Quadriceps strength in patients with chronic obstructive pulmonary disease

Background: Skeletal muscle dysfunction is well known in chronic obstructive pulmonary disease (COPD). The muscle strength is altered in various muscles variedly. Lower-limb muscle strength is very important for walking distance. Reduced lower-limb strength can affect the physical quality of life. O...

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Main Authors: Swati Shah, Bhushan Darekar, Sundeep Salvi, Arun Kowale
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Lung India
Subjects:
Online Access:http://www.lungindia.com/article.asp?issn=0970-2113;year=2019;volume=36;issue=5;spage=417;epage=421;aulast=Shah
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author Swati Shah
Bhushan Darekar
Sundeep Salvi
Arun Kowale
author_facet Swati Shah
Bhushan Darekar
Sundeep Salvi
Arun Kowale
author_sort Swati Shah
collection DOAJ
description Background: Skeletal muscle dysfunction is well known in chronic obstructive pulmonary disease (COPD). The muscle strength is altered in various muscles variedly. Lower-limb muscle strength is very important for walking distance. Reduced lower-limb strength can affect the physical quality of life. Objectives: The aim of the study was to assess and compare the quadriceps strength in COPD patients and age-matched healthy controls and to study the correlation between lung function parameters and the quadriceps strength in patients with COPD. Methodology: Thirty nonsmoker male patients; thirty nonsmoker female patients with COPD; and sixty age-, BMI-, and gender-matched healthy controls were studied. Quadriceps muscle strength was measured using a quadriceps dynamometer. Forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), FEF 25–75, and peak expiratory flow rate were measured using Helios 702 Spirometer. The quadriceps muscle strength between the two groups was compared using the unpaired Student's t-test. Correlations between FVC and FEV1with muscle strength were analyzed using the Pearson's coefficient. Results: The mean unilateral and bilateral quadriceps strength in both male and female COPD patients was significantly lesser than the healthy controls (P < 0.05). There was a significant positive correlation between muscle strength and FVC and muscle strength and FEV1in patients with COPD. Conclusion: The study shows that there is quadriceps weakness in COPD patients, and pulmonary functions have a direct impact on skeletal muscle strength. Identifying those patients who have reduced strength will allow early interventions targeted at improving the quality of life of the patient.
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spelling doaj.art-f846df6f6cff46ab92bd47247842d6082022-12-22T03:19:10ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2019-01-0136541742110.4103/lungindia.lungindia_27_19Quadriceps strength in patients with chronic obstructive pulmonary diseaseSwati ShahBhushan DarekarSundeep SalviArun KowaleBackground: Skeletal muscle dysfunction is well known in chronic obstructive pulmonary disease (COPD). The muscle strength is altered in various muscles variedly. Lower-limb muscle strength is very important for walking distance. Reduced lower-limb strength can affect the physical quality of life. Objectives: The aim of the study was to assess and compare the quadriceps strength in COPD patients and age-matched healthy controls and to study the correlation between lung function parameters and the quadriceps strength in patients with COPD. Methodology: Thirty nonsmoker male patients; thirty nonsmoker female patients with COPD; and sixty age-, BMI-, and gender-matched healthy controls were studied. Quadriceps muscle strength was measured using a quadriceps dynamometer. Forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), FEF 25–75, and peak expiratory flow rate were measured using Helios 702 Spirometer. The quadriceps muscle strength between the two groups was compared using the unpaired Student's t-test. Correlations between FVC and FEV1with muscle strength were analyzed using the Pearson's coefficient. Results: The mean unilateral and bilateral quadriceps strength in both male and female COPD patients was significantly lesser than the healthy controls (P < 0.05). There was a significant positive correlation between muscle strength and FVC and muscle strength and FEV1in patients with COPD. Conclusion: The study shows that there is quadriceps weakness in COPD patients, and pulmonary functions have a direct impact on skeletal muscle strength. Identifying those patients who have reduced strength will allow early interventions targeted at improving the quality of life of the patient.http://www.lungindia.com/article.asp?issn=0970-2113;year=2019;volume=36;issue=5;spage=417;epage=421;aulast=ShahChronic obstructive pulmonary diseaseforced vital capacitymuscle strengthquadriceps
spellingShingle Swati Shah
Bhushan Darekar
Sundeep Salvi
Arun Kowale
Quadriceps strength in patients with chronic obstructive pulmonary disease
Lung India
Chronic obstructive pulmonary disease
forced vital capacity
muscle strength
quadriceps
title Quadriceps strength in patients with chronic obstructive pulmonary disease
title_full Quadriceps strength in patients with chronic obstructive pulmonary disease
title_fullStr Quadriceps strength in patients with chronic obstructive pulmonary disease
title_full_unstemmed Quadriceps strength in patients with chronic obstructive pulmonary disease
title_short Quadriceps strength in patients with chronic obstructive pulmonary disease
title_sort quadriceps strength in patients with chronic obstructive pulmonary disease
topic Chronic obstructive pulmonary disease
forced vital capacity
muscle strength
quadriceps
url http://www.lungindia.com/article.asp?issn=0970-2113;year=2019;volume=36;issue=5;spage=417;epage=421;aulast=Shah
work_keys_str_mv AT swatishah quadricepsstrengthinpatientswithchronicobstructivepulmonarydisease
AT bhushandarekar quadricepsstrengthinpatientswithchronicobstructivepulmonarydisease
AT sundeepsalvi quadricepsstrengthinpatientswithchronicobstructivepulmonarydisease
AT arunkowale quadricepsstrengthinpatientswithchronicobstructivepulmonarydisease