The Impact of Chronic Obstructive Pulmonary Disease Exacerbation on Pulmonary Rehabilitation Participation and Functional Outcomes

2010 ◽  
Vol 30 (1) ◽  
pp. 53-60 ◽  
Author(s):  
Bonnie G. Steele ◽  
Basia Belza ◽  
Kevin Cain ◽  
Jeff Coppersmith ◽  
JoEllen Howard ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Pulmonary Rehabilitation ◽  
Functional Outcomes ◽  
Chronic Obstructive ◽  
Disease Exacerbation ◽  
Obstructive Pulmonary Disease ◽  
The Impact

scholarly journals Impact of feedback on physical activity levels of individuals with chronic obstructive pulmonary disease during pulmonary rehabilitation

2014 ◽  
Vol 11 (4) ◽  
pp. 191-198 ◽  
Author(s):  
Joana Cruz ◽  
Dina Brooks ◽  
Alda Marques
Keyword(s):  
Physical Activity ◽  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Pulmonary Rehabilitation ◽  
Forced Expiratory Volume ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Activity Monitors ◽  
Standing Time ◽  
The Impact

This study aimed at investigating whether providing feedback on physical activity (PA) levels to patients with chronic obstructive pulmonary disease (COPD) is feasible and enhances daily PA during pulmonary rehabilitation (PR). Patients with COPD participated in a 12-week PR program. Daily PA was measured using activity monitors on weeks 1, 7, and 12, and feedback was given in the following weeks on the number of steps, time spent in sedentary, light, and moderate-to-vigorous intensity activities, and time spent standing, sitting, and lying. Compliance with PA monitoring was collected. Two focus groups were conducted to obtain patients’ perspectives on the use of activity monitors and on the feedback given. Differences in PA data were also assessed. Sixteen patients (65.63 ± 10.57 years; forced expiratory volume in one second (FEV1) 70.31 ± 22.74% predicted) completed the study. From those, only eleven participants used the activity monitors during all monitoring days. Participants identified several problems regarding the use of activity monitors and monitoring duration. Daily steps (  p = 0.026) and standing time (  p = 0.030) were improved from week 1 to week 7; however, the former declined from week 7 to week 12. Findings suggest that using feedback to improve PA during PR is feasible and results in improved daily steps and standing time on week 7. The subsequent decline suggests that additional strategies may be needed to stimulate/maintain PA improvements. Further research with more robust designs is needed to investigate the impact of feedback on patients’ daily PA.

scholarly journals The effect of pulmonary rehabilitation on mortality, balance, and risk of fall in stable patients with chronic obstructive pulmonary disease

2016 ◽  
Vol 14 (1) ◽  
pp. 54-62 ◽  
Author(s):  
Ali Hakamy ◽  
Charlotte E Bolton ◽  
Tricia M McKeever
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Pulmonary Rehabilitation ◽  
Survival Benefit ◽  
Cochrane Collaboration ◽  
Secondary Outcome ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Risk Of Fall ◽  
The Impact

The aim of this study is to conduct a systematic review of published studies that evaluate the impact of pulmonary rehabilitation (PR) on survival and fall (including balance) in patients with chronic obstructive pulmonary disease at stability. OVID, Medline, EMBASE, and Cochrane collaboration library were searched for literature dating from January 1980 up to November 2014 as well as an update in October 2015. Two reviewers screened titles, abstracts and full text records, extracted data, and assessed studies for risk of bias; any disagreements were resolved by a third member of the team, and consensus was always sought. Initial searches yielded 3216 records but after review only seven studies were included and there were no studies focused solely on falls. Two cohort studies found some positive benefits of PR on balance, but the results were inconsistent across the studies. Regarding survival, two randomized controlled trials were conducted; one study showed significant survival benefit at 1 year, while the other one showed nonsignificant survival benefit at 3 years. Neither were adequately powered and in both, survival was a secondary outcome. There was only limited inconclusive evidence to show that PR has a significant beneficial effect on balance or survival.

The impact of social support in pulmonary rehabilitation of patients with chronic obstructive pulmonary disease

1996 ◽  
Vol 18 (3) ◽  
pp. 139-145 ◽  
Author(s):  
Sharon Grodner ◽  
Lela M. Prewitt ◽  
Beth A. Jaworsk ◽  
Roseann Myers ◽  
Robert M. Kaplan ◽  
...  
Keyword(s):  
Social Support ◽  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Pulmonary Rehabilitation ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
The Impact

scholarly journals Study of the effect of COPD on the quality of life of patients according to the results of the Cat - test in outpatient practice

2019 ◽  
Vol 10 (1) ◽  
pp. 35-40
Author(s):  
T. M. Levina ◽  
M. D. Romanov
Keyword(s):  
Quality Of Life ◽  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Pulmonary Rehabilitation ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Complex Therapy ◽  
Outpatient Practice ◽  
The Impact

The article analyzes the impact of chronic obstructive pulmonary disease (COPD) on the quality of life of patients according to the results of clinical and instrumental examination and ante - testing using the integral CAT-test.Objective. Study of the effect of COPD on the quality of life in outpatient practice based on the results of the integral CAT-test. Materials and methods. The article analyzes the impact of chronic obstructive pulmonary disease (COPD) on the quality of life of patients according to the results of clinical and instrumental examination and ante - testing using the integral CAT-test.Results. The primary treatment of patients with a long history of COPD in stages II and III recorded a greater impact of the respiratory component on the quality of life. Because of complex therapy (inhaled bronchodilators and glucocorticosteroids, antibiotics according to indications, non - pharmacological methods of pulmonary rehabilitation, respiratory gymnastics, and school for patients with COPD) during 1 year of follow - up, there were significant changes in the indicators of quality of life. In patients with the sum of scores on the SAT-test up to 20 showed a decrease in the number and severity of clinical symptoms of respiratory status, and the average value of forced expiratory volume in 1 s (FEV1) remained almost at the same level with a significant improvement in the overall quality of life. In patients with a score of 21 or higher, the FEV1 level after 1 year significantly increased by 12.2%, which is apparently due to a higher level of patient compliance and the effect of pulmonary rehabilitation measures.Conclusion. The results of assessing the impact of different stages of COPD on the quality of life of patients in outpatient practice will improve the monitoring of the course of the disease and optimize the prognosis, state the effectiveness of complex therapy and adjust the dispensary observation plan.

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