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首页> 外文期刊>Physiotherapy research international: the journal for researchers and clinicians in physical therapy >Effectiveness of a community‐based exercise training programme to increase physical activity level in patients with chronic obstructive pulmonary disease: A randomized controlled trial
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Effectiveness of a community‐based exercise training programme to increase physical activity level in patients with chronic obstructive pulmonary disease: A randomized controlled trial

机译：基于社区的运动训练计划的有效性，增加慢性阻塞性肺病患者的身体活性水平：随机对照试验

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Abstract Background and Purpose The exercise training included in pulmonary rehabilitation (PR) programmes improves exercise capacity and quality of life in patients with chronic obstructive pulmonary disease (COPD). Nevertheless, the duration of these effects is limited, and the implementation of PR is still insufficient. Moreover, the physical activity level of COPD patients is low, and it is not modified with the classic PR programmes. The purpose of this study was to assess the effects of a community‐based PR programme designed to increase physical activity in COPD patients. Methods Stable COPD patients were assigned to either an experimental group (EG, n ?=?17) who followed a community‐based 8‐week programme consisting of exercise training through walking and a plan to increase activity, using a pedometer for feedback; or a control group ( n ?=?16), who followed general recommendations to walk more every day. The following were evaluated postintervention, after 3?months, and after 12?months: exercise capacity (endurance shuttle test [EST]), physical activity (steps/day and modified Baecke questionnaire), quality of life (St. George's Respiratory Questionnaire [SGRQ]), dyspnoea (modified Medical Research Council scale), and exacerbations. Results Postintervention, the EG showed significant improvements in EST times (7.6?min [4.4, 10.7]), distance (549?m [282, 815]; p ??0.01, both), number of steps (3,361 [1,553, 5,118]), and Baecke scores (1.6 [0.2, 3.1], p ??0.01). SGRQ scores decreased (?5.4 [?8.6, ?2.4], p ??0.01). These results remained evident after 3 and 12?months ( p ??0.01). There were no differences between the groups nor in the exacerbations or dyspnoea. A significant association was found between increase in physical activity level, improvement in exercise capacity, and quality of life during the period monitored. Conclusions A community‐based programme of exercise training through walking and increased physical activity, using pedometers as feedback, produces short‐ and long‐term improvements in exercise capacity, physical activity level, and quality of life in COPD patients.
机译：摘要背景和目的患有肺康复（PR）计划中的运动训练可提高慢性阻塞性肺病（COPD）的患者的运动能力和生活质量。然而，这些效果的持续时间是有限的，并且PR的实施仍然不足。此外，COPD患者的身体活性水平低，并且不会用经典的PR程序进行修改。本研究的目的是评估旨在增加COPD患者体育活动的基于社区的PR程序的影响。方法将稳定的COPD患者分配给实验组（例如，n？= 17），他遵循基于社区的8周计划，包括通过步行和计划增加活动的运动培训，使用计步器进行反馈;或对照组（n？=？16），谁遵循每天走更多的建议。在3个月后和12个月之后评估以下患者的患者直接治疗？ SGRQ]），呼吸困难（改进的医学研究理事会规模）和加剧。结果介绍，例如在EST时显示出显着改善（7.6？min [4.4,10.7]），距离（549μ，815];p≤≤0.01，两者），步数（3,361 [1,553] ，5,118]）和BaeCKE评分（1.6 [0.2,3.1]，p≤≤0.01）。 SGRQ分数减少（？5.4 [α.1.6，α2.4]，p≤≤0.01）。在3和12后，这些结果仍然是显而易见的（p？＆ 0.01）。群体或恶化或呼吸困难之间没有差异。在监测期间，在体力活动水平增加，运动能力提高和生活质量之间存在重大关联。结论通过步行和增加体育活动的社区运动培训计划，使用计步仪作为反馈，在COPD患者的运动能力，身体活动水平和生活质量方面产生短期和长期的改善。

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