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Ground-based walking training improves quality of life and exercise capacity in COPD

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Open access
Authors
Wootton, S.
Ng, C.
McKeough, Z.
Jenkins, Susan
Hill, Kylie
Eastwood, Peter
Hillman, D.
Cecins, Nola
Spencer, L.
Jenkins, C.
Alison, J.
Date
2014
Type
Journal Article

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Wootton, S. and Ng, C. and McKeough, Z. and Jenkins, S. and Hill, K. and Eastwood, P. and Hillman, D. et al. 2014. Ground-based walking training improves quality of life and exercise capacity in COPD. European Respiratory Journal. 44 (4): pp. 885-894.
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European Respiratory Journal
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School of Physiotherapy
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This article is published under the Open Access publishing model and distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by-nc-nd/4.0/. Please refer to the licence to obtain terms for any further reuse or distribution of this work.

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Abstract

This study was designed to determine the effect of ground-based walking training on health-related quality of life and exercise capacity in people with chronic obstructive pulmonary disease (COPD). People with COPD were randomised to either a walking group that received supervised, ground-based walking training two to three times a week for 8–10 weeks, or a control group that received usual medical care and did not participate in exercise training. 130 out of 143 participants (mean±SD age 69±8 years, forced expiratory volume in 1 s 43±15% predicted) completed the study. Compared to the control group, the walking group demonstrated greater improvements in the St George’s Respiratory Questionnaire total score (mean difference -6 points (95% CI -10– -2), p<0.003), Chronic Respiratory Disease Questionnaire total score (mean difference 7 points (95% CI 2–11), p<0.01) and endurance shuttle walk test time (mean difference 208 s (95% CI 104–313), p<0.001). This study shows that ground-based walking training is an effective training modality that improves quality of life and endurance exercise capacity in people with COPD.