Ambulatory pulmonary rehabilitation programme in patients suffering from chronic obstructive pulmonary disease (COPD): a preliminary study

• Authors: Michał Majewski , Krystyna Rożek , Olufunmilayo Alawale
• Languages of publication: EN

Abstracts

EN

The aim of the study was to present an ambulatory pulmonary rehabilitation programme, based on a circuit form and a preliminary evaluation in order to verify whether such a programme has an impact on exercise capacity and quality of life in patients suffering from COPD. Seven patients with severe and very severe COPD completed the rehabilitation programme. In each training session patients performed 9 circuit exercises and a 10-minute walk. In this study following assessments were used: St. George Respiratory Questionnaire (SGRQ), Chronic Respiratory Questionnaire (CRQ), London Chest Activities of Daily Living Scale, HAD scale, Incremental and Endurance Shuttle Walk Tests (ISWT & ESWT). HR, SaO2 and dyspnoea (Borg scale) were measured by means of pre- and post-exercise tests. A small number of patients who finished this programme and a little frequency of training sessions a week resulted in a lack of statistically significant outcomes.

PL

Celem pracy było przedstawienie ambulatoryjnego programu rehabilitacji pulmonologicznej, opartego na formie stacyjnej oraz wstępna ocena jego skuteczności na wybrane parametry wydolności fizycznej i jakości życia chorych na POChP. Siedmiu pacjentów z ciężkim i bardzo ciężkim stadium POChP ukończyło program rehabilitacji pulmonologicznej. W programie pacjenci wykonywali 9 ćwiczeń w systemie stacyjnym i 10-minutowy marsz. Wykorzystano następujące metody pomiaru: Kwestionariusz Szpitala Św. Jerzego (SGRQ), Chronic Respiratory Questionnaire (CRQ), London Chest Activities of Daily Living Scale, skalę HADS, a także narastający i wytrzymałościowy wahadłowy test chodu (ISWT i ESWT). HR, SaO2 i stopień duszności (wg skali Borga) oceniono przed i po testach chodu. Zbyt mała liczba badanych i zbyt mała częstość zajęć nie pozwoliły na uzyskanie istotnej statystycznie poprawy badanych parametrów.

Keywords

EN

COPD; pulmonary rehabilitation; SGRQ; CRQ; HADS; LCAoDLS; QoL

PL

POChP; rehabilitacja pulmonologiczna; kwestionariusze jakości życia

• Publisher: Versita
• Journal: Physiotherapy
• Year: 2010
• Volume: 18
• Issue: 4
• Pages: 11-20

Dates

published

1 - 10 - 2010

online

4 - 5 - 2011

Contributors

author

Michał Majewski

• The Chair of Physiotherapy in Conservative and Operative Medicine, The University of Physical Education in Wroclaw

author

Krystyna Rożek

• The Chair of Physiotherapy in Conservative and Operative Medicine, The University of Physical Education in Wroclaw

author

Olufunmilayo Alawale

• Nottinghamshire Community Health Respiratory Services

References

• GOLD-Global Initiative for chronic Obstructive Lung Disease, Global Strategy For The Diagnosis, Management, And Prevention Of Chronic Obstructive Pulmonary Disease (UPDATED 2007). Pobrane ze strony:
• Polskie Towarzystwo Ftizjopnemologiczne. Zalecenia Polskiego Towarzystwa Ftizjopnemologicznego rozpoznawania i leczenia przewlekłej obturacyjnej choroby płuc (POChP). Medycyna po Dyplomie, wyd. spec., 2003, 2, 6-33.
• Kołcz A, Rożek-Mróz K. Wpływ przewlekłej obturacyjnej choroby płuc na jakość życia pacjentów. Fizjoterapia, 2002, 10, 1, 18-24.
• Lopez A. D., Shibuya K i wsp. Chronic obstructive pulmonary disease: current burden and future projections. Eur. Respir. J., 2006, 27, 397-412.
• WHO - World Health Organization Dane dotyczące epidemiologii przewlekłej obturacyjnej choroby płuc. Pobrane ze strony:
• Drozdowski J., Bakuła S. i wsp. Wpływ rehabilitacji na jakość życia u chorych na przewlekłą chorobę płuc. Pneumonol. Alergol. Pol., 2007, 75, 147-152.
• American Thoracic Society/European Respiratory Society Statement on Pulmonary Rehabilitation. Am. J. Respir. Crit. Care Med., 2006, 173, 1390-1413.
• Pamplona P., Morais L. Treino de exercício na doença pulmonar crónica. Rev. Port. Pneumol., 2007, 13, 1, 101-128.
• Derom E., Marchand E. i wsp. Pulmonary rehabilitation in chronic obstructive pulmonary disease. Annales de Réadaptation et de Médecine Physique, 2007, 50, 615-626.
• Vogiatzis I., Nanas S. i wsp. Interval training as an alternative modality to continous exercise in patients with COPD. Eur. Respir. J., 2002, 20, 12-19.
• Arnardóttir R. H., Boman G. i wsp. Interval training compared with continuous training in patients with COPD. Respir. Med., 2007, Jun, 101, 6, 1196-1204. Epub., 2006 Dec 26.
• Troosters T., Gosselink R i wsp. Pulmonary rehabilitation in chronic obstructive pulmonary disease. Respiratory Medicine: COPD update 3, 2007, 57-64.
• Lacasse Y., Goldstein R. i wsp. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database Syst. Rev., 2006 (CD003793).
• Bernard S., LeBlanc P. i wsp. Peripheral muscle weakness in patients with chronic obstructive pulmonary disease. Am. J. Respir. Crit. Care Med., 1998, 158, 629-634.
• Mador M. J., Deniz O. i wsp. Effect of respiratory muscle endurance training in patients with COPD undergoing pulmonary rehabilitation. Chest, 2005, 128, 1216-1224.
• Ortega F., Toral J. i wsp. Comparison of effects of strength and endurance training in patients with chronic obstructive pulmonary disease. Am. J. Respir. Crit. Care Med., 2002, 166, 669-674.
• Simpson K., Killian K. i wsp. Randomised controlled trial of weightlifting exercise in patients with chronic airflow limitation. Thorax, 1992, 47, 70-75.
• Spruit M. A., Gosselink R. i wsp. Resistance versus endurance training in patients with COPD and peripheral muscle weakness. Eur. Respir. J., 2002, 19, 1072-1078.
• Golmohammadi K., Jacobs P. i wsp. Economic evaluation of a community-based pulmonary rehabilitation program for chronic obstructive pulmonary disease. Lung, 2004, 182, 187-196.
• Maltais F., Bourbeau J. i wsp. Effects of home-based pulmonary rehabilitation in patients with chronic obstructive pulmonary disease. Ann. Intern. Med., 2008, 149, 869-878.
• Mador M. J., Rodis A. i wsp. Reproducibility of Borg scale measurements of dyspnea during exercise in patients with COPD. Chest, 1995, 107, 1590-1597.
• Snaith P. R. The hospital anxiety and depression scale. Health and Quality of Life Outcomes, 2003, 1, 29.
• Garrod R., Bestall J. C. i wsp. Development and validation of a standardized measure of activity of daily living in patients with severe COPD: the London Chest Activity of Daily Living scale (LCADL). Respiratory Medicine, 2000, 94, 6, 589-596.
• Singh S. Walking tests and pulmonary rehabilitation. Physiotherapy, 2007, 93, 173-174.[WoS]
• Ramachadran K., McCusker C. i wsp. The influence of obesity on pulmonary rehabilitation outcomes in patients with COPD. Cron. Respir. Dis., 2008, 5, 4, 205-209.
• Lake F. R., Henderson K. i wsp. Upper-limb and lower-limb exercise training in patients with chronic airflow obstruction. Chest, 1990, 97, 1077-1082.
• Kamahara K., Toshiaki H. i wsp. Circuit training for elderly patients with chronic obstructive pulmonary disease: a preliminary study. Archives of Gerontology and Geriatrics, 39, 2004, 103-110.
• Green R. H., Singh S. J. i wsp. A randomised controlled trial of four weeks versus seven weeks of pulmonary rehabilitation in chronic obstructive pulmonary disease. Thorax, 2001, 56, 143-145.
• Chida M., Inase N. i wsp. Ratings of perceived exertion in chronic obstructive pulmonary disease: a possible indicator for exercise training in patients with this disease. Eur. J. Appl. Physiol. Occup. Physiol., 1991, 62, 390-393.
• Horowitz M, Littenberg B i in. Dyspnea Ratings for prescribing exercise intensity in patients With COPD. Chest, 1996;109;1169-1175.
• Horowitz M. B., Littenberg B. i wsp. Dyspnea ratings for prescription of cross-modal exercise in patients with COPD. Chest, 1998, 113, 60-64.
• Mejia R., Ward J., Lentine T. i wsp. Target dyspnea ratings predict expected oxygen consumption as well as target heart rate values. Am. J. Respir. Crit. Care Med., 1999, 159, 1485-1489.
• Stulbarg M. S., Carrieri-Kohlman V. i wsp. Accuracy of recall of dyspnea after exercise training sessions. J. Cardiopulm. Rehabil., 1999, 19, 242-248.
• British Thoracic Society Standards of Care Subcommittee on Pulmonary Rehabilitation. Thorax, 2001, 56, 827-834.

Identifiers

DOI

10.2478/v10109-010-0076-x