Variability in Quality of Life Outcomes Following a Pulmonary Rehabilitation Program in Patients With COPD

Journal of Cardiopulmonary Rehabilitation and Prevention
Elias F PortoJosé R Jardim

Abstract

Pulmonary rehabilitation (PR) improves exercise tolerance in patients with chronic obstructive pulmonary disease. However, it is unclear why some patients do not improve quality of life during a training program. Our objective was to evaluate the differences between patients with chronic obstructive pulmonary disease who improve and those who do not improve quality of life during a pulmonary rehabilitation program. Seventy-three patients underwent a PR program. All patients trained at 80% (legs) and 50% (arms) of their maximum load. Incremental and endurance tests, 6-min walk test, and health-related quality of life with the St George Respiratory Questionnaire (SGRQ) were measured. We subdivided the groups based on a decrease ≥4 points in the pre- and post-PR SGRQ total score (G1); <4-point change in the SGRQ total score (G2); and an increase in scores ≥4 points (G3). Exacerbation frequency (P = .004) and SGRQ total scores (P < .001) were lower in G1 and G2 than in G3. G1 (P = .0007) and G2 (P = .0005) significantly improved 6-min walk test distance. Before PR, G1 and G2 walked greater distances than G3 (P = .003); however, the difference was no longer significant after PR (P = .34). A significant load increase was seen after P...Continue Reading

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Citations

Jul 25, 2018·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Daniele Giansanti, Giovanni Maccioni
Jun 13, 2021·Journal of Cardiopulmonary Rehabilitation and Prevention·Christos KaragiannisTheodoros Xanthos

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