Upper extremity training in COPD Tania Janaudis-Ferreira, BScPT, MSc, PhD Post Doctoral Research Fellow West Park Healthcare Centre, Toronto and Department of Physical Therapy, University of Toronto. Conflict of interest. I have no conflict of interest to declare. Objectives of this session .
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Upper extremity training in COPDTania Janaudis-Ferreira, BScPT, MSc, PhDPost Doctoral Research Fellow West Park Healthcare Centre, Toronto and Department of Physical Therapy, University of Toronto.
Overhead arm activity
During unsupported arm activity – unable to use accessory muscles
Worsens respiratory muscle mechanics
burden on diaphragm worsening its force-generating capacity
sensation of dyspnea
- Methodological shortcomings
Janaudis-Ferreira et al. 2009
- 3 days/week (during 6 weeks)
- total of 18 sessions
Pectoralis major, deltoids medial, triceps
Pectoralis major, middle deltoids
Rhomboids, Latissumus, biceps, trapezius, deltoids
Latissimus dorsi, deltoids , rhomboids, biceps, erector spinae
TRICEPS PRESS DOWN
Zhan et al. 2006
Takahashi et al. 2003
Tania Janaudis-Ferreira1,2, Marla K. Beauchamp1, Roger Goldstein1,2,3, Dina Brooks1,2
1Respiratory Medicine, West Park Healthcare Centre, Toronto, Canada
2Dept of Physical Therapy and 3Medicine, University of Toronto, Canada.
(1) arm ergometry (Peak ex. capacity, endurance)
(2) ring shifts (Function, endurance)
(3) dowel or arm lifts (Peak ex. capacity, endurance, function)
(4) diagonal movement using PNF (Peak ex. capacity)
(5) ADL-based test (Function)
- West Park Healthcare Centre Foundation
- Swedish Heart and Lung Foundation