单肢运动对慢性阻塞性肺病患者功能锻炼能力、肺功能和呼吸困难的影响。

IF 2.4 4区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Alper Kemal Gürbüz , Aynur Demirel
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引用次数: 0

摘要

背景:有氧运动是慢性阻塞性肺病(COPD)患者肺康复计划的重要组成部分。单肢运动是一种有氧运动,旨在通过减少呼吸系统的工作量来提高患者的耐受性:我们的系统综述旨在确定单肢运动对慢性阻塞性肺病患者肺功能、呼吸困难、疲劳和肌肉功能障碍的影响:使用 PubMed、Pedro、Google Scholar、MEDLINE、EMBASE、Scopus、Cochrane Library、Web of Science 等数据库进行检索。检索了从开始到 2023 年的出版物。由两位作者在 Rayyan QCRI 软件中通过扫描标题、Mesh terms 摘要来筛选研究。通过应用选择标准对所选研究进行全文筛选。结果:在根据网状结构术语进行的首次筛选中,共确定了 1011 篇文章。根据筛选标准并对重复文章进行评估后,纳入了 10 篇文章。本系统综述包括 7 项病例对照研究、1 项随机对照试验 (RCT)、1 项横断面研究和 1 项非随机研究。在这些研究中,共有 157 名慢性阻塞性肺病患者接受了治疗。根据 Bakker 量表,有确凿证据表明单肢运动可改善肺功能。有确凿证据表明,单肢运动对慢性阻塞性肺病患者的呼吸困难和疲劳没有影响。单肢运动对功能锻炼能力有影响的证据有限:结论:单肢运动可改善慢性阻塞性肺病患者的肺功能。目前的系统综述发现,单肢运动对呼吸困难和疲劳感没有影响。研究未发现副作用,因此可以认为这些运动是安全的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The effect of single-limb exercises on functional exercise capacity, pulmonary function and dyspnea in patients with COPD

Background

Aeorobic exercise is an essential component of the pulmonary rehabilitation program for patients with chronic obstructive pulmonary disease (COPD). Single-limb exercises are a type of aeorobic exercise that aims to increase patient tolerance by reducing the workload of the respiratory system.

Objektives

The aim of our systematic review was to determine the effects of single-limb exercises on pulmonary function, dyspnea, fatigue, and muscle dysfunction in patients with COPD.

Methods

Searches were performed using PubMed, Pedro, Google Scholar, MEDLINE, EMBASE, Scopus, Cochrane Library, Web of Science databases. Publications from the beginning to 2023 searched. Studies were selected by two authors by scanning the title, Mesh terms abstract in Rayyan QCRI software. Selected studies were subjected to full-text screening by applying selection criteria. Randomized controlled, case-control, cohort studies were included.

Results

In the first screening according to mesh terms, 1011 articles were identified. After the screening criteria and duplicate articles were evaluated, 10 articles were included. This systematic review includes seven case-control, one randomized control trial (RCT), one cross-sectional, and one non-randomized study. A total of 157 patients with COPD received treatment in these studies. According to the Bakker scale, single-limb exercises have been shown to improve pulmonary function with strong evidence. There is strong evidence that single-limb exercises have no effect on dyspnea and fatigue in COPD patients. There is limited evidence that single-limb exercises have an effect on functional exercise capacity.

Conclusion

Single-limb exercise can advised in terms of improving pulmonary function in patients with COPD. Current systematic review has found single limb exercise has no effect on dyspnea and fatigue perception. No side effects were reported in the studies and these exercises can be considered safe.

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来源期刊
Heart & Lung
Heart & Lung 医学-呼吸系统
CiteScore
4.60
自引率
3.60%
发文量
184
审稿时长
35 days
期刊介绍: Heart & Lung: The Journal of Cardiopulmonary and Acute Care, the official publication of The American Association of Heart Failure Nurses, presents original, peer-reviewed articles on techniques, advances, investigations, and observations related to the care of patients with acute and critical illness and patients with chronic cardiac or pulmonary disorders. The Journal''s acute care articles focus on the care of hospitalized patients, including those in the critical and acute care settings. Because most patients who are hospitalized in acute and critical care settings have chronic conditions, we are also interested in the chronically critically ill, the care of patients with chronic cardiopulmonary disorders, their rehabilitation, and disease prevention. The Journal''s heart failure articles focus on all aspects of the care of patients with this condition. Manuscripts that are relevant to populations across the human lifespan are welcome.
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