Effects of a home-based training program and an outpatient hospital-based training program on patients with chronic obstructive pulmonary disease (COPD)

M. Nygren-Bonnier, S. Karlsson, B. Klefbeck (Stockholm, Sweden)

Source: Annual Congress 2002 - Physiotherapy: assessment and outcome in healthy subjects and patients with chronic lung disease
Disease area: Airway diseases

Congress or journal article abstract

Abstract

COPD is common in the community and increasing in prevalence. Several studies on physical exercise on patients with COPD have been published. Purpose: The purpose of this study was to evaluate and compare the effects between a home-based training program (group 1) and an outpatient hospital-based training program (group 2).
Subjects and methods: 24 patients with COPD were randomly assigned to group 1 or to group 2. Pulmonary function test, shuttle walking test, time stands test (TST), chronic respiratory questionnaire (CRQ) and motivation for training were obtained at baseline and after 12 weeks of training. Group 1 were training 3 times/week, 50 minutes each session. They were followed up three times during the training period. Group 2 were training twice a week, 75 minutes each session.
Results: Group 1 had significantly (p < 0.05) improved in the TST compared to group 2. For group 2, CRQ was significantly (p < 0.01) improved in the dyspnea score and the training was perceived significantly (p < 0.05) more satisfying after training.
Conclusion: We conclude that both groups had benefits of the training programs. Possibly a combination of both training programs would be the most cost effective, thus more patients could be offered rehabilitation.


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M. Nygren-Bonnier, S. Karlsson, B. Klefbeck (Stockholm, Sweden). Effects of a home-based training program and an outpatient hospital-based training program on patients with chronic obstructive pulmonary disease (COPD). Eur Respir J 2002; 20: Suppl. 38, 1166

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