Beneficial Effect of Water-Based Exercise Training on Exercise Capacity in COPD Patients—a Pilot Study

Background: Chronic obstructive pulmonary disease (COPD) is a common, preventable, and treatable condition, characterized by persistent airflow limitation. Exercise training is a core component of pulmonary rehabilitation in people with COPD. Water-based exercise has been studied, but it remains unc...

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Autores principales:	Noppawan Charususin, Thiti Sricharoenchai, Karan Pongpanit, Kornanong Yuenyongchaiwat, Phuwarin Namdaeng, Jitanan Laosiripisan, Piyapa Keawutan
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	water-based exercise chronic obstructive pulmonary disease pulmonary rehabilitation exercise capacity inspiratory muscle strength Other systems of medicine RZ201-999 Medical technology R855-855.5
Acceso en línea:	https://doaj.org/article/de8e8346f98c46e0a06676114f85687f
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spelling	oai:doaj.org-article:de8e8346f98c46e0a06676114f85687f2021-11-17T04:42:30ZBeneficial Effect of Water-Based Exercise Training on Exercise Capacity in COPD Patients—a Pilot Study2673-686110.3389/fresc.2021.728973https://doaj.org/article/de8e8346f98c46e0a06676114f85687f2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fresc.2021.728973/fullhttps://doaj.org/toc/2673-6861Background: Chronic obstructive pulmonary disease (COPD) is a common, preventable, and treatable condition, characterized by persistent airflow limitation. Exercise training is a core component of pulmonary rehabilitation in people with COPD. Water-based exercise has been studied, but it remains unclear whether water-based exercise program leads to the improvement in respiratory function, muscle strength, balance ability, and exercise capacity. We aim to study the effect of an 8-week water-based exercise program on respiratory function, muscle strength, balance ability, and exercise capacity in people with COPD.Methods: Fourteen stable COPD participants (FEV1 56.8 ± 24.6%pred) were recruited and randomized into a water-based exercise or a land-based exercise group. Both groups were trained for 8 weeks, two sessions per week. Pulmonary function, respiratory muscle strength, peripheral muscle strength, balance ability, exercise capacity [6-min walking test (6MWT), incremental shuttle walk test (ISWT), and endurance shuttle walk test (ESWT)] were assessed at baseline and at the end of the program. ANCOVA was used to conduct between-group comparisons of outcomes after adjusting for pre-intervention values.Results: Baseline characteristics of participants were not significantly different between the two groups (p ≥ 0.05). After the 8-week training program, participants in the intervention group achieved larger gains in ESWT (Δ663.4 ± 279.5 vs. Δ45.4 ± 93.2 s, p = 0.001). In addition, maximal inspiratory pressure (MIP) was significantly increased more in the intervention group (Δ11.1 ± 7.8 vs. Δ1.1 ± 5.7 cmH2O, p = 0.026). However, no significant differences in pulmonary function, peripheral muscle strength, balance ability variables, 6MWD (p = 0.248), and ISWT (p = 0.506) were observed between the two groups.Conclusions: The water-based exercise program could be recommended to the COPD rehabilitation program for improving the endurance exercise capacity and inspiratory muscle strength.Clinical Trial Registration:www.thaiclinicaltrials.org, identifier: TCTR20210125005.Noppawan CharususinNoppawan CharususinThiti SricharoenchaiKaran PongpanitKornanong YuenyongchaiwatKornanong YuenyongchaiwatPhuwarin NamdaengJitanan LaosiripisanPiyapa KeawutanFrontiers Media S.A.articlewater-based exercisechronic obstructive pulmonary diseasepulmonary rehabilitationexercise capacityinspiratory muscle strengthOther systems of medicineRZ201-999Medical technologyR855-855.5ENFrontiers in Rehabilitation Sciences, Vol 2 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	water-based exercise chronic obstructive pulmonary disease pulmonary rehabilitation exercise capacity inspiratory muscle strength Other systems of medicine RZ201-999 Medical technology R855-855.5
spellingShingle	water-based exercise chronic obstructive pulmonary disease pulmonary rehabilitation exercise capacity inspiratory muscle strength Other systems of medicine RZ201-999 Medical technology R855-855.5 Noppawan Charususin Noppawan Charususin Thiti Sricharoenchai Karan Pongpanit Kornanong Yuenyongchaiwat Kornanong Yuenyongchaiwat Phuwarin Namdaeng Jitanan Laosiripisan Piyapa Keawutan Beneficial Effect of Water-Based Exercise Training on Exercise Capacity in COPD Patients—a Pilot Study
description	Background: Chronic obstructive pulmonary disease (COPD) is a common, preventable, and treatable condition, characterized by persistent airflow limitation. Exercise training is a core component of pulmonary rehabilitation in people with COPD. Water-based exercise has been studied, but it remains unclear whether water-based exercise program leads to the improvement in respiratory function, muscle strength, balance ability, and exercise capacity. We aim to study the effect of an 8-week water-based exercise program on respiratory function, muscle strength, balance ability, and exercise capacity in people with COPD.Methods: Fourteen stable COPD participants (FEV1 56.8 ± 24.6%pred) were recruited and randomized into a water-based exercise or a land-based exercise group. Both groups were trained for 8 weeks, two sessions per week. Pulmonary function, respiratory muscle strength, peripheral muscle strength, balance ability, exercise capacity [6-min walking test (6MWT), incremental shuttle walk test (ISWT), and endurance shuttle walk test (ESWT)] were assessed at baseline and at the end of the program. ANCOVA was used to conduct between-group comparisons of outcomes after adjusting for pre-intervention values.Results: Baseline characteristics of participants were not significantly different between the two groups (p ≥ 0.05). After the 8-week training program, participants in the intervention group achieved larger gains in ESWT (Δ663.4 ± 279.5 vs. Δ45.4 ± 93.2 s, p = 0.001). In addition, maximal inspiratory pressure (MIP) was significantly increased more in the intervention group (Δ11.1 ± 7.8 vs. Δ1.1 ± 5.7 cmH2O, p = 0.026). However, no significant differences in pulmonary function, peripheral muscle strength, balance ability variables, 6MWD (p = 0.248), and ISWT (p = 0.506) were observed between the two groups.Conclusions: The water-based exercise program could be recommended to the COPD rehabilitation program for improving the endurance exercise capacity and inspiratory muscle strength.Clinical Trial Registration:www.thaiclinicaltrials.org, identifier: TCTR20210125005.
format	article
author	Noppawan Charususin Noppawan Charususin Thiti Sricharoenchai Karan Pongpanit Kornanong Yuenyongchaiwat Kornanong Yuenyongchaiwat Phuwarin Namdaeng Jitanan Laosiripisan Piyapa Keawutan
author_facet	Noppawan Charususin Noppawan Charususin Thiti Sricharoenchai Karan Pongpanit Kornanong Yuenyongchaiwat Kornanong Yuenyongchaiwat Phuwarin Namdaeng Jitanan Laosiripisan Piyapa Keawutan
author_sort	Noppawan Charususin
title	Beneficial Effect of Water-Based Exercise Training on Exercise Capacity in COPD Patients—a Pilot Study
title_short	Beneficial Effect of Water-Based Exercise Training on Exercise Capacity in COPD Patients—a Pilot Study
title_full	Beneficial Effect of Water-Based Exercise Training on Exercise Capacity in COPD Patients—a Pilot Study
title_fullStr	Beneficial Effect of Water-Based Exercise Training on Exercise Capacity in COPD Patients—a Pilot Study
title_full_unstemmed	Beneficial Effect of Water-Based Exercise Training on Exercise Capacity in COPD Patients—a Pilot Study
title_sort	beneficial effect of water-based exercise training on exercise capacity in copd patients—a pilot study
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/de8e8346f98c46e0a06676114f85687f
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Beneficial Effect of Water-Based Exercise Training on Exercise Capacity in COPD Patients—a Pilot Study

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