P7‐57: The effectiveness of home‐based upper‐body strength and endurance training pulmonary rehabilitation program on the muscle mass of stable COPD patients

Background. The pulmonary rehabilitation (PR) is beneficial for COPD patients. Due to the poor rate of adherence, we evaluate the factors which will predict the nonadherence of PR. Method. We analyzed the data from a retrospective study of COPD patients who were enrolled to attend the PR program. Patients were classified as the adherence group and the nonadherence group according to completion of over 50% sessions during the 8-week PR program. Demographic characteristics, 6-minute walking distance (6MWD), COPD assessment test (CAT), modified Medical Research Council scale (mMRC), and emotional function were compared between two groups. Univariate and multivariable analyses were performed to determine the factors of poor adherence of PR. Results. Among 418 patients, 170 patients (40.7%) who completed less than 50% sessions of the PR program were categorized as “nonadherence.” Compared to completers, “nonadherence” patients had more cigarette consumption, higher emotional score, less 6MWD, more exacerbation, using nebulizer frequently, and higher rate of smoking at enrollment. On multivariate analysis, more exacerbation frequency (odds ratio (OR) = 1.434, 95% confidence interval (CI): 1.191∼1.796, P=0.046) and smoking at enrollment (OR = 3.349, 95% CI: 1.194∼6.302, P=0.012) were predict factors associated with nonadherence of PR. Conclusion. COPD patients with frequent exacerbation and smoking currently were more likely to be nonadherence during PR.

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A Home-Based Multimedia Pulmonary Rehabilitation Program Improves Clinical Symptoms and Physical Performance of Patients with Chronic Obstructive Pulmonary Disease

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182111479 ◽

2021 ◽

Vol 18 (21) ◽

pp. 11479

Author(s):

Anoma Santiworakul ◽

Nitita Piya-amornphan ◽

Netchanok Jianramas

Keyword(s):

Lower Limb ◽

Pulmonary Rehabilitation ◽

Clinical Symptoms ◽

Rehabilitation Program ◽

Lower Limb Muscle ◽

Limb Muscle ◽

Muscle Strengthening ◽

Home Based ◽

Copd Patients ◽

Pulmonary Rehabilitation Program

Home-based pulmonary rehabilitation can decrease symptoms in chronic obstructive pulmonary disease (COPD) patients. The purpose of this study was to compare the effects of a home-based pulmonary rehabilitation by instructive multimedia in the form of videos and flip charts on clinical symptoms and exercise performance in COPD patients. An eight-week home-based pulmonary rehabilitation program was performed with twenty COPD patients older than 60 years of age with moderate to severe stages. They were separated into two groups: a multimedia group (n = 10) and a control group, which was only provided with telephone monitoring (n = 10). Clinical symptoms were measured by using the clinical COPD questionnaire (CCQ), and exercise performance was measured using a six-minute walk test (6MWT) and an upper-lower limb muscle strengthening test. After 8 weeks, the results showed that both groups showed a statistically significant decrease in the CCQ (p < 0.05). The multimedia group showed a statistically significant increase in the lower-limb muscle strengthening (p < 0.05), while the control group was not found to show a statistically significant increase in the lower-limb muscle strengthening. Therefore, a pulmonary rehabilitation program using multimedia at home can lessen symptoms and improve exercise performance in COPD patients.

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CHALLENGES TO IMPLEMENTING A HOME-BASED PULMONARY REHABILITATION PROGRAM FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) PATIENTS FOLLOWING DISCHARGE FROM AN ACADEMIC, COMMUNITY-BASED HOSPITAL

CHEST Journal ◽

10.1016/j.chest.2020.05.434 ◽

2020 ◽

Vol 157 (6) ◽

pp. A388

Author(s):

A. Kaur ◽

J. Reardon ◽

K. Williams ◽

J. Mckenzie ◽

R. Zuwallack

Keyword(s):

Chronic Obstructive Pulmonary Disease ◽

Pulmonary Rehabilitation ◽

Rehabilitation Program ◽

Academic Community ◽

Chronic Obstructive ◽

Community Based ◽

Obstructive Pulmonary Disease ◽

Home Based ◽

Copd Patients ◽

Pulmonary Rehabilitation Program

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Maintaining Effects of Pulmonary Rehabilitation at Home in Chronic Obstructive Pulmonary Disease: A Systematic Literature Review

Home Health Care Management & Practice ◽

10.1177/1084822321990376 ◽

2021 ◽

pp. 108482232199037

Author(s):

Duarte Pinto ◽

Lissa Spencer ◽

Soraia Pereira ◽

Paulo Machado ◽

Paulino Sousa ◽

...

Keyword(s):

Chronic Obstructive Pulmonary Disease ◽

Literature Review ◽

Pulmonary Rehabilitation ◽

Rehabilitation Program ◽

Chronic Obstructive ◽

Obstructive Pulmonary Disease ◽

Maintenance Strategies ◽

Rehabilitation Programs ◽

Home Based ◽

Pulmonary Rehabilitation Program

To systematize strategies that may support patients with Chronic Obstructive Pulmonary Disease to maintain the effects of pulmonary rehabilitation over time. This systematic literature review was conducted, and the evidence was electronically searched in the Web of Science, Scopus, and EBSCO databases. This review included randomized controlled clinical trials, published until September 2019, that addressed components of an unsupervised home-based pulmonary rehabilitation program, maintenance strategies following outpatient pulmonary rehabilitation programs, as well as data on outcomes for quality of life, exercise performance, and dyspnea. A final sample of 5 articles was obtained from a total of 1693 studies. Data for final synthesis were grouped into 2 categories: components of unsupervised home-based pulmonary rehabilitation programs and maintenance strategies. An unsupervised home-based pulmonary rehabilitation program should consist of an educational component, an endurance training component, and a strength training component. When patients are transferred to the home environment, it is important to include more functional exercises specifically adapted to the patient’s condition, goals, and needs.

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