The Effect of Low-Intensity Hairmyres Exercises on Six-Minute Walk Distance in Patients with Chronic Obstructive Pulmonary Disease: A Preliminary Study
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Published:
Jul 30, 2021
Keywords:
COPD, Hairmyers, Low-Intensity Exercise, 6MWD
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Abstract
ABSTRACTIntroduction: Therapeutic exercise is the main rehabilitation program in patients with ChronicObstructive Pulmonary Disease (COPD). Shortness of breath due to persistent obstruction causesdisability in the form of decreased functional capacity. Hairmyers is an isolated group of exercise torecondition the limb muscles without weights. The purpose of this study was to assess the efficacy oflow-intensity Hairmyres exercise in improving Six-Minute Walk Distance (6MWD).Methods: This is a pre-post interventional study held from January to April 2005. Hairmyres exerciseswere given to the patients (n=14) with moderate and severe COPD for eight weeks, five times a weekwith two exercises performed in front of the researcher. Six-Minute Walk Distance was measured before,at the end of the 4 th week, and after the exercise program.Results: Compared to the beginning, the 6MWD increased by 27 meters at the end of the 4th week and62.29 meters at the end of the program in moderate COPD patients, while the increase in severe COPDpatients were 39.71 and 76 meters, respectively. There was a significant difference (p <0.05) betweenthe first and the last measurement in both groups. This difference also surpassed the minimal clinicallyimportant difference (MCID) of 6MWD.Keywords: COPD, Hairmyers, Low-Intensity Exercise, 6MWD
Article Details
How to Cite
Nury Nusdwinuringtyas, Johan Talesu, Anita Ratnawati, & Sabarinah B. Prasetyo. (2021). The Effect of Low-Intensity Hairmyres Exercises on Six-Minute Walk Distance in Patients with Chronic Obstructive Pulmonary Disease: A Preliminary Study. Indonesian Journal of Physical Medicine and Rehabilitation, 9(02), 69 - 78. https://doi.org/10.36803/ijpmr.v9i2.296
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Original Article
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Olympic Textbook of Medicine in Sport. Oxford, UK: Wiley-Blackwell; 2008.
2. Colby LA, Kisner C. Therapeutic exercise. 6th Ed. Foundations and techniques-F.A.
Davis (2012). 6th ed. Philadhelpia; 2012. 1–991 p.234-8
3. Rehabilitiation AA of C and P. Guidelines for Pulmonary Rehabilitation Programs. 2011.
4. Cielen N, Maes K, Gayan-Ramirez G. Musculoskeletal disorders in chronic
obstructive pulmonary disease. Biomed Res Int. 2014;2014:1–17.
5. Global Initiative for Chronic Obstructive Lung Disease. Gold 2020. COPD J Chronic
Obstr Pulm Dis. 2020;1–122.
6. Gea J, Pascual S, Casadevall C, Orozco-Levi M, Barreiro E. Muscle dysfunction in chronic
obstructive pulmonary disease: Update on causes and biological findings. J Thorac Dis. 2015;7:E418–38.
7. Muir JF, Pierson DJ. Pulmonary rehabilitation in chronic respiratory insufficiency: Introduction. Thorax. 1994;49:270–8.
8. Clark CJ, Cochrane L, Mackay E. Low intensity peripheral muscle conditioning improves
exercise tolerance and breathlessness in COPD. Eur Respir J. 1996;9:2590–6.
9. Riebe D, Ehrman J K, Liguori G MM. 508_ACSM’s Guidelines for Exercise-10thedition.pdf. tenth edit. Wolters Kluwer; 2018.
10. Morales-Blanhir JE, Vidal CDP, de Jesús Rosas Romero M, Castro MMG, Villegas AL, Zamboni M. Six-minute walk test: A valuable tool for assessing pulmonary impairment. J
Bras Pneumol. 2011;37:110–7.
11. Liu WY, Meijer K, Delbressine JM, Willems PJ, Franssen FME, Wouters EFM, Spruit MA.Reproducibility and validity of the 6-minute walk test using the gait real-time analysis interactive lab in patients with COPD and healthy elderly. PLoS One. 2016;11:1–11.
12. Boeselt T, Nell C, Lütteken L, Kehr K, Koepke J, Apelt S, Veith M, BEutel B, Spielmanns M, Greulich T, Vogelmiere DF, Kenn K, Janciauskiene S, Alter P, Koczulla AR. Benefits of High-Intensity Exercise Training to Patients with Chronic Obstructive Pulmonary Disease: A Controlled Study. Respiration. 2017;93:301–10.
13. Moore E, Palmer T, Newson R, Majeed A, Quint JK, Soljak MA. Pulmonary Rehabilitation as a Mechanism to Reduce Hospitalizations for Acute Exacerbations of COPD: A Systematic Review and Meta-Analysis. Chest. 2016;150:837–59.
14. Ryrsø CK, Godtfredsen NS, Kofod LM, Lavesen M, Mogensen L, Tobberup R, Vestergaard IF, Callesen HE, Tendal B, Lange P, Lepsen UW. Lower mortality after early supervised pulmonary rehabilitation following COPD-exacerbations: a systematic review and meta-analysis. BMC Pulm Med.
2018 Sep 15;18(1):154.
15. Hoffman M, Chaves G, Ribeiro-Samora GA, Britto RR, Parreira VF. Effects of pulmonary rehabilitation in lung transplant candidates: A systematic review. BMJ Open. 2017;7:1–10.
16. Wise RA, Brown CD. Minimal clinically important differences in the six-minute walk test and the incremental shuttle walking test. COPD J Chronic Obstr Pulm Dis. 2005;2:125–9.
17. Donohue JF. Minimal clinically important differences in COPD lung function. COPD J Chronic Obstr Pulm Dis. 2005;2:111–24.
18. Jones PW, Beeh KM, Chapman KR, Decramer M, Mahler DA, Wedzicha JA. Minimal clinically important differences in pharmacological trials. Am J Respir Crit Care Med. 2014;189:250–5.
19. Issues S, Test MW, Equipment R, Preparation P. American Thoracic Society ATS Statement :
Guidelines for the Six-Minute Walk Test. 2002;166:111–7.
20. Incalzi RA, Scarlata S, Pennazza G, Santonico M, Pedone C. Chronic obstructive pulmonary
disease in the elderly. Eur J Intern Med. 2014;25:320–8.
21. Divo MJ, Celli BR, Poblador-Plou B, Calderón-Larrañaga A, de-Torres JP, Gimeno-Feliu LA, Berto J, Zulueta JJ, Casanoca C, Pintoplata VM, Lopez CC, Polverino F, Pirez
JC, Torres AP, Marin JM. Chronic Obstructive Pulmonary Disease (COPD) as a disease of
early aging: Evidence from the EpiChron Cohort. PLoS One. 2018;13:1–16.
22. Burkhardt R, Pankow W. The Diagnosis of Chronic Obstructive Pulmonary Disease. Dtsch Arztebl Int. 2014;111:834–46.
23. Camarri B, Eastwood PR, Cecins NM, Thompson PJ, Jenkins S. Six minute walk distance in healthy subjects aged 55-75 years. Respir Med. 2006;100:658–65.
24. Valenti G, Bonomi AG, Westerterp KR. Walking as a Contributor to Physical Activity in Healthy Older Adults: 2 Week Longitudinal Study Using Accelerometry and the Doubly Labeled Water Method. JMIR mHealth uHealth. 2016;4:e56.
25. Casanova C, Celli BR, Barria P, Casas A, Cote C, De Torres JP, Jardim J, Lopez MV, Marin JM, Montes de oca M, Plata VP, Aguirrejaime A. The 6-min walk distance in healthy subjects: Reference standards from seven countries. Eur Respir J. 2011;37:150–6