Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
권호 표지
DOI QR코드

DOI QR Code

Effectivenss of Water based Exercise Training in COPD Patients: A Systematic Review and Meta-analysis

만성폐쇄성폐질환자의 수중운동중재 효과: 체계적 문헌고찰 및 메타분석

  • An, Min-Hee (Department of Nursing, Songwon University) ;
  • Kim, Yun-Hee (Department of Nursing, Mokpo National University)
  • Received : 2021.04.06
  • Accepted : 2021.07.20
  • Published : 2021.07.28
Download PDF
⟨ Previous Next ⟩

Abstract

This study has been conducted by a systematic review of literature and a meta-analysis in order to identify the effect of water based exercise training for COPD(Chronic obstructive pulmonary disease). Two researchers selected relevant literature, and extracted the date and assessed the quality of literature. A total of 5 studies met the inclusion criteria, and the outcome of methodological quality of the literature was not positive. According to the result of meta-analysis of water based exercise and usual care, it was considerably effective in 6 MWT and quality of life. This study introduces various types of water based exercise for COPD patients, which is considered useful for application of the program. However, it experiences difficulty to generalize due to lack of the number of literature in relation to the water based excercise.

본 연구는 만성폐쇄성폐질환자에게 수중운동 중재의 효과를 파악하기 위해 체계적 문헌고찰 및 메타 분석하였다. 선정된 문헌은 2013부터 2018년 7월까지 8개 검색엔진(Cochrane central, EMbase, Cinahl, Pubmed, Riss4U, NDSL, DBPIA, Koreamed)으로 체계적으로 문헌 검색하였다. 2명의 연구자가 문헌을 선정하고, 질 평가하였다. 총 5개의 문헌이 선정되었으며, 문헌의 질 평가 결과가 우수하지 않았다. 또한 수중운동 중재와 일반적인 간호를 메타 분석한 결과 6분 보행거리, 삶의 질에서 효과가 큰 것으로 나타났다. 본 연구는 COPD 환자를 대상으로 수중 내에서 이뤄지는 다양한 형태의 운동 중재를 소개하여 프로그램 적용에 유용한 자료가 될 것으로 생각된다. 그러나 문헌의 수가 적어 일반화에 어려움이 있다.

Keywords

Acknowledgement

This study was supported by research fund from Songwon University(A2019-102)

References

  1. Statistic Korea. (2019). Annual report on the causes of death statistics [internet]. Seoul : Statistic Korea.
  2. B. McCarthy, D. Casey, D. Devane, K. Murphy, E. Murphy & Y. Lacasse. (2015). Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane database of systematic reviews, 2. DOI : 10.1002/14651858.CD003793.pub3.
  3. M. Katajisto & T. Laitinen. (2017). Estimating the effectiveness of pulmonary rehabilitation for COPD exacerbations: Reduction of hospital inpatient days during the following year. International Journal of Chronic Obstructive Pulmonary Disease, 12, 2763-2769. DOI : 10.2147/COPD.S144571
  4. M. Spruit et al. (2013). An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. American Journal of Respiratory and Critical Care Medicine, 188(8), e13-e64. DOI : 10.1164/rccm.201309-1634ST.
  5. J. M. Felcar et al. (2018). Effects of exercise training in water and on land in patients with COPD: A randomised clinical trial. Physiotherapy, 104(4), 408-416. DOI : 10.1016/j.physio.2017.10.009.
  6. R. J. McNamara, Z. J. McKeough, D. K. McKenzie & J. A. Alison. (2013). Water-based exercise in COPD with physical comorbidities: a randomised controlled trial. European Respiratory Journal, 41(6), 1284-1291. DOI : 10.1183/09031936.00034312
  7. The Korean Academy of Tuberculosis and Respiratory Diseases. (2015). Consensus Document on Pulmonary Rehabilitation in korea 2015. Seoul : The Korean Academy of Tuberculosis and Respiratory Diseases.
  8. R. J. McNamara. Z. J. McKeough. D. K. McKenzie & J. A. Alison. (2013). Water based exercise training for chronic obstructive pulmonary disease. Cochrane database of systematic reviews, 12. DOI : 10.1002/14651858.CD008290.pub2.
  9. B. O. Lim & S. S. Kang. (2016). Review of Aquatic Exercise Program in Patients with Knee Osteoarthritis. Korean Journal of Sports Science, 25(3), 1507-1519. DOI : G704-001369.2016.25.3.056
  10. B. G. Choi & H. K. Yoon. (2020). The effect of Aquarobic Exercise Program on Health-Related Physical Fitness and immune Functions in Elderly Women. The Korea Journal of Sports, 29(3), 1097-1104. DOI : 10.35159/kjss.2020.06.29.3.1097
  11. K. J. Kang, J. S. Lee & J. O. Yang. (2020). Effect of Aquatic Walking Exercise on Gait and Balance Parameters of Elderly Women. Korean Journal of Sport Biomechanics. 30(1), 73-81. DOI : 10.5103/KJSB.2020.30.1.73
  12. Y. J. Choi, S. M. Ha, J. S. Kim, S. H. Koh & D. Y. Kim. (2020). Effects of Combined Aquatic Exercise on Blood Lipids, Atherogenic Index, and Amyloid-beta in Elderly Women. Journal of Korean Association of Physical Education and Sports for Girls and Women, 34(2), 121-136 DOI : 10.16915/jkapesgw.2020.6.34.2.121
  13. K. J. Kang, J. S. Lee, J. O. Yang. J. S. Park. & K. H. Han. (2020). Effect of Aquatic Walking Exercise on Gait and Balance Parameters of Elderly Women. Korean Journal of Sport Biomechanics, 30(1), 73-81. DOI : 10.5103/KJSB.2020.30.1.73
  14. H. K. Park & E. K. KIM. (2020). The effect of Aquatic Exercise Program on Pain and Physical Function for Patients with Knee Arthritis: A Systematic Review and Meta-Analysis. Global Health & Nurse, 10(2), 141-152. DOI : 10.35144/ghn.2020.10.2.141
  15. J. Higgins & G. Sally. (2011). Cochrane handbook for systematic reviews of interventions. John Wiley & Sons [internet]. www.handbook.cochrane.org
  16. D. Moher, A. Liberati, J. Tetzlaff, D. G. Altman & Prisma Group. (2009). Reprint-preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Physical Therapy, 89(9), 873-880. https://doi.org/10.1093/ptj/89.9.873
  17. Z. T. de Souto Araujo, P. A. Nogueira, E. E. Cabral, L. dos Santos, I. S. da Silva & Ferreira. (2012). Effectiveness of low-intensity aquatic exercise on COPD: a randomized clinical trial. Respiratory Medicine, 106(11), 1535-1543. DOI : 10.1016/j.rmed.2012.06.022.
  18. K. Wadell, G. Sundelin, K. Henriksson-Larsen & R. Lundgren. (2004). High intensity physical group training in water-an effective training modality for patients with COPD. Respiratory Medicine, 98(5), 428-438. https://doi.org/10.1016/j.rmed.2003.11.010
  19. E. P. Ozdemir et al. (2010). The effect of water-based pulmonary rehabilitation on anxiety and quality of life in chronic pulmonary obstructive disease patients. Turkiye Klinikleri Journal of Medical Sciences, 30(3), 880-887. https://doi.org/10.5336/medsci.2008-9971
  20. B. Waller et al. (2016). The effect of aquatic exercise on physical functioning in the older adult: a systematic review with meta-analysis. Age and Ageing, 45, 594-602. DOI : 10.1093/ageing/afw102
  21. R. J. McNamara, Z. J. McKeough, D. K. McKenzie & J. A. Alison. (2015). Acceptability of the aquatic environment for exercise training by people with chronic obstructive pulmonary disease with physical comorbidities: Additional results from a randomised controlled trial. Physiotherapy, 101(2), 187-192. DOI : 10.1016/j.physio.2014.09.002