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Krachttraining en elektrische spierstimulatie bij patiënten met COPD?

  • Klinische vraag
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Stimulus

Samenvatting

COPD (Chronic Obstructive Pulmonary Disease) is een frequent voorkomende chronisch obstructieve longaandoening die voornamelijk in verband gebracht wordt met een abnormale ontstekingsreactie van de longen op giftige gassen die onder meer in tabaksproducten voorkomen (Pauwels e.a., 2001). Kenmerk van de longfunctietests bij patiënten met COPD is een verlaagde Tiffeneau-index (de hoeveelheid lucht die in de eerste seconde na maximaal inademen krachtig wordt uitgeademd is hierbij sterk afgenomen, terwijl de totale hoeveelheid lucht die de patiënt rustig kan uitblazen na volledige inademing min of meer stabiel blijft). Deze index verslechtert in de tijd (Pauwels e.a., 2001). Tijdens een niet-klinisch consult worden deze patiënten vaak gezien met klachten van kortademigheid, vermoeidheid en een verminderde inspanningscapaciteit. De veranderingen in de longfunctie verklaren echter lang niet al deze klachten bij patiënten met matige tot ernstige COPD. Aanvullend wetenschappelijk onderzoek heeft aangetoond dat perifere spierzwakte (en dan met name verzwakte mm. quadriceps femoris (Bernard e.a., 1998)) aanwezig is bij ongeveer 40 procent van de patiënten met matige tot ernstige COPD (M. van Vliet en collega’s, KU Leuven, ongepubliceerde resultaten, 2005).

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    Martijn A. Spruit

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Fysiotherapeut, postdoctoraal wetenschappelijk onderzoeker, Revalidatiewetenschappen, Faculteit Bewegings- en Revalidatiewetenschappen, Katholieke Universiteit Leuven, België.

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Spruit, M.A. Krachttraining en elektrische spierstimulatie bij patiënten met COPD?. STIM 24, 136–141 (2005). https://doi.org/10.1007/BF03076133

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