Background Moving from sitting to standing is a common activity of daily living. The five-repetition sit-to-stand test (5STS) is a test of lower limb function that measures the fastest time taken to stand five times from a chair with arms folded. The 5STS has been validated in healthy community-dwelling adults, but data in chronic obstructive pulmonary disease (COPD) populations are lacking. Aims To determine the reliability, validity and responsiveness of the 5STS in patients with COPD. Methods Test-retest and interobserver reliability of the 5STS was measured in 50 patients with COPD. To address construct validity we collected data on the 5STS, exercise capacity (incremental shuttle walk (ISW)), lower limb strength (quadriceps maximum voluntary contraction (QMVC)), health status (St George9s Respiratory Questionnaire (SGRQ)) and composite mortality indices (Age Dyspnoea Obstruction index (ADO), BODE index (iBODE)). Responsiveness was determined by measuring 5STS before and after outpatient pulmonary rehabilitation (PR) in 239 patients. Minimum clinically important difference (MCID) was estimated using anchor-based methods. Results Test-retest and interobserver intraclass correlation coefficients were 0.97 and 0.99, respectively. 5STS time correlated significantly with ISW, QMVC, SGRQ, ADO and iBODE (r=−0.59, −0.38, 0.35, 0.42 and 0.46, respectively; all p Conclusions The 5STS is reliable, valid and responsive in patients with COPD with an estimated MCID of 1.7 s. It is a practical functional outcome measure suitable for use in most healthcare settings.

https://thorax.bmj.com/content/thoraxjnl/68/11/1015.full.pdf

The five-repetition sit-to-stand test as a functional outcome measure in COPD

The aim of this article was to provide practical recommendations to healthcare professionals interested in offering a pulmonary rehabilitation programme for patients with chronic obstructive pulmonary disease (COPD). The latest research findings were brought together and translated into clinical practice. These recommendations focus on the description of useful assessment tests and of the most common exercise modalities for patients with COPD. We provide specific details on the rationale of why and especially how to implement exercise training in patients with COPD, including the prescription of training mode, intensity and duration, as well as suggestions of guidelines for training progression.

https://err.ersjournals.com/content/errev/22/128/178.full.pdf

Practical recommendations for exercise training in patients with COPD

aServicio de Neumologia, Hospital Universitari Vall d’Hebron, Barcelona, Spain bCIBER de Enfermedades Respiratorias (CIBERES), Spain cUnidad de Neumologia, Servicio de Medicina Interna, Hospital de Requena, Valencia, Spain dServicio de Neumologia, Hospital Clinico San Carlos, Madrid, Spain eCentro de Salud Francia, Direccion Asistencial Oeste, Madrid, Spain fServicio de Medicina Interna, Hospital Universitari Mutua de Terrassa, Terrasa, Barcelona, Spain gCentro de Salud Lucena I, Lucena, Cordoba, Spain hServicio de Neumologia, Hospital San Pedro de Alcantara, Caceres, Spain iCentro de Salud Menasalbas, Toledo, Spain jServicio de Urgencias, Hospital General Universitario Reina Sofia, Murcia, Spain kServicio de Urgencias, Hospital General Yague, Burgos, Spain lMedicina Fisica y Rehabilitacion, Parc de Salut Mar, Grupo de Investigacion en Rehabilitacion, Institut Hospital del Mar d’Investigacions Mediques, Universitat Autonoma de Barcelona, Universitat Internacional de Catalunya, Barcelona, Spain mUnidad de Fisioterapia Respiratoria, Hospital Universitario de Gran Canaria Dr. Negrin, Facultad de Ciencias de la Salud, Universidad de Las Palmas de Gran Canaria, Spain nServicio de Medicina Fisica y Rehabilitacion, Hospital Germans Trias i Pujol, Universitat Autonoma de Barcelona, Badalona, Barcelona, Spain nServicio de Medicina Fisica y Rehabilitacion, Hospital Parc Tauli, Universitat Autonoma de Barcelona, Sabadell, Barcelona, Spain oCentro de Salud Gandhi, Madrid, Spain pServicio de Medicina Interna, Hospital Royo Vilanova, Zaragoza, Spain qFundacion Caubet-Cimera FISIB Illes Balears, Bunyola, Baleares, Spain rServicio de Neumologia, Hospital Universitario de la Princesa, Instituto de Investigacion Sanitaria Princesa (IP), Madrid, Spain

Spanish Guideline for COPD (GesEPOC). Update 2014

Servicio de Neumología, Hospital Universitari Vall d’Hebron, Barcelona, España CIBER de Enfermedades Respiratorias (CIBERES), España Unidad de Neumología, Servicio de Medicina Interna, Hospital de Requena, Valencia, España Servicio de Neumología, Hospital Clínico San Carlos, Madrid, España Centro de Salud Francia, Dirección Asistencial Oeste, Madrid, España Servicio de Medicina Interna, Hospital Universitari Mútua de Terrassa, Terrasa, Barcelona, España Centro de Salud Lucena I, Lucena, Córdoba, España Servicio de Neumología, Hospital San Pedro de Alcántara, Cáceres, España Centro de Salud Menasalbas, Toledo, España Servicio de Urgencias, Hospital General Universitario Reina Sofía, Murcia, España Servicio de Urgencias, Hospital General Yagüe, Burgos, España Medicina Física y Rehabilitación, Parc de Salut Mar, Grupo de Investigación en Rehabilitación, Institut Hospital del Mar d’Investigacions Mèdiques, Universitat Autònoma de Barcelona, Universitat Internacional de Catalunya, Barcelona, España Unidad de Fisioterapia Respiratoria, Hospital Universitario de Gran Canaria Dr. Negrín, Facultad de Ciencias de la Salud, Universidad de Las Palmas de Gran Canaria, España Servicio de Medicina Física y Rehabilitación, Hospital Germans Trias i Pujol, Universitat Autònoma de Barcelona, Badalona, Barcelona, España Servicio de Medicina Física y Rehabilitación, Hospital Parc Taulí, Universitat Autònoma de Barcelona, Sabadell, Barcelona, España Centro de Salud Gandhi, Madrid, España Servicio de Medicina Interna, Hospital Royo Vilanova, Zaragoza, España Fundación Caubet-Cimera FISIB Illes Balears, Bunyola, Baleares, España Servicio de Neumología, Hospital Universitario de la Princesa, Instituto de Investigación Sanitaria Princesa (IP), Madrid, España

Guía española de la EPOC (GesEPOC). Actualización 2014

Background: Evidence-based guidelines are needed for effective delivery of home oxygen therapy to appropriate patients with chronic obstructive pulmonary disease (COPD) and interstitial lung disease (ILD).Methods: The multidisciplinary panel created six research questions using a modified Delphi approach. A systematic review of the literature was completed, and the Grading of Recommendations Assessment, Development and Evaluation approach was used to formulate clinical recommendations.Recommendations: The panel found varying quality and availability of evidence and made the following judgments: 1) strong recommendations for long-term oxygen use in patients with COPD (moderate-quality evidence) or ILD (low-quality evidence) with severe chronic resting hypoxemia, 2) a conditional recommendation against long-term oxygen use in patients with COPD with moderate chronic resting hypoxemia, 3) conditional recommendations for ambulatory oxygen use in patients with COPD (moderate-quality evidence) or ILD (low-quality evidence) with severe exertional hypoxemia, 4) a conditional recommendation for ambulatory liquid-oxygen use in patients who are mobile outside the home and require >3 L/min of continuous-flow oxygen during exertion (very-low-quality evidence), and 5) a recommendation that patients and their caregivers receive education on oxygen equipment and safety (best-practice statement).Conclusions: These guidelines provide the basis for evidence-based use of home oxygen therapy in adults with COPD or ILD but also highlight the need for additional research to guide clinical practice.

Home Oxygen Therapy for Adults with Chronic Lung Disease. An Official American Thoracic Society Clinical Practice Guideline.

Effects of whole body vibration in patients with chronic obstructive pulmonary disease--a randomized controlled trial.

https://journal.chestnet.org/article/S0012-3692(16)62572-2/pdf

Short-term Effects of Supplemental Oxygen on 6-Min Walk Test Outcomes in Patients With COPD A Randomized, Placebo-Controlled, Single-blind, Crossover Trial

Summary Introduction To date endurance and strength training are established and evidence-based exercise methods in patients with chronic obstructive pulmonary disease (COPD). There is an unmet need for further research in new and complementary exercise modalities. Additional whole body vibration training during pulmonary rehabilitation may be such a new approach that has not yet been investigated in patients with COPD. Methods Eighty-two patients (65 ± 9 yrs, FEV 1 pred. 38 ± 11%, female 51%) with COPD in GOLD stage III to IV assessed for a 3-week inpatient multidisciplinary rehabilitation program were on top randomly assigned to one of two intervention groups: (1) 3 × 3 min of bilateral dynamic squat exercises on a side-alternating vibration platform at 24–26 Hz three times per week (WBV) and (2) a control group (CON) with the same amount of exercise time without WBV. Results Thirty-six patients completed the study in each group. The improvement in 6-min walking distance was significantly higher in the WBV-group when compared to the CON-group (WBV: 64 ± 59 m, CON: 37 ± 52 m with a between-group difference of 27 m [95% CI, 1–53], p  = 0.046). The time required for a sit-to-stand test also decreased more markedly in the WBV-group than in the CON-group (WBV: −4.0 ± 4.8 s, CON: −2.0 ± 3.1 s with a between-group difference of −1.9 s [95% CI, −4.0 to 0.1], p  = 0.067). Improvements in health-related quality of life were similar in both groups. Conclusions WBV training seems to be a promising new exercise modality for patients with COPD and may enhance the effects of a multidisciplinary rehabilitation program.

Effects Of Whole Body Vibration In Patients With Chronic Obstructive Pulmonary Disease - A Randomized Controlled Trial

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Papers

Effects of whole body vibration in patients with chronic obstructive pulmonary disease--a randomized controlled trial.

Short-term Effects of Supplemental Oxygen on 6-Min Walk Test Outcomes in Patients With COPD A Randomized, Placebo-Controlled, Single-blind, Crossover Trial

Effects Of Whole Body Vibration In Patients With Chronic Obstructive Pulmonary Disease - A Randomized Controlled Trial