医学
慢性阻塞性肺病
物理疗法
全身振动
肺活量
同心的
随机对照试验
肺康复
肺病
康复
麻醉
物理医学与康复
内科学
肺
肺功能
振动
扩散能力
物理
量子力学
数学
几何学
作者
Eulogio Pleguezuelos,Maria E. Pérez,Lluís Guirao,Beatriz Samitier,Maria Costea,Pilar Ortega,Marı́a Victoria González,Amin Del Carmen,Laura Ovejero,Eva Moreno,Marc Miravitlles
出处
期刊:Respirology
[Wiley]
日期:2013-07-25
卷期号:18 (6): 1028-1034
被引量:52
摘要
To determine if whole body vibration training (WBVT) improves muscular force and modifies functional capacity parameters in patients with severe chronic obstructive pulmonary disease (COPD).We performed a randomized controlled trial in the outpatient Physical Medicine and Rehabilitation Department of a general hospital. Sixty stable male patients with COPD and mean forced expiratory volume in 1 s (FEV1) 34.3% (predicted) were enrolled with 51 patients completing the study. Participants were randomized into two groups: Whole Body Vibration Training Group (WBVTG), (n = 26) undergoing three sessions per week for a total of 6 weeks and a Control Group (CG) (n = 25) without intervention. The main outcome measures were isokinetic knee flexor and extensor testing in a concentric-concentric regime and exercise capacity measured by the 6-min walking test (6MWT). Secondary outcomes were pulmonary muscular assessment with maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP).No significant differences were observed between groups in maximum moment of isokinetic knee flexor/extensor testing force in a concentric-concentric regime. In contrast, WBVTG patients showed a significant increase in the 6MWT (81.2 ± 9.2) meters; mean ± SD; P < 0.001). There was also a significant decrease in maximum oxygen desaturation in the 6MWT after 6 weeks of training (3.1 ± 1.1; P = 0.01). There were significant differences between groups in MIP and MEP at the end of the study in favour of the WBVTG.WBVT provided significant improvements in functional capacity in severe COPD patients without changes in muscular force.
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