Quadriceps strength in patients with chronic obstructive pulmonary disease. 2019

Swati Shah, and Bhushan Darekar, and Sundeep Salvi, and Arun Kowale
Department of Physiology, B.J. Government Medical College; Department of Health and Biomedical Sciences, Symbiosis International (Deemed) University, Pune, Maharashtra, India.

BACKGROUND Skeletal muscle dysfunction is well known in chronic obstructive pulmonary disease (COPD). The muscle strength is altered in various muscles variedly. Lower-limb muscle strength is very important for walking distance. Reduced lower-limb strength can affect the physical quality of life. OBJECTIVE The aim of the study was to assess and compare the quadriceps strength in COPD patients and age-matched healthy controls and to study the correlation between lung function parameters and the quadriceps strength in patients with COPD. METHODS Thirty nonsmoker male patients; thirty nonsmoker female patients with COPD; and sixty age-, BMI-, and gender-matched healthy controls were studied. Quadriceps muscle strength was measured using a quadriceps dynamometer. Forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), FEF 25-75, and peak expiratory flow rate were measured using Helios 702 Spirometer. The quadriceps muscle strength between the two groups was compared using the unpaired Student's t-test. Correlations between FVC and FEV1with muscle strength were analyzed using the Pearson's coefficient. RESULTS The mean unilateral and bilateral quadriceps strength in both male and female COPD patients was significantly lesser than the healthy controls (P < 0.05). There was a significant positive correlation between muscle strength and FVC and muscle strength and FEV1in patients with COPD. CONCLUSIONS The study shows that there is quadriceps weakness in COPD patients, and pulmonary functions have a direct impact on skeletal muscle strength. Identifying those patients who have reduced strength will allow early interventions targeted at improving the quality of life of the patient.

UI MeSH Term Description Entries

Related Publications

Swati Shah, and Bhushan Darekar, and Sundeep Salvi, and Arun Kowale
August 2008, Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases,
Swati Shah, and Bhushan Darekar, and Sundeep Salvi, and Arun Kowale
October 2012, Muscle & nerve,
Swati Shah, and Bhushan Darekar, and Sundeep Salvi, and Arun Kowale
September 2005, Thorax,
Swati Shah, and Bhushan Darekar, and Sundeep Salvi, and Arun Kowale
January 2021, Progress in rehabilitation medicine,
Swati Shah, and Bhushan Darekar, and Sundeep Salvi, and Arun Kowale
February 2007, Thorax,
Swati Shah, and Bhushan Darekar, and Sundeep Salvi, and Arun Kowale
February 2004, Muscle & nerve,
Swati Shah, and Bhushan Darekar, and Sundeep Salvi, and Arun Kowale
August 2011, Chinese medical journal,
Swati Shah, and Bhushan Darekar, and Sundeep Salvi, and Arun Kowale
February 2008, The American journal of clinical nutrition,
Swati Shah, and Bhushan Darekar, and Sundeep Salvi, and Arun Kowale
July 2012, Journal of applied physiology (Bethesda, Md. : 1985),
Swati Shah, and Bhushan Darekar, and Sundeep Salvi, and Arun Kowale
February 2000, American journal of respiratory and critical care medicine,
Copied contents to your clipboard!