title: Does Downhill Walking on Treadmill Improve Physical Status and Quality of Life of A Patient With COPD?
abstract: BACKGROUND
  Chronic obstructive pulmonary disease (COPD) is accompanied by several extra-pulmonary consequences, such as skeletal muscle weakness and atrophy which will have a negative impact on daily life in patients and lead to their debilitation; therefore, when treating COPD patients, protocols should be taken into account to improve function and quality of life (QoL).
  
  
  METHODS
  The case was a 71- year-old woman suffering from chronic bronchitis and bronchiectasis for 30 years that has been faced with increased musculoskeletal disorders in recent months. The case was managed by downhill treadmill walking for four months with the aim of improving her functional ability and QoL. Functional tests, thigh girth measurement and St. george's respiratory questionnaire (SGRQ) were used to assess the physical status and QoL of the patient. The outcomes measures confirmed the improvement of the studied case. The improvements continued three months after the beginning of the treatment.
  
  
  CONCLUSIONS
  The eccentric exercise therapy in the form of downhill walking had positive effects on functions and QoL of studied case, especially had an augmenting effect on the thigh muscles size.
authors.affiliation: Department of Sports Medicine, School of Medicine, Rasool-e-Akram Hospital, Iran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Azadeh
authors.initials: A
authors.lastname: Erfani
authors.affiliation: Department of Sports Medicine, School of Medicine, Rasool-e-Akram Hospital, Iran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Azar
authors.initials: A
authors.lastname: Moezy
authors.affiliation: Department of Sports Medicine, School of Medicine, Rasool-e-Akram Hospital, Iran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Mazaherinezhad
authors.affiliation: Department of Internal Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Seyed Ali Javad
authors.initials: SA
authors.lastname: Mousavi
keywords: Chronic obstructive pulmonary disease (COPD); Downhill Walking; Eccentric; Functional Tests; Quality of Life