Outcome of pulmonary rehabilitation in patients with COPD: Comparison between patients receiving exercise training and those receiving exercise training and CPAP

Hoshy, Mona Saeed El; Eshmawey, Heba Ahmed; El-Tawab, Sarah Sayed

doi:10.1016/j.ejcdt.2017.10.005

Cited by 7 publications

(3 citation statements)

References 64 publications

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“…This might be attributed to physical exercise (pursed lips exercise and positioning) enhances or maintains physical fitness, respiration and decrease deterioration of condition during attack as well as improved overall health. These result congruent with El Hoshy, Eshmawey and Tawab [42] who stated that a significant statistically significant improvement in the present study after exercise program in COPD patient when compared with control group that received an unstructured program. In line with Lacasse et al [43] who showed that strengthen respiratory muscle, reduce symptoms dyspnea as well as better quality of life after application of exercise training.…”

Section: Discussionsupporting

confidence: 92%

The effects of positioning and pursed-lip breathing exercise on dyspnea and anxiety status in patients with chronic obstructive pulmonary disease

Mohamed

2019

JNEP

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Background and objective: Chronic obstructive pulmonary disease (COPD) remains a significant burden for health. It is one of the most common respiratory disease and leads to limitation of airflow as well as deteriorating health status. The aim of the study was to determine the effects of positioning and pursed lip breathing exercise on dyspnea and anxiety status in patients with chronic obstructive pulmonary disease.Methods: The study was carried in the outpatient clinics in Mansoura University Hospital & Chest Hospital at Mansoura region, utilizing a quasi-experimental study design on sixty patients diagnosed COPD. Participation was randomized into both groups (study group and control group). Pretest, posttest and follow-up evaluation was done using Dyspnea Assessment Scale, Anxiety Assessment Scale and Demographic and Medical History Questionnaires (MHQ). The researcher established exercise program aimed at effecting dyspnea and anxiety in chronic obstructive pulmonary disease patients to help improve breathing and control anxiety. The research was accomplished over four steps namely assessment, planning, implementation and evaluation. Each patient was evaluated at baseline, immediately and three months after implementation of program.Results: There were statistically significant improvements after intervention of program on dyspnea symptoms and anxiety status at post and follow-up test (p < .05). There was a statistically significant improvement in temperature (T), heart rate (HR), blood pressure (BP) and respiratory rate (RR) throughout study (p < .05) after intervention. Also there are positive relation between anxiety and dyspnea after intervention.Conclusions: Developing breathing technique and forward leaning position in COPD patients help to improve physiological outcomes, dyspnea symptoms and anxiety status after implementing of program. It is recommended to implement exercise training program as a part of treatment by health professionals in the clinical setting.

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Section: Discussionsupporting

confidence: 92%

The effects of positioning and pursed-lip breathing exercise on dyspnea and anxiety status in patients with chronic obstructive pulmonary disease

Mohamed

2019

JNEP

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“…Also, Garrod et al [ 25 ] and Dyer et al [ 26 ], in their study of the role of supplemental O 2 added to PR in COPD patients with exercise hypoxemia, suggested a small benefit of O 2 supplementation during PR regarding dyspnea. Furthermore, El Hoshy et al [ 27 ] in their study, compared patients performing exercise training only and those performing exercise training plus CPAP and found significant improvement in mMRCS dyspnea scale in the exercise group and (EX/CPAP group) after completion of the 4-week PR programme with no significant difference between both groups after rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

Effect of pulmonary rehabilitation programme including either O2 inhalation or noninvasive ventilation in patients with chronic obstructive pulmonary disease

Elmorshidy¹,

Elkholy²,

Elsaadany³

et al. 2023

Can J Respir Ther

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Background Pulmonary rehabilitation (PR) is crucial in managing chronic obstructive pulmonary disease (COPD) and enhancing functional capacity and health status. Oxygen therapy and noninvasive ventilation (NIV) may be needed to be incorporated into rehabilitation to augment the effectiveness of physical training. Objectives To compare and assess the impact of the PR programme alone and with augmentation with O 2 or NIV on COPD patients. Methods Seventy-five COPD patients were equally divided into three groups: group 1 patients performed 8 week-PR programme only. Group 2 performed the PR programme while receiving O 2 . Group 3 completed the PR programme plus NIV. Modified Borg scale, VO 2 max, modified Medical Research Council Dyspnea Scale, 6-minute walk test, COPD assessment test score, spirometric measures and arterial blood gases were assessed before and after the programme. Results The outcome measurements showed meaningful improvement compared with the baseline in the three studied groups. However, VO 2 max in group 3 showed higher significant improvement than both groups 1 and 2. Regarding 6-minute walk test, groups 2 and 3 had a higher significant improvement than group 1. COPD assessment test score in group 3 showed higher significant improvement than groups 1 and 2. Arterial blood gases in groups 2 and 3 showed significant increase in partial pressure of arterial oxygen and arterial oxygen saturation, but group 3 only had a significant decrease in PaCO 2 . Conclusion O 2 supplementation and NIV help severe to very severe COPD patients to perform higher exercise intensity, so they augment the benefits of PR.

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“…The underlying cause of COPD is a chronic inflammation in the lung and airways in response to poisonous particles and gases [2]. During physical activity, COPD-associated limitation in the airflow is exacerbated and the resultant dyspnea prevents www.journals.viamedica.pl patients from continuing physical activity [3]. Known factors in the pathophysiology of COPD include environmental and genetic factors and cigarette smoking [4,5].…”

Section: Introductionmentioning

confidence: 99%

Comparing the Effects of Upper Limb and Breathing Exercises on Six-Minute Walking Distance among Patients with Chronic Obstructive Pulmonary Disease: A Three-Group Randomized Controlled Clinical Trial

Dr.yekefallah

Zohal

Keshavarzsarkar

et al. 2019

Advances in Respiratory Medicine

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Introduction: Physical exercise can improve patient outcomes and reduce hospitalization and mortality rates among subjects with chronic obstructive pulmonary disease. This study aimed to compare the effects of upper limb and breathing exercises on six-minute walking distance among these patients. Material and methods: This three-group randomized controlled clinical trial was conducted in 2017-2018 in Velayat hospital, Qazvin, Iran. Seventy-five patients were purposively selected from the outpatient lung clinic of the hospital and randomly allocated to either the 25-patient groups of upper limb exercise, breathing exercise, or control. The patients in the first group were performing upper limb exercises thrice weekly for one month in the study setting. Their counterparts in the second group were doing pursed-lip and diaphragmatic breathing exercises four times daily for one month at their homes. However, the patients in the control group received no exercise intervention. Six-minute walk test was performed by each participant both before and after the study intervention. The SPSS for Windows program (v. 23.0) was used to analyze the data via the Chi-square test, the paired-sample t test, and the one-way analysis of variance. Results: Before the intervention, the groups did not significantly differ from each other respecting six-minute walking distance. During the study, walking distance in the control group did not change significantly, while it remarkably increased in both the upper limb exercise and the breathing exercise groups (p < 0.05). After the intervention, walking distance in the upper limb exercise group was significantly greater than the breathing exercise group (p < 0.05) and the control group (p < 0.05); however, the difference between the breathing exercise and the control groups was not statistically significant (p > 0.05). Conclusion: Upper limb exercise is more effective than breathing exercise in increasing walking distance among patients with chronic obstructive pulmonary disease. Therefore, upper limb exercise can be used as a safe, simple, and inexpensive rehabilitation technique for these patients.

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Outcome of pulmonary rehabilitation in patients with COPD: Comparison between patients receiving exercise training and those receiving exercise training and CPAP

Cited by 7 publications

References 64 publications

The effects of positioning and pursed-lip breathing exercise on dyspnea and anxiety status in patients with chronic obstructive pulmonary disease

The effects of positioning and pursed-lip breathing exercise on dyspnea and anxiety status in patients with chronic obstructive pulmonary disease

Effect of pulmonary rehabilitation programme including either O2 inhalation or noninvasive ventilation in patients with chronic obstructive pulmonary disease

Comparing the Effects of Upper Limb and Breathing Exercises on Six-Minute Walking Distance among Patients with Chronic Obstructive Pulmonary Disease: A Three-Group Randomized Controlled Clinical Trial

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