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T'ai chi for individuals with COPD: An ancient wisdom for a 21st century disease?

机译:患有COPD的人的太极拳:21世纪疾病的古老智慧?

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Even when receiving optimal medical treatment, individuals with chronic obstructive pulmonary disease (COPD) commonly experience daily symptoms of dyspnoea and fatigue . Consequently exercise intolerance may render activities of daily life problematic, leading to a downward spiral in which there is a progressive reduction in physical activity . Thus, individuals with COPD can end up in a vicious circle of physical deconditioning, including loss of lower limb muscle mass and strength, loss of balance and osteoporosis . In the past 20 years, pulmonary rehabilitation has become an integrated part of the management of individuals with moderate to very severe COPD. Pulmonary rehabilitation, defined as an evidence-based, multidisciplinary and comprehensive intervention for patients with chronic respiratory diseases who are symptomatic and often have decreased daily life activities, is designed to reduce symptoms, optimise functional status and increase participation in activities of daily living . Pulmonary rehabilitation, which usually involves an initial assessment, exercise training, education and behaviour change, is safe and effective in individuals with COPD . Indeed, improvements in health-related quality of life, functional mobility and lower limb muscle function have been reported . Exercise training is the cornerstone of pulmonary rehabilitation and mostly consists of aerobic exercises (stationary cycling, treadmill walking arid/or ground walking) in combination with muscle strengthening exercises (resistance training and/or transcutaneous neuromuscular electrical stimulation).
机译:即使接受最佳治疗,患有慢性阻塞性肺疾病(COPD)的人也通常会经历呼吸困难和疲劳的日常症状。因此,运动不耐症可能使日常生活活动成问题,导致螺旋式下降,其中体育活动逐渐减少。因此,患有COPD的个体可能会陷入身体残障的恶性循环,包括下肢肌肉质量和力量的丧失,平衡能力的丧失和骨质疏松症。在过去的20年中,肺部康复已成为中度至重度COPD患者管理中不可或缺的一部分。肺康复是指对有症状且日常生活活动量通常减少的慢性呼吸道疾病患者进行的基于证据的多学科综合干预,旨在减轻症状,优化功能状态并增加对日常生活活动的参与。肺康复通常包括初步评估,运动训练,教育和行为改变,对于患有COPD的患者而言是安全有效的。实际上,已经报告了与健康有关的生活质量,功能活动性和下肢肌肉功能的改善。运动训练是肺康复的基石,主要包括有氧运动(固定自行车,跑步机步行/地面行走)和肌肉增强运动(阻力训练和/或经皮神经肌肉电刺激)。

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