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Efeitos do exercicio resistido de membros superiores na forca muscular periferica e na capacidade funcional do paciente com DPOC (Effects of the resistance exercise in upper limb on peripheral muscular strength and functionality of COPD patient) [Portuguese]
Ike D, Jamami M, Marino DM, Ruas G, Pessoa BV, di Lorenzo VAP
Fisioterapia em Movimento [Physical Therapy in Movement] 2010 Jul-Sep;23(3):429-437
clinical trial
5/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

INTRODUCTION: Peripheral muscle dysfunction in the chronic obstructive pulmonary disease (COPD) contributes for the intolerance exercise, but there was no consensus about appropriate strategies of exercise training for these patients. OBJECTIVE: The aim of this study was to assess the effect of the resistance exercise in upper limb in COPD patients (from moderate to very severe cases) on the muscular strength and functional capacity. METHODS: Twelve patients with COPD were separated into two groups: control (GC) and trained (GT). The GT carried out strength training three times a week, during six weeks, starting with load of 80% of one repetition maximum (1 RM). Before and after the treatment were carried out the 1 RM test and the Pegboard and Ring Test (PBRT) in both groups. RESULTS: After the treatment, there was a significant increase of the strength muscle in the GT (increase of 52% in the supine and 22% in the pulley, with p < 0.05); and in the PBRT there were no significant difference in both groups. CONCLUSION: The upper limb strength training during six weeks was able to improve the muscle strength, but not the functionality of COPD patients (from moderate to very severe cases).

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