1. Summary of interventions.
Study | Participants | Setting | Intervention | Control | Duration (weeks) | Frequency | Follow‐up (weeks) |
Cambach 1997 | Obstructive lung disease COPD/asthma | OP (physiotherapy practices) Supervised |
Aerobic: cycle ergometer (60 to 75% Wmax), rower and stair walking (> 60% PMHR) x 2 sessions/week. “Recreational activities” at > 60% PMHR x 1 session/week for 45 min Education: breathing retraining, evacuation of mucus, relaxation sessions |
Usual care (before cross‐over occurred) | 12 | 3 OP sessions/week | None |
Cochrane 1990 |
Mild‐ moderate asthma | OP (hospital) Supervised |
Aerobic: cycling, jogging, “aerobics” x 30 min. Target 75% PMHR. Audiotape instructions for home use if unable to attend. Education: sessions to improve self‐management and principles of the training programme |
Education sessions to improve self‐management | 12 | 3 OP sessions/week | None |
Foglio 2001 | COPD and asthma | OP (hospital) Supervised |
Aerobic: cycling up to 30 min at 50% to 70% Wmax resistance: abdominal, UL, LL progressively increasing light weights (300 to 500 g) Education: “patient and family education”, nutritional programme, and psychosocial counselling when appropriate |
Usual care | 8 to 10 | 3 OP sessions/week | 1 year |
Majd 2020 | Severe asthma | OP (hospital) Supervised |
Aerobic: ground walking (85% VO2 peak), treadmill walking, cycling (60% to 80% peak VO2) x 20 to 30 minutes. Resistance: UL, LL (6 to 12 reps at 80% 1 RM). Education: 12 topics delivered by MDT + individualised session led by health psychologist |
Usual care | 12 | 2 OP sessions/week + HB (minimum 1 session/week) and daily walk encouraged | 9 months |
Manzak 2020 | Asthma | Home based | Aerobic: regular physical activity such as walking Resistance: strengthening exercises for upper and lower extremities Other: stretching exercises, breathing exercises Education: participants also provided with a pedometer and exercise diary |
Booklets on breathing exercises and physical activity in addition to 1 education session on the course of the disease. Also provided with a pedometer and exercise diary | 8 | Minimum of 3 days per week, with 1 session supervised by a physiotherapist | None |
Nathell 2005 | Asthma | IP | “Personal physical training programme” Education: delivered by MDT covering “all aspects of asthma” plus coping skill acquisition |
Usual care | 4 | No details provided. | 1, 2, 3 years |
Orooj 2020 | Asthma/COPD overlap | OP (hospital) Supervised | Aerobic: endurance training on treadmill at 60% to 80% or VO2 peak 5 times per week. Resistance: upper and lower limbs resistance training at 50% to 70% 1 RM 3 times per week. Education: structured self‐management education programme including relaxation techniques, smoking cessation, and nutrition | Usual care | 6 | 5 OP sessions/ week | None |
Schultz 2021 | Uncontrolled asthma ACT < 20 | IP | Aerobic: outdoor sports and training in water x 5 sessions/week x 45 to 60 min. Resistance: 3 sessions/week x 45 to 60 min. Other: whole body vibration training x 7 sessions/week. Education: asthma, inhalation technique, allergies, trigger avoidance, respiratory physiotherapy |
Usual care (waitlist) | 3 | 5 to 7 sessions per week | 6, 9, 12 months |
Toennesen 2017 | Asthma ACQ > 1.0 | OP (hospital) Supervised |
Aerobic: HIIT on spinning bikes. Progressively increased to four 5‐minute intervals using 10‐20‐30 concept. Education: 5 group and 1 individual counselling sessions with a dietician |
Usual care | 8 | 3 OP sessions/week | 12 months |
Turk 2020 | Asthma with ACQ > 0.75 and BMI > 30 | OP (hospital) Supervised |
Aerobic: HIIT body weight exercises (90% VO2 max) x 40 to 60 min. Education: psychological group sessions focusing on behavioural modification and motivational strategies. Nutritional intervention: prescription of a caloric diet 1500 kcal/day |
Usual care “advised to lose weight and to exercise” | 12 | 3 OP sessions/week | 12 months |
ACQ: Asthma Control Questionnaire; ACT: Asthma Control Test; BMI: body mass index; COPD: chronic obstructive pulmonary disease. HB: home based; HIIT: high‐intensity interval training; IMT: inspiratory muscle training; IP inpatient; kcal: kilocalories; LL: lower limb; MDT: multidisciplinary team; OP: outpatient; PMHR: predicted maximum heart rate; RM: repetition maximum; UL; upper limb; VO2 max: maximal oxygen uptake; VO2 peak: peak oxygen uptake; Wmax: maximal workload.