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An endurance test (60% of maximal load in an incremental cycle test) was performed before and after PR.
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Cycle training intensity for patients with chronic obstructive pulmonary disease (COPD) is normally based on an incremental cycle test.
The six-minute walk test (6MWT) has been proposed as an alternative to an incremental cycle test for this purpose, based on the findings of previous research that the peak oxygen consumption (VO2peak) for the incremental cycle test and the 6MWT was equivalent in participants with COPD.
The intensity for cycle exercise training is normally prescribed from a percent of VO2peak or peak work rate (Wpeak) obtained from an incremental cycle test [ 7].
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Similarly, LaBreche and McKenzie reported no significant differences (p>0.05) in VO2 or VCO2 max during a maximal incremental cycle ergometer test between the Cosmed K4b2 and a Physio-Dyne System [8].
The subjects performed a ramp incremental cycle exercise protocol to estimate VO2peak and muscle tissue oxygen saturation (SmO2) distribution in the VL muscle before and after 3 (3 wk-T) and 6 weeks of endurance training (6 wk-T).
Maximal exercise capacity will be assessed by a maximal incremental cycle exercise test (Ergometrics 900, Ergoline, Bitz, Germany).
After pulmonary function measurements, all patients performed a symptom-limited incremental cycle exercise to determine peak workrate capacity (Wpeak).
In addition, the six-minute walk distance (6MWD) is significantly correlated with both VO2peak [ 10, 12] and Wpeak on the incremental cycle test in patients with COPD [ 9].
Previous studies have shown that the 6MWT produced similar VO2peak as the incremental cycle test in participants with COPD, validating the capability of the 6MWT to assess exercise capacity in this population [ 9, 11].
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