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A Journal on Sports Medicine

Official Journal of the Italian Sports Medicine Federation
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Medicina dello Sport 2004 June;57(2):127-35

language: Italian

Exercise train­ing in pul­mo­nary reha­bil­i­ta­tion

Greco M. 1, Vasatuco T. 1, Croci M. 2, Chiappella C. 3, Tribocco S. 3, Cortellezzi A. 3, Airoldi L. 3, Marotta M. 3, Repossini E. 3

1 Dirigente medico, Unità Operativa di Medicina Fisica e Riabilitazione, Azienda Ospedaliera-Polo Universitario «L. Sacco», Milano;
2 Psicologa Clinica, Istituto Auxologico Italiano-IRCCS, Milano;
3 Terapista della Riabilitazione, Unità Operativa di Medicina Fisica e Riabilitazione, Azienda Ospedaliera-Polo Universitario «L. Sacco», Milano


Aim. In a out­pa­tients Pulmonary Rehabilitation Programme (PRP) we stud­ied the effi­ca­cy of the ­upper and low­er ­limbs mus­cles aero­bic train­ing on ­patients ­with dif­fer­ent pul­mo­nary dis­eas­es.
Methods. In a ­group of 14 ­patients (4 ­females, 10 ­males) we eval­u­at­ed: the dis­tance in ­metres dur­ing 6 min­utes walk­ing dis­tance ­test (6MWD), the max­i­mum inspir­a­to­ry pres­sure (MIP), the max­i­mum expir­a­to­ry pres­sure (MEP), the dysp­noea and the ­self effi­ca­cy and inde­pen­dent dai­ly liv­ing ­scale (­SEIDL). The phys­i­cal train­ing con­sists in a 30 min­utes per­form­ing move­ment ­with ­arms and ­legs at ­heart ­rate (HR) of 80% of the max­i­mum theo­ret­i­cal HR (­male=220-age; ­female=200-age). The exer­cise ­trial ­took ­place 3 ­times per ­week for 6 ­weeks.
Results. 6MWD ­before PRP (m 366,1±25,2) vs ­after PRP (m 438,6±19,9) ; p<0.0001. Dyspnoea at Time 0 of the 6MWD ­before PRP (­score 0,5±0,1 ) vs ­after PRP (­score 0,1±0,05) ; p<0.005. Dyspnoea at the End of the 6MWD ­before PRP (­score 2,1±0,3 ) vs ­after PRP (­score 0,6±0,2) ; p<0.001. Dyspnoea at the 5° min­ute of Rest ­after the 6MWD ­before PRP (­score 1,0±0,3) vs ­after PRP (­score 0,1±0,07); p<0.01. MIP ­before PRP (cm H2O 47,5±6,0) vs ­after PRP (cm H2O 54,3±4,8); p<0.03. MEP ­before PRP (cm H2O 58,2±7,1) vs ­after PRP (cm H2O 65±7,3); p<0.01. ­SEIDL ­before PRP (score 127±5,7) vs ­after PRP (­score 133,6±5,7); p<0.01.
Conclusions. The endu­rance train­ing ­improved all the ­items stud­ied. It ­seems ­that ­either phys­io­log­ic adap­ta­tions ­induced by train­ing or a ­less sub­jec­tive breath­less­ness per­cep­tion can influ­ence all the ­scores. Hence it fol­lows a ­real psy­cho­phys­i­cal ben­e­fit. Exercise train­ing is ­basic for a pul­mo­nary reha­bil­i­ta­tion pro­gramme to ­improve car­dio res­pir­a­to­ry and mus­cu­lar fit­ness and qual­ity of ­life.

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