Functional exercise capacity, physical activity, and respiratory and peripheral muscle strength in pulmonary hypertension according to disease severity


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SAĞLAM M., Vardar-Yagli N., Calik-Kutukcu E., Arikan H., SAVCI S., Inal-Ince D., ...More

Journal of Physical Therapy Science, vol.27, no.5, pp.1309-1312, 2015 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 27 Issue: 5
  • Publication Date: 2015
  • Doi Number: 10.1589/jpts.27.1309
  • Journal Name: Journal of Physical Therapy Science
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1309-1312
  • Keywords: Pulmonary hypertension, Functional capacity, Physical activity, 6-MINUTE WALK TEST, ARTERIAL-HYPERTENSION, ACTIVITY QUESTIONNAIRE, REFERENCE VALUES, DYSFUNCTION, DIAGNOSIS, RELIABILITY, GUIDELINES, VALIDITY
  • Dokuz Eylül University Affiliated: Yes

Abstract

© 2015 The Society of Physical Therapy Science.[Purpose] This study investigated functional capacity, physical activity, and respiratory and peripheral muscle strength in different functional classes of pulmonary arterial hypertension (PAH. compared with healthy subjects. [Subjects and Methods] This study included 31 patients with class II (n = 16. or class III (n = 15. PAH, classified according to the World Health Organization. Fifteen healthy subjects served as controls. Functional capacity was assessed using the 6-minute walk test (6MWT). Physical activity was determined using the International Physical Activity Questionnaire Short Form (IPAQ-SF). Respiratory muscle strength was measured using a mouth pressure device. Peripheral muscle strength was evaluated using a dynamometer. [Results] The 3 groups had similar demographic variables (p > 0.05). There were significant differences in 6MWT distance, maximal inspiratory pressure, and IPAQ categorical classification between the 3 groups (p < 0.05). Maximal expiratory pressure; total IPAQ score; and knee extensor, shoulder abductor, and hand grip strength were significantly lower in PAH patients (classes II and III. than in healthy subjects (p < 0.05). [Conclusion] As PAH progresses, respiratory muscle strength, functional exercise capacity, and physical activity decrease. Functional class should be taken into consideration when planning rehabilitation programs for this patient group.