Please use this identifier to cite or link to this item:
http://hdl.handle.net/10773/27897
Title: | Pulmonary rehabilitation closer to patients – feasibility and effectiveness study |
Author: | Marques, Alda Rebelo, Patrícia Paixão, Cátia Jácome, Cristina Cruz, Joana Rua, Marília Loureiro, Helena Freitas, Célia Valente, Carla Ferreira, Pedro Andrade, Lília Oliveira, Ana |
Issue Date: | 2019 |
Publisher: | European Respiratory Society |
Abstract: | Pulmonary Rehabilitation (PR) remains highly inaccessible to patients with chronic respiratory diseases (CRD). We assessed the effects of a minimal-resource community-based PR programme in patients with CRD. Seventy-seven patients (48 male;68±11yrs;57.7±22.2%FEV1%predicted; 80.3±19.6FVC%predicted) with COPD(n=52), asthma(n=13), asthma-COPD overlap(n=3), interstitial lung disease(n=7), lung transplant due to COPD(n=1) and bronchiectasis(n=1) participated in a 12-week community-based PR programme. The modified Medical Research Council–dyspnoea scale (mMRC), Saint George’s Respiratory Questionnaire (SGRQ), quadriceps muscle strength (QMS), 1-minute sit-to-stand (1-minSTS), six-minute walk test (6MWT), Brief Balance Evaluation System Test (Brief-BESTest) and Hospital Anxiety and Depression Scale (HADS) were collected pre/post PR. Differences were examined using the Student’s t-test/Wilcoxon test and effect sizes (ES) were calculated. The number of patients improving above the minimal clinically important difference (MCID) was established, whenever a MCID was available. Significant improvements were observed (Figure 1). The number of patients above the MCID were: 33 in mMRC(1 point), 47 in SGRQ(4 points); 41 in 1min-STS(3 repetitions); 50 in the 6MWT(25m), 18 in the Brief-BESTest(4.9 points) and 32 and 28 in the HADS Anxiety and Depression scores(1.5 points). Community-based PR programmes are feasible and effective in patients with CRD. |
Peer review: | yes |
URI: | http://hdl.handle.net/10773/27897 |
DOI: | 10.1183/13993003.congress-2019.PA565 |
Appears in Collections: | CIDTFF - Comunicações ESSUA - Comunicações IBIMED - Comunicações Lab3R - Comunicações |
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2019_Marques_Pulmonary rehabilitation closer to patients.pdf | 159.76 kB | Adobe PDF | View/Open |
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