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A Simple Method for Home Exercise Training in Patients With Chronic Obstructive Pulmonary Disease: ONE-YEAR STUDY.
MedLine Citation:
PMID:  22193935     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE:: The success of long-term exercise training (ExT) programs resides in the integration between exercise prescription and patient compliance with home training. One of the crucial issues for the patients is the understanding of appropriate exercise intensity. We compared 2 methods of home ExT, based on walking. METHODS:: Forty-seven patients with chronic obstructive pulmonary disease were recruited and underwent respiratory function, exercise capacity evaluation with a 6-minute walk test, and treadmill tests. Physical activity was monitored by a multisensor Armband (SenseWear, Body Media, Pittsburgh, PA). Patients were randomly assigned to 2 different home training methods and assessed again after 6 and 12 months; group A1: speed walking paced by a metronome, and group A2: walking a known distance in a fixed time. RESULTS:: Thirty-six patients completed the study. All subjects showed a significant improvement in the 6-minute walk test after 1 year but the improvement was higher in A1 than in A2 (P < .05). Physical activity levels were significantly higher at T12 versus baseline only in group A1 (P < .05). CONCLUSIONS:: The use of a metronome to maintain the rate of walking during home ExT seems to be beneficial, allowing patients to achieve and sustain the optimal exercise intensity, and resulting in greater improvement compared to simply using a fixed time interval exercise.
Authors:
Luca Pomidori; Marco Contoli; Gaia Mandolesi; Annalisa Cogo
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-21
Journal Detail:
Title:  Journal of cardiopulmonary rehabilitation and prevention     Volume:  -     ISSN:  1932-751X     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101291247     Medline TA:  J Cardiopulm Rehabil Prev     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Biomedical Sport Studies Center (Drs Pomidori, Mandolesi, and Cogo) and Research Centre on Asthma and COPD, Department of Clinical and Experimental Medicine, Section of Respiratory Diseases (Drs Contoli and Cogo), University of Ferrara, Ferrara, Italy.
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