Home > Journals > Medicina dello Sport > Past Issues > Medicina dello Sport 2004 June;57(2) > Medicina dello Sport 2004 June;57(2):127-35

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Reprints
Permissions

 

CLINICAL SECTION   

Medicina dello Sport 2004 June;57(2):127-35

Copyright © 2004 EDIZIONI MINERVA MEDICA

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


PDF


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.

top of page