Do the inflammatory and oxidative basal statuses modulate the functional capacity response after a pulmonary rehabilitation program?

Chronic obstructive pulmonary disease is a common preventable and treatable disease characterized by persistent airflow limitation that is usually progressive and associated with an enhanced chronic inflammatory response in the airways and the lung to noxious particles or gases. The objective of this study was to evaluate the effects of a pulmonary rehabilitation program on respiratory muscle strength and functional capacity of individuals with chronic obstructive pulmonary disease. An elderly male patient participated in the pulmonary rehabilitation program and was evaluated before and after intervention. This program consisted of four phases: stretching, aerobic exercises, resistance training and relaxation. The physical activities were provided three times a week on alternate days, for 4 months, totaling 48 sessions. The results obtained after the rehabilitation program showed improvement in the physical functional capacity of the patient measured by the six-minute walk test (Pre=480; Post=540m). The maximal inspiratory pressure values increased (Pre=-60; Post=-120cmH2O) whereas the maximal expiratory pressure values remained the same (Pre=50; Post=50cmH2O). Therefore, the respiratory rehabilitation program has improved functional capacity and inspiratory muscle strength.

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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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