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- W2183693241 abstract "Partitioning the exercising muscle mass, known as single limb exercises, is a novel exercise strategy aimed at reducing the negative consequences of chronic airflow limitation in patients with chronic obstructive pulmonary disease (COPD). The aim of this thesis was to study the current evidence of single limb approaches in patients with COPD, to examine the feasibility and effects of a highrepetitive single limb exercise (HRSLE) regimen in patients with COPD and to examine whether elastic resistance bands could be used to evaluate muscular strength. This thesis is based on five papers. In order to study the evidence on single limb exercises, a systematic review of randomized controlled trials was performed. The review showed that single limb exercises, performed as one-legged cycling appeared to be more effective than two-legged cycling with regard to exercise capacity but not dyspnea, and might be included in exercise programs for patients with COPD (Paper I). Thirty healthy older women and men participated in a validation study comparing elastic resistance maximal strength with isokinetic dynamometry measurements. Excellent levels of agreement and no differences were found between the two pieces of equipment which indicates that elastic resistance could be used to evaluate muscular strength (Paper II). A study protocol was created for a randomized controlled trial designed to identify the effects of HRSLE in combination with COPD-specific patient training (experimental group) in comparison to patient information alone (control group). HRSLE was performed as resistance training, using a single limb at a time, elastic bands as resistance and a high number of repetitions (25 repetitions in 2 sets) with the aim of increasing limb muscle endurance (Paper III). After eight weeks of exercise, the differences between the groups were in favor of the experimental group on lowerand upper-extremity functional capacity, upper-extremity endurance capacity and muscular function. No differences were seen between the groups on endurance cycle capacity or healthrelated quality of life (Paper IV). In patients with COPD, the HRSLE regimen was considered feasible with a high attendance rate, excellent compliance and high relative exercise intensity. No severe adverse events occurred. Also the physiotherapists conducting the HRSLE in the clinical setting found it to be feasible (Paper V). This thesis shows that single limb exercises performed as one-legged cycling may be useful and effective for patients with COPD. Eight weeks of HRSLE was feasible and effective with regard to exercise capacity, but without effect with regard to health-related quality of life, in patients with COPD. Elastic resistance bands could be used as exercise equipment to improve limb muscle function in patients with COPD and to evaluate muscular strength in healthy older adults." @default.
- W2183693241 created "2016-06-24" @default.
- W2183693241 creator A5045299032 @default.
- W2183693241 date "2014-01-01" @default.
- W2183693241 modified "2023-10-11" @default.
- W2183693241 title "Single limb exercises in patients with chronic obstructive pulmonary disease" @default.
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