• Ercy Mara Cipulo Ramos, Alessandra Choqueta de Toledo-Arruda, Luciana Cristina Fosco, Rafaela Bonfim, Giovana Navarro Bertolini, Flavia Alessandra Guarnier, Rubens Cecchini, Carlos Marcelo Pastre, Daniel Langer, Rik Gosselink, and Dionei Ramos.
• Department of Physiotherapy, State University of Sao Paulo, Presidente Prudente, Brazil ercy@fct.unesp.br.
• Clin Rehabil. 2014 Nov 1;28(11):1096-106.

ObjectiveTo investigate the effects of elastic tubing training compared with conventional resistance training on the improvement of functional exercise capacity, muscle strength, fat-free mass, and systemic inflammation in patients with chronic obstructive pulmonary disease.DesignA prospective, randomized, eight-week clinical trial.SettingThe study was conducted in a university-based, outpatient, physical therapy clinic.SubjectsA total of 49 patients with moderate chronic obstructive pulmonary disease.InterventionsParticipants were randomly assigned to perform elastic tubing training or conventional resistance training three times per week for eight weeks.Main MeasuresThe primary outcome measure was functional exercise capacity. The secondary outcome measures were peripheral muscle strength, health-related quality of life assessed by the Chronic Respiratory Disease Questionnaire (CRDQ), fat-free mass, and cytokine profile.ResultsAfter eight weeks, the mean distance covered during six minutes increased by 73 meters (±69) in the elastic tubing group and by 42 meters (±59) in the conventional group (p < 0.05). The muscle strength and quality of life improved in both groups (P < 0.05), with no significant differences between the groups. There was a trend toward an improved fat-free mass in both groups (P = 0.05). After the first and last sessions, there was an increase in interleukin 1β (IL-1β) and interleukin 10 (IL-10) in both groups, while tumour necrosis factor alpha (TNF-α) was stimulated only in the conventional training group.ConclusionElastic tubing training had a greater effect on functional exercise capacity than conventional resistance training. Both interventions were equally effective in improving muscle strength and quality of life.© The Author(s) 2014.

35 keywords...

hide…