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. 2023 Jan 6;2023(1):CD013778. doi: 10.1002/14651858.CD013778.pub2

Majewska‐Pulsakowska 2016.

Study characteristics
Methods Study design: RCT
Study grouping: parallel‐group
Participants Baseline characteristics
PR+IMT
  • N (randomized/analyzed): 13/13

  • Loss to follow‐up or excluded: 0

  • Age, mean (SD) in years: 61.5 (6.1)

  • Gender (M/F): 10/3

  • BMI, mean (SD), kg/m²: 28.8 (6.2)


PR
  • N (randomized/analyzed): 9/9

  • Loss to follow‐up or excluded: 0

  • Age, mean (SD) in years: 62.3 (5.2)

  • Gender (M/F): 6/3

  • BMI, mean (SD), kg/m²: 28.2 (6.2)


IMT
  • N (randomized/analyzed): 8/8

  • Loss to follow‐up or excluded: 0

  • Age, mean (SD) in years: 63.4 (9.8)

  • Gender (M/F): 2/6

  • BMI, mean (SD), kg/m²: 26.1 (5.9)


Control/sham
  • N (randomized/analyzed): 13/13

  • Loss to follow‐up or excluded: 0

  • Age, mean (SD) in years: 65.5 (7.0)

  • Gender (M/F): 7/6

  • BMI, mean (SD), kg/m²: 27.8 (4.9)


Overall
  • N (randomized/analyzed): 43/43

  • Loss to follow‐up or excluded: 0

  • Gender (M/F): 25/18

  • COPD stage (GOLD): moderate to severe


Included criteria
  • COPD treated for at least 1 year, stage 2 and 3 according to GOLD (2014)

  • 50–70 years old

  • A stable clinical condition with no exacerbations over the period of 4 weeks before the study


Excluded criteria
  • Participation in PR in the year preceding the study

  • Diagnosed bronchial asthma

  • Long‐term home oxygen therapy

  • Clinically significant diseases of the cardiovascular system

  • Any uncontrolled chronic disease; muscle and nervous disorders reducing the patient's mobility

  • Mental disorders preventing contact and co‐operation with the patient

Interventions Intervention characteristics
PR: consisted of training on a cycle ergometer, 3 times/week for 8 weeks in an ambulatory setting under the supervision of a cardiologist. Each training session began (warm‐up) and finished (relaxation) with a pedalling load of 10 W for 3 min. The duration of a training session was initially 23 min, and then it was gradually increased up to 45 min.
IMT: consisted of home‐based training using Threshold IMT device (Respironics; Philips Healthcare, DA Best, The Netherlands), twice a day (5‐15 min), 5 d/week for 8 weeks. The training load ranged from 30%‐60% of PImax
PR+IMT: this group received both interventions described above.
Control/sham: this group did not receive any intervention.
Outcomes HRQoL: SGRQ
Respiratory function: FEV1 
  • L

  • %pred

Identification Country: Poland
Author's name: K. Wytrychowski
Institution: Department of Internal Diseases, Geriatry andAllergology, Wroclaw Medical University
Email: Polande‐mail:anhw@op.plK
Address: 66 Sklodowskiej‐Curie St., 50‐369 Wroclaw, Poland
Notes