scholarly journals Effect of home based pulmonary rehabilitation on health related quality of life in COPD patients

2018 ◽  
Vol 6 (11) ◽  
pp. 3731
Author(s):  
John Mathew ◽  
Jayaprakash Balakrishnan ◽  
Sanjeev Nair
Keyword(s):  
Quality Of Life ◽  
Pulmonary Rehabilitation ◽  
Exercise Tolerance ◽  
Research Work ◽  
Pulmonary Medicine ◽  
Health Related Quality ◽  
Home Based ◽  
Related Quality ◽  
Health Related

Background: Pulmonary rehabilitation is a proven strategy in the management of COPD, it’s a neglected area in our part of world and there are very few studies on home based pulmonary rehabilitation in COPD in our scenario and hence we evaluated the effectiveness of such a strategy. Aim of the research work was to study the effectiveness of home based pulmonary rehabilitation on health related quality of life, exercise tolerance, depression levels and perceived dyspnea as assessed by SGRQ (St. George Respiratory Questionnaire), 6MWTD (Six-Minute Walk Test distance), PHQ-9 (Patient Health Questionnaire-9), Modified Borg scale respectively.Methods: Patients attending the Department of Pulmonary Medicine, Medical College Trivandrum, diagnosed as COPD based on GOLD guidelines who fulfil the inclusion and exclusion criteria were studied from January 2013 to June 2014. Patients were educated about the disease and need for rehabilitation, advised smoking cessation, nutritional modification. Breathing exercise, upper limb and lower limb exercises given for 6 weeks in a structured manner and followed up in every second week and analyzed using paired t- test. Pre and post rehabilitation assessment included the SGRQ, 6MWTD, PHQ-9, Modified Borg dyspnea scale was done.Results: Around 40 patients had completed 6weeks of rehabilitation. There was a statistically and clinically significant improvement in quality of life, exercise tolerance, perceived dyspnoea was seen along with decrease in level of depression.Conclusions: Home based pulmonary rehabilitation is a feasible alternative to institution based rehabilitation in the management of COPD and is associated with significant benefit.

scholarly journals Effect of home-based pulmonary rehabilitation in patients with idiopathic pulmonary fibrosis

2010 ◽  
Vol 5 ◽  
Author(s):  
Sevgi Ozalevli ◽  
Hayriye Kul Karaali ◽  
Duygu Ilgin ◽  
Eyup Sabri Ucan
Keyword(s):  
Quality Of Life ◽  
Idiopathic Pulmonary Fibrosis ◽  
Pulmonary Rehabilitation ◽  
Rehabilitation Program ◽  
Health Related Quality ◽  
Home Based ◽  
Related Quality ◽  
Health Related ◽  
Pulmonary Rehabilitation Program

Obiective: The aim of this study was to investigate the effects of a home-based pulmonary rehabilitation program on the functional outcome parameters in patients with idiopathic pulmonary fibrosis (IPF). Design: A prospective study. Patients: Seventeen patients diagnosed with IPF. Methods: A home-based pulmonary rehabilitation program was carried out in 17 IPF patients for 12 weeks. Dyspnea severity during daily life activities (Medical Research Council Scale), pulmonary function (pulmonary function test), exercise capacity (6-minute walking test, 6MWD), and general health related quality of life (Medical Outcomes Short Form-36) were evaluated. Results: A significant decrease in perceived dyspnea (p = 0.003) and leg fatigue (p < 0.05) severities, and an increase in the 6MWD (p = 0.04) and general health related quality of life scores (health perception, physical role, and emotional status subscores) were found after the program (p < 0.05). Conclusion: Home-based pulmonary rehabilitation may reduce dyspnea and fatigue severities, and improve exercise capacity and health-related quality of life in patients with IPF. In the treatment of IPF patients, home-based pulmonary rehabilitation programs should be placed alongside the routine treatment options.

scholarly journals Short-term Efficacy of Upper-Extremity Exercise Training in Patients With Chronic Airway Obstruction: A Systematic Review

2009 ◽  
Vol 89 (5) ◽  
pp. 443-455 ◽  
Author(s):  
Stefania Costi ◽  
Mauro Di Bari ◽  
Paolo Pillastrini ◽  
Roberto D'Amico ◽  
Ernesto Crisafulli ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Exercise Training ◽  
Pulmonary Rehabilitation ◽  
Health Related Quality ◽  
Inclusion Criteria ◽  
Patient Centered ◽  
Related Quality ◽  
Health Related

Background, Objectives, and Measurements Patients with chronic airway obstruction (CAO) frequently experience dyspnea and fatigue during activities performed by accessory muscles of ventilation, which competitively participate in arm elevation. This systematic review of randomized controlled trials (RCTs) concerning patients with CAO addresses the effects of upper-extremity exercise training (UEET), added to lower-extremity training or comprehensive pulmonary rehabilitation, on the following patient-centered outcomes: exercise capacity, symptoms, ability to perform daily activities, and health-related quality of life. Methods Studies were retrieved using comprehensive database and hand-search strategies. Two independent reviewers determined study eligibility based on inclusion criteria. A detailed description of treatments was mandatory. Reviewers rated study quality and extracted information on study methods, design, intervention, and results. Results Forty publications were evaluated. Four RCTs met the inclusion criteria but had serious methodological limitations, which introduce possible biases that reduce their internal validity. The outcomes measured were heterogeneous, and the results were inconsistent regarding maximal exercise capacity, dyspnea, and health-related quality of life. No effect of UEET was demonstrated for measures of arm fatigue. Limitations and Conclusions The limited methodological quality of the studies retrieved prevented us from performing a meta-analysis, the results of which could be misleading. This systematic review shows that there is limited evidence examining UEET and that the evidence available is of poor quality. Therefore, a recommendation for the inclusion or exclusion of UEET in pulmonary rehabilitation programs for individuals with CAO is not possible. Further research is needed to definitively ascertain the effects of this training modality on patient-centered outcomes.

scholarly journals Is high-intensity interval cycling feasible and more beneficial than continuous cycling for knee osteoarthritic patients? Results of a randomised control feasibility trial

PeerJ ◽  
2018 ◽  
Vol 6 ◽  
pp. e4738 ◽  
Author(s):  
Justin W. Keogh ◽  
Josephine Grigg ◽  
Christopher J. Vertullo
Keyword(s):  
Quality Of Life ◽  
Body Composition ◽  
Exercise Adherence ◽  
Health Related Quality ◽  
Knee Oa ◽  
Home Based ◽  
Related Quality ◽  
Health Related ◽  
High Intensity Interval

Background Knee osteoarthritis (OA) patients often suffer joint pain and stiffness, which contributes to negative changes in body composition, strength, physical performance (function), physical activity and health-related quality of life. To reduce these symptoms and side effects of knee OA, moderate-intensity continuous training (MICT) cycling is often recommended. While resistance training is considered the optimal form of training to improve sarcopenic outcomes, it imposes higher joint loads and requires supervision, either initially or continuously by trained exercise professionals. Therefore, this pilot study sought to gain some insight into the feasibility and potential benefits of high-intensity interval training (HIIT) cycling as an alternative exercise option to MICT cycling for individuals with knee OA. Methods Twenty-seven middle-aged and older adults with knee OA were randomly allocated to either MICT or HIIT, with both programs involving four unsupervised home-based cycling sessions (∼25 min per session) each week for eight weeks. Feasibility was assessed by enrolment rate, withdrawal rate, exercise adherence and number of adverse effects. Efficacy was assessed by health-related quality of life (Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Lequesne index), physical function (Timed Up and Go (TUG), Sit to Stand (STS) and preferred gait speed) and body composition (body mass, BMI, body fat percentage and muscle mass). Results Twenty-seven of the interested 50 potential participants (54%) enrolled in the study, with 17 of the 27 participants completing the trial (withdrawal rate of 37%); with the primary withdrawal reasons being unrelated injuries or illness or family related issues. Of the 17 participants who completed the trial, exercise adherence was very high (HIIT 94%; MICT 88%). While only three individuals (one in the MICT and two in the HIIT group) reported adverse events, a total of 28 adverse events were reported, with 24 of these attributed to one HIIT participant. Pre–post-test analyses indicated both groups significantly improved their WOMAC scores, with the HIIT group also significantly improving in the TUG and STS. The only significant between-group difference was observed in the TUG, whereby the HIIT group improved significantly more than the MICT group. No significant changes were observed in the Lequesne index, gait speed or body composition for either group. Discussion An unsupervised home-based HIIT cycle program appears somewhat feasible for middle-aged and older adults with knee OA and may produce similar improvements in health-related quality of life but greater improvements in physical function than MICT. These results need to be confirmed in larger randomised controlled trials to better elucidate the potential for HIIT to improve outcomes for those with knee OA. Additional research needs to identify and modify the potential barriers affecting the initiation and adherence to home-based HIIT cycling exercise programs by individuals with knee OA.

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