Effectiveness of Quadriceps Muscle Strengthening in Chronic Obstructive Pulmonary Disease - A Randomized Controlled Trial

Article Sidebar

PDF
Published: May 29, 2023
Keywords:
Chronic Obstructive Pulmonary Disorder Quadricep one-repetition maximum 6-min walk distance Manual muscle testing

Main Article Content

Akshada Shridhar Kabnurkar
Physiotherapy Intern, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth, Deemed to be University, Karad.
Amrutkuvar Rayjade
HOD, Department of Orthopaedic Manual Therapy, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth, Deemed to be University, Karad
Trupti Warude
HOD, Department of Oncology Physiotherapy, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth, Deemed to be University, Karad
Vaishali Jagtap
Associate Professor, Department of Community Health Physiotherapy, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth, deemed to be university, Karad
Ankita Jadhav
Assistant Professor, Department of Neurosciences, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth, deemed to be university, Karad

Abstract

Background: COPD is a crippling and progressive respiratory condition that frequently causes considerable muscular atrophy, especially in the quadriceps. Weakness in the quadriceps has been associated with decreased muscle strength which may result in poor quality of life, and a rise in reduced mobility due to the risk of fractures and falls in COPD patients.
Methods: Thirty-five patients diagnosed with COPD irrespective of gender, over the age of 45 and less than 60 years were recruited for the study. Patients were divided into control and experimental groups and exposed to five weeks of guided quadriceps muscle-strengthening exercises. VMO (Vastus Medialis Oblique) exercises and progression exercises were added to static and dynamic quadriceps exercises for the experimental group. Pre-test and post-test quadriceps muscle strength were assessed using a 6-min walk distance (6MWD), one-repetition maximum (1RM) and Manual muscle testing (MMT). Data were analyzed using SPSS software.
Results: Mean age of male COPD patients was 56 and 54.5 years respectively for the control and experimental groups. There was a statistically significant improvement in quadriceps muscle strength of the experimental group was noted by analyzing 1RM and MMT test data. 6MWD test results showed statistically significant improvement in quadriceps muscle capability to walk for the experimental group. Hence an improvement in daily living activities was considered as a result of engaging VOM and progression exercises in the conventional physiotherapy exercise program.

Conclusion: Quadriceps strengthening exercises are effective in improving pain , function , and quality of life in patients with COPD.

Article Details

How to Cite
Akshada Shridhar Kabnurkar, Amrutkuvar Rayjade, Trupti Warude, Vaishali Jagtap, & Ankita Jadhav. (2023). Effectiveness of Quadriceps Muscle Strengthening in Chronic Obstructive Pulmonary Disease - A Randomized Controlled Trial. Journal of Coastal Life Medicine, 11(2), 1727–1732. Retrieved from https://www.jclmm.com/index.php/journal/article/view/1244
Issue
Vol. 11: Number 2, 2023
Section
Articles

References

Adeloye D, Song P, Zhu Y, Campbell H, Sheikh A, Rudan I. Global, regional, and national prevalence of, and risk factors for, chronic obstructive pulmonary disease (COPD) in 2019: a systematic review and modelling analysis. The Lancet Respiratory Medicine. 2022 May 1;10 (5):447-58.

World Health Organization 2022. Chronic obstructive pulmonary disease (COPD) (who.int).

WH Kocks J, Wouters H, Bosnic-Anticevich S, van Cooten J, Correia de Sousa J, Cvetkovski B, Dekhuijzen R, Dijk L, Dvortsin E, Garcia Pardo M, Gardev A. Factors associated with health status and exacerbations in COPD maintenance therapy with dry powder inhalers. NPJ primary care respiratory medicine. 2022 May 26;32 (1):18.

Van Buul AR, Kasteleyn MJ, Chavannes NH, Taube C. Association between morning symptoms and physical activity in COPD: a systematic review. European Respiratory Review. 2017 Mar 31;26 (143).

O’ Hagan P, Chavannes NH. The impact of morning symptoms on daily activities in chronic obstructive pulmonary disease. Current Medical Research and Opinion. 2014 Feb 1;30 (2):301-14.

Troosters T, Probst VS, Crul T, Pitta F, Gayan-Ramirez G, Decramer M, Gosselink R. Resistance training prevents deterioration in quadriceps muscle function during acute exacerbations of chronic obstructive pulmonary disease. American journal of respiratory and critical care medicine. 2010 May 15;181 (10):1072-7.

Van Vliet M, Spruit MA, Verleden G, Kasran A, Van Herck E, Pitta F, Bouillon R, Decramer M. Hypogonadism, quadriceps weakness, and exercise intolerance in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2005; 172:1105–1111

Borges RC, Carvalho CR. Impact of resistance training in chronic obstructive pulmonary disease patients during periods of acute exacerbation. Archives of physical medicine and rehabilitation. 2014 Sep 1;95 (9):1638-45.

Zanini A, Aiello M, Cherubino F, Zampogna E, Azzola A, Chetta A, Spanevello A. The one repetition maximum test and the sit-to-stand test in the assessment of a specific pulmonary rehabilitation program on peripheral muscle strength in COPD patients. International journal of chronic obstructive pulmonary disease. 2015 Nov 11:2423-30.

Levinger I, Goodman C, Hare DL, Jerums G, Toia D, Selig S. The reli¬ability of the 1RM strength test for untrained middle-aged individuals. J Sci Med Sport. 2009;12 (2):310–316.

Ploutz-Snyder LL, Giamis EL. Orientation and familiarization to 1RM strength testing in old and young women. J Strength Cond Res. 2001; 15 (4):519–523.

Holland AE, Spruit MA, Troosters T, Puhan MA, Pepin V, Saey D, McCormack MC, Carlin BW, Sciurba FC, Pitta F, Wanger J. An official European Respiratory Society/American Thoracic Society technical standard: field walking tests in chronic respiratory disease. European Respiratory Journal. 2014 Dec 1;44 (6):1428-46.

Gruet M, Peyré- Tartaruga LA, Mely L, Vallier JM. The 1-minute sit-to-stand test in adults with cystic fibrosis: correlations with cardiopulmonary exercise test, 6-minute walk test, and quadriceps strength. Respiratory Care. 2016 Dec 1;61 (12):1620-8.

Cruz-Montecinos C, Guajardo-Rojas C, Montt E, Contreras-Briceño F, Torres-Castro R, Díaz O, Cuesta-Vargas A. Sonographic measurement of the quadriceps muscle in patients with chronic obstructive pulmonary disease: functional and clinical implications. Journal of Ultrasound in Medicine. 2016 Nov;35 (11):2405-12.

Gibbons WJ, Fruchter N, Sloan S, Levy RD. Reference values for a multiple repetition 6-minute walk test in healthy adults older than 20 years. Journal of Cardiopulmonary Rehabilitation and Prevention. 2001 Mar 1;21 (2):87-93.

Dohoney PA, Chromiak JA, Lemire DE, Abadie BR, Kovacs CH. Prediction of one repetition maximum (1-RM) strength from a 4-6 RM and a 7-10 RM submaximal strength test in healthy young adult males. J Exerc Physiol. 2002 Aug 1;5 (3):54-9.

Cuthbert SC, Goodheart Jr GJ. On the reliability and validity of manual muscle testing: a literature review. Chiropractic & osteopathy. 2007 Mar 6;15 (1):4.

Swallow EB, Reyes D, Hopkinson NS, Man WD, Porcher R, Cetti EJ, Moore AJ, Moxham J, Polkey MI. Quadriceps strength predicts mortality in patients with moderate to severe chronic obstructive pulmonary disease. Thorax. 2007 Feb 1;62 (2):115-20.

Saey D, Michaud A, Couillard A, et al. Contractile fatigue, muscle morphometry, and blood lactate in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2005; 171: 1109–1115.

Saey D, Lemire BB, Gagnon P, et al. Quadriceps metabolism during constant work rate cycling exercise in chronic obstructive pulmonary disease. J Appl Physiol 2011; 110: 116–124.

Palange P, Ward SA, Carlsen KH, et al. Recommendations on the use of exercise testing in clinical practice. Eur Respir J 2007; 29: 185–209.

Gosselink R, Troosters T, Decramer M. Peripheral muscle weakness contributes to exercise limitation in COPD. Am J Respir Crit Care Med 1996; 153: 976–980.

Seymour JM, Spruit MA, Hopkinson NS, et al. The prevalence of quadriceps weakness in COPD and the relationship with disease severity. Eur Respir J. 2010;36 (1):81–88.

Nerkar SK, Arora R, Writer H. Effect of Lower Limb Strengthening Exercises on Stair Climb Power Test and 6 Minute Walk Test in COPD Patients.

Bernard S, LeBlanc P, Whittom F, et al. Peripheral muscle weakness in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 1998;158 (2):629–634.

Kongsgaard M, Backer V, Jørgensen K, Kjaer M, Beyer N. Heavy resistance training increases muscle size, strength and physical function in elderly male COPD-patients—a pilot study. Respiratory medicine. 2004 Oct 1;98 (10):1000-7.