The effect of pulmonary rehabilitation on physical performance and health related quality of life in patients with chronic lung disease

Vinan-Vega, Myrian; Mantilla, Barbara; Yang, Shengping; Nugent, Kenneth

doi:10.1016/j.rmed.2021.106533

Cited by 5 publications

(4 citation statements)

References 25 publications

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“…Therefore, compared to those reported in previous literature, our recruited patients had relatively lower baseline scores for both primary and secondary outcomes. One study showed that patient's baseline condition may influence or limit the extent of improvement when assessing outcomes after exercise training [ 27 ]. In other words, patients with poorer baseline conditions may derive greater benefit from exercise training.…”

Section: Discussionmentioning

confidence: 99%

“…To evaluate dyspnea symptoms, the Modified Medical Research Council (mMRC) scale and COPD Assessment Test (CAT) were calculated using the standard procedures for these questionnaires. MCID was -0.5 [ 27 ] and -2.0 [ 28 ] for the two assessments, respectively. Anxiety and depression were evaluated using the Hospital Anxiety and Depression Scale (HAD-A and HAD-D), and MCID was -1.3 and -1.5 for the two scales, respectively [ 28 ].…”

Section: Methodsmentioning

confidence: 99%

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Effects and long-term outcomes of endurance versus resistance training as an adjunct to standard medication in patients with stable COPD: a multicenter randomized trial

Cui,

Ji,

et al. 2024

BMC Pulm Med

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Background Comparisons between endurance training (ET) and resistance training (RT) have produced equivocal findings in chronic obstructive pulmonary disease (COPD) patients. The purpose of our study is to investigate the effectiveness and long-term outcomes of adding ET and RT to conventional medical treatment in patients with COPD. A secondary objective is to investigate the clinical improvements resulting from exercise training in patients with different disease severities. Methods The study was a multicenter, prospective trial in people with stable COPD. The cohort was randomized to three groups: individualized medical treatment group (MT), MT + endurance training group (MT + ET) and MT + resistance training group (MT + RT). Exercise was performed 3 times weekly over a 12-week period. The endpoints of exercise capacity, health-related quality of life, COPD symptoms, lung function, and anxiety and depression questionnaires were re-evaluated at baseline, at the completion of the intervention and at 6 and 12-month follow-up. According to the COPD assessment tool offered by GOLD guidelines, patients were stratified into GOLD A and B groups and GOLD C and D groups for further subgroup analysis. Results The intention-to-treat (ITT) population included 366 patients, 328 of them completed the study protocol over 12 months (the PP-population). There were no significant differences in the primary outcome, quality of life, between patients who underwent medical treatment (MT) alone, MT + endurance training (MT + ET), or MT + resistance training (MT + RT) at the completion of the intervention, 6-, or 12-month follow-up. Additionally, no significant differences were observed between MT, MT + RT, or MT + ET groups concerning the primary outcome, exercise capacity (3MWD), after initial 3 months of intervention. However, a small statistically significant difference was noted in favor of MT + ET compared to MT + RT at 12 months (ITT: Δ3MWD in ET vs RT = 5.53 m, 95% confidence interval: 0.87 to 13.84 m, P = 0.03) (PP: Δ3MWD in ET vs RT = 7.67 m, 95% confidence interval: 0.93 to 16.27 m, P = 0.04). For patients in the GOLD C and D groups, improvement in quality of life following ET or RT was significantly superior to medical intervention alone. Furthermore, upon completion of the exercise regimen, RT exhibited a greater improvement in anxiety compared to ET in these patients (ITT: ΔHAD-A at 3-month: RT = -1.63 ± 0.31 vs ET = -0.61 ± 0.33, p < 0.01) (PP: ΔHAD-A at 3-month: RT = -1.80 ± 0.36 vs ET = -0.75 ± 0.37, p < 0.01). Conclusions Our study presents evidence of the beneficial effects of ET and RT in combination with standard medical treatment, as well as the long-term effects over time after the intervention. While the statistically significant effect favoring ET over RT in terms of exercise capacity was observed, it should be interpreted cautiously. Patients in severe stages of COPD may derive greater benefits from either ET or RT and should be encouraged accordingly. These findings have implications for exercise prescription in patients with COPD. Trial registration ChiCTR-INR-16009892 (17, Nov, 2016).

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Effects and long-term outcomes of endurance versus resistance training as an adjunct to standard medication in patients with stable COPD: a multicenter randomized trial

Cui,

Ji,

et al. 2024

BMC Pulm Med

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“…O teste pode ser influenciado por fatores pulmonares e extrapulmonares, como fraqueza muscular, doença cardiovascular e depressão. Pacientes com doença pulmonar crônica demandam maior ventilação durante o exercício físico devido à maior dificuldade para respirar, maior espaço ventilatório morto e anormalidades na troca gasosa, o que resulta em níveis diminuídos de atividade, e consequente desenvolvimento de fraqueza muscular periférica e pior condicionamento físico (Cornelison & Pascual, 2019;Vinan-Vega et al, 2021).…”

Section: Discussionunclassified

“…A demonstração de DMCI é útil ferramenta para determinar a efetividade do PRP (Vinan-Vega et al, 2021). Evidências sugerem que os benefícios da RP na qualidade de vida e capacidade de exercício podem estar presentes a longo prazo, estendendo-se por 3 ou mais anos (Candemir et al, 2021;Yohannes et al, 2021).…”

Section: Discussionunclassified

Impacto de um programa de reabilitação pulmonar em pacientes com doenças pulmonares crônicas em um centro de atenção terciária

Aires

Costa

Paes³

et al. 2022

RSD

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Doenças pulmonares crônicas podem determinar limitações nas atividades diárias e qualidade de vida prejudicada. A Reabilitação Pulmonar (RP) consiste em um tratamento integral e individualizado que objetiva melhorar a condição física e psicológica dos pacientes e pode ser empregada no manejo de diferentes pneumopatias. A avaliação da qualidade de vida e da capacidade funcional de exercício de pacientes submetidos à RP permite quantificar o efeito da intervenção e a resposta ao tratamento instituído. Assim, objetivou-se avaliar o impacto de um Programa de Reabilitação Pulmonar (PRP) na qualidade de vida e na capacidade funcional de exercício de pacientes com doenças pulmonares crônicas, buscando determinar presença de Diferença Mínima Clinicamente Importante (DMCI) ao final do período de reabilitação. Trata-se de uma série de casos com delineamento retrospectivo realizado a partir de coleta de dados em prontuários de 37 pacientes com diferentes pneumopatias crônicas submetidos a um PRP entre 2016 e 2019 em um centro terciário de atenção à saúde em São Luís, Maranhão. Observou-se que os pacientes que finalizaram o PRP obtiveram melhora significativa nos resultados do questionário de qualidade de vida Saint George Respiratory Questionnaire (SGRQ) e na distância percorrida no Teste de Caminhada de Seis Minutos (TC6). Neste último, aproximadamente metade (48,6%) dos participantes obtiveram DMCI, representado principalmente pelo grupo de pacientes portadores de Doença Pulmonar Obstrutiva Crônica (DPOC). Concluiu-se que pacientes com doenças pulmonares crônicas submetidos à RP podem obter desfechos clínicos favoráveis, com a melhora da capacidade de exercício e da qualidade de vida.

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Adherencia a la rehabilitación pulmonar en pacientes con enfermedad pulmonar instersticial difusa (EPID)

Betancourt-Peña

Agredo-Giraldo

2023

Fisioterapia

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The effect of pulmonary rehabilitation on physical performance and health related quality of life in patients with chronic lung disease

Cited by 5 publications

References 25 publications

Effects and long-term outcomes of endurance versus resistance training as an adjunct to standard medication in patients with stable COPD: a multicenter randomized trial

Effects and long-term outcomes of endurance versus resistance training as an adjunct to standard medication in patients with stable COPD: a multicenter randomized trial

Impacto de um programa de reabilitação pulmonar em pacientes com doenças pulmonares crônicas em um centro de atenção terciária

Adherencia a la rehabilitación pulmonar en pacientes con enfermedad pulmonar instersticial difusa (EPID)

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