COPD patients' ability to follow exercise influences short-term outcomes of rehabilitation

Abstract

Chronic obstructive pulmonary disease (COPD) patients with limited ability to follow exercise protocols may receive smaller benefits from rehabilitation. The association between the ability to follow exercise protocols and short-term outcomes of rehabilitation was assessed in COPD patients.As a measure of the ability to follow exercise protocols, the number of major breaks lasting o1 min was determined in 98 COPD patients during supervised exercise sessions. The benefits from rehabilitation were compared between patients with, on average, more than one and one or fewer major breaks per session.Patients with one or fewer major breaks per session showed significantly greater improvements in exercise capacity (between-groups difference of 38 m for 6-min walking distance, 22

Physical activity for patients undergoing an allogeneic hematopoietic stem cell transplantation: benefits of a moderate exercise intervention

“…Neither VC nor FVC changed considerably in the EG or in the CG from pre-to post-time testing. These results were not surprising because training-related adaptations of the lung are limited (29,30). However, because Bernard et al (31) was able to show positive effects of endurance and strength training on the lung function of patients with chronic obstructive pulmonary disease, we decided to also examine the changes in lung function in our study.…”

“…Neither VC nor FVC changed considerably in the EG or in the CG from pre‐ to post‐time testing. These results were not surprising because training‐related adaptations of the lung are limited (29, 30). However, because Bernard et al.…”

An Official American Thoracic Society/European Respiratory Society Statement: Key Concepts and Advances in Pulmonary Rehabilitation

“…Interval training is a modification of endurance training where high-intensity exercise is interspersed regularly with periods of rest or lower intensity exercise. It results in lower symptom scores and fewer unintended breaks (14,15) despite high absolute training loads, while reproducing the effects of endurance continuous training (14)(15)(16), even in cachectic individuals with severe COPD (17). Interval and continuous training modes generally have comparable improvements in exercise capacity, health-related quality of life, and skeletal muscle adaptations immediately after training (16,(18)(19)(20)(21)(22)(23)(24)(25).…”

Efficacy of pulmonary rehabilitation in severe and critical-ill COVID-19 patients: a controlled study

“…In this controlled study we show that survivors of COVID-19 pneumonia benefit from our well established in-house rehabilitation program [13, 17] and are improved in physical capacity, disease related quality of life and functional outcome. When compared to patients with common pneumonia included in the same rehabilitation program COVID-19 patients achieve a better outcome in physical capacity and gain a similar disease related disability and quality of life.…”