Impact of pulmonary rehabilitation program with cycle ergometry in chronic obstructive pulmonary disease

Impact of pulmonary rehabilitation program with cycle ergometry in chronic obstructive pulmonary disease

Aim: To evaluate impact of pulmonary rehabilitation (PR) on quality of life (QoL) and respiratory variables in Chronic Obstructive Pulmonary Disease (COPD).Materials and methods: PR program for 3 times per week for 8 weeks were performed in patients with COPD. Breathing, upper extremity strengthening and cycle ergometry exercises were performed. PFTs, MMRC dyspnoea scale, BODE Index and 6-minute walking test (6-MWT) were evaluated baseline and after treatment in all patients with COPD. Beck Depression Inventory and State-Trait Anxiety Inventory (STAI I and II) were used for evaluating depression and anxiety and QoL was evaluated with SF-36 scale. Patients having any other cardiac or pulmonary co-morbiditites, inability for attending rehabilitation program (due to physical, physicologic or neurologic problems) were excluded. Results: A total of 50 patients were included (45 male and 5 female patients). Mean age was 59.4±8.8 (56-62). Improvement was detected in exercise capacity, dyspnea severity, QoL, anxiety, and depression levels. Improvement in PFT results were obtained after exercise program. Conclusion: PR program with cycle ergometry is effective in patients with COPD.

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  • 1. Cooper CB. Desensitization to dyspnea in COPD with specificity for exercise training mode. Int J Chron Obstruct Pulmon Dis 2009;4:33-4.
  • 2. MacIntyre NR. Mechanisms of functional loss in patients with chronic lung disease. Respir Care 2008;53:1177-84.
  • 3. Reardon J, Casaburi R, Morgan M, et al. Pulmonary rehabilitation for COPD. Respir Med 2005;99:19-27.
  • 4. Vogelmeier CF, Criner GJ, Martinez FJ, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease 2017 report. GOLD executive summary. American journal of respiratory and critical care medicine, 2017;195.5:557- 82.
  • 5. Maurer J. Anxiety and depression in COPD: Current understanding, unanswered questions, and research needs. Revista portuguesa de pneumologia, 2009;15.4: 740-2.
  • 6. Xu W, Collet JP, Shapiro S, et al. Independent effect of depression and anxiety on chronic obstructive pulmonary disease exacerbations and hospitalizations. Am J Respiratory Critical Care Med 2008, 178.9: 913-920.
  • 7. Salman GF, Mosier MC, Beasley BW, et al. Rehabilitation for patients with chronic obstructive pulmonary disease: meta-analysis of randomized controlled trials. J Gen Intern Med 2003;18:213-21.
  • 8. Nici L, ZuWallack RL. Pulmonary Rehabilitation: Future Directions. Clin Chest Med 2014;35:439-4.
  • 9. Gloeckl R, Schneeberger T, Jarosch I, et al. Pulmonary rehabilitation and exercise training in chronic obstructive pulmonary disease. Deutsches Aerzteblatt Online 2018;115:117–24.
  • 10. Bourbeau J, Julien M, Maltais F, et al. Reduction in hospital utilization in patients with chronic obstructive pulmonary disease. Arch Intern Med 2003;163:585– 91.
  • 11. Bowen JB, Votto JJ, Thrall RS, et al. Functional status following pulmonary rehabilitation. Chest 2000;118:697–703.
  • 12. Lacasse Y, Brosseau L, Milne S, et al. Pulmonary rehabilitation for chronic obstructive pulmonary disease (Cochrane Review). In: The Cochrane Library, Issue 4. Chichester, UK, John Wiley & Sons, Ltd, 2003.
  • 13. Troosters T, Gosselink R, Decramer M. Short- and longterm effects of outpatient rehabilitation in patients with chronic obstructive pulmonary disease: a randomized trial. Am J Med 2000; 109: 207–212.
  • 14. Pirraglia PA, Casserly B, Velasco R, et al. Association of change in depression and anxiety symptoms with functional outcomes in pulmonary rehabilitation patients. J Psychosomatic Res 2011;71:45-9.
  • 15. Paz-Díaz H, Montes de Oca M, López JM, et al. Pulmonary rehabilitation improves depression, anxiety, dyspnea and health status in patients with COPD. Am J Phys Med Rehabil 2007;86:30-6.
  • 16. Global Initiative for Chronic Obstructive Lung Disease (GOLD). http://www. goldcopd.org/Guidelines/guidelines-resources.html
  • 17. Rabe KF, Hurd S, Anzueto A, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respiratory Critical Care Med. 2007;176.6: 532-555.
  • 18. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002;166:111-117.
  • 19. Ware JE Jr, Sherbourne CD. The MOS 36-item shortform health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992;30:473-483.
  • 20. Beck AT, Steer RA. Manual for the Revised Beck Depression Inventory. San Antonio, TX: Psychological Corporation 1987.
  • 21. Fletcher CM. Standardised questionnaire on respiratory symptoms: a statement prepared and approved by the MRC Committee on the Aetiology of Chronic Bronchitis (MRC breathlessness score). BMJ 1960;2:1665.
  • 22. Cameron-Tucker HL, Wood-Baker R, Owen C, et al. Chronic disease self-management and exercise in COPD as pulmonary rehabilitation: a randomized controlled trial. Int J Chron Obstruct Pulmon Dis 2014;9:513-23.
  • 23. Mathur S, Brooks D, Carvalho CR. Structural alterations of skeletal muscle in COPD. Front Physiol. 2014;5:104.
  • 24. Halbert RJ, Natoli JL, Gano A, et al. Global burden of COPD: systematic review and meta-analysis. Eur Respir J 2006;28:523-32.
  • 25. Black-Shinn JL, Kinney GL, Wise AL, et al. The COPD Gene Investigators. Cardiovascular Disease is Associated with COPD Severity and Reduced Functional Status and Quality of Life. COPD 2014;11:546-5.
  • 26. Goldstein R, Brooks D. Pulmonary rehabilitation at the time of the COPD exacerbation. Clin Chest Med 2014;35:391-8.
  • 27. Laveneziana P, Webb KA, Wadell K, et al. Does expiratory muscle activity influence dynamic hyperinflation and exertional dyspnea in COPD? Respir Physiol Neurobiol 2014;199:24-33.
  • 28. Zoeckler N, Kenn K, Kuehl K, et al. Illness perceptions predict exercise capacity and psychological wellbeing after pulmonary rehabilitation in COPD patients. J Psychosom Res 2014;76:146-51.
  • 29. Von Leupoldt A, Taube K, Lehmann K, et al. The impact of anxiety and depression on outcomes of pulmonary rehabilitation in patients with COPD. Chest 2011;140:730-6.
  • 30. Blakemore A, Dickens C, Guthrie E, et al. Depression and anxiety predict health-related quality of life in chronic obstructive pulmonary disease: systematic review and meta-analysis. Int J Chron Obstruct Pulmon Dis 2014;9:501-12.
  • 31. Pradella CO, Belmonte GM, Maia MN, et al. Home- Based Pulmonary Rehabilitation for Subjects With COPD: A Randomized Study. Respir Care 2015;60:526-32.
  • 32. Menadue C, Piper AJ, van't Hul AJ. et al. Non-invasive ventilation during exercise training for people with chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2014;14:5.
  • 33. Nyberg A, Lindström B, Rickenlund A. et al. Lowload/ high-repetition elastic band resistance training in patients with COPD: a randomized, controlled, multicenter trial. Clin Respir J 2015;9:278-88.
  • 34. Normandin EA, McCusker C, Connors M, et al. An evaluation of two approaches to exercise conditioning in pulmonary rehabilitation. Chest 2002;121:1085-91.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
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