Kronik Obstrüktif Akciğer Hastalığı Olan Bireylerde Bisiklet Ergometresi ile Kalistenik Egzersiz eğitiminin karşılaştırılması

Abstract

Chronic obstructive pulmonary disease (COPD), is a partially reversible disorder that leads to substantial morbidity and mortality. The purpose of this study was to compare cycle ergometer with calisthenic exercise on the effects of pulmonary function, respiratory muscle strength, cardiorespiratory endurance, physical fitness level, quality of life, activities of daily living, psychosocial status, dispnea and fatigue of patients with COPD. Clinically stable 47 patients with COPD participated in this study. 16 patients received cycle ergometer training, 16 patients received calisthenic exercise training for six weeks, 3 sessions per week. Control group (15 patients) just received routine medical therapy. Pulmonary function using spirometry, respiratory muscle strength using mouth pressure device, cardiorespiratory capacity using incremental cycle ergometer test, physical fitness level using Senior Fitness Test, quality of life using Saint George Respiratory Questionnaire and Short Form-36, activities of daily living using London Chest Activities of Daily Living Scale, psychosocial status using Hospital Anxiety and Depression Scale, dyspneae using Modified Medical Research Council dyspnea scale, fatigue using Fatigue Severity and Impact Scale were evaluated. The results showed that lung function significantly increased in cycle ergometer (FVC) and in calisthenic groups (FEV1, MVV) (p<0.05). Respiratory muscle strength increased significantly in the cycle ergometer group (%MEP) (p<0.05); however, no significant improvements were seen in the calisthenic and control group (p>0.05). Exercise capasity measured by cardiopulmonary exercise tests, physical fitness level measured by Senior Fitness Test levels and 6 minute walk distance significantly improved in cycle ergometer and calisthenic groups (p<0.05). health related quality of life significantly improved in both exercise groups (p<0.05). The LCADL scale scores evolved in cycle ergometer while in calisthenic group except indoor activities subgroup, improved significantly in other daily living activities scores (p<0.05). Anxiety, depression, dyspnea and fatique symptoms diminished significantly in both exercise groups (p<0.05) while no significant improvements were seen in the control group in none of these outcomes (p>0.05). In conclusion, it has been appeared that calisthenic exercise training improved similarly with cycle ergometer training in pulmonary function, exercise capasity, physical fitness level, quality of life, activities of daily living while it reduced anxiety, depression, dispne and fatigue of patients. However calisthenic exercise training did not effect respiratory muscle strength. It is concluded that both exercise programs were found to be safe and effective in pulmonary rehabilitation.