Erkan F. Astımda Maliyet Etkinlik Analizleri. Toraks Dergisi. 2002; 3(1):70-74.
- 3. T.C. Sağlık Bakanlığı Temel Sağlık Bilgi Sistemleri Genel Müdürlüğü. Türkiye Kronik Hava Yolu Hastalıkları Önleme ve Kontrol Programı (2014 - 2017) Eylem Planı, Ankara, 2014; 947: 4-31.
- 4. Pauwels RA, Rabe KF. Burden and clinical features of chronic obstructive pulmonary disease (COPD). Lancet. 2004; 364: 613-620.
- 5. British Thoracic Society Standarts of Care Subcommittee on Pulmonary Rehabilitation. Pulmonary Rehabilitation. Thorax. 2001; 56: 827-83.
- 6. Ries, AL, Bauldoff, GS, Carlin, BW et al. Pulmonary Rehabilitation: Joint ACCP/AACVPR Evidence-Based Clinical Practice Guidelines. Chest. 2007; 131(5): 4-42.
- 7. B. K. Pedersen BK, Saltin B. Exercise as medicine – evidence for prescribing exercise as therapy in 26 different chronic diseases. Scandinavian Journal of Medicine & Science in Sports. 2015; 25 (Suppl. 3): 1–72
- 8. Miller MR, Hankinson J, Brusasco V, et al. ATS/ERS Task Force. Standardisation of spirometry. European Respiratory Journal. 2005; 26(2): 319-338.
- 9. Jones PW, Quirk FH, Baveystock CM. The St. George’s Respiratory Questionnaire. Respiratory Medicine. 1991; 85: 25–31.
- 10. Kocabas A, Hancioğlu A, Türkyılmaz S et al. Prevalence of chronic obstructive pulmonary disease in Adana. Proceedings of the American Thoracic Society. 2006; 3: 543.
- 11. American Lung Association. Lung Disease Data. 2008; 27-54.
- 12. Erk M. Göğüs Hastalıkları II.Cilt, İstanbul Üniversitesi Yayınları, İstanbul: 2001; 62 -659.
- 13. Jones PW. Activity limitation and quality of life in COPD. COPD: Journal of Chronic Obstructive Pulmonary Diseases. 2007; (4):273- 8.
- 14. Bourbeau J. Impact on patients’ health status following early identification of a COPD exacerbation. European Respiratory Journal. 2007;30, 907.
- 15. Coronell C, Orozco-Levi M, Mendez R et al. Relevance of assessing quadriceps endurance in patients with COPD. European Respiratory Journal. 2004; 24: 129- 136.
- 16. Fritz M, Fransen E, Broekhuizen R et al. Limp muscle dysfunction in COPD: Effects of muscle wasting and exercise trainig. Medicine & Science in Sports & Exercise. 2005; 37: 2-9.
- 17. Mancuso C, Sayles W, Robbins L, Phillips E. Barriers and facilitators to healthy physical activity in asthma patients. Journal of Asthma. 2006;43(2):137-143.
- 18. Pan L, Guo YZ, Yan JH et al. Does upper extremity exercise improve dyspnea in patients with COPD? A meta-analysis. Respiratory Medicine. 2012; 106: 1517-1525
- 19. Strasser B, Siebert U, Schobersberger W. Effects of resistance training on respiratory function in patients with chronic obstructive pulmonary disease:a systematic review and meta-analysis. Sleep and Breathing. 2013; 17: 217–226
- 20. Demoly P, Gueron B, Annunziata K, Adamek L, Walters RD. Update on asthma control in five European countries results of a 2008 survey. European Respiratory Journal. 2010;19(16):150-157.
- 21. Mehmet P, Arzu Y, Ömer A ve ark. St. George solunum anketinin Türkçe geçerlilik ve güvenilirliği. Tüberküloz ve Toraks. 2013; 61(2): 81-87.
Hafif/Orta Şiddette Alt veya Üst Ekstremite Direnç Egzersizlerinin Akciğer İşlevleri ve Yaşam Kalitesi Üzerine Etkisi
Öz
Çalışmamızda,
hafif/orta şiddette yapılan alt veya üst ekstremite direnç egzersizlerinin kronik
solunum sistemi sorunları olan kişilerde akciğer işlevleri ve yaşam kalitesi
üzerine etkisinin incelenmesi amaçlandı. 35-80 yaş arası 20 kronik akciğer
hastası ve 15 sağlıklı birey çalışmaya gönüllü oldu. Bu 2 grup kendi içlerinde
alt ve üst ekstremite direnç egzersizlerini yapmak üzere randomize olarak 2 alt
gruba bölünerek toplam 4 grup oluşturuldu. Egzersiz programı günde 2-3 kere,
haftada 3 gün ev programı şeklinde planlandı ve uygulamalı olarak katılımcılara
gösterildi. Antrenmanın toplam süresi en az 2, en fazla 4 ay olmak üzere
planlandı. Katılımcıların solunum fonksiyonları (FEV1, FVC, FEV1/FVC,
PEF, MEF75, MEF50, MEF25) spirometrik
ölçümlerle, yaşam kaliteleri ise St. George Solunum Anketi (SGRQ) ile antrenman
öncesi ve 2-4 ay sonrası değerlendirildi. İstatistiksel anlamlılık düzeyi
p<0,05 olarak kabul edilerek gruplar birbirleriyle ve kendi içlerinde
karşılaştırıldı. Katılımcıların egzersiz programı öncesi ve sonrasında solunum
fonksiyon testi (SFT) parametreleri karşılaştırıldığında anlamlı bir fark
bulunamadı (p>0,05). Egzersiz programı sonrasında hasta grubun yaşam
kalitesi anket skorları anlamlı düzeyde azaldı (p<0,001). Sonuç olarak,
kronik akciğer sorunu olan hastalarda hafif/orta şiddette alt veya üst
ekstremite direnç egzersizlerinin de ev ortamında düzenli olarak yapılması
halinde yaşam kalitesinde iyileşme sağlayabileceği görüldü. SFT parametrelerine
bu iyileşmenin somut olarak yansıması için egzersiz şiddetinin ve egzersize
devamlılığın sağlanmasında daha yakın izleme ve planlamanın yararlı olabileceği
düşünüldü.
Anahtar Kelimeler
alt ekstremite egzersizleri üst ekstremite egzersizleri solunum işlevleri yaşam kalitesi
Kaynakça
- 1. Lopez AD, Shibuya K, Rao C et al. Chronic obstructive pulmonary disease current burden and future projections. European Respiratory Journal. 2006; 27(2): 397-412.
- 2. Yılmaz A, Erkan F. Astımda Maliyet Etkinlik Analizleri. Toraks Dergisi. 2002; 3(1):70-74.
- 3. T.C. Sağlık Bakanlığı Temel Sağlık Bilgi Sistemleri Genel Müdürlüğü. Türkiye Kronik Hava Yolu Hastalıkları Önleme ve Kontrol Programı (2014 - 2017) Eylem Planı, Ankara, 2014; 947: 4-31.
- 4. Pauwels RA, Rabe KF. Burden and clinical features of chronic obstructive pulmonary disease (COPD). Lancet. 2004; 364: 613-620.
- 5. British Thoracic Society Standarts of Care Subcommittee on Pulmonary Rehabilitation. Pulmonary Rehabilitation. Thorax. 2001; 56: 827-83.
- 6. Ries, AL, Bauldoff, GS, Carlin, BW et al. Pulmonary Rehabilitation: Joint ACCP/AACVPR Evidence-Based Clinical Practice Guidelines. Chest. 2007; 131(5): 4-42.
- 7. B. K. Pedersen BK, Saltin B. Exercise as medicine – evidence for prescribing exercise as therapy in 26 different chronic diseases. Scandinavian Journal of Medicine & Science in Sports. 2015; 25 (Suppl. 3): 1–72
- 8. Miller MR, Hankinson J, Brusasco V, et al. ATS/ERS Task Force. Standardisation of spirometry. European Respiratory Journal. 2005; 26(2): 319-338.
- 9. Jones PW, Quirk FH, Baveystock CM. The St. George’s Respiratory Questionnaire. Respiratory Medicine. 1991; 85: 25–31.
- 10. Kocabas A, Hancioğlu A, Türkyılmaz S et al. Prevalence of chronic obstructive pulmonary disease in Adana. Proceedings of the American Thoracic Society. 2006; 3: 543.
- 11. American Lung Association. Lung Disease Data. 2008; 27-54.
- 12. Erk M. Göğüs Hastalıkları II.Cilt, İstanbul Üniversitesi Yayınları, İstanbul: 2001; 62 -659.
- 13. Jones PW. Activity limitation and quality of life in COPD. COPD: Journal of Chronic Obstructive Pulmonary Diseases. 2007; (4):273- 8.
- 14. Bourbeau J. Impact on patients’ health status following early identification of a COPD exacerbation. European Respiratory Journal. 2007;30, 907.
- 15. Coronell C, Orozco-Levi M, Mendez R et al. Relevance of assessing quadriceps endurance in patients with COPD. European Respiratory Journal. 2004; 24: 129- 136.
- 16. Fritz M, Fransen E, Broekhuizen R et al. Limp muscle dysfunction in COPD: Effects of muscle wasting and exercise trainig. Medicine & Science in Sports & Exercise. 2005; 37: 2-9.
- 17. Mancuso C, Sayles W, Robbins L, Phillips E. Barriers and facilitators to healthy physical activity in asthma patients. Journal of Asthma. 2006;43(2):137-143.
- 18. Pan L, Guo YZ, Yan JH et al. Does upper extremity exercise improve dyspnea in patients with COPD? A meta-analysis. Respiratory Medicine. 2012; 106: 1517-1525
- 19. Strasser B, Siebert U, Schobersberger W. Effects of resistance training on respiratory function in patients with chronic obstructive pulmonary disease:a systematic review and meta-analysis. Sleep and Breathing. 2013; 17: 217–226
- 20. Demoly P, Gueron B, Annunziata K, Adamek L, Walters RD. Update on asthma control in five European countries results of a 2008 survey. European Respiratory Journal. 2010;19(16):150-157.
- 21. Mehmet P, Arzu Y, Ömer A ve ark. St. George solunum anketinin Türkçe geçerlilik ve güvenilirliği. Tüberküloz ve Toraks. 2013; 61(2): 81-87.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Tıbbi Fizyoloji, Sağlık Kurumları Yönetimi |
| Bölüm | Özgün Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Ağustos 2019 |
| Kabul Tarihi | 16 Mayıs 2019 |
| Yayımlandığı Sayı | Yıl 2019 Cilt: 45 Sayı: 2 |
Kaynak Göster
Journal of Uludag University Medical Faculty is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.