Evidence map›Paper›PMID 37976375›Full record

Trial reportChronic respiratory disease

Effect on muscle strength after blood flow restriction resistance exercise in early in-patient rehabilitation of post-chronic obstructive pulmonary disease acute exacerbation, a single blinded, randomized controlled study.

Chung Wai Lau, Siu Yin Leung, Shu Hong Wah, Choi Wan Yip, Wei Yin Wong, Kin Sang Chan

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Chronic respiratory disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04448236 nacompletednot on this map

Effects on Muscle Strength After Blood Flow Restriction Resistance Exercise (BFR-RE) in Early In-patient Rehabilitation of Chronic Obstructive Pulmonary Disease Acute Exacerbation (COPDAE), a Single Blinded, Randomized Controlled Study

TypeinterventionalSponsorHospital Authority, Hong KongRan2020 to 2020Enrolled53ConditionsChronic Obstructive Pulmonary Disease, Acute Exacerbation of COPDArmsBlood flow restriction resistance exercise
NCT06658548 nacompletednot on this map

Effects of Isometric Hand Grip Exercise Training on Lung Function in COPD Patients

TypeinterventionalSponsorRiphah International UniversityRan2024 to 2025Enrolled48ConditionsChronic Obstructive Pulmonary DiseaseArmsIsometric handgrip exercise training with resistance exercise, Resistance Exercise
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Chung Wai LauDepartment of Medicine, Haven of Hope Hospital, Kowloon, Hong Kong.ORCID 0000-0002-5068-8195
Siu Yin LeungDepartment of Physiotherapy, Haven of Hope Hospital, Kowloon, Hong Kong.ORCID 0009-0001-5350-9957
Shu Hong WahDepartment of Medicine, Haven of Hope Hospital, Kowloon, Hong Kong.ORCID 0009-0001-5354-4613
Choi Wan YipDepartment of Medicine, Haven of Hope Hospital, Kowloon, Hong Kong.ORCID 0009-0003-7465-5464
Wei Yin WongDepartment of Medicine, Haven of Hope Hospital, Kowloon, Hong Kong.ORCID 0000-0001-7215-6360
Kin Sang ChanDepartment of Medicine, Haven of Hope Hospital, Kowloon, Hong Kong.ORCID 0009-0005-9567-0342

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly commencement of rehabilitation might counteract the loss of muscle strength due to a chronic obstructive pulmonary disease acute exacerbation (COPDAE). Blood flow restriction resistance exercise (BFR-RE) using a low intensity of training load has demonstrated muscle strength gain in varieties of clinical populations. This trial aimed at studying the efficacy and acceptability of BFR-RE in patients with post-COPDAE which was not reported before.

methodA prospective, assessor blinded, randomized controlled study with 2-week in-patient rehabilitation program with BFR-RE was compared to a matched program with resistance exercise without BFR in patients with post-COPDAE. The primary outcome was the change of muscle strength of knee extensor of dominant leg. The secondary outcomes included changes of hand grip strength (HGS), 6-minute walk test (6MWT) distance, short physical performance battery (SPPB) scores, COPD assessment test (CAT) scores; acceptability and feasibility of BFR-RE; and 1-month unplanned re-admission rate.

resultsForty-Five post-COPDAE patients (mean age = 76 ± 10, mean FEV1%=49% ± 24%) were analyzed. After training, BFR-RE group and control group demonstrated a statistically significant median muscle strength gain of 20 (Interquartile range (IQR) 3 to 38) Newton(N) and 12 (IQR -9 to 30) N respectively. BFR-RE group showed a significant change in SPPB scores, but not in 6MWT distance and HGS after training. Between groups did not have statistically significant different in all primary and secondary outcomes, though with similar acceptability. Drop-out rate due to training-related discomfort in BFR-RE group was 3.7%.

conclusionBFR-RE is feasible and acceptable in patients with post-COPDAE. A 2-week inpatient pulmonary rehabilitation with BFR-RE improved muscle strength of knee extensors, but not a greater extent than the same rehabilitation program with resistance exercise without BFR. Further studies could be considered with a longer training duration and progression of resistance load. [ClinicalTrials.gov Identifier: NCT04448236].

Indexed as

Pulmonary Disease, Chronic ObstructiveResistance TrainingAgedAged, 80 and overHand StrengthHumansMuscle, SkeletalMuscle StrengthProspective StudiesBlood flow restriction resistance exercisechronic obstructive pulmonary disease acute exacerbationmuscle strengthpulmonary rehabilitation

Identifiers

PMID37976375
PMCPMC10657539
OpenAlexW4388754652

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.