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

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.

scholarly journals Nonadherence in Home-Based Pulmonary Rehabilitation Program for COPD Patients

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Yi Li ◽  
Hongyu Qian ◽  
Kewei Yu ◽  
Ying Huang
Keyword(s):  
Pulmonary Rehabilitation ◽  
Rehabilitation Program ◽  
Walking Distance ◽  
Emotional Function ◽  
Home Based ◽  
Copd Patients ◽  
Multivariable Analyses ◽  
Frequent Exacerbation ◽  
Pulmonary Rehabilitation Program ◽  
Adherence Group

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.

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

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.

scholarly journals Effects of Pulmonary Rehabilitation on Gait Characteristics in Patients with COPD

2019 ◽  
Vol 8 (4) ◽  
pp. 459 ◽  
Author(s):  
Wai-Yan Liu ◽  
Kenneth Meijer ◽  
Jeannet Delbressine ◽  
Paul Willems ◽  
Emiel Wouters ◽  
...  
Keyword(s):  
Lower Limb ◽  
Muscle Function ◽  
Pulmonary Rehabilitation ◽  
Forced Expiratory Volume ◽  
Chronic Obstructive ◽  
Poor Responders ◽  
Stride Time ◽  
Lower Limb Muscle ◽  
Limb Muscle ◽  
Gait Characteristics

Pulmonary rehabilitation (PR) improves lower-limb muscle function in patients with chronic obstructive pulmonary disease (COPD). However, it remains unclear whether patients improve gait characteristics, in particular stride-to-stride fluctuations that are associated with fall risks. This study aims to identify whether, and to what extent, PR affects positively gait characteristics in COPD. In this prospective observational study, 44 COPD patients (aged: 62 ± 7 years; Forced expiratory volume in 1 s 56 ± 20% predicted) performed self-paced, treadmill 6-min-walk tests (Gait Real-time Analysis Interactive Lab) before and after PR, while spatiotemporal parameters and center of mass position were recorded (100 Hz, Vicon Nexus). Standard deviation, coefficient of variation, predictability (sample entropy), and consistency in organization (local divergence exponent) were calculated. Sub-analysis was performed to identify gait differences between good and poor responders (<30 m change in a 6-min-walk distance). Patients demonstrated shorter stride times (p = 0.001) and improved lower-limb muscle function (p < 0.001) following PR. The good responders had a greater increase in stride length (p < 0.001) and a greater decrease in stride time (p < 0.001) compared to the poor responders. Current PR improved stride time in patients, while movement patterns within stride-to-stride fluctuations did not change. Training programs specifically targeting balance issues and gait function may be beneficial in improving gait characteristics in COPD.

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

Lung ◽  
2011 ◽  
Vol 189 (4) ◽  
pp. 279-285 ◽  
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

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

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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