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

Abstract

Purpose: This study was conducted to investigate the long-term effect of low-intensity home-based pulmonary rehabilitation (PR) in patients with stable COPD.
Methods: Eighteen patients with COPD (32 male, 4 female; age: 71 ± 5, FVC: 2.57 ± 0.78 L, FEV1: 1.16 ± 0.50 L (43 ± 5%)) were included in this study. Comprehensive outpatient rehabilitation program consisted of respiratory muscle stretch gymnastics, breathing retraining, chest wall mobilization, chair exercise. Inspiratory and expiratory muscle training was performed twice daily for 15 min. at home using a pressure threshold device. The patients visited outpatient clinic every two weeks. Lung 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: FVC increased from 2.57 ± 0.78 to 2.97 ± 0.86 L (p<0.01; control vs month 12). RV decreased from 3.41 ± 1.09 to 2.94 ± 1.14 (p<0.01). Pemax and Pimax improved significantly after PR. 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)
Conclusions: We conclude that low-intensity home-based pulmonary rehabilitation improves pulmonary function, exercise endurance and HRQOL in patients with stable COPD for one year.

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Citations should be made in the following way:
H. Takahashi, K. Sugawara, N. Kiyokawa, H. Kagaya, K. Sato, M. Honma, M. Satake, T. Shioya (Akita, Japan). Long-term effect of low-intensity home-based pulmonary rehabilitation in patients with stable COPD. Eur Respir J 2006; 28: Suppl. 50, 3201

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