Pengaruh Latihan Kekuatan dan Ketahanan Ekstremitas Atas terhadap Kapasitas Fungsional pada Pasien PPOK Dimasa Pandemi Covid-19 dengan Penambahan Nutrisi Putih

Abstract

Background Patients with COPD exhibit persistent dyspnea in daily activities and irreversible airflow obstruction. These will finally lead to inability to carry on daily activities. Because of the limitation of exercise tolerance, the patients tend to adopt and limit those kind of activities, lead to decrease their quality of life. Endurance and strength training was now considered as therapy modality to alleviate several symptoms experienced by COPD patients. Further, nutrition management as part of comprehensive treatment of COPD gives additional impact improving functional capacity and quality of life in COPD patients. Aims The aim of this study was to assess the impact of endurance and strength exercise with eggwhite supplementation on functional capacity and quality of life in COPD patients. Methods This was an experimental study with a total of 22 subjects with a consecutive sampling method; 11 participants in the endurance group, and 11 participants in the strength group. Patients were given a strength and endurance training with 28 eggwhite each week for 4 weeks. Functional capacity was measured by six minutes walking test while quality of life was measured by COPD Assessment Test (CAT). Results A total of 22 participants were involved in this study. The majority of the subjects were male, smoker with severe Brinkmann Index, and the age was in range 60-69 years old. After four weeks of training session with eggwhite supplementation, we can see there was an increased level of functional capacity (11.45 to 16.45) and decreased in CAT score (23.81 to 15.72) with p-value ≤ 0.05 in endurance training. We also found significant impact in functional capacity (17.81 to 21.09) and decreased in CAT score (21.72 to 15.63) with p-value ≤ 0.05 in strength training Conclusion Both endurance and strength training with eggwhite supplementation can improve functional capacity and quality of life in stable COPD patients.