Department of Cardiopulmonary Physiotherapy and Rehabilitation, Institute of Health Sciences, Bezmialem Vakif University, Istanbul 34093, Turkey; Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul Atlas University, Istanbul 34408, Turkey.
Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bezmialem Vakıf University, Silahtaraga St. No: 189, Istanbul 34060, Turkey; Department of Cardiopulmonary Physiotherapy and Rehabilitation, Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bezmialem Vakıf University, Istanbul 34060, Turkey.
Heart Lung. 2023 Mar-Apr;58:13-20. doi: 10.1016/j.hrtlng.2022.10.017. Epub 2022 Nov 3.
Exercise training is key to the comprehensive management of patients with chronic obstructive pulmonary disease (COPD). Creative dance can be an innovative approach as effective as traditional exercise training.
This study aimed to investigate effect of creative dance-based exercise (CDE) training on functional capacity, postural stability and balance, pulmonary and cognitive functions, respiratory and peripheral muscle strength in COPD patients.
Twenty-four patients with COPD were randomly allocated to either "chest physiotherapy and home-based walking program" (PT) or "CDE alongside home-based chest physiotherapy group" (PT+CDE). Both groups performed chest PT program twice a day for 5 days per week for 8 weeks. PT+CDE group received CDE training 2 days a week for 8 weeks. Primary outcome was six minute walk test (6MWT). Secondary outcomes were postural stability and balance, pulmonary function, maximum inspiratory (MIP) and expiratory (MEP) pressure, peripheral muscle strength, Montreal Cognitive Assessment (MoCA), COPD Assessment Test (CAT), and BODE index. Outcome measures were assessed at baseline and after 8 weeks of training.
Both groups showed statistically significant improvements in 6MWT distance, MIP, MEP, MoCA score, CAT, and BODE index (p < 0.05). Only with CDE training was achieved improvements in postural stability and balance scores, pulmonary function, and peripheral muscle strength (p < 0.05). The improvements in 6 MWT distance, MEP, MoCA score, and CAT were greater in PT+CDE group (p < 0.05).
Use of creative dance training in addition to home-based chest PT program was more effective than chest PT program regarding primary and secondary outcomes in COPD patients.
运动训练是慢性阻塞性肺疾病（COPD）患者综合管理的关键。创意舞蹈可以是一种有效的创新方法，与传统运动训练一样有效。
本研究旨在探讨基于创意舞蹈的运动（CDE）训练对 COPD 患者的功能能力、姿势稳定性和平衡、肺和认知功能、呼吸和外周肌肉力量的影响。
24 例 COPD 患者随机分为“胸部物理治疗和家庭步行计划”（PT）或“CDE 联合家庭胸部物理治疗组”（PT+CDE）。两组均每天进行两次胸部 PT 治疗，每周 5 天，共 8 周。PT+CDE 组每周接受 2 天的 CDE 训练，共 8 周。主要结局是 6 分钟步行测试（6MWT）。次要结局是姿势稳定性和平衡、肺功能、最大吸气（MIP）和呼气（MEP）压力、外周肌肉力量、蒙特利尔认知评估（MoCA）、COPD 评估测试（CAT）和 BODE 指数。在基线和 8 周的训练后评估结果。
两组 6MWT 距离、MIP、MEP、MoCA 评分、CAT 和 BODE 指数均有统计学意义的改善（p<0.05）。只有 CDE 训练才能改善姿势稳定性和平衡评分、肺功能和外周肌肉力量（p<0.05）。PT+CDE 组的 6MWT 距离、MEP、MoCA 评分和 CAT 改善更显著（p<0.05）。
与家庭基础胸部 PT 计划相比，在 COPD 患者中使用创意舞蹈训练在主要和次要结局方面更有效。
