Article

OBJECTIVE: To determine if eccentric exercise is effective, tolerable and safe
for adults with chronic cardiorespiratory disease.
DATA SOURCES: We searched
electronic databases from inception until January 2015 (Medline, CINAHL, Embase,
SportDiscus, PEDro, Cochrane Central and AMED) supplemented by citation tracking
and reference list scanning. REVIEW METHODS: Included articles had to report
effects of eccentric exercise, alone or as a primary component of intervention,
of any intensity and duration, on adults with chronic cardiorespiratory disease.
Trials needed to be reported as full text in a peer-reviewed journal and include
control data (randomised, quasi-randomised and single group cross-over design
trials). Any outcomes or comparison interventions were accepted. Methodological
rigor was assessed using the PEDro scale. RESULTS: Of 22 potentially relevant
articles, 10 met inclusion criteria. They reported results from seven trials with
a total of 112 participants across the diseases. PEDro scores were low (median
3). Eccentric exercise increased strength and mobility to comparable levels as
concentric exercise, however, it did so with lower oxygen consumption (effect
size as large as d = -3.07 (-4.12, -1.80)), and four-fold power output (effect
size d = -3.60 (-5.03, -1.66)). There were no adverse events reported for
eccentric exercise. Pain was avoided with familiarisation sessions and individual
exercise prescription. CONCLUSION: Eccentric exercise is beneficial and at least
comparable with traditional exercise in improving walking and strength for people
with chronic cardiorespiratory disease. It was well tolerated and we identified
no safety concerns for the use of this intervention for this population.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS