Download or read book Acute Affective and Physiological Response to Different Exercise training Protocols in Patients with Chronic Obstructive Pulmonary Disease COPD written by Amanda Katy Rizk and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Current pulmonary rehabilitation (PR) guidelines advocate high-intensity exercise training for individuals with chronic obstructive pulmonary disease (COPD), yet this approach has been shown to be unachievable in a large proportion of patients. Alternative approaches, such as training at the ventilatory threshold, have been proposed as more tolerable, less unpleasant, and thus possibly easier to comply with for this clientele. This assumption needs to be verified. The purpose of the present study was to compare, in COPD patients, the acute affective and physiological response to high-intensity training (CT80) versus training at the ventilatory threshold (CTVT). Thirteen subjects were randomly assigned to perform 40 minutes (including warm-up and cool-down) of either high-intensity exercise training at 80% of peak work rate (CT80) or training at the ventilatory threshold (CTVT) on a cycle ergometer. Affective response to the exercise bout was measured using the Positive and Negative Affect Schedule (PANAS) and the Global Vigor and Affect Instrument (GVA). Physiological response to the same bout was measured breath by breath with a portable metabolic system. Repeated-measures general linear models and mixed models were conducted using SAS. Positive affect scores from the PANAS increased from pre-, to end-, to post-exercise (time effect) (F=17.56, p=0.0005), but this increase was significant for the CTVT group only (time by intervention interaction) (F=5.85, p=0.02). No significant time or interaction effect was observed for global affect or global vigor from the GVA. In addition, no significant difference in physiological response was observed between CT80 and CTVT. Results from this pilot study suggest that affect improves after an exercise-training bout in COPD patients, especially when the protocol used is CTVT. The acute physiological and symptomatic response to CT80 and CTVT appears to be similar. Keywords: COPD, affective response, physiological response, exercise training.
Download or read book Acute Physiological Symptomatic and Affective Responses to Exercise Training and Relationship with Exercise Adherence in Chronic Obstructive Pulmonary Disease written by Amanda Katy Rizk and published by . This book was released on 2014 with total page 221 pages. Available in PDF, EPUB and Kindle. Book excerpt: Study Objectives: i) To describe and compare, in COPD patients, the acute physiological, symptomatic, and affective responses to continuous training at a high intensity (CTHI), continuous training at the ventilatory threshold (CTVT), and interval training (IT); ii) To examine the nature and degree of association between acute measures of intensity and adherence to a 12-week exercise-training program; iii) To investigate whether the relationship between acute responses and adherence is mediated or moderated by affect/vigor. Methods: Thirty-five COPD patients (FEV1 = 60.2 ± 15.8 % predicted) underwent baseline assessments, were randomly assigned to CTHI, CTVT, or IT, were monitored during a single exercise-training bout, and subsequently took part in a 12-week exercise-training program. Physiological, symptomatic, and affective responses were measured using a portable system, the PANAS and GVA questionnaires, and the Borg scale; respectively. Adherence was defined as the percent time spent within the target heart rate range for attended sessions. Results: In comparison to CTHI, CTVT was associated with lower levels of RER, HR, and RR, whereas IT was associated with higher levels of VE, VE/MVV, RR, and a greater drop in SpO2. Affective state generally improved from pre- to post-exercise, with increases in positive affect (F=9.74, p
Download or read book The Effects of Exercise Training and Acute Exacerbations on Muscle Function in Patients with Chronic Obstructive Pulmonary Disease written by Martijn A. Spruit and published by Leuven University Press. This book was released on 2004 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a Ph.D. dissertation. Chronic obstructive pulmonary disease (COPD) is a disease state characterized by airflow limitation that is not fully reversible. The airflow limitation is usually progressive and associated with an abnormal inflammatory response of the lungs to noxious particles or gases. Clinically, it is characterized by complaints of cough, sputum production, and/or dyspnoea, and diagnosed by a significantly reduced Tiffeneau index. It was the fourth leading cause of death in the United States in 1996, exceeded only by heart attacks, cancers and stroke. Hence, COPD is a major global health problem and its burden on society is growing rapidly. For these reasons, COPD was chosen as a study population in the present project.
Download or read book Pulmonary Rehabilitation written by Claudio Donner and published by CRC Press. This book was released on 2020-07-14 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pulmonary rehabilitation programmes are a fundamental part of the clinical management of patients with chronic respiratory diseases. This comprehensive reference book places pulmonary rehabilitation within the wider framework of respiratory disease. Now in six parts, it includes new sections on the development of PR as a discipline, global perspectives on quality control, new chapters on early PR post exacerbation and personalized rehabilitation, innovative approaches to exercise, PR in interstitial lung disease and lung transplantation, and the latest research into the application of music, dance and yoga. Key Features Global contributions compare practice around the world where differences have developed. New six Part structure covers new approaches to exercise testing, interstitial lung diseases and other diseases, and add-on interventions drawing on new technologies. Contains recommendations of the large collaborative ERS/ATS task forces on guidelines for PR as well as suggested policies for its implementation and use. Covers the important topic of balance impairment as a focus of rehabilitation for the at-risk patient and a new chapter on monitoring physical activity. The voices of patients and caregivers describe the impact of chronic respiratory disease on their lives. Features an exclusive chapter on COVID-19 that discusses the short- and long-term pathophysiological consequences, provides information about the potential role of physiotherapy in the management of hospitalized patients with confirmed or suspected COVID-19, and details on who, where, and how to deliver programs to COVID-19 and non COVID-19 patients in the lockdown and post lockdown era.
Download or read book Compliance to Different Exercise Training Protocols in Individuals with Chronic Obstructive Pulmonary Disease written by Rima Wardini and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Exercise and Food for Pulmonary Invalids written by Charles Denison and published by . This book was released on 1895 with total page 82 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Dyspnea written by Donald A. Mahler and published by CRC Press. This book was released on 2014-01-20 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: With the high prevalence of chronic pulmonary diseases, including asthma, COPD, and interstitial lung disease, physicians need to recognize the cause of dyspnea and know how to treat it so that patients can cope effectively with this distressing symptom. Detailing recent developments and treatment methods, this revised and updated third edition of
Download or read book Chronic Obstructive Pulmonary Disease Exacerbations written by Jadwiga A. Wedzicha and published by CRC Press. This book was released on 2008-09-22 with total page 476 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic Obstructive Pulmonary Disease Exacerbations covers the definition, diagnosis, epidemiology, mechanisms, and treatment associated with COPD exacerbations. This text also addresses imaging and how it plays a pivotal role in the diagnosis and study of exacerbations.Written by today's top experts, Chronic Obstructive Pulmonary Disease Exacerbat
Download or read book Effectiveness of an Intervention of Urban Training in Patients with Chronic Obstructive Pulmonary Disease COPD a Randomised Controlled Trial written by Ane Arbillaga Etxarri and published by . This book was released on 2018 with total page 157 pages. Available in PDF, EPUB and Kindle. Book excerpt: High levels of physical activity have been related to better prognosis in patients with chronic obstructive pulmonary disease (COPD). However, so far no interventions have proven effective to modify physical activity in COPD. The aims of this thesis are to design, validate and test the Urban Training intervention to modify physical activity behavior at the long term, and to assess the relationship of novel determinants with the physical activity in COPD patients. We designed walking trails of different intensities in public spaces, the Urban Training intervention was implemented and evaluated after a follow-up of 12 months, and socio-environmental determinants were studied. At the end of this thesis, walking trails were validated showing that the physiological response increased according to the predefined trails' intensity. In addition, the Urban Training intervention improved physical activity after 12 months of follow-up only in patients adherent to the intervention. And finally dog walking and grandparenting were associated with a higher amount and intensity of physical activity in COPD patients.
Download or read book Chronic Effects and Acute Physiological Response to Aerobic and Resistance Training in Patients Following Stroke Referred to a Cardiac Rehabilitation Program written by Susan Marzolini and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Clinical Implications of Diurnal Variations in Physiological Psychological and Behavioral Measures in Patients with Chronic Obstructive Pulmonary Disease written by Emilie Chan-Thim and published by . This book was released on 2017 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: The aim of this thesis was to investigate the clinical implications of diurnal variations in physiological, behavioral and psychological measures in a Chronic Obstructive Pulmonary Disease (COPD) population. In a sample of 14 moderate-to-severe COPD participants we first evaluated the effect of time of day on the acute response to incremental exercise in COPD. We found that a majority of individuals exceeded clinically significant changes in their pulmonary function and peak exercise capacity measures. A peak in exercise capacity was observed in the afternoon in the subgroup of individuals who demonstrated increased variability, similar to the timing of peak exercise performance previously documented in healthy individuals. We then investigated if high or low relative amplitude (RA), a marker of internal synchronization, was associated with disease severity or prognosis in COPD. Lower RA was associated with higher ratings of dyspnea and worse scores on prognostic indexes. The amplitude difference between the two sub-groups appears to be due to increased physical activity at midday in the high-RA sub-group. Lastly, we investigated whether diurnal variation in depression symptoms would be associated with depression symptoms severity. We found larger diurnal variation in depression symptoms to be associated with worse depression symptom severity in COPD patients. This association seemed independent of pulmonary function and exercise capacity.The results presented in this thesis were the first to report on diurnal variations in various common clinical measures in COPD and to explore the link between amplitude of the rest-activity cycle and indexes of disease prognosis. Based on our findings, accounting for the timing of repeated exercise testing is suggested. RA of the rest-activity cycle may be a useful marker in COPD prognosis. Lastly, identifying diurnal variation in depressive symptoms may help detect depression in COPD.
Download or read book Guidelines for Pulmonary Rehabilitation Programs written by AACVPR and published by Human Kinetics Publishers. This book was released on 2019-03-26 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: Guidelines for Pulmonary Rehabilitation Programs, Fifth Edition, presents care and program standards for pulmonary rehabilitation programs, including initial and ongoing assessment, collaborative self-management education, exercise training, psychosocial support, and outcome measurement.
Download or read book Physiological and Perceptual Responses to Exercise According to the Locus of Symptom Limitation in People with COPD written by Lauren Tracey and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "Exercise intolerance is pervasive in people with mild-to-very severe chronic obstructive pulmonary disease (COPD) and is associated with adverse health outcomes, including premature death. The mechanisms of exercise intolerance in COPD are complex and multifactorial but include pathophysiological abnormalities in pulmonary mechanics and limb muscle function. It follows that the exercise tolerance of people with COPD is often limited by intolerable breathlessness and/or leg discomfort. The objective of this study was to compare detailed physiological and perceptual parameters at the symptom-limited peak of incremental cardiopulmonary cycle exercise testing in adults with COPD reporting breathlessness (B), leg discomfort (LD), or a combination of breathlessness and leg discomfort (BOTH) as their main exercise-limiting symptom(s). Based on our understanding of pathophysiological mechanisms of exertional breathlessness in COPD, we hypothesized that people stopping exercise because of breathlessness would have relatively greater abnormalities in breathing mechanics than people stopping exercise because of leg discomfort alone or in combination with breathlessness. In this retrospective study, we compared physiological and perceptual responses at the symptom-limited peak of incremental (5-10 W/min) cardiopulmonary cycle exercise testing between 35 people with COPD reporting B (26M; mean +/- SD FEV1, 52 +/- 24%pred), 42 people reporting BOTH (19M; FEV1, 54 +/- 19%pred) and 16 people reporting LD (15M; FEV1, 67 +/- 20%pred) as their main exercise-limiting symptom. Despite similarly impaired levels of baseline lung function, health status, symptomology and exercise capacity, people with COPD whose primary limitation to exercise was B presented with evidence of greater dynamic lung hyperinflation and more severe restrictive constraints on tidal volume (VT) expansion at end-exercise than people whose primary or co-primary exercise-limiting symptom was LD. To this end, both the decrease in inspiratory capacity (∆IC) from rest to peak exercise (p=0.054) and the VT-to-IC ratio at end-exercise (p=0.001) were higher in B vs. BOTH and LD. Furthermore, a higher proportion of subjects in B vs. BOTH and LD had a ∆IC of 400 mL or greater (p=0.073) and a peak VT%IC of 73% or greater (p
Download or read book Regulation of Coronary Blood Flow written by Michitoshi Inoue and published by Springer Science & Business Media. This book was released on 2013-11-09 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Research centering on blood flow in the heart continues to hold an important position, especially since a better understanding of the subject may help reduce the incidence of coronary arterial disease and heart attacks. This book summarizes recent advances in the field; it is the product of fruitful cooperation among international scientists who met in Japan in May, 1990 to discuss the regulation of coronary blood flow.
Download or read book Depression and Anxiety in Patients with Chronic Respiratory Diseases written by Amir Sharafkhaneh and published by Springer. This book was released on 2017-06-14 with total page 205 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this unique title, the full range of chronic respiratory conditions and their association with psychiatric comorbidities are explored and targeted management options are outlined. Indeed recent studies indicate a far higher prevalence of depression and anxiety in patients afflicted with chronic respiratory conditions than in patients with other chronic disorders. Unlike other publications in the field of pulmonary disease, Depression and Anxiety in Patients with Chronic Respiratory Diseases details this significant correlation. The book is comprehensive in scope, covering such topics as depression and anxiety across the age spectrum, diagnostic tools for anxiety and depression, anxiety and depression in COPD patients, depression and anxiety in adult patients with asthma, and end-stage lung disease and lung transplantation, among others. In this novel work, the volume Editors enlist a team of renowned experts in the fields of respiratory and psychiatric disorders to combine a thorough synthesis of the literature with targeted, practical strategies for management. Depression and Anxiety in Patients with Chronic Respiratory Diseases is an invaluable resource for all clinicians who care for patients with chronic and advanced lung diseases.
Download or read book The ESC Textbook of Intensive and Acute Cardiovascular Care written by Marco Tubaro and published by Oxford University Press. This book was released on 2021-03-08 with total page 800 pages. Available in PDF, EPUB and Kindle. Book excerpt: The ESC Textbook of Intensive and Acute Cardiovascular Care is the official textbook of the Acute Cardiovascular Care Association (ACVC) of the ESC. Cardiovascular diseases (CVDs) are a major cause of premature death worldwide and a cause of loss of disability-adjusted life years. For most types of CVD early diagnosis and intervention are independent drivers of patient outcome. Clinicians must be properly trained and centres appropriately equipped in order to deal with these critically ill cardiac patients. This new updated edition of the textbook continues to comprehensively approach all the different issues relating to intensive and acute cardiovascular care and addresses all those involved in intensive and acute cardiac care, not only cardiologists but also critical care specialists, emergency physicians and healthcare professionals. The chapters cover the various acute cardiovascular diseases that need high quality intensive treatment as well as organisational issues, cooperation among professionals, and interaction with other specialities in medicine. SECTION 1 focusses on the definition, structure, organisation and function of ICCU's, ethical issues and quality of care. SECTION 2 addresses the pre-hospital and immediate in-hospital (ED) emergency cardiac care. SECTIONS 3-5 discuss patient monitoring, diagnosis and specific procedures. Acute coronary syndromes (ACS), acute decompensated heart failure (ADHF), and serious arrhythmias form SECTIONS 6-8. The main other cardiovascular acute conditions are grouped in SECTION 9. Finally SECTION 10 is dedicated to the many concomitant acute non-cardiovascular conditions that contribute to the patients' case mix in ICCU. This edition includes new chapters such as low cardiac output states and cardiogenic shock, and pacemaker and ICDs: troubleshooting and chapters have been extensively revised. Purchasers of the print edition will also receive an access code to access the online version of the textbook which includes additional figures, tables, and videos to better to better illustrate diagnostic and therapeutic techniques and procedures in IACC. The third edition of the ESC Textbook of Intensive and Acute Cardiovascular Care will establish a common basis of knowledge and a uniform and improved quality of care across the field.
Download or read book Pulmonary Rehabilitation written by Anne E. Holland and published by European Respiratory Society. This book was released on 2021-09-01 with total page 363 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pulmonary rehabilitation is an effective treatment for people with a range of chronic lung diseases. In recent years, there have been substantial advances in the science underpinning pulmonary rehabilitation. Advances have been seen in the patient groups in whom it is indicated; in the breadth of programme content; in new methods of delivery; and not least, in important outcomes. This Monograph brings together scientific and clinical expertise in pulmonary rehabilitation, with the aim of optimising its delivery in clinical practice.
