PT  - JOURNAL ARTICLE
AU  - Özsoy, Ismail
AU  - Savci, Sema
AU  - Acar, Serap
AU  - Özalevli, Sevgi
AU  - Akkoçlu, Atila
TI  - Comparison of muscle strength and functional exercise capacity between two different groups according to combined assessment COPD
DP  - 2014 Sep 01
TA  - European Respiratory Journal
PG  - P1282
VI  - 44
IP  - Suppl 58
4099  - https://publications.ersnet.org//content/44/Suppl_58/P1282.short
4100  - https://publications.ersnet.org//content/44/Suppl_58/P1282.full
SO  - Eur Respir J2014 Sep 01; 44
AB  - PURPOSE:The Global initiative for chronic Obstructive Lung Disease (GOLD) 2011 document proposed a new category system for Chronic Obstructive Pulmonary Disease (COPD) combine system assessed by COPD Assessment Test (CAT) or Modified Medical Research Council (MMRC) Dyspnea Scale and exacerbation risk. The aim of the study was to compare muscle strength and functional exercise capacity between Group B and C.METHODS:The patients were categorized into Group B (n=18) and C (n=18) according to Combined Assessment COPD in GOLD 2011; patients were categorized with MMRC and CAT score for symptom assessment respectively. Pulmonary function test was performed. Dyspnea perception was determined using MMRC Dyspnea Scale. Exacerbation events were reported. Inspiratory and expiratory muscle strength (maximal inspiratory pressure and maximal expiratory pressure) were measured. Peripheral muscle strength (knee extension, shoulder flexion, shoulder abduction, elbow flexion and hand grip strength) were measured. Functional exercise capacity was evaluated 6 Minute Walk Test and 6 Minute Pegboard and Ring Test.RESULTS:The results of the study showed that shoulder flexion (p=0,015), shoulder abduction (p=0,009), elbow flexion (p=0,023) strength and maximal expiratory pressure (p=0,037) were significantly higher in Group B than Group C.CONCLUSION:Group B showed better upper extremity and expiratory muscle strength. Therefore, comprehensive assessment for COPD is important in clinical decision making pulmonary rehabilitation. As COPD progression is heterogenic, multi-directional assessments of COPD would provide different point of view in COPD management.