Liu Xiaodan, Li Peijun, Li Jian, Xiao Lu, Li Ning, Lu Yufan, Wang Zhengrong, Su Jianqing, Wang Zhenwei, Shan Chunlei, Wu Weibing
School of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine; Institute of Rehabilitation Medicine, Shanghai Academy of Traditional Chinese Medicine.
Department of Sports Medicine, Shanghai University of Sport.
J Vis Exp. 2019 Aug 24(150). doi: 10.3791/59765.
As a systemic disease, chronic obstructive pulmonary disease (COPD) affects the respiratory system, inducing restless and exercise dyspnea. It also impacts exercise capacity and forms a vicious circle in which it further aggravates the condition of patients and accelerates disease progression. As a functional holistic exercise, traditional Chinese exercises (TCE) play an important role in the rehabilitation of COPD on the basis of adjusting the breath and performing coordinated movements. This study investigates the effects of prescribed pulmonary exercises (which are modified from TCE) on exercise capacity of upper and lower limbs, endurance exercise capacity, and quality of life in stable COPD patients. The goal is to determine the accessibility of these prescribed exercises in COPD rehabilitation. Participants are randomly divided into a non-exercise control group (CG) or prescribed pulmonary exercise group (PG) at a ratio of 1: 1. The PG receives intervention for 60 min twice per day, 7 days a week, for a total of 3 months. The intensity is measured using the Borg category-ratio 10 scale and with a heart-rate monitor. Then, an exercise capacity test and quality of life questionnaire are scheduled at 1 week before and after the formal intervention. After 3 months of intervention, the 30 s arm curl test, 30 s sit-to-stand test, 6 min walking test, and quality of life show significant improvement in COPD patients (p < 0.05). These findings indicate that prescribed pulmonary exercises can be applied as alternative, convenient, and effective home- and community-based exercises for stable COPD patients.
作为一种全身性疾病，慢性阻塞性肺疾病（COPD）会影响呼吸系统，导致呼吸急促和运动性呼吸困难。它还会影响运动能力，并形成一个恶性循环，进一步加重患者病情，加速疾病进展。作为一种功能性整体运动，传统中式运动（TCE）在调整呼吸和进行协调动作的基础上，对COPD的康复起着重要作用。本研究调查了经改良的传统中式运动所规定的肺部运动对稳定期COPD患者上下肢运动能力、耐力运动能力和生活质量的影响。目的是确定这些规定运动在COPD康复中的可及性。参与者按1:1的比例随机分为非运动对照组（CG）或规定肺部运动组（PG）。PG组每天接受两次60分钟的干预，每周7天，共3个月。强度使用Borg等级比率10级量表和心率监测器进行测量。然后，在正式干预前后1周安排运动能力测试和生活质量问卷调查。经过3个月的干预，COPD患者的30秒臂弯举测试、30秒坐立测试、6分钟步行测试和生活质量均有显著改善（p<0.05）。这些结果表明，规定的肺部运动可作为稳定期COPD患者在家中和社区进行的替代、方便且有效的运动。
