PULMONARY REHABILITATION IN COPD PATIENTS. OBSERVATIONAL STUDY

  • Mara BALTEANU Marius Nasta” National Institute of Pneumophtysiology, Bucharest
  • C. KAMAL University of Medicine and Pharmacy Craiova
  • Diana KAMAL “Elga” Polyclinic, Craiova
  • Paraschiva POSTOLACHE “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Rodica TRAISTARU University of Medicine and Pharmacy Craiova

Abstract

PULMONARY REHABILITATION IN COPD PATIENTS-OBSERVATIONAL STUDY (Abstract): The aim was to analyze the effects of an 8-week pulmonary rehabilitation (PR) program on quality of life (QoL), physical performance (6MWD value - six-minute walk test) and pulmonary function in patients with mild and moderate COPD.  Material and methods: 23 subjects with COPD with FEV1≥50% were assigned to a clinic treatment group (n=12) or a home exercise group (n=11). Subjects in the first group received supervised exercise program over a 6-week period after 2 weeks inpatient PR program. Subjects in the second group received the same exercise program initially in hospital, followed by 6 weeks of home exercises, reinforced by a clinic visit at 2 weeks. Measured outcomes were the 6MWD, the generic QoL scale St. George’s Respiratory Questionnaire Disease (SCRQ) and statistical analysis by ANOVA test. Results: Both groups showed clinically and statistically significant improvements in 6MWD and SCRQ scores at 8 weeks; improvements were still evident in both groups at 3 months. By 8 weeks, SGRQ scores had improved in both groups with 28% and 24%; 6 MWD had improved with 13% and 5%, and important differences were observed in the mean changes of 6MWD: 56.42 m in the first group, 17.7 m in the second group. At 3 months, the results of both groups were substantially and about equally improved over baseline measurements. Conclusions: Subjects in the first group were more satisfied with the overall outcome of their rehabilitation treatment compared with subjects in the second group.

Author Biographies

C. KAMAL, University of Medicine and Pharmacy Craiova

Faculty of Medicine

Paraschiva POSTOLACHE, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Medical Specialties (I)
Rehabilitation Clinical Hospital, Iasi

Rodica TRAISTARU, University of Medicine and Pharmacy Craiova

Faculty of Medicine

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Published
2018-10-03
Section
INTERNAL MEDICINE - PEDIATRICS