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

Abstract

Introduction. Pulmonary rehabilitation has become an established way to enhance standard therapy to control and alleviate symptoms, to optimize functional capacity, and to reduce the medical and economic burdens of disabling lung disease.
Aims. This study was design to identify the possible benefits of pulmonary rehabilitation (PR) on lung function, exercise tolerance, dyspnea, and quality of life in patient with different stages of COPD. Furthermore, we evaluated the effects of PR comparing patients on long term oxygen therapy (group A) from patient with no respiratory failure (group B).
Methods. 110 patients with stable COPD were enrolled in this study. Patients were subdivided for the first point according to the GOLD guidelines: 36 moderate, 36 severe and 38 very severe. All patients perform a respiratory rehabilitation programme for 4 weeks. Assessments included anthropometric measurements, pulmonary function tests, MRC and Borg scale, BODE index, 6 minute walking test (6MWT) and St. George‘s Respiratory Questionnaire (SGRQ). All these parameters were taken before and after the rehabilitation programme.
Results.Compared with pre-rehabilitation value, a significant improvement (p<0.05) of Borg Scale, BODE index, MRC Scale and SGRQ was observed in all the stages of the disease, with no differences between patient with or without lung failure. FEV₁ value was increased only in moderate and in patients with no respiratory failure .
Conclusions. In our study we observed that respiratory rehabilitation programme improves exercise performance and quality of life in patients with any stages of COPD, especially in the subset of individuals with moderate obstructive deficit and without lung failure.

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Citations should be made in the following way:
V. Cardaci, D. Ceccarelli, A. Patrizi, M. Orlando, L. Ferri (Rome, Italy). Effects of respiratory rehabilitation in patients with different stages of COPD severity. Eur Respir J 2009; 34: Suppl. 53, 536

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