Feasibility of a problem-solving exercise program based on short physical performance battery for older patients with chronic respiratory diseases: A multicenter, pilot clinical trial

This study aimed to assess the feasibility and safety of a problem-solving exercise program based on the items in the short physical performance battery (SPPB) for older patients with chronic respiratory diseases (CRDs) to inform future randomized controlled trials. This was a multicenter, prospecti...

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Bibliographic Details
Published in:	Respiratory investigation Vol. 62; no. 6; pp. 1117 - 1123
Main Authors:	Hanada, Masatoshi, Nonoyama, Tadayoshi, Ikeuchi, Tomoyuki, Sasaki, Koki, Suyama, Kazuaki, Nakashita, Masaki, Shiroishi, Ryota, Segawa, Ryosuke, Tanaka, Kengo, Aoki, Hideki, Kitagawa, Chika, Hori, Yuichi, Hashimoto, Shuhei, Matsuzaki, Toshiro, Sato, Shuntaro, Arizono, Shinichi, Tanaka, Takako, Kozu, Ryo
Format:	Journal Article
Language:	English
Published:	Netherlands Elsevier B.V 01-11-2024
Subjects:	Chronic respiratory diseases Exercise frailty Rehabilitation Short physical performance battery Short physical performance battery SpO2 SPPB ADL Chronic respiratory diseases frailty CFS Exercise CRD QF SGRQ MCID Rehabilitation 6MWD COPD
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Summary:	This study aimed to assess the feasibility and safety of a problem-solving exercise program based on the items in the short physical performance battery (SPPB) for older patients with chronic respiratory diseases (CRDs) to inform future randomized controlled trials. This was a multicenter, prospective, non-randomized feasibility study. Participants with CRD received an enhancement program based on the SPPB decline items (balance, walk, and/or chair stand) for 4 weeks. The feasibility, safety, and efficacy of the problem-solving exercise program in improving the SPPB score, physical function, and step count (measured using a pedometer) were assessed. Overall, 36 patients were enrolled in this study, and adherence to the exercise program was high (100%). No exercise program-related adverse events were observed. The implementation of the exercise program ranged from 70 to 100%. The mean daily step count increased from 2152 ± 1498 steps during the first week to 2899 ± 1865 steps in the last week (p<0.01). Additionally, the SPPB total score increased from 8.9 ± 1.8 points to 10.7 ± 1.3 points at the end of the program (p<0.001). The problem-solving exercise program based on SPPB is feasible and safe for older patients with CRDs. However, the effectiveness of this exercise program should be validated in large-scale, randomized-controlled trials in the future. University Hospital Medical Information Network Center (UMIN-CTR) UMIN: approval number: UMIN000048761.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2212-5345 2212-5353 2212-5353
DOI:	10.1016/j.resinv.2024.09.016