The effectiveness of combined lower limb strengthening and whole-body vibration, compared to strengthening alone, for improving patient-centred outcomes in adults with COPD: A systematic review

South African Journal of Physiotherapy

 
 
Field Value
 
Title The effectiveness of combined lower limb strengthening and whole-body vibration, compared to strengthening alone, for improving patient-centred outcomes in adults with COPD: A systematic review
 
Creator Berner, Karina Albertyn, Susanna C.S. Dawnarain, Sujatha Hendricks, Lauren J. Johnson, Jodie Landman, Almorette Burger, Marlette
 
Subject Medicine; Pulmonary Rehabilitation chronic obstructive pulmonary disease; whole-body vibration training; strength training; pulmonary rehabilitation; lower limb muscle strength; quality of life; functional exercise capacity; pulmonary function
Description Background: People with chronic obstructive pulmonary disease (COPD) experience various impairments, reducing quality of life (QoL). Rehabilitation that does not elicit dyspnoea, such as strength training, is recommended to improve patient outcomes.Objectives: To systematically review evidence for the effectiveness of lower limb strengthening combined with whole-body vibration training (WBVT), versus lower limb strengthening alone, in adults with COPD for improving lower limb muscle strength, functional exercise capacity (FEC), pulmonary function and QoL.Method: Eight databases were searched (inception–May 2019). Only randomised controlled trials (RCTs) with PEDro scores ≥ 5/10 were included. Heterogeneity rendered meta-analyses inappropriate; thus data were synthesised narratively.Results: Five RCTs (mean PEDro score: 5.8/10) were included. Only one RCT showed a significant difference for leg press peak force (kg) at 12 weeks (p = 0.001), favouring WBVT. FEC improved significantly (p 0.05) in favour of WBVT at 3 and 12 weeks. Combined training was not more effective for short-term (≤ 12 weeks) improvements in pulmonary function or QoL.Conclusion: Level II evidence suggests that combining strengthening with WBVT has significant beneficial short-term effects on FEC in adults with COPD. Results are limited by the small number of studies and small sample sizes. Combined WBVT and strengthening was not more effective than strengthening alone for improving lower limb muscle strength, pulmonary function and QoL.Clinical implications: Combining low (6–10 Hz) to moderate (24–26 Hz) frequency WBVT with strengthening may be a more effective modality to improve FEC than strengthening alone, should resources allow.
 
Publisher AOSIS
 
Contributor The South African Medical Research Council through its Division of Research Capacity Development under the National Health Scholarship Programme from funding received from the Public Health Enhancement Fund/South African National Department of Health.
Date 2020-06-11
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Systematic review
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajp.v76i1.1412
 
Source South African Journal of Physiotherapy; Vol 76, No 1 (2020); 12 pages 2410-8219 0379-6175
 
Language eng
 
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https://sajp.co.za/index.php/sajp/article/view/1412/2047 https://sajp.co.za/index.php/sajp/article/view/1412/2046 https://sajp.co.za/index.php/sajp/article/view/1412/2048 https://sajp.co.za/index.php/sajp/article/view/1412/2045
 
Coverage global current >40 years; male or femaly; any ethnic group
Rights Copyright (c) 2020 Karina Berner, Susanna C.S. Albertyn, Sujatha Dawnarain, Lauren J. Hendricks, Jodie Johnson, Almorette Landman, Marlette Burger https://creativecommons.org/licenses/by/4.0
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