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Lung India. 2010 Jan;27(1):4-7. doi: 10.4103/0970-2113.59260.

Effect of upper limb, lower limb and combined training on health-related quality of life in COPD.

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West Fort Hi Tech Hospital, Pookunnam, Thrissur, India.



To study the effect of unsupported upper limb and lower limb exercise training and their combined influence on the exercise performance and health-related quality of life in COPD patients.


Thirty patients were randomly assigned to one of the three groups, through block randomization. Of the three groups, group A received upper limb training, group B received lower limb training, and group C received both upper and lower limb training. Patients in group A, B, and C underwent exercise training five times a week for four weeks. The outcome measures used in the study were unsupported upper limb endurance test (UULEX), Six-Minute Walk Test (6-MWT), and a Chronic Respiratory Questionnaire. Statistical analysis was performed with analysis of variance, Wilcoxon scale, and a Kruskal Wallis one way ANOVA test, and a P value of .05 was used in the study.


The combined upper limb and lower limb training group showed a significant improvement in the exercise performance and health-related quality of life.


Chronic obstructive pulmonary disease; health-related quality of life; lower limb training; upper limb training

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