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Study aim
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If aerobic exercise is effective on the downhill or uphill level on increasing vo2max and respiratory function in patients with COPD, regular aerobic exercise can be recommended to improve respiratory function in these patients.
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Design
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This study will be done on 30 patients with COPD, Patients are randomly divided into three groups of 10 people. level group, downhill group and uphill groups.
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Settings and conduct
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In this study, three groups of sport activities, including flat surface treadmill exercise (level) group and downhill treadmill exercise (downhill) group and
uphill treadmill exercise (uphill) group . in this study Treadmill will be used 3 times per week for 8 weeks, and the duration of physical activity per session is between 30 and 45 minutes based on the patient's ability. at the first, an incremental test is performed for each patient .patients O2Sa are continuously controlled during exercise and in patient with fatigue and inability exercise will be stopped . If the SaO2 drops to less than 88%,the patient receives oxygen If the hypoxia is not corrected, the exercise will stop and the patient is excluded from the study. The vo2 max rate will be measured at the beginning of the study and 8 weeks after exercise
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Participants/Inclusion and exclusion criteria
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Patients with COPD and body mass index of 19 to 24 without other medical problems, such as heart disease, (including myocardial infarction, myocardial ischemia, cardiac arrhythmia), chronic diseases of the liver, kidney, digestive , musculoskeletal, and central nervous system.
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Intervention groups
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Level group and downhill group and uphill group: In each group, exercise will be performed 3 times a week for 8 weeks using a treadmill for 30 to 45 minutes.
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Main outcome variables
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Maximum rate of oxygen consumption (vo2max)