Write 5 page essay on the topic Chronic Obstructive Pulmonary Disease.Download file to see previous pages... Endurance shuttle walk test (ESWT) showed 68% improvement in walking time in cases of train

Write 5 page essay on the topic Chronic Obstructive Pulmonary Disease.

Endurance shuttle walk test (ESWT) showed 68% improvement in walking time in cases of training walk conducted in groups compared to the cycle training group. These findings proved paced walking tests reflect functional exercise level for daily physical activities in a better way than maximal exercise capacity test (MECT). Consequently, the use of 6MWT, ISWT, ESWT as an assessment test only reflects the improvement in the functional exercise capacity. COPD patients experience muscle weakness that limit exercise/activity performance in daily life. According to Vonbank et al. (2011), stronger muscles enhance high work capacity and low COPD symptom. As a result, a MECT is suitable to assess the patient’s potential workload and capacity. A prospective randomized study, by Vonbank et al (2011), compared three training modalities, and used the MECT as the baseline and outcome measures. Strength training (ST) consisted of eight different exercises with 8-15 recurrences until the occurrence of severe fatigue among the subjects. Endurance training (ET) was conducted two times per week with every session consuming 20 minutes at 60% of peak oxygen uptake (VO¬2 peak). Additionally, a combined training (CT) (strength training and endurance training) was undertaken two times per week for a training period of 12 weeks. This study revealed that a significant increase of maximum exercise capacity (P &lt. 0.05) and muscle strength (P &lt. 0.001) shown in all training groups where a significant improvement of VO2 peak that were only evident in the ET and CT groups (P &lt. 0.05). Change in health quality questionnaires and dyspnea index scores showed a significant increase in all three groups subjected to the study (Vonbank et al., 2011). The maximal exercise...

COPD patients experience muscle weakness that limits exercise/activity performance in daily life. According to Vonbank et al. (2011), stronger muscles enhance high work capacity and low COPD symptom. A prospective randomized study, by Vonbank et al (2011), compared three training modalities and used the MECT as the baseline and outcome measures. Strength training (ST) consisted of eight different exercises with 8-15 recurrences until the occurrence of severe fatigue among the subjects. Endurance training (ET) was conducted two times per week with every session consuming 20 minutes at 60% of peak oxygen uptake (VO¬2 peak). Additionally, a combined training (CT) (strength training and endurance training) was undertaken two times per week for a training period of 12 weeks. This study revealed that a significant increase of maximum exercise capacity (P &lt. 0.05) and muscle strength (P &lt. 0.001) shown in all training groups where a significant improvement of the VO2 peak that were only evident in the ET and CT groups (P &lt. 0.05). Change in health quality questionnaires and dyspnea index scores showed a significant increase in all three groups subjected to the study. The maximal exercise capacity test was used to assess workload capacity, VO2 peak, and other significant physiologic parameters prior and after the end of the program. These findings were similar to a study done by Ortega et al (2002) with the exception of the peak oxygen uptake and maximum exercise capacity, which only showed a significant improvement in the endurance group.