title: [Impact of a Senso-Motoric Intervention in COPD-Patients Participating in an Outpatient Pulmonary Rehabilitation Program: A Randomized Controlled Trial].
abstract: ObjectiveExercise training provides a cornerstone of pulmonary rehabilitation (PR) in COPD-patients. However, the components of the training are not yet fully investigated. We conducted a randomized controlled trial to investigate the effectiveness of a sensory-motoric training (SMT) in comparison to a conventional strength training (KT) according to the physical performance.Patients and Methods:43 COPD patients were randomized and participated either in the intervention group (SMT = 30 minutes SMT per day) or in the control group (KT = 30 minutes KT per day). The SMT was performed as circuit training with five stations. The primary endpoint was the difference between T1 (start of the PR) and T2 (end of the PR) in 5-Times Sit-to-stand test (5-STST) in the intergroup comparison. Secondary endpoints were the intra- and intergroup comparisons of T1 and T2 in the 6-Minute Walk Test (6-MWT), COPD Assessment Test (CAT), St. George Respiratory Questionnaire (SGRQ), Hospital Anxiety- and Depression Scale (HADS) and in lung function.ResultsNo significant differences were seen in the results of the 5-STST between the groups. Likewise, in the 6-MWT, SGRQ, CAT, HADS and lung function. The intragroup comparison between T1 and T2 showed significant differences in 5-STST, 6-MWT, SGRQ, CAT and HADS in both groups. The differences in lung function were not significantly, neither in the inter- nor in the intragroup comparison.ConclusionSimilarly to a conventional strength training improvements in exercise capacity could be achieved with a SMT during PR in COPD patients. Further studies are necessary to define the role of the SMT in regards to postural control.
authors.affiliation: Medizinischen Klinik und ambulante pneumologische Rehabilitation in Leverkusen (APRiL), Remigius-Krankenhaus, Leverkusen-Opladen.|Lehrstuhl Pneumologie, Universität Witten/Herdecke.
authors.forename: M
authors.initials: M
authors.lastname: Spielmanns
authors.affiliation: Medizinischen Klinik und ambulante pneumologische Rehabilitation in Leverkusen (APRiL), Remigius-Krankenhaus, Leverkusen-Opladen.
authors.forename: K
authors.initials: K
authors.lastname: Müller
authors.affiliation: Lehrstuhl Sport- und Gesundheitswissenschaften II, Universität Stuttgart.
authors.forename: N
authors.initials: N
authors.lastname: Schott
authors.affiliation: Medizinischen Klinik und ambulante pneumologische Rehabilitation in Leverkusen (APRiL), Remigius-Krankenhaus, Leverkusen-Opladen.
authors.forename: A
authors.initials: A
authors.lastname: Winkler
authors.affiliation: Medizinischen Klinik und ambulante pneumologische Rehabilitation in Leverkusen (APRiL), Remigius-Krankenhaus, Leverkusen-Opladen.
authors.forename: H
authors.initials: H
authors.lastname: Polanski
authors.affiliation: Klinik für Innere Medizin, Schwerpunkt Pneumologie und Intensivmedizin, Philipps-Universität Marburg.
authors.forename: C
authors.initials: C
authors.lastname: Nell
authors.affiliation: Klinik für Innere Medizin, Schwerpunkt Pneumologie und Intensivmedizin, Philipps-Universität Marburg.
authors.forename: T
authors.initials: T
authors.lastname: Boeselt
authors.affiliation: Klinik für Innere Medizin, Schwerpunkt Pneumologie und Intensivmedizin, Philipps-Universität Marburg.
authors.forename: A R
authors.initials: AR
authors.lastname: Koczulla
authors.affiliation: Universitätsklinikum Freiburg.|Abt. Pneumologie, Lungenklinik, Kliniken der Stadt Köln gGmbH.
authors.forename: J H
authors.initials: JH
authors.lastname: Storre
authors.affiliation: Lehrstuhl Pneumologie, Universität Witten/Herdecke.|Abt. Pneumologie, Lungenklinik, Kliniken der Stadt Köln gGmbH.
authors.forename: W
authors.initials: W
authors.lastname: Windisch
authors.affiliation: Lehrstuhl Pneumologie, Universität Witten/Herdecke.|Abt. Pneumologie, Lungenklinik, Kliniken der Stadt Köln gGmbH.
authors.forename: F S
authors.initials: FS
authors.lastname: Magnet
authors.affiliation: Abt. Pneumologie, Lungenklinik, Kliniken der Stadt Köln gGmbH.
authors.forename: K
authors.initials: K
authors.lastname: Baum
mesh_terms: D000553:Ambulatory Care; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D000066530:Neurological Rehabilitation / Q000379:methods*; D011613:Psychotherapy / Q000379:methods*; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis* / Q000534:rehabilitation*; D011788:Quality of Life; D012046:Rehabilitation / Q000379:methods; D012129:Respiratory Function Tests; D012138:Respiratory Therapy / Q000379:methods*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome