Source: Annual Congress 2006 - Training strategies and education in rehabilitation
Disease area: Airway diseases

Abstract

Purpose: This study was conducted to investigate that combination of chest wall mobilization by squeezing technique and respiratory muscle training (RMT) in outpatient pulmonary rehabilitation (PR) improved pulmonary function in patients with stable COPD.
Methods: Forty-four patients with stable COPD (43 male, 2 female; age: 71 ± 5, FVC: 2.87 ± 0.78 L, FEV1: 1.27 ± 0.50 L (43 ± 5%pred)) divided into either a chest PR group or an education group. Chest PR program consisted of chest wall mobilization by squeezing technique by physical therapists, RMT and respiratory muscle stretch gymnastics (RMSG). In RMT, both inspiratory and expiratory muscle training were performed twice daily for 15 min. at home using a pressure threshold device. The patients visited outpatient clinic every two weeks. Pulmonary functions (TLC, RV, FVC, FEV1, PEmax, PImax), six-minute walking distance (6MD), chronic respiratory questionnaire (CRQ) were evaluated at 0, 1, 3, 6, 9 and 12 months.
Results: In Chest PR group, FVC increased from 2.83 ± 0.67 to 3.00 ± 0.78 L (p<0.01; control vs month 12). RV decreased from 3.31 ± 0.53 to 2.85 ± 0.48 (p<0.01). 6MD increased from 314 ± 152 to 380 ± 162 m (p<0.01). The total values of CRQ increased from 96 ± 25 to 112 ± 22 (p<0.05). No significant improvements in pulmonary function and 6MD were obtained in an education group.
Conclusions: We conclude that combination of chest wall mobilization by squeezing technique, RMT and RMSG in outpatient PR improves pulmonary function, exercise capacity and HRQOL in patients with stable COPD.

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T. Shioya, M. Satake, H. Takahashi, K. Sugawara, C. Kasai, N. Kiyokawa, T. Watanabe, S. Fujii, H. Kagaya, M. Honma (Akita, Japan). Combination of chest wall mobilization and respiratory muscle training in comprehensive outpatient pulmonary rehbitation improves pulmonary funcion in patients with stable COPD. Eur Respir J 2006; 28: Suppl. 50, 3185

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