|
|
||||||||
Clinical Trial |
The purpose of this study was to investigate the effects on activities of daily living, quality of life, and exercise tolerance of a comprehensive out-patient rehabilitation programme for patients with moderate-to-severe chronic obstructive pulmonary disease. In this randomized and controlled trial, the main outcome measures were Activities of Daily Living (ADL) score, York Quality of Life Questionnaire (YQLQ) score, Chronic Respiratory Disease Questionnaire (CRDQ) score, 6 min walking distance (6MWD), forced expiratory volume in one second (FEV1), and forced vital capacity (FVC). The rehabilitation programme included physical training, occupational therapy, education, and smoking cessation therapy, and lasted for 12 weeks. The patients were evaluated at entry, halfway through, and at the end of the programme. Follow-up was at 24 weeks. Forty seven patients were recruited, and 16 in each group completed the trial. There were significant differences in the improvements in ADL and CRDQ between the control and the treatment groups at 12 and 24 weeks, and at 24 weeks, respectively. At 6, 12 and 24 weeks, improvements in the 6MWD were 21.6 versus 79.8, 36.1 versus 113.1 and 21.4 versus 96.2 for control and treatment groups, respectively (p<0.004). A correlation matrix showed only ADL and 6MWD to be significantly correlated; the matrix was also used to validate the translated questionnaires. The programme required 124 staff-hours in total. An inexpensive, comprehensive out-patient rehabilitation programme can produce long-term improvement in activities of daily living, quality of life, and exercise tolerance in patients with moderate-to-severe chronic obstructive pulmonary disease.
This article has been cited by other articles:
![]() |
M. A. Puhan, M. J. Mador, U. Held, R. Goldstein, G. H. Guyatt, and H. J. Schunemann Interpretation of treatment changes in 6-minute walk distance in patients with COPD Eur. Respir. J., September 1, 2008; 32(3): 637 - 643. [Abstract] [Full Text] [PDF] |
||||
![]() |
F. Di Meo, C. Pedone, S. Lubich, C. Pizzoli, M. Traballesi, and R. A. Incalzi Age does not hamper the response to pulmonary rehabilitation of COPD patients Age Ageing, September 1, 2008; 37(5): 530 - 535. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. R. Celli Update on the Management of COPD Chest, June 1, 2008; 133(6): 1451 - 1462. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. J. Wilt, D. Niewoehner, R. MacDonald, and R. L. Kane Management of Stable Chronic Obstructive Pulmonary Disease: A Systematic Review for a Clinical Practice Guideline Ann Intern Med, November 6, 2007; 147(9): 639 - 653. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. L. Ries, G. S. Bauldoff, B. W. Carlin, R. Casaburi, C. F. Emery, D. A. Mahler, B. Make, C. L. Rochester, R. ZuWallack, and C. Herrerias Pulmonary Rehabilitation: Joint ACCP/AACVPR Evidence-Based Clinical Practice Guidelines Chest, May 1, 2007; 131(5_suppl): 4S - 42S. [Abstract] [Full Text] [PDF] |
||||
![]() |
S Skumlien, E A Skogedal, O Bjortuft, and M S Ryg Four weeks' intensive rehabilitation generates significant health effects in COPD patients Chronic Respiratory Disease, February 1, 2007; 4(1): 5 - 13. [Abstract] [PDF] |
||||
![]() |
C. E Bolton, R. Broekhuizen, A. A Ionescu, L. S Nixon, E. F M Wouters, D. J Shale, and A. M W J Schols Cellular protein breakdown and systemic inflammation are unaffected by pulmonary rehabilitation in COPD Thorax, February 1, 2007; 62(2): 109 - 114. [Abstract] [Full Text] [PDF] |
||||
![]() |
A.-I. Raffaele, C. Andrea, P. Claudio, T. Luigi, A. Domenico, S. Aldo, I. Orsola, and R. Franco Drawing Impairment Predicts Mortality in Severe COPD Chest, December 1, 2006; 130(6): 1687 - 1694. [Abstract] [Full Text] [PDF] |
||||
![]() |
F. Pitta, T. Troosters, V. S. Probst, M. A. Spruit, M. Decramer, and R. Gosselink Quantifying physical activity in daily life with questionnaires and motion sensors in COPD. Eur. Respir. J., May 1, 2006; 27(5): 1040 - 1055. [Abstract] [Full Text] [PDF] |
||||
![]() |
R ZuWallack, A Hashim, C McCuskerl, E Nonnandin, M L Benoit-Connors, and B Lahiri The trajectory of change over multiple outcome areas during comprehensive outpatient pulmonary rehabilitation Chronic Respiratory Disease, January 1, 2006; 3(1): 11 - 18. [Abstract] [PDF] |
||||
![]() |
B. R. Celli Chronic Obstructive Pulmonary Disease: From Unjustified Nihilism to Evidence-based Optimism. Proceedings of the ATS, January 1, 2006; 3(1): 58 - 65. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. S. Hill Pulmonary rehabilitation. Proceedings of the ATS, January 1, 2006; 3(1): 66 - 74. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. M. Norweg, J. Whiteson, R. Malgady, A. Mola, and M. Rey The Effectiveness of Different Combinations of Pulmonary Rehabilitation Program Components: A Randomized Controlled Trial Chest, August 1, 2005; 128(2): 663 - 672. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. Verrill, C. Barton, W. Beasley, and W. M. Lippard The Effects of Short-term and Long-term Pulmonary Rehabilitation on Functional Capacity, Perceived Dyspnea, and Quality of Life Chest, August 1, 2005; 128(2): 673 - 683. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Troosters, R. Casaburi, R. Gosselink, and M. Decramer Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease Am. J. Respir. Crit. Care Med., July 1, 2005; 172(1): 19 - 38. [Full Text] [PDF] |
||||
![]() |
M Decramer, R Gosselink, P Bartsch, C-G Lofdahl, W Vincken, R Dekhuijzen, J Vestbo, R Pauwels, R Naeije, and T Troosters Effect of treatments on the progression of COPD: report of a workshop held in Leuven, 11-12 March 2004 Thorax, April 1, 2005; 60(4): 343 - 349. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. J. Schunemann, R. Goldstein, M. J. Mador, D. McKim, E. Stahl, M. Puhan, L. E. Griffith, B. Grant, P. Austin, R. Collins, et al. A randomised trial to evaluate the self-administered standardised chronic respiratory questionnaire Eur. Respir. J., January 1, 2005; 25(1): 31 - 40. [Abstract] [Full Text] [PDF] |
||||
![]() |
D Dattal and R ZuWallack High versus low intensity exercise training in pulmonary rehabilitation: is more better? Chronic Respiratory Disease, July 1, 2004; 1(3): 143 - 149. [Abstract] [PDF] |
||||
![]() |
K Dheda, A Crawford, G Hagan, and C M Roberts Implementation of British Thoracic Society guidelines for acute exacerbation of chronic obstructive pulmonary disease: impact on quality of life Postgrad. Med. J., March 1, 2004; 80(941): 169 - 171. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. D. Sin, F. A. McAlister, S. F. P. Man, and N. R. Anthonisen Contemporary Management of Chronic Obstructive Pulmonary Disease: Scientific Review JAMA, November 5, 2003; 290(17): 2301 - 2312. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Emtner, J. Porszasz, M. Burns, A. Somfay, and R. Casaburi Benefits of Supplemental Oxygen in Exercise Training in Nonhypoxemic Chronic Obstructive Pulmonary Disease Patients Am. J. Respir. Crit. Care Med., November 1, 2003; 168(9): 1034 - 1042. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. P. Hui and A. B. Hewitt A Simple Pulmonary Rehabilitation Program Improves Health Outcomes and Reduces Hospital Utilization in Patients With COPD Chest, July 1, 2003; 124(1): 94 - 97. [Abstract] [Full Text] [PDF] |
||||
![]() |
J.R. Curtis and D.L. Patrick The assessment of health status among patients with COPD Eur. Respir. J., June 1, 2003; 21(41_suppl): 36S - 45s. [Abstract] [Full Text] [PDF] |
||||
![]() |
P W Jones Health status measurement in chronic obstructive pulmonary disease Thorax, November 1, 2001; 56(11): 880 - 887. [Abstract] [Full Text] [PDF] |
||||
![]() |
T L Griffiths, C J Phillips, S Davies, M L Burr, and I A Campbell Cost effectiveness of an outpatient multidisciplinary pulmonary rehabilitation programme Thorax, October 1, 2001; 56(10): 779 - 784. [Abstract] [Full Text] [PDF] |
||||
![]() |
W. J. Rejeski and S. L. Mihalko Physical Activity and Quality of Life in Older Adults J. Gerontol. A Biol. Sci. Med. Sci., October 1, 2001; 56(90002): 23 - 35. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. Guell, P. Casan, J. Belda, M. Sangenis, F. Morante, G. H. Guyatt, and J. Sanchis Long-term Effects of Outpatient Rehabilitation of COPD: A Randomized Trial Chest, April 1, 2000; 117(4): 976 - 983. [Abstract] [Full Text] [PDF] |
||||
![]() |
Pulmonary Rehabilitation---1999 Am. J. Respir. Crit. Care Med., May 1, 1999; 159(5): 1666 - 1682. [Full Text] [PDF] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |