Clinical Benefits of Home-Based Pulmonary Rehabilitation in Patients With Chronic Obstructive Pulmonary Disease

PURPOSE:To evaluate the benefits of home-based pulmonary rehabilitation (PR) in patients with severe and very severe chronic obstructive pulmonary disease (COPD). METHODS:Randomized clinical trial involving 58 patients. Pulmonary function, quality of life evaluated by the Saint George Respiratory Qu...

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Published in:	Journal of cardiopulmonary rehabilitation and prevention Vol. 34; no. 5; pp. 355 - 359
Main Authors:	de Sousa Pinto, Juliana M, Martín-Nogueras, Ana M, Calvo-Arenillas, José I, Ramos-González, Jacinto
Format:	Journal Article
Language:	English
Published:	United States Wolters Kluwer Health \| Lippincott Williams & Wilkins 01-09-2014
Subjects:	Activities of Daily Living Aged Exercise Test - methods Exercise Therapy - methods Exercise Tolerance Female Home Care Services - statistics & numerical data Humans Male Pulmonary Disease, Chronic Obstructive - rehabilitation Quality of Life Surveys and Questionnaires
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Summary:	PURPOSE:To evaluate the benefits of home-based pulmonary rehabilitation (PR) in patients with severe and very severe chronic obstructive pulmonary disease (COPD). METHODS:Randomized clinical trial involving 58 patients. Pulmonary function, quality of life evaluated by the Saint George Respiratory Questionnaire, breathlessness evaluated by the London Chest Activity of Daily Living Scale, and exercise tolerance evaluated by 6-minute walk distance were assessed at baseline and at 12 weeks. The program consisted of 2 weekly visits by a physiotherapist in the first 2 weeks, followed by visits twice a month, as well as weekly telephone calls. Training included breathing and stretching exercises and strength exercises (upper and lower limbs), along with endurance training, including walking, stair climbing, cycling, and treadmill walking, depending on available patient resources. RESULTS:The treatment group (TG; n = 23) and control group (CG; n = 18) completed the study. Following the intervention, no statistically significant differences were found in pulmonary function in the TG and CG. The TG exhibited statistically significant differences in the activity domain (P = .008), impact domain (P < .001), and total scores of the Saint George Respiratory Questionnaire (P < .001). In addition, the TG demonstrated statistically significant differences in all domains of the London Chest Activity of Daily Living Scale and no differences were observed in the CG after 12 weeks. There was a statistically significant difference in the 6-Minute Walk Distance in the TG after rehabilitation (P = .008). CONCLUSIONS:This study offers evidence that home-based PR promotes benefits in the quality of life, breathlessness in activities of daily living, and exercise capacity in patients with severe and very severe COPD. Home-based PR must be considered as part of the treatment for patients who live far from hospitals even in severe COPD.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-News-1 ObjectType-Feature-3 content type line 23
ISSN:	1932-7501 1932-751X
DOI:	10.1097/HCR.0000000000000061