The Effects of Rehabilitation Program on Exercise Tolerance and Quality of Life in Patients With COPD, Complicated by Pulmonary Artery Hypertensio

Aim. To assess the effectiveness of medical rehabilitation after pneumonia associated with the novel coronavirus infection (COVID-19), based on the study of functional capacity of the cardiovascular system and the external respiratory system.Methods. The study included 70 patients who had COVID-19 pneumonia and underwent a medical rehabilitation program from September to December 2020. Before being included in the rehabilitation program, all patients underwent pulmonary function tests (PFT), including an assessment of the lungs diffusion capacity, cardiopulmonary exercise testing, multispiral computed tomography (MSCT) of the chest, echocardiography, an evaluation of the quality of life according to the SF-36 questionnaire and the severity of shortness of breath on the mMRC scale. The effectiveness of rehabilitation was evaluated against the changes in PFT parameters, exercise tolerance, and quality of life.Results. At the enrollment, 46% of patients retained lung tissue lesions shown by MSCT and accompanied by a decrease in the lung diffusion capacity (67 (55 - 79%) of predicted value), dyspnea of 1.6 (1.0 - 3.0) points according to mMRC scale, moderate level of exercise tolerance and quality of life. Complex cardiopulmonary rehabilitation for 12 - 14 days in a specialized hospital led to a significant improvement in the parameters of pulmonary gas exchange and ventilation, peak oxygen consumption, and an increase in the reserve capacity of the cardiorespiratory system. The factors limiting the improvement of pulmonary gas exchange were the older age of the patients and the increased pressure in the pulmonary artery system. The positive influence of rehabilitation on both the physical and psycho-emotional components of the quality of life was noted.Conclusion. Complex cardiopulmonary rehabilitation with the assessment of changes in the oxygen metabolism parameters and functional capacity of the cardiovascular and respiratory systems has shown to be safe and highly effective in the studied group of patients who have had COVID-19 pneumonia.

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Endurance and Resistance Training in Radically Treated Respiratory Cancer patients: A Pilot Study

Rehabilitation Research and Practice ◽

10.1155/2010/481546 ◽

2010 ◽

Vol 2010 ◽

pp. 1-7

Author(s):

B. Salhi ◽

I. Demedts ◽

A. Simpelaere ◽

S. Decraene ◽

K. Vermaelen ◽

...

Keyword(s):

Quality Of Life ◽

Pilot Study ◽

Cancer Patients ◽

Exercise Capacity ◽

Exercise Tolerance ◽

Respiratory Muscle ◽

Muscle Force ◽

Rehabilitation Program ◽

Respiratory Cancer

Introduction. Respiratory cancer and its treatment are known to contribute to muscle weakness and functional impairment.Aim. To assess the effects of rehabilitation in patients with respiratory cancer.Methods. Radically treated respiratory cancer patients were included in a 12-week multidisciplinary rehabilitation program.Results. 16 patients (age: 61 ± 7 years; FEV1: 57 ± 16% pred.) showed a reduced exercise tolerance (VO2max: 56 ± 15% pred.; 6 MWD: 67 ± 11% pred.), muscle force (PImax: 54 ± 22% pred.; QF: 67 ± 16% pred.), and quality of life (CRDQd: 17 ± 5 points; CRDQf: 16 ± 5 points). Exercise tolerance, muscle force, and quality of life improved significantly after rehabilitation.Conclusion. Radically treated patients with respiratory cancer have a decreased exercise capacity, muscle force, and quality of life. 12 weeks of rehabilitation leads to a significant improvement in exercise capacity, respiratory muscle force, and quality of life.

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Home-based pulmonary rehabilitation program: Effect on exercise tolerance and quality of life in chronic obstructive pulmonary disease patients

Annals of Thoracic Medicine ◽

10.4103/1817-1737.58955 ◽

2010 ◽

Vol 5 (1) ◽

pp. 18 ◽

Cited By ~ 38

Author(s):

Maha Ghanem ◽

EnaceAbd ELaal ◽

Mogedda Mehany ◽

Kawthar Tolba

Keyword(s):

Quality Of Life ◽

Pulmonary Rehabilitation ◽

Exercise Tolerance ◽

Rehabilitation Program ◽

Chronic Obstructive ◽

Obstructive Pulmonary Disease ◽

Program Effect ◽

Home Based ◽

Pulmonary Rehabilitation Program

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Evaluation of exercise tolerance and quality of life and their correlation in patients treated with cardiac resynchronization therapy (CRT)

Physiotherapy ◽

10.2478/v10109-010-0040-9 ◽

2009 ◽

Vol 17 (4) ◽

Author(s):

Edyta Smolis-Bąk ◽

Tomasz Chwyczko ◽

Mariola Wójcicka ◽

Ilona Kowalik ◽

Barbara Kazimierska ◽

...

Keyword(s):

Quality Of Life ◽

Cardiac Resynchronization Therapy ◽

Exercise Tolerance ◽

Cardiac Resynchronization ◽

Resynchronization Therapy

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Effect of Baduanjin's third part on quality of life and exercise tolerance in chronic obstructive pulmonary disease stable patients with lung and spleen deficiency syndrome

Rehabilitation Medicine ◽

10.3724/sp.j.1329.2015.03013 ◽

2015 ◽

Vol 25 (3) ◽

pp. 13

Author(s):

Jinxiu CHEN ◽

Yanfang DENG ◽

Qin CHEN ◽

Wenxia ZHANG ◽

Lijin DENG

Keyword(s):

Quality Of Life ◽

Chronic Obstructive Pulmonary Disease ◽

Pulmonary Disease ◽

Exercise Tolerance ◽

Deficiency Syndrome ◽

Chronic Obstructive ◽

Obstructive Pulmonary Disease ◽

Spleen Deficiency ◽

Spleen Deficiency Syndrome

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What’s going on following acute covid-19? Clinical characteristics of patients in an out-patient rehabilitation program

Neurorehabilitation ◽

10.3233/nre-210025 ◽

2021 ◽

pp. 1-12

Author(s):

Sergiu Albu ◽

Nicolas Rivas Zozaya ◽

Narda Murillo ◽

Alberto Garcia-Molina ◽

Cristian Andres Figueroa Chacón ◽

...

Keyword(s):

Quality Of Life ◽

Cognitive Impairment ◽

Acute Infection ◽

Rehabilitation Program ◽

Neuropsychological Impairment ◽

Outpatient Rehabilitation ◽

Screening Process ◽

Icu Patients ◽

Persistent Symptoms

BACKGROUND: Coronavirus disease 2019 (COVID-19) patients present long-lasting physical and neuropsychological impairment, which may require rehabilitation. OBJECTIVES: The current cross-sectional study characterizes post COVID-19 sequelae and persistent symptoms in patients in an outpatient rehabilitation program. METHODS: Thirty patients [16 post-ICU and 14 non-ICU; median age = 54(43.8–62) years; 19 men] presenting sequelae and/or persistent symptoms (>3 months after acute COVID-19) were selected of 41 patients referred for neurorehabilitation. Patients underwent physical, neuropsychological and respiratory evaluation and assessment of impact of fatigue and quality of life. RESULTS: The main reasons for referral to rehabilitation were: fatigue (86.6%), dyspnea (66.7%), subjective cognitive impairment (46.7%) and neurological sequelae (33.3%). Post-ICU patient presented sequelae of critical illness myopathy and polyneuropathy, stroke and encephalopathy and lower forced vital capacity compared to non-ICU patients. Cognitive impairment was found in 63.3% of patients, with a similar profile in both sub-groups. Increased physical fatigue, anxiety and depression and low quality of life were prevalent irrespective of acute COVID-19 severity. CONCLUSIONS: The variability of post COVID-19 physical and neuropsychological impairment requires a complex screening process both in ICU and non-ICU patients. The high impact of persistent symptoms on daily life activities and quality of life, regardless of acute infection severity, indicate need for rehabilitation.

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Task-oriented exercises improve disability of working patients with surgically-treated proximal humeral fractures. A randomized controlled trial with one-year follow-up

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-04140-9 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Marco Monticone ◽

Igor Portoghese ◽

Daniele Cazzaniga ◽

Valentina Liquori ◽

Giuseppe Marongiu ◽

...

Keyword(s):

Quality Of Life ◽

Controlled Trial ◽

Rehabilitation Program ◽

Group Differences ◽

Randomized Controlled ◽

Secondary Outcomes ◽

One Year ◽

Task Oriented

Abstract Background General physiotherapy is a common means of rehabilitation after surgery for proximal humeral fracture (PHF). Better-targeted exercises seem worthy of investigation and the aim of this study was to assess the efficacy of a rehabilitation program including task-oriented exercises in improving disability, pain, and quality of life in patients after a PHF. Methods By means of a randomized controlled trial with one-year follow-up, 70 working patients (mean age of 49 ± 11 years; 41 females), who were selected for open reduction and internal fixation with plates caused by PHF, were randomized to be included in an experimental (n = 35) or control group (n = 35). There was a permuted-block randomization plan, and a list of program codes was previously created; subsequently, an automatic assignment system was used to conceal the allocation. The first group underwent a supervised rehabilitation program of task-oriented exercises based on patients’ specific job activities, and occupational therapy. The second group underwent general physiotherapy, including supervised mobility, strengthening and stretching exercises. Both groups individually followed programs of 60-min session three times per week for 12 weeks in the outpatient setting. The Disability Arm Shoulder Hand questionnaire (DASH; scores range from 0 to 100; primary outcome), a Pain intensity Numerical Rating Scale (scores range 0 to 10; secondary outcomes), and the Short-Form Health Survey (scores range from 0 to 100; secondary outcomes) assessed the interventions. Participants were evaluated before surgery, before and after rehabilitation (primary endpoint), and at the one-year follow-up (secondary endpoint). A linear mixed model analysis for repeated measures was carried out for each outcome measure (p < 0.05). Results Time, group and time by group showed significant effects for all outcome measures in favour of the experimental group. The DASH and the DASH work achieved clinically important between-group differences of 16.0 points (95% confidence interval [C.I.] 7.3 to 24.7) and 19.7 (95% C.I. 9.0 to 30.5) at follow-up, respectively. The NRS achieved a between-group difference of 2.9 (95% C.I. 1.0 to 3.9) at follow-up. As for SF-36, there were between-group differences ranging from 17.9 to 37.0 at follow-up. Conclusions A rehabilitation program based on task-oriented exercises was useful in improving disability, pain, and quality of life in working patients after PHFs. Improvements lasted for at least 12 months. Trial registration On 16/12/2019, the trial was retrospectively registered in the ISRCTN registry with the ID number 17996552.

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Quality of Life And Gerontology: Description of a Research Line

European Journal of Investigation in Health, Psychology and Education ◽

10.3390/ejihpe4030028 ◽

2014 ◽

Vol 4 (3) ◽

pp. 301-308

Author(s):

Bernat-Carles Serdà Ferrer

Keyword(s):

Quality Of Life ◽

Therapeutic Option ◽

Rehabilitation Program ◽

Muscular Fitness ◽

Psychological Mechanisms ◽

Modular Concept ◽

Specific Objective ◽

Quasi Experimental ◽

The Continuum

The Quality of Life (QoL) is a multidimensional, dynamic and modular concept. QoL is influenced by psychological mechanisms related to the adaptation disease. The aim of this paper is to describe the research line on QoL and chronic disease. The specific objective is to determine the mechanisms involved in the change of QoL in a group of elderly people with cancer. Method. The study is prospective quasi-experimental. With a sample of 130 participants with cancer. Results. The rehabilitation program improves muscular fitness, cardiovascular efficiency, (at rest and effort) and reduces the continued decline related to treatment. We have observed a significant increase in QoL in the period evaluated. This result confirms that QoL at baseline of the disease is low. Adherence to the program achieved is 93%. Conclusions. We confirm the effectiveness of a rehabilitation program tailored to the symptoms generated by the disease and cancer treatment in improving QoL of older people. The program is a therapeutic option to preserve the QoL of the patient in the continuum of the disease. Now we are studying the timing where the implementation of the program is most effective.

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