Erfani Azadeh, Moezy Azar, Mazaherinezhad Ali, Mousavi Seyed Ali Javad
Department of Sports Medicine, School of Medicine, Rasool-e-Akram Hospital, Iran University of Medical Sciences, Tehran, IR Iran.
Department of Internal Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, IR Iran.
Asian J Sports Med. 2015 Dec;6(4):e25821. doi: 10.5812/asjsm.25821. Epub 2015 Dec 1.
Chronic obstructive pulmonary disease (COPD) is accompanied by several extra-pulmonary consequences, such as skeletal muscle weakness and atrophy which will have a negative impact on daily life in patients and lead to their debilitation; therefore, when treating COPD patients, protocols should be taken into account to improve function and quality of life (QoL).
The case was a 71- year-old woman suffering from chronic bronchitis and bronchiectasis for 30 years that has been faced with increased musculoskeletal disorders in recent months. The case was managed by downhill treadmill walking for four months with the aim of improving her functional ability and QoL. Functional tests, thigh girth measurement and St. george's respiratory questionnaire (SGRQ) were used to assess the physical status and QoL of the patient. The outcomes measures confirmed the improvement of the studied case. The improvements continued three months after the beginning of the treatment.
The eccentric exercise therapy in the form of downhill walking had positive effects on functions and QoL of studied case, especially had an augmenting effect on the thigh muscles size.
慢性阻塞性肺疾病（COPD）伴有多种肺外后果，如骨骼肌无力和萎缩，这会对患者的日常生活产生负面影响并导致身体衰弱；因此，在治疗COPD患者时，应考虑采取相应方案以改善其功能和生活质量（QoL）。
该病例为一名71岁女性，患慢性支气管炎和支气管扩张30年，近几个月肌肉骨骼疾病有所加重。对该病例进行了为期四个月的下坡跑步机行走训练，旨在提高其功能能力和生活质量。采用功能测试、大腿围测量和圣乔治呼吸问卷（SGRQ）来评估患者的身体状况和生活质量。结果测量证实了该研究病例有所改善。治疗开始三个月后，改善仍在持续。
以下坡行走形式的离心运动疗法对该研究病例的功能和生活质量有积极影响，尤其对大腿肌肉大小有增大作用。
