COMPARISON OF UPPER EXTREMITY MUSCLE STRENGTH BETWEEN PATIENTS WITH STABLE AND EXACERBATED CHRONIC OBSTRUCTIVE PULMONARY DISEASE AT A HOSPITAL IN MEDAN
Main Article Content
Keywords:
Muscle Strenght, Stable COPD, Exacerbated COPDAbstract
One of the main complications in patients with COPD is muscle weakness or atrophy, which becomes more pronounced during exacerbations, leading to a decline in quality of life, prognosis, and an increased risk of future exacerbations. This study compared upper limb muscle strength between stable COPD patients and those experiencing exacerbations. A cross-sectional study design was used, with an independent sample t-test to compare the mean values of two unpaired groups. Sampling was conducted using a non-probability consecutive sampling technique. Researchers assessed upper limb muscle strength using a Hand-grip Dynamometer on a predetermined sample size that met the inclusion and exclusion criteria. The results showed a significant correlation between the history of exacerbations within the past year and COPD in both groups (p < 0.05). Upper limb muscle strength in the exacerbation group was lower than in the stable COPD group. The independent t-test yielded a p-value of 0.001, indicating a significant difference in upper limb muscle strength between the stable and exacerbation COPD groups.
Article Details
References
Agustí A, Celli BR, Criner GJ, Halpin D, Anzueto A, Barnes P, et al. Global Initiative for Chronic Obstructive Lung Disease 2023 Report: GOLD Executive Summary. European Respiratory Journal. 2023;61(4).
Nct. Effects of Inspiratory Muscle Training in Addition to Pulmonary Rehabilitation in Patients With COPD Exacerbation. [https://clinicaltrials.gov/show/NCT04802096](https://clinicaltrials.gov/show/NCT04802096). 2021.
Maltais F, Decramer M, Casaburi R, Barreiro E, Burelle Y, Debigaŕe R, et al. An official American thoracic society/european respiratory society statement: Update on limb muscle dysfunction in chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2014;189(9).
Schols AMWJ, Soeters PB, Dingemans AMC, Mostert R, Frantzen PJ, Wouters EFM. Prevalence and characteristics of nutritional depletion in patients with stable COPD eligible for pulmonary rehabilitation. American Review of Respiratory Disease. 1993;147(5).
Seymour JM, Spruit MA, Hopkinson NS, Natanek SA, Man WDC, Jackson A, et al. The prevalence of quadriceps weakness in COPD and the relationship with disease severity. European Respiratory Journal. 2010;36(1).
P7‐60: The effectiveness of strength and resistance exercise of the upper extremity on muscle mass in chronic obstructive pulmonary diseases patients. Respirology. 2021;26(S3).
Karagiannis C, Savva C, Korakakis V, Ploutarchou G, Adamide T, Georgiou A, et al. The effects of upper limb exercise training on upper limb muscle strength in people with chronic obstructive pulmonary disease: a systematic review and meta-analysis of randomized controlled trials. Therapeutic Advances in Respiratory Disease. 2023;17.
Jaitovich A, Barreiro E. Skeletal muscle dysfunction in chronic obstructive pulmonary disease what we know and can do for our patients. Am J Respir Crit Care Med. 2018;198.
Vogelmeier CF, Criner GJ, Martinez FJ, Anzueto A, Barnes PJ, Bourbeau J, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease 2017 report. Am J Respir Crit Care Med. 2017;195.
Gomes LX, Santos DM, Santos DDN, Souza GP de O, da Cruz VSF, Lima YA, et al. Muscle strength, functionality and distance traveled in patients with chronic obstructive pulmonary disease. Revista Pesquisa em Fisioterapia. 2020;10(2).
Vorrink SNW, Kort HSM, Troosters T, Zanen P, Lammers JWJ. Efficacy of an mHealth intervention to stimulate physical activity in COPD patients after pulmonary rehabilitation. European Respiratory Journal. 2016;48(4).
GOLD. Global Initiative for Chronic Ostructive Lung Disease. Pocket Guide to COPD Diagnosis, Management, and Prevention. Gold. 2022.
Gibson GJ, Whitelaw W, Siafakas N, Supinski GS, Fitting JW, Bellemare F, et al. American Thoracic Society/European Respiratory Society ATS/ERS Statement on Respiratory Muscle Testing. Am J Respir Crit Care Med. 2002;166(4).
Neder JA, Marillier M, Bernard AC, James MD, Milne KM, O’Donnell DE. The Integrative Physiology of Exercise Training in Patients with COPD. COPD: Journal of Chronic Obstructive Pulmonary Disease. 2019;16.
Wang Y, Li P, Cao Y, Liu C, Wang J, Wu W. Skeletal Muscle Mitochondrial Dysfunction in Chronic Obstructive Pulmonary Disease: Underlying Mechanisms and Physical Therapy Perspectives. Aging Dis. 2023;14(1).
Langer D, Gosselink R, Sena R, Burtin C, Decramer M, Troosters T. Validation of two activity monitors in patients with COPD. Thorax. 2009;64.
NCT00169897. Pulmonary Rehabilitation at Home Versus at the Gymnasium. [https://clinicaltrials.gov/show/NCT00169897](https://clinicaltrials.gov/show/NCT00169897). 2005.
Agustí AGN, Noguera A, Sauleda J, Sala E, Pons J, Busquets X. Systemic effects of chronic obstructive pulmonary disease. European Respiratory Journal. 2003;21.
Zhao Q, Meng M, Kumar R, Wu Y, Huang J, Lian N, et al. The impact of COPD and smoking history on the severity of COVID-19: A systemic review and meta-analysis. J Med Virol. 2020;92(10).
Powrie DJ. The BODE index: a new grading system in COPD. Thorax. 2004;59(5).
Pisani L, Fasano L, Corcione N, Comellini V, Musti MA, Brandao M, et al. Change in pulmonary mechanics and the effect on breathing pattern of high flow oxygen therapy in stable hypercapnic COPD. Thorax. 2017;72(4).
Puhan M, Zoller M, ter Riet G. COPD: more than respiratory. The Lancet. 2008;371.
Holland AE, Singh SJ, Casaburi R, Clini E, Cox NS, Galwicki M, et al. Defining modern pulmonary rehabilitation: An official American thoracic society workshop report. Ann Am Thorac Soc. 2021;18.
Article Sidebar
Download this PDF file
pdfPublished:
Section
License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.