DAŽADU TRENIŅU IETEKME UZ HOPS PACIENTU SLIMĪBAS GAITU. Literatūras apskats
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Date
2022
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Ievads: Hroniski obstruktīvā plaušu slimība ir viens no biežākajiem nāves cēloņiem Latvijā un pasaulē. HOPS būtiski samazina dzīves kvalitāti, ietekmējot pacienta fizisko, emocionālo un sociālo stāvokli. HOPS ārstēšana balstās uz simptomu mazināšanu uz dzīves kvalitātes uzlabošanu, jo plaušu bojājums ir neatgriezenisks. Jau iepriekš veiktos pētījumos ir pierādīts, ka dažādi veidu treniņu būtiski mazina HOPS simptomātiku un uzlabo dzīves kvalitāti.
Mērķis: Veikt literatūras apskatu, apkopojot vairāku pētījumu datus par dažādu treniņu ietekmi uz HOPS pacientu slimības gaitu. Darbā apskatītie treniņu veidi ir izturības jeb aerobie treniņi, spēka jeb anaerobie treniņi un elpošanas treniņi.
Metodes: Apkopot un analizēt pētijumus no Pubmed datubāzes laika posmā no 2000.gada janvāra līdz 2022.gada septembrim.
Rezultāti: Literatūras apskatā tika iekļauti 17 pētījumi. Muskuļu spēks tika izvērtēts četri no seši anaerobo treniņu pētījumiem un tas statistiski nozīmīgi uzlabojas 2 no tiem. Dispnoja tika novērtēta trijos no sešiem aerobo vingrinājumu pētījumos un netika novērots statistiski nozīmīgs uzlabojums, kā arī dispnoja tika novērtēta 2 no 5 elpošanas treniņu pētījumiem, kur arī dispnojas uzlabojums netika novērots. Statistiski nozīmīgs dzīves kvalitātes uzlabojums novērots divos anaerobo treniņu pētījumos. Fiziskās slodzes izturības statistiski nozīmīgs uzlabojums tika novērots visos pētijumos.
Secinājumi: Visi trīs treniņu veidi spēj uzlabot fiziskās slodzes izturību, bet treniņu ietekme uz dispnoju HOPS pacientiem paliek neskaidra. Visiem trīs treniņu veidiem ir sava pozitīvā ietekme uz HOPS pacientu slimības gaitu, kas ļauj spriest par to, ka treniņiem jābūt kombinētiem, lai sniegtu maksimālu ārstniecisko ietekmi uz HOPS pacientu slimības gaitu.
Background: Chronic obstructive pulmonary disease is one of the most common causes of death in Latvia and the world. COPD significantly reduces the quality of life, affecting the patient's physical, emotional and social state. Treatment of COPD is based on alleviating symptoms and improving quality of life, as lung damage is irreversible. Previous studies have shown that various types of exercise significantly reduce COPD symptoms and improve quality of life. Objective: To conduct a literature review, gathering data from several studies on the effects of different training on the course of the disease in COPD patients. The types of training discussed in the work are endurance or aerobic exercise, strength or anaerobic exercise and breathing exercise. Methods: Collect and analyze studies from the Pubmed database in the period from January 2000 to September 2022. Results: The literature review included 17 studies. Muscle strength was evaluated in 4 of 6 anaerobic training studies and it improved statistically significantly in 2 of them. Dyspnoea was assessed in 3 of 6 aerobic exercise studies and no statistically significant improvement was observed, and dyspnoea was assessed in 2 of 5 respiratory exercise studies where no improvement in dyspnoea was also observed. Statistically significant improvement in quality of life was observed in 2 anaerobic training studies. A statistically significant improvement in exercise endurance was observed in all studies. Conclusions: All three types of training are able to improve exercise endurance, but the effect of exercise on dyspnea in COPD patients remains unclear. All three types of exercise have their own positive effect on the course of COPD patients' disease, which allows us to conclude that training should be combined in order to provide a maximum therapeutic effect on the course of COPD patients' disease.
Background: Chronic obstructive pulmonary disease is one of the most common causes of death in Latvia and the world. COPD significantly reduces the quality of life, affecting the patient's physical, emotional and social state. Treatment of COPD is based on alleviating symptoms and improving quality of life, as lung damage is irreversible. Previous studies have shown that various types of exercise significantly reduce COPD symptoms and improve quality of life. Objective: To conduct a literature review, gathering data from several studies on the effects of different training on the course of the disease in COPD patients. The types of training discussed in the work are endurance or aerobic exercise, strength or anaerobic exercise and breathing exercise. Methods: Collect and analyze studies from the Pubmed database in the period from January 2000 to September 2022. Results: The literature review included 17 studies. Muscle strength was evaluated in 4 of 6 anaerobic training studies and it improved statistically significantly in 2 of them. Dyspnoea was assessed in 3 of 6 aerobic exercise studies and no statistically significant improvement was observed, and dyspnoea was assessed in 2 of 5 respiratory exercise studies where no improvement in dyspnoea was also observed. Statistically significant improvement in quality of life was observed in 2 anaerobic training studies. A statistically significant improvement in exercise endurance was observed in all studies. Conclusions: All three types of training are able to improve exercise endurance, but the effect of exercise on dyspnea in COPD patients remains unclear. All three types of exercise have their own positive effect on the course of COPD patients' disease, which allows us to conclude that training should be combined in order to provide a maximum therapeutic effect on the course of COPD patients' disease.
Description
Pediatrija
Pediatrics
Veselības aprūpe
Health Care
Pediatrics
Veselības aprūpe
Health Care
Keywords
Hronsiski obstruktīvā plaušu slimība, aerobie treniņi, anaerobie treniņi, elpošanas treniņi, dzīves kvalitāte, muskuļu spēks, dispnoja., Chronic obstructive pulmonary disease, aerobic excercise, anaerobic exercise, breathing exercise, quality of life, muscle strength, dyspnea.