Generic, symptom based, exercise rehabilitation; integrating patients with COPD and heart failure

Respiratory Medicine
R A EvansM D L Morgan

Abstract

Patients with Chronic Heart Failure (CHF) develop similar symptoms of exertional breathlessness and fatigue as patients with COPD. Although pulmonary (exercise based) rehabilitation (PR) is an integral part of the management of COPD, the potential for exercise rehabilitation (ER) to assist patients with CHF may not be as readily appreciated. We investigated whether combined ER for patients with CHF and COPD was feasible and effective using the model of PR. 57 patients with CHF were randomized 2:1 to 7 weeks ER (CHF-ER) or 7 weeks of usual care (CHF-UC). As a comparator 55 patients with COPD were simultaneously recruited to the same ER program (COPD-ER). The primary outcome measure was the Incremental Shuttle Walk Test (ISWT) and the secondary outcome measures were the Endurance Shuttle Walk Test (ESWT), isometric quadriceps strength and health status. 27 CHF and 44 COPD patients completed ER and 17 patients with CHF completed UC. The CHF-ER group made significant improvements, compared to CHF-UC, in the mean (95%CI) ISWT distance; 62(35-89)m vs -6(-11 to 33)m p < 0.001. The CHF-ER group also made statistically significant improvements in health status. The improvements in exercise performance and health status were similar betw...Continue Reading

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Citations

Jul 30, 2014·International Journal of Chronic Obstructive Pulmonary Disease·Kersti TheanderIngela Karlsson
Nov 22, 2013·Respirology : Official Journal of the Asian Pacific Society of Respirology·Marie T WilliamsTanja Effing
Jul 6, 2015·Heart Failure Clinics·Justin M Vader, Michael W Rich
Sep 3, 2016·American Journal of Respiratory and Critical Care Medicine·Sara RoversiAlvar Agustí
Nov 19, 2011·Chronic Respiratory Disease·Rachael A Evans
Jan 23, 2018·Future Cardiology·Bruno BordoniBeatrice Sacconi
Jan 23, 2016·The European Respiratory Journal·Luis Puente-MaestuSusan Ward
Apr 30, 2019·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Bonnie G SteeleJames Hunziker
May 18, 2019·Respirology : Official Journal of the Asian Pacific Society of Respirology·Felicity C Blackstock, Rachael A Evans
Aug 10, 2011·Journal of Cardiopulmonary Rehabilitation and Prevention·Rachael A EvansMichael D L Morgan
Feb 9, 2020·International Journal of Environmental Research and Public Health·Carla SimonelliMara Paneroni
Apr 27, 2011·Current Opinion in Supportive and Palliative Care·Marie Williams
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May 26, 2018·COPD·Michele Vitacca, Mara Paneroni
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Apr 1, 2021·Disability and Rehabilitation·Geovana de Almeida RighiAntônio Marcos Vargas da Silva
May 1, 2021·Annals of the American Thoracic Society·Anne E HollandSally J Singh

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