The one repetition maximum test and the sit-to-stand test in the assessment of a specific pulmonary rehabilitation program on peripheral muscle strength in 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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Outcomes Of An Inpatient Pulmonary Rehabilitation Program In Non-COPD Patients And COPD Patients Stratified By GOLD Classification

10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a3468 ◽

2010 ◽

Author(s):

BERTRAND HERER ◽

ALAIN BEUREY ◽

sylvie DEJEAN

Keyword(s):

Pulmonary Rehabilitation ◽

Rehabilitation Program ◽

Copd Patients ◽

Gold Classification ◽

Pulmonary Rehabilitation Program

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Improvement of Cognitive Function After a Three-Month Pulmonary Rehabilitation Program for COPD Patients

Lung ◽

10.1007/s00408-011-9303-6 ◽

2011 ◽

Vol 189 (4) ◽

pp. 279-285 ◽

Cited By ~ 15

Author(s):

Eanes D. B. Pereira ◽

Cinthya Sampaio Viana ◽

Tauily C. E. Taunay ◽

Penha U. Sales ◽

Jose W. O. Lima ◽

...

Keyword(s):

Cognitive Function ◽

Pulmonary Rehabilitation ◽

Rehabilitation Program ◽

Copd Patients ◽

Pulmonary Rehabilitation Program

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COPD patients with ESOD score 3-4 reduce hospitalizations after a Pulmonary Rehabilitation Program

10.1183/13993003.congress-2018.pa834 ◽

2018 ◽

Author(s):

Paulo José Zimermann Teixeira ◽

Rafael Machado De Souza ◽

Álvaro Huber Santos ◽

Ivo Bohn Jr ◽

Mateus Schneider ◽

...

Keyword(s):

Pulmonary Rehabilitation ◽

Rehabilitation Program ◽

Copd Patients ◽

Pulmonary Rehabilitation Program

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Late Breaking Abstract - Effect of Neuromuscular Electrical Stimulation versus Cycle ergometer training in a pulmonary rehabilitation program on exercise capacity, in severe and very severe COPD patients.>

10.1183/13993003.congress-2019.pa1204 ◽

2019 ◽

Author(s):

Loïc Peran ◽

Marc Beaumont ◽

Catherine Le Ber ◽

Patricia Le Mevel ◽

Anne Cécile Berriet ◽

...

Keyword(s):

Electrical Stimulation ◽

Exercise Capacity ◽

Pulmonary Rehabilitation ◽

Neuromuscular Electrical Stimulation ◽

Rehabilitation Program ◽

Cycle Ergometer ◽

Copd Patients ◽

Pulmonary Rehabilitation Program ◽

Severe Copd

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Eight Weeks Unsupervised Pulmonary Rehabilitation in Previously Hospitalized of SARS-CoV-2 Infection

Journal of Personalized Medicine ◽

10.3390/jpm11080806 ◽

2021 ◽

Vol 11 (8) ◽

pp. 806

Author(s):

Vasileios T. Stavrou ◽

Konstantinos N. Tourlakopoulos ◽

George D. Vavougios ◽

Eirini Papayianni ◽

Katerina Kiribesi ◽

...

Keyword(s):

Pulmonary Rehabilitation ◽

Stress Measurement ◽

Rehabilitation Program ◽

Rehabilitation Programs ◽

Sit To Stand ◽

Plasma Antioxidant Capacity ◽

Before And After ◽

Plasma Antioxidant ◽

The Impact ◽

Pulmonary Rehabilitation Program

The aim of our study was to determine the impact of unsupervised Pulmonary Rehabilitation (uns-PR) on patients recovering from COVID-19, and determine its anthropometric, biological, demographic and fitness correlates. All patients (n = 20, age: 64.1 ± 9.9 years, 75% male) participated in unsupervised Pulmonary Rehabilitation program for eight weeks. We recorded anthropometric characteristics, pulmonary function parameters, while we performed 6 min walk test (6 MWT) and blood sampling for oxidative stress measurement before and after uns-PR. We observed differences before and after uns-PR during 6 MWT in hemodynamic parameters [systolic blood pressure in resting (138.7 ± 16.3 vs. 128.8 ± 8.6 mmHg, p = 0.005) and end of test (159.8 ± 13.5 vs. 152.0 ± 12.2 mmHg, p = 0.025), heart rate (5th min: 111.6 ± 16.9 vs. 105.4 ± 15.9 bpm, p = 0.049 and 6th min: 112.5 ± 18.3 vs. 106.9 ± 17.9 bpm, p = 0.039)], in oxygen saturation (4th min: 94.6 ± 2.9 vs. 95.8 ± 3.2%, p = 0.013 and 1st min of recovery: 97.8 ± 0.9 vs. 97.3 ± 0.9%), in dyspnea at the end of 6 MWT (1.3 ± 1.5 vs. 0.6 ± 0.9 score, p = 0.005), in distance (433.8 ± 102.2 vs. 519.2 ± 95.4 m, p < 0.001), in estimated O2 uptake (14.9 ± 2.4 vs. 16.9 ± 2.2 mL/min/kg, p < 0.001) in 30 s sit to stand (11.4 ± 3.2 vs. 14.1 ± 2.7 repetitions, p < 0.001)] Moreover, in plasma antioxidant capacity (2528.3 ± 303.2 vs. 2864.7 ± 574.8 U.cor., p = 0.027), in body composition parameters [body fat (32.2 ± 9.4 vs. 29.5 ± 8.2%, p = 0.003), visceral fat (14.0 ± 4.4 vs. 13.3 ± 4.2 score, p = 0.021), neck circumference (39.9 ± 3.4 vs. 37.8 ± 4.2 cm, p = 0.006) and muscle mass (30.1 ± 4.6 vs. 34.6 ± 7.4 kg, p = 0.030)] and sleep quality (6.7 ± 3.9 vs. 5.6 ± 3.3 score, p = 0.036) we observed differences before and after uns-PR. Our findings support the implementation of unsupervised pulmonary rehabilitation programs in patients following COVID-19 recovery, targeting the improvement of many aspects of long COVID-19 syndrome.

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Chronisch-obstruktive Lungenerkrankung: Verbesserung von Schlaf und Tagesmüdigkeit durch pneumologische Rehabilitation

Karger Kompass Pneumologie ◽

10.1159/000509251 ◽

2020 ◽

Vol 8 (4) ◽

pp. 200-201

Author(s):

Guzel Gafina ◽

Marc Spielmanns

Keyword(s):

Sleep Quality ◽

Pulmonary Rehabilitation ◽

Rehabilitation Program ◽

Chronic Obstructive ◽

Poor Sleep ◽

Daytime Somnolence ◽

Poor Sleep Quality ◽

Subjective Sleep Quality ◽

Copd Patients ◽

Pulmonary Rehabilitation Program

Background: Dyspnea, fatigue, and decline in sleep quality are symptoms of chronic obstructive pulmonary disease (COPD). Pulmonary rehabilitation programs have been shown to ameliorate dyspnea and fatigue. However, only a few studies have investigated the effects of pulmonary rehabilitation on the sleep quality of COPD patients. In this study, we analyzed the benefits of a pulmonary rehabilitation program to sleep quality and daytime somnolence in COPD patients. Methods: This study was a study of 30 moderate-severe COPD patients. All patients were evaluated by a pulmonologist and underwent polysomnography before participating in the study. For this study, we selected only ex-smokers and patients with sleep apnea were referred to the sleep clinic. These participants were prospectively recruited and not selected based on program completion. Before the start of the program, sleep quality and daytime somnolence of the participants were evaluated using the Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS), respectively. Rehabilitation program consisted of muscular training sessions conducted at the gym 3 times per week for 12 weeks. After rehabilitation program, the patients were reassessed and their sleep quality and daytime somnolence were reevaluated using the PSQI and the ESS, respectively. Results: Before rehabilitation, PSQI evaluation revealed that 73% of the participants had poor sleep quality, and ESS evaluation showed that 86.7% of the participants experienced daytime somnolence. After pulmonary rehabilitation, the PSQI specifically improved in terms of subjective sleep quality and sleep duration (< 0.001), habitual sleep efficiency (0.001), and sleep latency and sleep alterations (0.002) and there was also improvement in the ESS (< 0.001). Conclusion: Pulmonary rehabilitation program of gradually increasing intensity has the potential to provide sleep-related benefits to patients with COPD who have poor sleep quality and daytime somnolence. Trial registration: Registro Brasileiro de Ensaios Clínicos (ReBEC) RBR62b4z2.

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