| Improvement of lasting effects in outpatient pulmonary rehabilitation with special regard to exercise therapy and sports | |
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MedLine Citation:
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PMID: 20178059 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The aim of this study was to evaluate the effects of outpatient medical rehabilitation (OMR) mainly composed of exercise therapy and sports for patients with asbestosis. Following the Hamburg model, the OMR focuses on keeping up lasting effects. METHOD: In the frame of a pre-experimental study, 113 male asbestosis patients aged 66.1+/-5.8 years participated 6 hrs. a day five times a week over a period of three weeks in phase 1 of the OMR consisting of evidence-based contents of the pulmonary rehabilitation. Directly after that further therapeutic applications with the main focus on exercise therapy and sports were applied for 3 hrs. once a week over a period of twelve weeks (phase 2). After phase 2 the rehabilitation centre led the patients into sports groups near their places of residence (phase 3). The effects of the OMR were evaluated at the beginning (T1), at the end of phase 1 (T2) and phase 2 (T3) as well as 6 (T4) and 18 months (T5) after T3 by means of a suitable assessment. RESULTS: Compared to T1 physical fitness (6-minute Walk Test, Hand-Force Test) as well as health-related quality of life (SF-36), dyspnea (BDI/TDI) and oxygen partial pressure (pO2) were significantly improved in T2. These positive effects could be confirmed in T3. 89 patients (79%) were doing health-related sports regularly 6 and 18 months after T3 and could preserve their health outcome in T4 and T5, while the effects of rehabilitation of the 24 patients breaking off any sporting activities wore off again down to and even below the starting condition at T1. CONCLUSIONS: In spite of a restrictive pulmonary disease, specific exercise therapy and sports are able to mobilize physical reserves of performance and induce an increasing quality of life as well as a higher resilience in activities of daily living. These positive effects could be stabilized persistently by a regular training once a week. Thus, the results emphasize the necessity to include strategies of aftercare in the concept of rehabilitation. |
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Authors:
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S Dalichau; A Demedts; A im Sande; T M?ller |
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Publication Detail:
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Type: Clinical Trial; English Abstract; Journal Article Date: 2010-02-22 |
Journal Detail:
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Title: Die Rehabilitation Volume: 49 ISSN: 1439-1309 ISO Abbreviation: Rehabilitation (Stuttg) Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-02-23 Completed Date: 2010-05-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0401273 Medline TA: Rehabilitation (Stuttg) Country: Germany |
Other Details:
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Languages: ger Pagination: 30-7 Citation Subset: IM |
Copyright Information:
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Georg Thieme Verlag KG Stuttgart, New York. |
Affiliation:
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Berufsgenossenschaftliche Unfall-Ambulanz und Reha-Zentrum am Airport Bremen, Bremen. sdalichau@ipl-bremen.de |
Vernacular Title:
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Verbesserung von Nachhaltigkeitseffekten in der ambulanten pneumologischen Rehabilitation unter besonderer Ber?cksichtigung der Sporttherapie. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Ambulatory Care / methods* Asbestosis / diagnosis*, rehabilitation* Exercise Therapy / methods* Humans Longitudinal Studies Male Recovery of Function* Sports* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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