Department of Physiotherapy, Antonius Hospital, Sneek, The Netherlands.
Division of Public Health, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.
BMJ Open. 2019 Jan 21;9(1):e025030. doi: 10.1136/bmjopen-2018-025030.
Limb muscle dysfunction is a common manifestation in patients with chronic obstructive pulmonary disease (COPD). Optimising of limb muscle function is therefore an important goal during pulmonary rehabilitation of patients with COPD. Resistance training (RT) is the best available intervention to achieve this goal. Previous systematic reviews on RT primarily focused on methodological quality. However, the intervention holds the essence of each experimental study. Replication of RT interventions requires clear, complete and accessible reporting of the essential components. The American College of Sports Medicine (ACSM) provides evidence-based guidelines for RT prescription and recommends RT models specific to desired outcomes, that is, improvements in strength, muscular hypertrophy, power or local muscle endurance. The aim of this review is to investigate if the application of the RT principles and key training variables is described sufficiently in current evidence on the effects of RT interventions in patients with COPD.
Any research study (randomised, non-randomised controlled, controlled pre-post studies and observational studies) with an RT intervention in patients with COPD will be considered for this systematic review. Potentially relevant studies published in English from inception to 1 October 2017 will be identified from Embase, Cochrane Library, Cumulative Index of Nursing and Allied Health Literature (CINAHL) and Physiotherapy Evidence Database (PEDro). Studies exploring the effects of RT following a single session and RT interventions limited to other respiratory chronic diseases will not be included. Additionally, studies including non-COPD participants will be excluded, if the COPD data are not separated. Pairs of reviewers will independently extract data using data collecting sheets. Quality appraisal of RT description will be performed in timeframes according to the latest published ACSM position statement on exercise or RT.
This protocol is a systematic review and therefore ethical approval is not required. The results of this review will be disseminated through peer-reviewed publication and presented at scientific conferences.
CRD42017067403.
肢体肌肉功能障碍是慢性阻塞性肺疾病（COPD）患者的常见表现。因此，优化肢体肌肉功能是 COPD 患者肺康复的一个重要目标。阻力训练（RT）是实现这一目标的最佳干预措施。以前关于 RT 的系统评价主要集中在方法学质量上。然而，干预措施包含了每个实验研究的本质。要复制 RT 干预措施，需要清楚、完整和可访问地报告基本组成部分。美国运动医学学院（ACSM）为 RT 处方提供了循证指南，并建议针对所需结果的 RT 模型，即力量、肌肉肥大、功率或局部肌肉耐力的提高。本综述的目的是研究当前关于 COPD 患者 RT 干预效果的研究中，是否充分描述了 RT 原则和关键训练变量的应用。
任何包含 COPD 患者 RT 干预的研究（随机、非随机对照、对照前后研究和观察性研究）都将被纳入本系统综述。从 Embase、Cochrane 图书馆、护理学综合索引（CINAHL）和物理治疗证据数据库（PEDro）中，将检索从创建到 2017 年 10 月 1 日期间发表的英文潜在相关研究。不包括单次 RT 后和 RT 干预仅限于其他慢性呼吸系统疾病的研究。此外，如果 COPD 数据未分开，将排除包括非 COPD 参与者的研究。审查员将使用数据收集表独立提取数据。根据最新发布的 ACSM 关于运动或 RT 的立场声明，将在相应时间范围内对 RT 描述的质量评估进行评估。
本方案为系统综述，因此不需要伦理批准。本综述的结果将通过同行评审的出版物传播，并在科学会议上展示。
PROSPERO 注册号：CRD42017067403。
