CHRONIC OBSTRUCTIVE PULMONARY DISEASE GROUP B AND C: ARE THEY REALLY THE OPPOSITE OF EACH OTHER REGARDING EXERCISE CAPACITY AND MUSCLE STRENGTH?

Authors : İsmail ÖZSOY, Serap ACAR, Sevgi ÖZALEVLİ, Atila AKKOÇLU, Sema SAVCI

Pages : 18-23

Doi:10.21653/tjpr.351308

View : 15 | Download : 9

Publication Date : 2018-08-27

Article Type : Research Paper

Abstract :Purpose:  `Combined COPD Assessment` in the classification of chronic obstructive pulmonary  disease insert ignore into journalissuearticles values(COPD); was proposed as a new method by The Global Initiative for Chronic Obstructive  Pulmonary Disease insert ignore into journalissuearticles values(GOLD);. The aim of this study was to evaluate exercise capacity, and muscle  strength insert ignore into journalissuearticles values(respiratory and peripheral muscle strength); between two groups insert ignore into journalissuearticles values(Group B and C); of the  new GOLD combined COPD assessment in this study. Methods : Patients were categorized into group B insert ignore into journalissuearticles values(n=18); and C insert ignore into journalissuearticles values(n=18); according to the GOLD  combined COPD assessment. Patients’ exercise capacity insert ignore into journalissuearticles values(the six-minute walk test [6MWT]); and  the six-minute pegboard and ring test [6PBRT]);, respiratory muscle strength insert ignore into journalissuearticles values(maximal inspiratory  pressure [MIP] and maximal expiratory pressure [MEP]);, and peripheral muscle strength insert ignore into journalissuearticles values(hand-grip  and knee extensor strength); were assessed. Results:  The MEP value was significantly higher in group B than in group C insert ignore into journalissuearticles values(p=0.024);. Other values  insert ignore into journalissuearticles values(6MWT distance, 6PBRT score, MIP values, and peripheral muscle strength); were not significantly  different between the two groups insert ignore into journalissuearticles values(p>0.05);. Conclusion:  This study shows that comprehensive assessment is very important to evaluate  patients with COPD. The GOLD spirometry measures are not solely enough, symptoms and  exacerbation history must be evaluated.
Keywords : Chronic Obstructive Pulmonary Disease, Exercise Capacity, Muscle Strength