Resistance training and aerobic training improve muscle strength and aerobic capacity in chronic inflammatory demyelinating polyneuropathy

Muscle Nerve. 2018 Jan;57(1):70-76. doi: 10.1002/mus.25652. Epub 2017 Apr 15.

Abstract

Introduction: We investigated the effects of aerobic and resistance exercise in patients with chronic inflammatory demyelinating polyneuropathy (CIDP).

Methods: Eighteen CIDP patients treated with subcutaneous immunoglobulin performed 12 weeks of aerobic exercise and 12 weeks of resistance exercise after a run-in period of 12 weeks without exercise. Three times weekly the participants performed aerobic exercise on an ergometer bike or resistance exercise with unilateral training of knee and elbow flexion/extension. Primary outcomes were maximal oxygen consumption velocity (VO2 -max) and maximal combined isokinetic muscle strength (cIKS) of knee and elbow flexion/extension.

Results: VO2 -max and muscle strength were unchanged during run-in (-4.9% ± 10.3%, P = 0.80 and -3.7% ± 10.1%, P = 0.17, respectively). Aerobic exercise increased VO2 -max by 11.0% ± 14.7% (P = 0.02). Resistance exercise resulted in an increase of 13.8% ± 16.0% (P = 0.0004) in cIKS.

Discussion: Aerobic exercise training and resistance exercise training improve fitness and strength in CIDP patients. Muscle Nerve 57: 70-76, 2018.

Keywords: aerobic training; chronic inflammatory demyelinating polyneuropathy; quality of life; resistance training; subcutaneous immunoglobulin.

MeSH terms

  • Anaerobic Threshold*
  • Bicycling
  • Elbow / physiopathology
  • Exercise Therapy / methods*
  • Exercise*
  • Female
  • Humans
  • Immunization, Passive
  • Knee / physiopathology
  • Male
  • Middle Aged
  • Muscle Strength*
  • Oxygen Consumption / physiology
  • Polyradiculoneuropathy, Chronic Inflammatory Demyelinating / physiopathology
  • Polyradiculoneuropathy, Chronic Inflammatory Demyelinating / therapy*
  • Quality of Life
  • Resistance Training*
  • Treatment Outcome