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

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.

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.

Evaluation of the impact of a pulmonary rehabilitation program on exercise capacity in LAM

2015 ◽  
Author(s):  
Mariana Sponholz Araujo ◽  
Bruno Guedes Baldi ◽  
André Luis Pereira de Albuquerque ◽  
Carolina Salim Gonçalves Freitas ◽  
Ronaldo Adib Kairalla ◽  
...  
Keyword(s):  
Exercise Capacity ◽  
Pulmonary Rehabilitation ◽  
Rehabilitation Program ◽  
The Impact ◽  
Pulmonary Rehabilitation Program

scholarly journals Effectiveness of pulmonary rehabilitation in improving quality of life in patients with different COPD stages

2020 ◽  
pp. 03-08
Author(s):  
Adrian Cosmin ILIE ◽  
Alexandru CRIŞAN ◽  
Patricia HOGEA STANCA ◽  
Daniel TRĂILĂ
Keyword(s):  
Quality Of Life ◽  
Pulmonary Rehabilitation ◽  
Rehabilitation Program ◽  
Depression Score ◽  
Stage Ii ◽  
Positive Effects ◽  
Copd Patients ◽  
The Impact ◽  
Pulmonary Rehabilitation Program

Introduction. Anxiety and depression are frequently associated conditions in COPD patients, and have also significant impact on their quality of life (QoL) and on the course of the disease. Pulmonary rehabilitation (PR) is an adjuvant, non-pharmacological method used in symptomatic COPD patients. The study aimed to evaluate the impact of COPD on QoL depending on disease severity, and to assess the supposedly positive effects of a pulmonary rehabilitation program (PRP) for COPD patients. Material and method. This research included patients with COPD GOLD stages II-IV undergoing bronchodilator therapy. QoL was assessed with the self-administered St George's Respiratory Questionnaire (SGRQ), and depression with the Beck Depression Inventory (BDI). PRP included 3-5 weekly physical training sessions for an average period of 12 weeks, but not less than 3 weeks. Results. The degree of QoL impairment was moderate in stage II (41.07) and severe in stages III (70.28) and IV (81.02). The most severe depression (score 26.6 vs 2.5 in healthy subjects) was also recorded in this group. After the patients underwent all PRP, QoL reassessment at 6 months revealed statistically significant improvements in all 3 groups (p <0.05). In the GOLD COPD stage II group the average reduction was -4.38 units, in the group GOLD COPD stage III -5.37 units, and in the GOLD COPD stage IV -6.75 units. The depression score correlated with the SGRQ score, both of them being higher in the severe stages of disease. BDI administered again 6 months after PRP revealed a significant improvement in average score in all groups, respectively a decrease of -2.17 units in the COPD II group, -2.03 units in the COPD III group and -1.88 units in group COPD IV B group. Conclusion. The results of this study demonstrate a favorable impact of PRP on improving COPD associated symptoms, depression, and QoL in all the 3 monitored COPD patient groups, with statistically significant and persistent positive results over time (6 months after completion of PRP). Key words: COPD, pulmonary rehabilitation program, Quality of life (QoL), depression,

scholarly journals Effects of Oxygen on Exercise Duration in Chronic Obstructive Pulmonary Disease Patients before and after Pulmonary Rehabilitation

2010 ◽  
Vol 17 (1) ◽  
pp. e14-e19 ◽  
Author(s):  
Nha Voduc ◽  
Caroline Tessier ◽  
Elham Sabri ◽  
Dean Fergusson ◽  
Lyne Lavallee ◽  
...  
Keyword(s):  
Pulmonary Rehabilitation ◽  
Oxygen Therapy ◽  
Exercise Duration ◽  
Supplemental Oxygen ◽  
Rehabilitation Program ◽  
Chronic Obstructive ◽  
Exercise Tests ◽  
Before And After ◽  
Supplemental Oxygen Therapy ◽  
Pulmonary Rehabilitation Program

BACKGROUND: Supplemental oxygen therapy has been shown to improve exercise performance in patients with chronic obstructive pulmonary disease (COPD). It is unknown whether the magnitude of this benefit would be affected by participation in a pulmonary rehabilitation program.OBJECTIVE: To compare the effects of supplemental oxygen on exercise capacity in nonhypoxemic COPD patients before and after participation in a pulmonary rehabilitation program.METHODS: Sixteen patients with COPD underwent two pairs of constant-load exercise tests before and after participation in a three-month outpatient pulmonary rehabilitation program. Each pair of exercise tests consisted of a test performed with room air and a second test performed with 50% supplemental oxygen, in random order. The primary outcome was the difference in exercise duration between tests performed with supplemental oxygen and with room air. This difference was compared before and after participation in a pulmonary rehabilitation program.RESULTS: Supplemental oxygen therapy improved exercise duration by 75 s before participation in a pulmonary rehabilitation program and by 153 s following pulmonary rehabilitation. Rehabilitation alone improved exercise duration by 28 s, but rehabilitation appeared to augment the exercise benefits of supplemental oxygen therapy by a mean of 78 s (95% CI 11 s to 145 s; P=0.03).CONCLUSION: The effects of supplemental oxygen therapy were augmented after pulmonary rehabilitation. The improvement in exercise duration with supplemental oxygen following rehabilitation was greater than either supplemental oxygen or pulmonary rehabilitation alone.

scholarly journals A pulmonary rehabilitation program reduces levels of anxiety and depression in COPD patients

2013 ◽  
Vol 8 ◽  
Author(s):  
Athanasios Tselebis ◽  
Dionisios Bratis ◽  
Argiro Pachi ◽  
Georgios Moussas ◽  
Ioannis Ilias ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Disease Severity ◽  
Pulmonary Rehabilitation ◽  
Rehabilitation Program ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Rehabilitation Programs ◽  
Copd Patients ◽  
Pulmonary Rehabilitation Program

Background: The presence of anxiety and depressive symptoms in COPD patients has been acknowledged for many years. The preponderance of recent studies supports the utility of pulmonary rehabilitation programs to reduce the levels of depression and anxiety in these patients. The aim of this study is to investigate possible changes in levels of anxiety and depression among patients enrolled in a pulmonary rehabilitation program, along with the role of disease severity in these changes. Methods: In 101 COPD patients, who attended a pulmonary rehabilitation program, levels of trait anxiety (STAI) and depressive symptoms (BDI) were assessed at the beginning and at the end of the program. Age, sex, level of education in years and stage of disease severity were recorded. Results: Our study included 80 male and 21 female patients. Mean age and mean education level were 64.1 ± 8.1 and 11.3 ± 4.1 years, respectively. Regarding COPD staging, 11 patients suffered from mild, 16 from moderate, 47 from severe and 27 from very severe COPD. Significant decreases in anxiety (from 39.7 to 34.0, p < 0.001) and depression rates (from 10.7 to 6.3, p < 0.001) were observed. A statistically significant reduction in anxiety and depression was revealed (p < 0.05)at all stages of COPD. Conclusion: Pulmonary rehabilitation programs should be offered to all COPD patients irrespective of disease severity, since they all lead to improvement in anxiety and depressive symptoms.

Echographic assessment of diaphgram and rectus femoris in COPD patients before and after a pulmonary rehabilitation program

2017 ◽  
Author(s):  
Teresa Augelletti ◽  
Sebastian Ferri ◽  
Raffaele Campisi ◽  
Enrico Heffler ◽  
Ramona Sorrentino ◽  
...  
Keyword(s):  
Pulmonary Rehabilitation ◽  
Rectus Femoris ◽  
Rehabilitation Program ◽  
Copd Patients ◽  
Before And After ◽  
Pulmonary Rehabilitation Program

Person-centered approach in pulmonary rehabilitation

2015 ◽  
Vol 4 (2) ◽  
pp. 126-130
Author(s):  
Latinka Basara ◽  
T Jalucic Gluncic ◽  
O Maletic ◽  
D Pelicaric ◽  
S Popovic Grle ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pulmonary Rehabilitation ◽  
Respiratory Diseases ◽  
Rehabilitation Program ◽  
Chronic Respiratory Diseases ◽  
Person Centered Approach ◽  
Anxiety Depression ◽  
The Impact ◽  
Pulmonary Rehabilitation Program

Background. Holistic scope in treating persons with chronic respiratory diseases is one of the main features of pulmonary rehabilitation program (PRP) at Zagreb University. Interventions are provided by a team made of physicians and other health care professionals - physiotherapists, respiratory therapists, nurses, psychologists, occupational therapists, social workers, behavioral specialists, among others. The program itself is tailored to attend to each person's specific needs through careful interdisciplinary examination and treatment planning, establishing commom ground to address disease severity, respiratory symptoms, comorbidities, psychological manifestations and specific limitations a person has in everyday activities. The focus of PRP is the whole person rather than just a person's disease.Aim. To show the impact of PRP's person-centered approach on patient's quality of life (QoL), anxiety, depression and stress levels.Method. Questionnaires designed to measure quality of life (single question scale), anxiety, depression and stress (DASS21) were administred to 54 patients at the beginning and at the end of a three-week pulmonary rehabilitation program. Each patient underwent an individualized program of education, respiratory exercises, nutrition consultation, and psychosocial/behavioral support and intervention.Results. Results showed significant improvement in all measured parameters – higher overall QoL (p<0.01), and lowered anxiety (p< 0.01), depression (p<0.01) and stress levels (p< 0.01).Conclusions. Pulmonary rehabilitation with a person-centered approach as one of its main features appears to improve quality of life and reduce levels of anxiety, depression and stress in persons with chronic respiratory diseases.  

Sign in / Sign up

Export Citation Format

Share Document