Upper limb exercise training and activities of daily living in patients with COPD: a systematic review of randomized controlled trials

ABSTRACT Objective: To investigate the efficacy of upper limb exercise training (ULExT) in improving the performance of activities of daily living (ADL) that involve the upper limbs (UL) in patients with COPD. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelin...

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Main Authors: Christos Karagiannis, Christos Savva, Ioannis Mamais, Tonia Adamide, Andreas Georgiou, Theodoros Xanthos
Format: Article
Language:English
Published: Sociedade Brasileira de Pneumologia e Tisiologia
Series:Jornal Brasileiro de Pneumologia
Subjects:
Online Access:http://www.scielo.br/pdf/jbpneu/v46n6/1806-3756-jbpneu-46-06-e20190370.pdf
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author Christos Karagiannis
Christos Savva
Ioannis Mamais
Tonia Adamide
Andreas Georgiou
Theodoros Xanthos
author_facet Christos Karagiannis
Christos Savva
Ioannis Mamais
Tonia Adamide
Andreas Georgiou
Theodoros Xanthos
author_sort Christos Karagiannis
collection DOAJ
description ABSTRACT Objective: To investigate the efficacy of upper limb exercise training (ULExT) in improving the performance of activities of daily living (ADL) that involve the upper limbs (UL) in patients with COPD. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used in this systematic review. PubMed and EBSCOhost databases were searched to identify randomized controlled trials involving adults with COPD who underwent ULExT, compared with those who underwent other types of exercise or no exercise, in order to assess the performance of ADL that involve the UL. The methodological quality of the selected studies was assessed using the Physiotherapy Evidence Database scale. Results: Five studies, with a total sample of 173 subjects, met the inclusion criteria. The results of the selected studies showed that ULExT is safe and can significantly improve the performance of ADL that involve the UL in patients with COPD. However, there were inconsistencies in the results, especially regarding the perception of symptoms during ADL. The small number of studies included and their methodological quality do not allow for firm conclusions. Conclusions: The findings of this review revealed that ULExT is a safe therapeutic approach and can improve the performance of ADL that involve the UL in patients with COPD, but the results are unclear. Further investigation through well-designed randomized trials is warranted to determine the effectiveness of ULExT in improving the performance of ADL that involve the UL in patients with COPD.
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spelling doaj.art-13915a85a33c4964b36b7e7fde7297652022-12-21T18:10:53ZengSociedade Brasileira de Pneumologia e TisiologiaJornal Brasileiro de Pneumologia1806-375610.36416/1806-3756/e20190370Upper limb exercise training and activities of daily living in patients with COPD: a systematic review of randomized controlled trialsChristos KaragiannisChristos SavvaIoannis MamaisTonia AdamideAndreas GeorgiouTheodoros XanthosABSTRACT Objective: To investigate the efficacy of upper limb exercise training (ULExT) in improving the performance of activities of daily living (ADL) that involve the upper limbs (UL) in patients with COPD. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used in this systematic review. PubMed and EBSCOhost databases were searched to identify randomized controlled trials involving adults with COPD who underwent ULExT, compared with those who underwent other types of exercise or no exercise, in order to assess the performance of ADL that involve the UL. The methodological quality of the selected studies was assessed using the Physiotherapy Evidence Database scale. Results: Five studies, with a total sample of 173 subjects, met the inclusion criteria. The results of the selected studies showed that ULExT is safe and can significantly improve the performance of ADL that involve the UL in patients with COPD. However, there were inconsistencies in the results, especially regarding the perception of symptoms during ADL. The small number of studies included and their methodological quality do not allow for firm conclusions. Conclusions: The findings of this review revealed that ULExT is a safe therapeutic approach and can improve the performance of ADL that involve the UL in patients with COPD, but the results are unclear. Further investigation through well-designed randomized trials is warranted to determine the effectiveness of ULExT in improving the performance of ADL that involve the UL in patients with COPD.http://www.scielo.br/pdf/jbpneu/v46n6/1806-3756-jbpneu-46-06-e20190370.pdfUpper extremityPulmonary disease, chronic obstructiveActivities of daily living, Exercise therapy
spellingShingle Christos Karagiannis
Christos Savva
Ioannis Mamais
Tonia Adamide
Andreas Georgiou
Theodoros Xanthos
Upper limb exercise training and activities of daily living in patients with COPD: a systematic review of randomized controlled trials
Jornal Brasileiro de Pneumologia
Upper extremity
Pulmonary disease, chronic obstructive
Activities of daily living, Exercise therapy
title Upper limb exercise training and activities of daily living in patients with COPD: a systematic review of randomized controlled trials
title_full Upper limb exercise training and activities of daily living in patients with COPD: a systematic review of randomized controlled trials
title_fullStr Upper limb exercise training and activities of daily living in patients with COPD: a systematic review of randomized controlled trials
title_full_unstemmed Upper limb exercise training and activities of daily living in patients with COPD: a systematic review of randomized controlled trials
title_short Upper limb exercise training and activities of daily living in patients with COPD: a systematic review of randomized controlled trials
title_sort upper limb exercise training and activities of daily living in patients with copd a systematic review of randomized controlled trials
topic Upper extremity
Pulmonary disease, chronic obstructive
Activities of daily living, Exercise therapy
url http://www.scielo.br/pdf/jbpneu/v46n6/1806-3756-jbpneu-46-06-e20190370.pdf
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