Investigation of Walking Training With Different Slope Types in COPD Patients

6 Minutes Walking Distance (6MWD),Spirometric measurements (Forced vital capacity),Spirometric measurements (First second forced expiratory volume),Spirometric measurements (FEV1/FVC ratio),Spirometric measurements (Peak Expiratory Flow),Spirometric measurements (Maximum Intermediate Expiratory Flow),Muscle strength measurements (skeletal muscles),Muscle strength measurements (respiratory muscles),30-second sit and stand test,Functional performance inventory

Chronic obstructive pulmonary disease (COPD) is a disease that continues to generate a great
 deal of research and this research must continue, both because it is not completely curable
 and because of the large patient population. The importance and benefits of exercise training
 in COPD patients are clear. One of the most preferred types of exercise training is the
 so-called aerobic exercise training, which typically takes the form of walking. A typical
 walking training does not use a slope or may include an uphill slope. However, recently there
 have been publications about downhill walking and its benefits in COPD. Walking on a level,
 uphill, and downhill slope may have the potential to result in different gains by using
 different muscle groups more. Therefore, this study aimed to compare the effects of walking
 training on exercise capacity, respiratory functions, muscle strength, and functional status
 in COPD patients with three different slope types: level, uphill, and downhill.