Effect of home-based pulmonary rehabilitation in patients with idiopathic pulmonary fibrosis

Özalevli, Sevgi; Karaali, Hayriye Kul; Ilgin, Duygu; Uçan, Eyüp Sabri

doi:10.4081/mrm.2010.336

Cited by 9 publications

(10 citation statements)

References 13 publications

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“…27 Although some small trials reported no change in 6-MWD, 28 we found significant short-term improvements in this outcome in IPF patients following pulmonary rehabilitation just as other studies. 29,30 Only two RCTs 2,14 investigated the long-term outcomes using 6-MWD and no significant benefits were found for 6-11 months from baseline.…”

Section: Discussionmentioning

confidence: 99%

Short- and long-term effects of pulmonary rehabilitation for idiopathic pulmonary fibrosis: a systematic review and meta-analysis

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Short- and long-term effects of pulmonary rehabilitation for idiopathic pulmonary fibrosis: a systematic review and meta-analysis

et al. 2018

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“…The management of depression did not therefore influence mortality, but may be of primary importance in improving QoL in patients with IPF [144]. Recent studies have demonstrated that pulmonary rehabilitation programmes including educational approaches, disease management strategies and physical activities do significantly improve exercise capacity, dyspnoea and QoL in patients with IPF [144][145][146]. Subjects with IPF could benefit from cognitive behavioural therapy and counselling by qualified healthcare specialists.…”

Section: Anxiety and Depressionmentioning

confidence: 99%

Comorbidities in idiopathic pulmonary fibrosis: an underestimated issue

et al. 2019

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Idiopathic pulmonary fibrosis (IPF) is a progressive and fibrosing lung disease with a poor prognosis. Between 60% and 70% of IPF patients die of IPF; the remaining causes of death may be due to comorbidities occurring in this ageing population. Interest in the role played by comorbidities in IPF has increased in the past few years. The optimal clinical management of IPF is multifaceted and not only involves antifibrotic treatment, but also vaccinations, oxygen supplementation, evaluation of nutritional status as well as psychological support and patient education. Symptom management, pulmonary rehabilitation, palliative care and treatment of comorbidities represent further areas of clinical intervention. This review analyses the major comorbidities observed in IPF, focusing on those that have the greatest impact on mortality and quality of life (QoL). The identification and treatment of comorbidities may help to improve patients' health-related QoL (i.e. sleep apnoea and depression), while some comorbidities (i.e. lung cancer, cardiovascular diseases and pulmonary hypertension) influence survival. It has been outlined that gathering comorbidities data improves the prediction of survival beyond the clinical and physiological parameters of IPF.

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“…venous leg ulcers; 18). In contrast, unsupervised home-based exercise programmes in people with idiopathic pulmonary fibrosis demonstrated significantly low levels of exercise attendance and limited improvement [23][24][25]. The exercise programme stressed the cardiovascular system moderately (aver.…”

Section: Feasibility Outcomes and Individuals' Experiences Of Exercismentioning

confidence: 97%

Exploring the feasibility of an exercise programme including aerobic and resistance training in people with limited cutaneous systemic sclerosis

et al. 2020

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Objectives It is suggested that exercise can improve the vascular function and quality of life (QoL) in people with systemic sclerosis (SSc), potentially offering clinical benefits to this population. Yet the feasibility of such an intervention remains untested. Therefore, the purpose of this study is to examine the feasibility of a combined exercise protocol (aerobic and resistance training) in people with limited cutaneous SSc (lcSSc). Methods Thirty-two lcSSc patients (66.5 ± 12 years old) were randomly allocated in two groups (exercise and control group). The exercise group underwent a 12-week exercise programme, twice per week. All patients performed the baseline, three-and six-month follow-up measurements where functional ability, body composition and QoL were assessed. Participants' experiences were explored through interviews. Results Compliance was 92.6% with no dropouts. The individuals' confidence to participate in the study's exercise protocol for twice per week was 95%. The average value for the physical activity enjoyment scale was 103 ± 10 out of 119 (highest score). The mean values for the intention to engage in exercise twice per week were 6.4 ± 1 (likely) out of 7 (very likely). QoL for the exercise group showed to have a better life satisfaction, less anxiety and Raynaud's phenomenon-accompanied pain. Conclusions Our results suggest that a combined exercise protocol was feasible for people with lcSSc, with no adverse events, resulting in high adherence and low attrition rates, high enjoyment levels and intentions for future engagement to this exercise. Thus, the specific protocol is a safe adjunct therapy for people with lcSSc. Trial registration: ClinicalTrials.gov (NCT number): NCT03058887, February 23, 2017, https://clinicaltrials.gov/ct2/show/ NCT03058887?term=NCT03058887&rank=1Key Points • High-intensity interval training in combination with resistance training constitutes a feasible exercise protocol for people with lcSSc.• Overall, the exercise programme demonstrated high adherence and enjoyment levels and low attrition rates. • The exercise protocol was proved to be safe with no adverse events for people with lcSSc.

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Effect of home-based pulmonary rehabilitation in patients with idiopathic pulmonary fibrosis

Cited by 9 publications

References 13 publications

Short- and long-term effects of pulmonary rehabilitation for idiopathic pulmonary fibrosis: a systematic review and meta-analysis

Short- and long-term effects of pulmonary rehabilitation for idiopathic pulmonary fibrosis: a systematic review and meta-analysis

Comorbidities in idiopathic pulmonary fibrosis: an underestimated issue

Exploring the feasibility of an exercise programme including aerobic and resistance training in people with limited cutaneous systemic sclerosis

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