Source: Annual Congress 2009 - Pulmonary rehabilitation: extending the scope and benefit of rehabilitation for patients with chronic respiratory disease
Disease area: Airway diseases

Abstract

Background
Benefits from attending pulmonary rehabilitation are well documented. The value of maintenance classes following the initial course is not clear.
We assessed whether maintenance rehabilitation classes improved endurance shuttle walk test (ESWT), Borg score, quality of life, anxiety and depression in COPD.
Methods
All patients who successfully completed 8 weeks of pulmonary rehabilitation were offered maintenance classes for the rest of the year.
An ESWT, O₂ saturation, modified Borg score, Chronic Respiratory Questionnaire (CRQ-SR), hospital anxiety and depression scale (HAD) were performed at baseline, after 8 weeks of rehabilitation and after a year.
Results
Of the 120 patients who completed pulmonary rehabilitation, 67 opted for maintenance classes and 53 declined. There were no significant baseline differences, except a higher CRQ fatigue score in the maintenance group.
At the end of the year, the maintenance group had a significant improvement in all parameters except O₂ saturation and a trend to improvement in the ESWT, compared to the group who did not attend maintenance classes.

	Attended Maintenance classes n=67	Did not attend Maintenance classes n=53
Endurance shuttle walk time,s	267 (173-987)	230 (103-398)
Borg score	2 (2-3)*	3 (2-4)
CRQ dyspnoea	17 (13-22)†	12 (10-15)
CRQ fatigue	18 (14-21)†	14 (10-17)
CRQ emotion	34 (29-43)†	29 (24-37)
CRQ mastery	21 (17-25)†	17 (13-22)
HAD anxiety	6 (3-8)*	8 (5-11)
HAD depression	3 (1-6)†	5 (3-9)

*=p<0.05,†=p≤0.001; median (IQR)

Conclusion
The addition of maintenance classes after 8 weeks of pulmonary rehabilitation in COPD leads to an improvement in Borg, CRQ-SR and HAD scores, with a tendency to improvement in endurance shuttle walk time.

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Citations should be made in the following way:
E. MacKay, H. Gordon, C. McSharry, N. C. Thomson, R. Chaudhuri (Glasgow, United Kingdom). The value of maintenance pulmonary rehabilitation classes in COPD. Eur Respir J 2009; 34: Suppl. 53, 534

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