Anatomy, Ural State Medical University, Yekaterinburg, Russian Federation
Frailty is an emerging concept in clinical medicine and it has been
demonstrated that frail patients are predisposed to falls,
hospitalization, institutionalization and mortality. Over half of
patients with COPD are frail. Main objective was to determine whether
an exercise intervention can reduce disability in frail older patients
with COPD during hospitalization due to AECOPD.
Randomized clinical trial. Frail older patients admitted to hospital
due to an AECOPD were included. All patients received standard medical
and pharmacological care. Patients assigned to the intervention group
also received an exercise intervention using a pedal exerciser. Main
outcome were balance with the one leg stance test, quadriceps muscle
strength and exercise capacity ( 30-seconds sit to stand test). The
measurements were evaluated at admission and discharge.
patients were finally included in this study. No significant
differences were observed between the groups at baseline. Between
groups at discharge shows improvement in all the outcomes, being
significant in cuadriceps strength and balance.
An exercise intervention using a pedal exerciser during the
hospitalization of frail elderly patients with AECOPD improves muscle
strength, balance and exercise capacity.