Research Area
Yoga Exercise Training Modalities for People
Research Title
Exercise Training Modalities for People with Chronic Obstructive Pulmonary Disease
Introduction
Pulmonary rehabilitation (PR) is one of the cornerstones of the management of people with chronic obstructive pulmonary disease (COPD) and individually tailored exercise training is an integral component of this treatment strategy. National and international guidelines recommend that the exercise component of PR includes both aerobic and resistance training . However, there is emerging evidence to also support new and alternative training modalities for people with COPD. This review article provides an overview of the traditional and less commonly used training modalities, including aerobic (continuous and interval), resistance, nonlinear periodized, upper limb and balance training, as well as yoga, Tai Chi, inspiratory muscle training, whole body vibration training and neuro-muscular electrical stimulation .
Abstract
Exercise training confers health benefits for people with chronic obstructive pulmonary disease (COPD). This article reviews the evidence for several exercise training modalities shown to be beneficial among individuals with COPD. These modalities include aerobic, resistance, nonlinear periodized, upper limb and balance training, as well as yoga, Tai Chi, inspiratory muscle training, whole body vibration training and neuromuscular electrical stimulation. The literature pertaining to each modality was critically reviewed, and information on the rationale, mechanism(s) of action (where known), benefits, and exercise prescription is described to facilitate easy implementation into clinical practice
Conclusion
Impaired exercise and activity tolerance, and exertional dyspnea are cardinal features of COPD, and several modalities of exercise training are safe, effective and beneficial for people with the disease. The content and structure of PR programs varies widely. Ultimately, the type of exercise training received depends on individuals’ limitations, co-morbidities, needs, preferences and goals. It also depends on available exercise program resources and equipment, staff expertise, and costs of the exercise training program.
