Home-Based Pulmonary Rehabilitation for Subjects With COPD: A Randomized Study.
BACKGROUND: The aim of this study was to develop an efficient, low-cost, home-based pulmonary rehabilitation program and to evaluate the impact of the program on exercise as measured by the 6-min walk test (6MWT) and treadmill endurance test. METHODS: Twenty-nine subjects with COPD (FEV1 = 62.4 ± 10...
| Publicado en: | Respiratory Care Vol. 60; no. 4; pp. 526 - 533 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Apr2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103789599&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103789599 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Apr2015 vid: 60 iid: 4 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 103789599 102204372 10.4187/respcare.02994 NLM25269680 103789599 ppf: 526 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Home-Based Pulmonary Rehabilitation for Subjects With COPD: A Randomized Study. aug: au: Pradella, Cristiane O Belmonte, Graziela M Maia, Marcilene N Delgado, Cionéia S Luise, Ana Paula T Nascimento, Oliver A Gazzotti, Mariana R Jardim, José R affil: Pulmonary Rehabilitation Center, Universidade Federal de Saõ Paulo, Saõ Paulo, Brazil sug: subj: Pulmonary Disease, Chronic Obstructive Rehabilitation Home Rehabilitation Psychosocial Factors Human Female Male Middle Age Aged Descriptive Statistics Data Analysis Software Confidence Intervals Odds Ratio P-Value T-Tests Randomized Controlled Trials Aerobic Capacity Quality of Life Spirometry Pretest-Posttest Design Questionnaires Blood Pressure Determination Middle Aged: 45-64 years Aged: 65+ years Female Male ab: BACKGROUND: The aim of this study was to develop an efficient, low-cost, home-based pulmonary rehabilitation program and to evaluate the impact of the program on exercise as measured by the 6-min walk test (6MWT) and treadmill endurance test. METHODS: Twenty-nine subjects with COPD (FEV1 = 62.4 ± 10.7% of predicted, 62.4 ± 10.7 y old) were included in a randomized and prospective pulmonary rehabilitation program, and they performed 24 sessions, 5 d/week. The control group included 15 subjects (FEV1 = 54 ± 26.2% of predicted, 65.3 ± 8 y old). They were evaluated pre-intervention and post-intervention by the 6MWT, St George Respiratory Questionnaire (SGRQ), treadmill endurance test, and spirometry. The home-based pulmonary rehabilitation program consisted of walking for 40 min along a corridor or a street, climbing stairs for 15 min, and exercising the arms with an oil can (1 kg) using diagonal movements for 15 min. Subjects were called once each week for encouragement and verification of adherence. Both groups received the usual pharmacologic treatment; in addition, the control group received a telephone call without guidance on exercise. RESULTS: The 2 groups were similar regarding age, FEV1, and FVC. The home-based pulmonary rehabilitation group increased by 65 m in the 6MWT (P < .05) and 316.6 ± 81.8 m in the endurance test (P < .05) and decreased by > 4 units in all SGRQ domains. The control group showed no difference in any variable. CONCLUSIONS: This study demonstrates that a simple, low-cost, home-based pulmonary rehabilitation program adapted to real-life situations leads to improvement in exercise capacity and quality of life. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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