Policy base for activity therapy:
For people with COPD
NICE:
Pulmonary rehabilitation programmes should include multicomponent, multidisciplinary interventions that are tailored to the individual person's needs. The rehabilitation process should incorporate a programme of physical training, disease education, and nutritional, psychological and behavioural intervention.
Moving medicine / the faculty of Sport and Exercise Medicine:
The least active individuals stand to gain the most from a small increase in physical activity.
The Academy of Medical Royal Colleges' Report:
Exercise training reduces dyspnoea symptoms and increases ability for exertion.
The medical team at the British Lung Foundation:
When it comes to improving your breathing, many people find that being active is more effective than inhaled drugs.
Condition:
COPD
Definition:
Chronic obstructive pulmonary disease (older terms are ‘emphysema’ and ‘chronic bronchitis’). The airways in the lungs become inflamed and thicken, and the tissue where oxygen is exchanged is destroyed. The flow of air in and out of the lungs decreases. When that happens, less oxygen gets into your body tissues, and it becomes harder to get rid of the waste gas carbon dioxide.
Cause for scope and prevention:
Smoking, workplace exposure to irritants, and air pollution.
Diagnosis:
Spirometry, also known as a pulmonary function test or PFT, which measures lung function and capacity.
Standard medical therapy:
Inhalers, sometimes with oxygen in the home, and pulmonary rehabilitation is now also regarded as standard.
Benefit of exercise therapy:
This is one condition in which the medical profession has promoted exercise as a core part of treatment, usually called Pulmonary Rehabilitation. The person should be referred to a Pulmonary Rehab clinic and received initial training but many people with COPD have never had contact with a pulmonary rehab team.
Faculty of Sport and Exercise Medicine Guidelines on the balance of risks and benefits of activity for people with Shortness of Breath:
It is normal for all people to feel more breathless than usual when increasing their activity level. The balance of evidence suggests that the increased risk of adverse events in breathless people when doing physical activity is very low. People should be counselled individually to gradually increase physical activity, taking into account their severity of symptoms and fear of breathlessness.
The search strategy:
We search the National Library of Medicine for systematic reviews (see appendix 1 for a definition) We also specifically identify the Cochrane Reviews because the Cochrane Collaboration is committed to their regular updating.
We then search for only the last five years because we have Exercise the Miracle Cure, published in 2015 as a comprehensive account of the evidence at that time.
We then review the titles of the last five years because some of them have been given the wrong keyword and do not relate to exercise therapy.
This produces a list of relevant reviews.
Condition COPD
Number of systematic reviews (03-11-2020): 244
Number of these that are Cochrane reviews: 60
Number of systematic reviews in the last five years: 116
Number of systematic reviews in the last five years deemed irrelevant: 40
Number of systematic reviews in the last five years deemed relevant APPENDIX 2: 76
Key references:
From this review of the literature we identified some reviews that seem particularly useful
Cochran Review: Pulmonary rehabilitation for chronic obstructive pulmonary disease.
Key organisations:
British Lung Foundation Guidelines.
In preparing a systematic review the reviewer
1. Prepares a protocol conforming to one of the standard protocols eg that of the Cochrane Collaboration
2. Defines a search strategy with the support of a librarian
3. Uses explicit quality criteria to include or exclude primary studies
4. Combines the data from the primary studies
5. Prepares a report including the references to the excluded studies as well as to the included studies
Exercise therapy for people with COPD
METHOD
The National Library of Medicine www.nlm.gov was searched for ‘Systematic Review’, in the last 5 years. 116 reviews were identified.
These were reviewed by Muir Gray for relevance eg some systematic reviews were focused on drug therapy, this removed 40 reviews from the database and the remaining 76 are listed below.
USING THE DATABSE
To read the abstract or the full text simple copy the doi, for example
doi: 10.1016/j.bjpt.2017.06.004. and paste it into your web browser
1
Impact of preoperative exercise therapy on surgical outcomes in lung cancer patients with or without COPD systematic review and meta-analysis.
Li X, Li S, Yan S, Wang Y, Wang X, Sihoe ADL, Yang Y, Wu N.
Cancer Manag Res. 2019 Feb 20;11U1765-1777. doi: 10.2147/CMAR.S186432. eCollection 2019.
PMID: 30858729 Free PMC article. Review.
2
Determination of whether supplemental oxygen therapy is beneficial during exercise training in patients with systematic review and meta-analysis.
Liu Y, Gong F.
Exp Ther Med. 2019 Nov;18(5):4081-4089. doi: 10.3892/etm.2019.8026. Epub 2019 Sep 18.
PMID: 31616520 Free PMC article.
3 Mind-Body Exercise for Anxiety and Depression in COPD Patients: A Systematic Review and Meta-Analysis.
Li Z, Liu S, Wang L, Smith L.
Int J Environ Res Public Health. 2019 Dec 18;17(1):22. doi: 10.3390/ijerph17010022.
PMID: 31861418 Free PMC article.
4
Upper limb exercise training for COPD.
McKeough ZJ, Velloso M, Lima VP, Alison JA.
Cochrane Database Syst Rev. 2016 Nov 15;11(11):CD011434. doi: 10.1002/14651858.CD011434.pub2.
PMID: 27846347 Free PMC article. Review.
5
Effectiveness of manual therapy in COPD: A systematic review of randomised controlled trials.
Simonelli C, Vitacca M, Vignoni M, Ambrosino N, Paneroni M.
Pulmonology. 2019 Jul-Aug;25(4):236-247. doi: 10.1016/j.pulmoe.2018.12.008. Epub 2019 Feb 7 PMID: 30738792 Free article.
6
Effects of acute use of pursed-lips breathing during exercise in patients with COPD: a systematic review and Mayer AF, Karloh M, Dos Santos K, de Araujo CLP, Gulart AA.
Physiotherapy. 2018 Mar;104(1):9-17. doi: 10.1016/j.physio.2017.08.007. Epub 2017 Aug 31.
PMID: 28969859 Review.
7
Comparison of outpatient and home-based exercise training programmes for COPD: A systematic review and Wuytack F, Devane D, Stovold E, McDonnell M, Casey M, McDonnell TJ, Gillespie P, Raymakers A, Lacasse Y, McCarthy B.
Respirology. 2018 Mar;23(3):272-283. doi: 10.1111/resp.13224. Epub 2017 Nov 30.
PMID: 29194864 Free article. Review.
8
Exercise training alone or with the addition of activity counseling improves physical activity levels in COPD: a systematic review and meta-analysis of randomized controlled trials.
Lahham A, McDonald CF, Holland AE.
Int J Chron Obstruct Pulmon Dis. 2016 Dec 8;11U3121-3136. doi: 10.2147/COPD.S121263. eCollection 2016.
PMID: 27994451 Free PMC article. Review.
9
Long-acting bronchodilators improve exercise capacity in COPD patients: a systematic review and meta-analysis.
Di Marco F, Sotgiu G, Santus P, O'Donnell DE, Beeh KM, Dore S, Roggi MA, Giuliani L, Blasi F, Centanni S.
Respir Res. 2018 Jan 24;19(1):18. doi: 10.1186/s12931-018-0721-3.
PMID: 29368604 Free PMC article. Review.
10
Intensity of physical exercise and its effect on functional capacity in COPD: systematic review and meta-analysis.
Adolfo JR, Dhein W, Sbruzzi G.
J Bras Pneumol. 2019 Sep 26;45(6):e20180011. doi: 10.1590/1806-3713/e20180011. eCollection 2019.
PMID: 31576905 Free PMC article.
PMID: 30376188 Free PMC article.
12
Effects of inspiratory muscle training in COPD patients: A systematic review and meta-analysis.
Beaumont M, Forget P, Couturaud F, Reychler G.
Clin Respir J. 2018 Jul;12(7):2178-2188. doi: 10.1111/crj.12905. Epub 2018 May 23.
PMID: 29665262
14
Aerobic Exercise Training in Very Severe Chronic Obstructive Pulmonary Disease: A Systematic Review and Analysis.
Paneroni M, Simonelli C, Vitacca M, Ambrosino N.
Am J Phys Med Rehabil. 2017 Aug;96(8):541-548. doi: 10.1097/PHM.0000000000000667.
PMID: 28099192 Review.
15
Pulmonary rehabilitation following exacerbations of chronic obstructive pulmonary disease.
Puhan MA, Gimeno-Santos E, Cates CJ, Troosters T.
Cochrane Database Syst Rev. 2016 Dec 8;12(12):CD005305. doi: 10.1002/14651858.CD005305.pub4.
PMID: 27930803 Free PMC article. Review.
16
Efficacy of supervised maintenance exercise following pulmonary rehabilitation on health care use: a systematic and meta-analysis.
Jenkins AR, Gowler H, Curtis F, Holden NS, Bridle C, Jones AW.
Int J Chron Obstruct Pulmon Dis. 2018 Jan 10;13U257-273. doi: 10.2147/COPD.S150650. eCollection 2018.
PMID: 29391784 Free PMC article. Review
17
Comparing the impact of different exercise interventions on fatigue in individuals with COPD: A systematic review meta-analysis.
Li LSK, Butler S, Goldstein R, Brooks D.
Chron Respir Dis. 2019 Jan-Dec;16U1479973119894855. doi: 10.1177/1479973119894855.
PMID: 31884822 Free PMC article.
PMID: 30429149 Free PMC article.
20
Minimal clinically important difference for change in 6-minute walk test distance of adults with pathology: a review.
Bohannon RW, Crouch R.
J Eval Clin Pract. 2017 Apr;23(2):377-381. doi: 10.1111/jep.12629. Epub 2016 Sep 4.
PMID: 27592691 Review.
22
Evidence for aerobic exercise training on the autonomic function in patients with chronic obstructive pulmonary disease (COPD): a systematic review.
Mohammed J, Derom E, Van Oosterwijck J, Da Silva H, Calders P.
Physiotherapy. 2018 Mar;104(1):36-45. doi: 10.1016/j.physio.2017.07.004. Epub 2017 Jul 22.
PMID: 28947079 Review.
23
Effectiveness of meditative movement on COPD: a systematic review and meta-analysis.
Wu LL, Lin ZK, Weng HD, Qi QF, Lu J, Liu KX.
Int J Chron Obstruct Pulmon Dis. 2018 Apr 17;13U1239-1250. doi: 10.2147/COPD.S159042. eCollection 2018.
PMID: 29713157 Free PMC article. Review.
24
Self-management interventions including action plans for exacerbations versus usual care in patients with chronic obstructive pulmonary disease.
Lenferink A, Brusse-Keizer M, van der Valk PD, Frith PA, Zwerink M, Monninkhof EM, van der Palen J, Effing TW.
Cochrane Database Syst Rev. 2017 Aug 4;8(8):CD011682. doi: 10.1002/14651858.CD011682.pub2.
PMID: 28777450 Free PMC article. Review.
PMID: 27492514 Review.
26
Mind-Body (Baduanjin) Exercise Prescription for Chronic Obstructive Pulmonary Disease: A Systematic Review Meta-Analysis.
Liu SJ, Ren Z, Wang L, Wei GX, Zou L.
Int J Environ Res Public Health. 2018 Aug 24;15(9):1830. doi: 10.3390/ijerph15091830.
PMID: 30149535 Free PMC article. Page 4
27
Effects of Breathing Exercises in Patients With Chronic Obstructive Pulmonary Disease: Systematic Review Meta-Analysis.
Ubolnuar N, Tantisuwat A, Thaveeratitham P, Lertmaharit S, Kruapanich C, Mathiyakom W.
Ann Rehabil Med. 2019 Aug;43(4):509-523. doi: 10.5535/arm.2019.43.4.509. Epub 2019 Aug 31. PMID: 31499605 Free PMC article.
29 Neuromuscular electrical stimulation for muscle weakness in adults with advanced disease.
Jones S, Man WD, Gao W, Higginson IJ, Wilcock A, Maddocks M.
Cochrane Database Syst Rev. 2016 Oct 17;10(10):CD009419. doi: 10.1002/14651858.CD009419.pub3.
PMID: 27748503 Free PMC article. Review.
31
Physical activity, sedentary behaviour and sleep in COPD guidelines: A systematic review.
Lewthwaite H, Effing TW, Olds T, Williams MT.
Chron Respir Dis. 2017 Aug;14(3):231-244. doi: 10.1177/1479972316687224. Epub 2017 Feb 24.
PMID: 28774202 Free PMC article. Review.
32
[Impact of physical exercise in cystic fibrosis patients: A systematic review].
Le Gal C, Vandervelde L, Poncin W, Reychler G.
Rev Mal Respir. 2016 Sep;33(7):573-82. doi: 10.1016/j.rmr.2015.08.006. Epub 2016 May 18.
PMID: 27209116 Review. French.
33
An evidence map of the effect of Tai Chi on health outcomes.
Solloway MR, Taylor SL, Shekelle PG, Miake-Lye IM, Beroes JM, Shanman RM, Hempel S.
Syst Rev. 2016 Jul 27;5(1):126. doi: 10.1186/s13643-016-0300-y.
PMID: 27460789 Free PMC article. Review.
34
Muscle energy technique for chronic obstructive pulmonary disease: a systematic review.
Baxter DA, Shergis JL, Fazalbhoy A, Coyle ME.
Chiropr Man Therap. 2019 Aug 20;27U37. doi: 10.1186/s12998-019-0256-9. eCollection 2019.
PMID: 31452871 Free PMC article.
35 LABA/LAMA fixed-dose combinations in patients with COPD: a systematic review.
Rogliani P, Calzetta L, Braido F, Cazzola M, Clini E, Pelaia G, Rossi A, Scichilone N, Di Marco F.
Int J Chron Obstruct Pulmon Dis. 2018 Oct 4;13U3115-3130. doi: 10.2147/COPD.S170606. eCollection 2018.
PMID: 30323582 Free PMC article.
36
Computer and mobile technology interventions for self-management in chronic obstructive pulmonary disease McCabe C, McCann M, Brady AM.
Cochrane Database Syst Rev. 2017 May 23;5(5):CD011425. doi: 10.1002/14651858.CD011425.pub2.
PMID: 28535331 Free PMC article. Review. Page 5
37
Clinical-effectiveness of self-management interventions in chronic obstructive pulmonary disease: An overview reviews.
Murphy LA, Harrington P, Taylor SJ, Teljeur C, Smith SM, Pinnock H, Ryan M.
Chron Respir Dis. 2017 Aug;14(3):276-288. doi: 10.1177/1479972316687208. Epub 2017 Feb 24. PMID: 28774200 Free PMC article. Review.
39
The risks and benefits of yoga for patients with chronic obstructive pulmonary disease: a systematic review meta-analysis.
Cramer H, Haller H, Klose P, Ward L, Chung VC, Lauche R.
Clin Rehabil. 2019 Dec;33(12):1847-1862. doi: 10.1177/0269215519860551. Epub 2019 Jul 29.
PMID: 31353959
40
Benefits and harms of exercise therapy in people with multimorbidity: A systematic review and meta-analysis randomised controlled trials.
Bricca A, Harris LK, Jäger M, Smith SM, Juhl CB, Skou ST.
Ageing Res Rev. 2020 Nov;63U101166. doi: 10.1016/j.arr.2020.101166. Epub 2020 Sep 5.
PMID: 32896665 Free PMC article. Review.
41 Pilates in noncommunicable diseases: A systematic review of its effects.
Miranda S, Marques A. Complement Ther Med. 2018 Aug;39U114-130. doi: 10.1016/j.ctim.2018.05.018. Epub 2018 Jun 8.
PMID: 30012382 Review.
42
Effect of "add-on" interventions on exercise training in individuals with COPD: a systematic review. Camillo CA, Osadnik CR, van Remoortel H, Burtin C, Janssens W, Troosters T.
ERJ Open Res. 2016 Mar 29;2(1):00078-2015. doi: 10.1183/23120541.00078-2015. eCollection 2016 Jan.
PMID: 27730178 Free PMC article. Review.
45
Active mind-body movement therapies as an adjunct to or in comparison with pulmonary rehabilitation for people chronic obstructive pulmonary disease.
Gendron LM, Nyberg A, Saey D, Maltais F, Lacasse Y.
Cochrane Database Syst Rev. 2018 Oct 10;10(10):CD012290. doi: 10.1002/14651858.CD012290.pub2.
PMID: 30306545 Free PMC article.
46
Association between morning symptoms and physical activity in COPD: a systematic review.
van Buul AR, Kasteleyn MJ, Chavannes NH, Taube C.
Eur Respir Rev. 2017 Jan 3;26(143):160033. doi: 10.1183/16000617.0033-2016. Print 2017 Jan.
PMID: 28049127 Review. Page 6
47
Self-management for bronchiectasis.
Kelly C, Grundy S, Lynes D, Evans DJ, Gudur S, Milan SJ, Spencer S.
Cochrane Database Syst Rev. 2018 Feb 7;2(2):CD012528. doi: 10.1002/14651858.CD012528.pub2.
PMID: 29411860 Free PMC article. Review.
48
Exercise training undertaken by people within 12 months of lung resection for non-small cell lung cancer. Cavalheri V, Burtin C, Formico VR, Nonoyama ML, Jenkins S, Spruit MA, Hill K.
Cochrane Database Syst Rev. 2019 Jun 17;6(6):CD009955. doi: 10.1002/14651858.CD009955.pub3.
PMID: 31204439 Free PMC article.
50
Tai Chi for chronic obstructive pulmonary disease (COPD).
Ngai SP, Jones AY, Tam WW.
Cochrane Database Syst Rev. 2016 Jun 7;(6):CD009953. doi: 10.1002/14651858.CD009953.pub2.
PMID: 27272131 Review.
51
Counseling for health behavior change in people with COPD: systematic review.
Williams MT, Effing TW, Paquet C, Gibbs CA, Lewthwaite H, Li LSK, Phillips AC, Johnston KN.
Int J Chron Obstruct Pulmon Dis. 2017 Jul 26;12U2165-2178. doi: 10.2147/COPD.S111135. eCollection 2017.
PMID: 28794621 Free PMC article. Review.
52
Exercise Telemonitoring and Telerehabilitation Compared with Traditional Cardiac and Pulmonary Rehabilitation: Systematic Review and Meta-Analysis.
Chan C, Yamabayashi C, Syed N, Kirkham A, Camp PG.
Physiother Can. 2016;68(3):242-251. doi: 10.3138/ptc.2015-33.
PMID: 27909373 Free PMC article.
53
Whole-body vibration training - better care for COPD patients: a systematic review and meta-analysis.
Zhou J, Pang L, Chen N, Wang Z, Wang C, Hai Y, Lyu M, Lai H, Lin F.
Int J Chron Obstruct Pulmon Dis. 2018 Oct 10;13U3243-3254. doi: 10.2147/COPD.S176229. eCollection 2018.
PMID: 30349230 Free PMC article.
55
Exercise training for adults hospitalized with an acute respiratory condition: a systematic scoping review.
Rice H, Harrold M, Fowler R, Watson C, Waterer G, Hill K.
Clin Rehabil. 2020 Jan;34(1):45-55. doi: 10.1177/0269215519877930. Epub 2019 Sep 25.
PMID: 31552759
57
Changes in structural and metabolic muscle characteristics following exercise-based interventions in patients COPD: a systematic review.
De Brandt J, Spruit MA, Derave W, Hansen D, Vanfleteren LE, Burtin C.
Expert Rev Respir Med. 2016;10(5):521-45. doi: 10.1586/17476348.2016.1157472. Epub 2016 Apr 6.
PMID: 26901573 Review.
58
Effectiveness of cognitive behavioural therapy for chronic obstructive pulmonary disease patients: A systematic review and meta-analysis.
Ma RC, Yin YY, Wang YQ, Liu X, Xie J.
Complement Ther Clin Pract. 2020 Feb;38U101071. doi: 10.1016/j.ctcp.2019.101071. Epub 2019 Nov 13.
PMID: 31743870
59
Dual LABA/LAMA Therapy versus LABA or LAMA Monotherapy for Chronic Obstructive Pulmonary Disease Systematic Review and Meta-analysis in Support of the American Thoracic Society Clinical Practice Guideline.
Mammen MJ, Pai V, Aaron SD, Nici L, Alhazzani W, Alexander PE.
Ann Am Thorac Soc. 2020 Sep;17(9):1133-1143. doi: 10.1513/AnnalsATS.201912-915OC.
PMID: 32530702
62 Effects of exercise training on cognition in chronic obstructive pulmonary disease: A systematic review.
Desveaux L, Harrison SL, Gagnon JF, Goldstein RS, Brooks D, Pepin V.
Respir Med. 2018 Jun;139U110-116. doi: 10.1016/j.rmed.2018.05.006. Epub 2018 May 9.
PMID: 29857994 Free article.
63
Psychological therapies for the treatment of depression in chronic obstructive pulmonary disease. Pollok J, van Agteren JE, Esterman AJ, Carson-Chahhoud KV.
Cochrane Database Syst Rev. 2019 Mar 6;3(3):CD012347. doi: 10.1002/14651858.CD012347.pub2.
PMID: 30838649 Free PMC article.
64
Ambulatory Oxygen for Exercise-Induced Desaturation and Dyspnea in Chronic Obstructive Pulmonary Disease (COPD): Systematic Review and Meta-Analysis.
Ejiofor SI, Bayliss S, Gassamma A, Turner AM.
Chronic Obstr Pulm Dis. 2016 Jan 6;3(1):419-434. doi: 10.15326/jcopdf.3.1.2015.0146.
PMID: 28848863 Free PMC article.
66
Traditional Chinese exercise (TCE) on pulmonary rehabilitation in patients with stable chronic obstructive disease: Protocol for a systematic review and network meta-analysis.
Zheng W, Li M, Hong Y, Xie F, Yan Q, Peng Z, Huang H, Liao H, Liu X.
Medicine (Baltimore). 2019 Jul;98(27):e16299. doi: 10.1097/MD.0000000000016299.
PMID: 31277166 Free PMC article.
67
Qigong and Tai Chi as Therapeutic Exercise: Survey of Systematic Reviews and Meta-Analyses Addressing Physical: Health Conditions. Klein PJ, Baumgarden J, Schneider R.
Altern Ther Health Med. 2019 Sep;25(5):48-53.
PMID: 31221939
68
The therapeutic effects of qigong in patients with chronic obstructive pulmonary disease in the stable stage: Tong H, Liu Y, Zhu Y, Zhang B, Hu J.
BMC Complement Altern Med. 2019 Sep 4;19(1):239. doi: 10.1186/s12906-019-2639-9.
PMID: 31484521 Free PMC article.
69
Automated telephone communication systems for preventive healthcare and management of long-term conditions.
Posadzki P, Mastellos N, Ryan R, Gunn LH, Felix LM, Pappas Y, Gagnon MP, Julious SA, Xiang L, Oldenburg B, Car J.
Cochrane Database Syst Rev. 2016 Dec 14;12(12):CD009921. doi: 10.1002/14651858.CD009921.pub2.
PMID: 27960229 Free PMC article. Review.
70
Efficacy of yoga, tai chi and qi gong on the main symptoms of chronic obstructive pulmonary disease: A systematic review.
Reychler G, Poncin W, Montigny S, Luts A, Caty G, Pieters T.
Respir Med Res. 2019 May;75U13-25. doi: 10.1016/j.resmer.2019.04.002. Epub 2019 Apr 16.
PMID: 31235453
71
Interventions to increase referral and uptake to pulmonary rehabilitation in people with COPD: a systematic Early F, Wellwood I, Kuhn I, Deaton C, Fuld J.
Int J Chron Obstruct Pulmon Dis. 2018 Oct 29;13U3571-3586. doi: 10.2147/COPD.S172239. eCollection 2018.
PMID: 30464439 Free PMC article. Page 9
75
Physiological and Symptomatic Responses to Arm versus Leg Activities in People with Chronic Obstructive Disease: A Systematic Review and Meta-Analysis.
Frykholm E, Lima VP, Selander HV, Nyberg A, Janaudis-Ferreira T.
COPD. 2019 Dec;16(5-6):390-405. doi: 10.1080/15412555.2019.1674269. Epub 2019 Oct 21.
PMID: 31631711
77
Balance Impairment and Effectiveness of Exercise Intervention in Chronic Obstructive Pulmonary Disease Systematic Review.
Chuatrakoon B, Ngai SPC, Sungkarat S, Uthaikhup S.
Arch Phys Med Rehabil. 2020 Sep;101(9):1590-1602. doi: 10.1016/j.apmr.2020.01.016. Epub 2020 Feb 28.
PMID: 32113975
78
The effect of Tai Chi on four chronic conditions-cancer, osteoarthritis, heart failure and chronic obstructive pulmonary disease: a systematic review and meta-analyses.
Chen YW, Hunt MA, Campbell KL, Peill K, Reid WD.
Br J Sports Med. 2016 Apr;50(7):397-407. doi: 10.1136/bjsports-2014-094388. Epub 2015 Sep 17. PMID: 26383108 Review.
79
Videogames in the Treatment of Obstructive Respiratory Diseases: A Systematic Review.
Torres Sánchez I, Megías Salmerón Y, López López L, Ortiz Rubio A, Rodríguez Torres J, Valenza MC.
Games Health J. 2019 Aug;8(4):237-249. doi: 10.1089/g4h.2018.0062.
PMID: 31386586
80
Patient perceived impact of nurse-led self-management interventions for COPD: A systematic review of qualitative research.
Baker E, Fatoye F.
Int J Nurs Stud. 2019 Mar;91U22-34. doi: 10.1016/j.ijnurstu.2018.12.004. Epub 2018 Dec 31.
PMID: 30669076
81
Physiological Responses to Arm Activity in Individuals With Chronic Obstructive Pulmonary Disease Compared Healthy Controls: A SYSTEMATIC REVIEW.
Lima VP, Iamonti VC, Velloso M, Janaudis-Ferreira T.
J Cardiopulm Rehabil Prev. 2016 Nov/Dec;36(6):402-412. doi: 10.1097/HCR.0000000000000190.
PMID: 27780184 Review.
82 Therapeutic validity and effectiveness of supervised physical exercise training on exercise capacity in patients chronic obstructive pulmonary disease: a systematic review and meta-analysis.
Vooijs M, Siemonsma PC, Heus I, Sont JK, Rövekamp TA, van Meeteren NL.
Clin Rehabil. 2016 Nov;30(11):1037-1048. doi: 10.1177/0269215515609413. Epub 2016 Jul 11.
PMID: 26451006 Review.
83
Eccentric exercise in adults with cardiorespiratory disease: a systematic review.
Ellis R, Shields N, Lim K, Dodd KJ.
Clin Rehabil. 2015 Dec;29(12):1178-97. doi: 10.1177/0269215515574783. Epub 2015 Mar 10.
PMID: 25758944 Review.
Page 10
84
Interventions to achieve ongoing exercise adherence for adults with chronic health conditions who have completed supervised exercise program: systematic review and meta-analysis.
Jansons PS, Haines TP, O'Brien L.
Clin Rehabil. 2017 Apr;31(4):465-477. doi: 10.1177/0269215516653995. Epub 2016 Jul 10.
PMID: 27301799 Review.
85
The relationship between chronic obstructive pulmonary disease and transcatheter aortic valve implantation--systematic review and meta-analysis.
Liao YB, He ZX, Zhao ZG, Wei X, Zuo ZL, Li YJ, Xiong TY, Xu YN, Feng Y, Chen M.
Catheter Cardiovasc Interv. 2016 Mar;87 Suppl 1U570-8. doi: 10.1002/ccd.26443. Epub 2016 Feb 9.
PMID: 26856312 Review.
87
Can Resistance Training Improve Upper Limb Postural Tremor, Force Steadiness and Dexterity in Older Adults? Systematic Review.
Keogh JWL, O'Reilly S, O'Brien E, Morrison S, Kavanagh JJ.
Sports Med. 2019 Aug;49(8):1199-1216. doi: 10.1007/s40279-019-01141-6.
PMID: 31236903
88
The Relationship between Self-Efficacy, Functional Exercise Capacity and Physical Activity in People with COPD Systematic Review and Meta-Analyses.
Selzler AM, Moore V, Habash R, Ellerton L, Lenton E, Goldstein R, Brooks D.
COPD. 2020 Aug;17(4):452-461. doi: 10.1080/15412555.2020.1782866. Epub 2020 Jul 7.
PMID: 32633148
90
Validity and Reliability of Accelerometers in Patients With COPD: A SYSTEMATIC REVIEW.
Gore S, Blackwood J, Guyette M, Alsalaheen B.
J Cardiopulm Rehabil Prev. 2018 May;38(3):147-158. doi: 10.1097/HCR.0000000000000284.
PMID: 29120966
96
Physical activity and training in sarcoidosis: review and experience-based recommendations.
Strookappe B, Saketkoo LA, Elfferich M, Holland A, De Vries J, Knevel T, Drent M.
Expert Rev Respir Med. 2016 Oct;10(10):1057-68. doi: 10.1080/17476348.2016.1227244. Epub 2016 Sep 8. PMID: 27552344 Review.
97
Coherence between self-reported and objectively measured physical activity in patients with chronic obstructive disease: a systematic review.
Thyregod M, Bodtger U.
Int J Chron Obstruct Pulmon Dis. 2016 Nov 25;11U2931-2938. doi: 10.2147/COPD.S116422. eCollection 2016.
PMID: 27932873 Free PMC article. Review.
99
Self-management of health care behaviors for COPD: a systematic review and meta-analysis.
Jolly K, Majothi S, Sitch AJ, Heneghan NR, Riley RD, Moore DJ, Bates EJ, Turner AM, Bayliss SE, Price MJ, Singh SJ, Adab P, Fitzmaurice Int J Chron Obstruct Pulmon Dis. 2016 Feb 17;11U305-26. doi: 10.2147/COPD.S90812. eCollection 2016.
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The effects of pursed lip breathing combined with diaphragmatic breathing on pulmonary function and exercise capacity in patients with COPD: a systematic review and meta-analysis.
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Effectiveness of Smartphone Devices in Promoting Physical Activity and Exercise in Patients with Chronic Obstructive Pulmonary Disease: A Systematic Review.
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Nonpharmacologic Therapies in Patients With Exacerbation of Chronic Obstructive Pulmonary Disease: A Review With Meta-Analysis.
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Effect of pulmonary rehabilitation programs including lower limb endurance training on dyspnea in stable COPD systematic review and meta-analysis.
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