The effectiveness of combined lower limb strengthening and whole-body vibration, compared to strengthening alone, for improving patient-centred outcomes in adults with COPD: A systematic review

The South African Journal of Physiotherapy
Karina BernerMarlette Burger

Abstract

People with chronic obstructive pulmonary disease (COPD) experience various impairments, reducing quality of life (QoL). Rehabilitation that does not elicit dyspnoea, such as strength training, is recommended to improve patient outcomes. To systematically review evidence for the effectiveness of lower limb strengthening combined with whole-body vibration training (WBVT), versus lower limb strengthening alone, in adults with COPD for improving lower limb muscle strength, functional exercise capacity (FEC), pulmonary function and QoL. Eight databases were searched (inception-May 2019). Only randomised controlled trials (RCTs) with PEDro scores ≥ 5/10 were included. Heterogeneity rendered meta-analyses inappropriate; thus data were synthesised narratively. Five RCTs (mean PEDro score: 5.8/10) were included. Only one RCT showed a significant difference for leg press peak force (kg) at 12 weeks (p = 0.001), favouring WBVT. FEC improved significantly (p < 0.05) in favour of WBVT at 3 and 12 weeks. Combined training was not more effective for short-term (≤ 12 weeks) improvements in pulmonary function or QoL. Level II evidence suggests that combining strengthening with WBVT has significant beneficial short-term effects on FEC in adults...Continue Reading

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