Effects of combining functional exercises with exercise training on daily physical activities and functionality in patients with COPD: a protocol for a randomized clinical trial

Author(s)

de Lima, Fabiano Francisco ^[1] ; Camillo, Carlos Augusto ^{[2, 3]} ; Grigoletto, Isis ^[1] ; Uzeloto, Juliana Souza ^[1] ; Vanderlei, Franciele Marques ^[1] ; Ramos, Dionei ^[1] ; Cipulo Ramos, Ercy Mara ^[1]

Affiliation

^[1] Sao Paulo State Univ UNESP, Postgrad Program Physiotherapy, Dept Physiotherapy, Rua Roberto Simonsen 305, BR-19060900 Sao Paulo - Brazil

^[2] State Univ Londrina UEL, Dept Physiotherapy, Postgrad Program Rehabil Sci, Ave Robert Koch, 60 Vila Operaria, BR-86038350 Londrina, Parana - Brazil

^[3] Univ Pitagoras UNOPAR, Dept Rehabil Sci, Ave Paris, 675 Jardim Piza, BR-86041120 Londrina, Parana - Brazil

• Document type: Journal article
• Source: Trials; v. 20, n. 1 DEC 5 2019.
• Web of Science Citations: 0

Abstract

Introduction: Functional training has been shown to be a viable alternative for the elderly and patients with chronic obstructive pulmonary disease (COPD). However, whether the combination of this type of training with aerobic and resistance training, commonly performed in pulmonary rehabilitation (PR) programs, induces more pronounced effects on daily physical activities and functionality remains unclear. The aims of the study will be to evaluate the short-term and sustained effects of the combination of a functional circuit program with a training program consisting of aerobic and resistance exercise. Methods: In this randomized controlled trial, patients with COPD will be randomly assigned (1:1:1) to an 8-week training program to follow one of the three a priori defined groups: (I) resistance and aerobic and functional exercises, (II) a conventional program including only resistance and aerobic exercises, or (III) a usual care program. Patients will be evaluated before and upon completion of 8 weeks of training regarding physical activity in daily life (PADL) using an activity monitor (accelerometer), activities of daily living (London Chest Activity of Daily Living), functional exercise capacity (6-minute walk test), and muscle strength (dynamometry). Additionally, the sustained effects of the interventions will be evaluated 22 weeks after commencing the study. Discussion: The inclusion of a protocol of functional physical training in the training conventionally performed by patients with COPD as an alternative to increase PADL and functionality may provide subsidies for the treatment of these patients, representing an advance and impacting on the physical training of patients with COPD. (AU)

• FAPESP's process: 17/10145-7 - Effects of the inclusion of a functional circuit to aerobic and resistance training on functionality, physical activity in daily life and immuno-metabolic response of patients with COPD: a randomized clinical trial with follow-up
• Grantee: Ercy Mara Cipulo Ramos
• Support type: Regular Research Grants
• FAPESP's process: 17/10925-2 - Acceptability and adherence to the insertion of a functional circuit to aerobic and resistance training in patients with COPD: a qualiquantitative study
• Grantee: Isis Grigoletto Silva
• Support type: Scholarships in Brazil - Master
• FAPESP's process: 18/04871-0 - EFFECTS OF THE INCLUSION OF A FUNCTIONAL CIRCUIT TO AEROBIC AND RESISTANCE TRAINING ON PHYSICAL ACTIVITY IN DAILY LIFE AND FUNCTIONALITY OF PATIENTS WITH COPD: A RANDOMIZED CLINICAL TRIAL WITH FOLLOW-UP
• Grantee: Fabiano Francisco de Lima
• Support type: Scholarships in Brazil - Doctorate