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

Abstract

Background: Pulmonary rehabilitation (PR) is an effective treatment in patients with severe stage of chronic obstructive pulmonary disease (COPD), with the aim of reducing dyspnoea and improving exercise capacity. Many schedules to perform PR are available. We compared the effects on exercise capacity and pulmonary functions of two schedules in patients with similar severity of COPD.
Methods: Thirty patients were included in the study, 15 (9 males, 6 females, mean age 71.8 years) undergoing a program in 8 visits (two per week) in a day hospital setting (group A), and 15 (8 males, 7 females, mean age 72.6 years) undergoing a program in 10 daily visits in an in-hospital setting (group B). Both schedules included the same components (physical activity, callisthenic exercises, respiratory exercises, and education on COPD). Before and after PR were measured the meters walked during a 6 minutes walking test (6MWT) and the FEV1 as indicator of pulmonary function.
Results: In group A meters walked during 6MWT were 256 ± 94 before PR and 341 ± 91 after PR, and FEV1 values were respectively 36.4% ± 7.5 and 41.1% ± 7.3 of predicted. In group B meters walked during 6MWT were 251 ± 61 before PR and 259 ± 61 after PR, and FEV1 values were respectively 40.7% ± 12.4 and 44.9% ± 16.6 of predicted. The only significant difference was detected in the increase in mean meters walked by group A.
Conclusion: The schedule with two visits per week with a duration of one month seems more effective than the schedule with 10 daily visits in improving the exercise capacity in patients with severe COPD.

Rating:

Share or cite this content

Citations should be made in the following way:
G. G. Riario Sforza, C. Pravettoni, F. Paterniti, L. Pessina, F. Maraffi, R. Megali, N. Dugnani, C. Incorvaia (Milan, Italy). Comparison of the effectiveness of two schedules of pulmonary rehabilitation in patients with severe COPD. Eur Respir J 2006; 28: Suppl. 50, 3197

Member's Comments

No comment yet.

Related content which might interest you: The effectiveness of pulmonary rehabilitation in elderly patients with COPD Source: Annual Congress 2004 - Outcome of pulmonary rehabilitation Year: 2004 Effects of Hochuekkito combined with pulmonary rehabilitation in patients with COPD Source: International Congress 2017 – Latest insights into pulmonary rehabilitation in COPD Year: 2017 Long-term benefits of pulmonary rehabilitation in patients with chronic asthma Source: Eur Respir J 2002; 20: Suppl. 38, 454s Year: 2002 Effects of pulmonary rehabilitation treatment on cognitive performance in COPD patients Source: Eur Respir J 2007; 30: Suppl. 51, 569s Year: 2007 Effectiveness of a comprehensive pulmonary rehabilitation program in severe dyspnoeic COPD patients Source: Annual Congress 2008 - Pulmonary rehabilitation for non-COPD and severe COPD; field exercise testing Year: 2008 Effects of pulmonary rehabilitation in the management of moderate COPD adults Source: Eur Respir J 2004; 24: Suppl. 48, 518s Year: 2004 Effects of pulmonary rehabilitation on different outcomes and at different times in subjects suffering from stable COPD Source: Annual Congress 2006 - Outcomes in pulmonary rehabilitation Year: 2006 Effectiveness of pulmonary rehabilitation on exercise capacity among different groups of patients with chronic obstructive pulmonary disease Source: International Congress 2017 – Latest insights into functional capacity, muscle weakness and physical activity in chronic lung diseases Year: 2017 Home-based individualized pulmonary rehabilitation: Clinical efficiency and relevance in severe COPD patients Source: Annual Congress 2010 - Pulmonary rehabilitation: understanding and developing the intervention Year: 2010 The effectiveness of pulmonary rehabilitation in COPD outpatients with comorbidities Source: Annual Congress 2011 - Exercise tests and emerging outcomes: defining the impact of pulmonary rehabilitation Year: 2011 Long-term effect of comprehensive home-based pulmonary rehabilitation in patients with COPD Source: Eur Respir J 2001; 18: Suppl. 33, 223s Year: 2001 The effectiveness of pulmonary rehabilitation including occupational therapy in patients with chronic pulmonary emphysema Source: Eur Respir J 2002; 20: Suppl. 38, 376s Year: 2002 Long-term effectiveness of home-based pulmonary rehabilitation in elderly people with severe COPD and chronic respiratory failure. Source: Virtual Congress 2020 – Optimising the benefits of pulmonary rehabilitation Year: 2020 Effects of pulmonary rehabilitation in patients with asthma Source: International Congress 2018 – Let’s interact and discuss the hot topics in pulmonary rehabilitation Year: 2018 Effects of pulmonary rehabilitation in asthma patients Source: International Congress 2017 – Best abstracts in pulmonary rehabilitation in patients with chronic lung diseases Year: 2017 Comparison of efficacy of respiratory rehabilitation in patients with COPD and interstitial lung disease Source: Annual Congress 2011 - Pulmonary rehabilitation: looking at alternative approaches and alternative populations beyond COPD Year: 2011 Effect of pulmonary rehabilitation on self-efficacy in patients with COPD Source: Annual Congress 2009 - Pulmonary rehabilitation: extending the scope and benefit of rehabilitation for patients with chronic respiratory disease Year: 2009 The effect of pulmonary rehabilitation on balance in patients with COPD Source: Annual Congress 2010 - Pulmonary rehabilitation and chronic care: new developments in interventions, assessment and care Year: 2010 Effect of pulmonary rehabilitation on balance control in patients with COPD Source: International Congress 2018 – What’s hot in rehabilitation in COPD and interstitial lung disease (ILD)? Year: 2018 Long-term effect of low-intensity home-based pulmonary rehabilitation in patients with stable COPD Source: Eur Respir J 2006; 28: Suppl. 50, 556s Year: 2006