| Long-term effects of 1-year maintenance training on physical functioning and health status in patients with COPD: A randomized controlled study. | |
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MedLine Citation:
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PMID: 20068423 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To examine whether maintenance training (MT) for 1 year improved the long-term effects of a 7-week chronic obstructive pulmonary disease (COPD) rehabilitation program. METHODS: After a 7-week outpatient rehabilitation program, 96 patients with COPD were randomized to either an MT group (n = 55) or a control group (n = 41). Both groups were requested to continue unsupervised training at home. The MT group received weekly supervised training the first 6 months, supervised training every second week the next 6 months, and finally no supervised training the last 6 months of the 18-month study period. Primary effect parameters were Endurance Shuttle Walk Test (ESWT) time and health status (St. George's Respiratory Questionnaire, SGRQ). Secondary effect parameters were adherence to supervised training, dropout rates, and hospitalization. RESULTS: Compared with the control group, the MT group had significantly better ESWT times at 3 and 6 months (+43.9 seconds; P= .03, and +75.1 seconds; P= .02) and insignificantly higher ESWT time at 12 months (+66.6 seconds; P= .40). SGRQ total score declined gradually after the 7-week program with no difference between the 2 groups, and after 18 months, the score was 1.7 units (95% confidence interval: -0.7 to 4.1) worse than at randomization. There was no difference between the 2 groups regarding dropout rates or hospitalization. DISCUSSION: Weekly MT for 12 months improved walking time but had no influence on health-related quality of life or hospital admissions, compared with unsupervised daily training at home. The effect of the MT was closely related to adherence to the program. |
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Authors:
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Thomas Ringbaek; Eva Brondum; Gerd Martinez; Jane Thogersen; Peter Lange |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Journal of cardiopulmonary rehabilitation and prevention Volume: 30 ISSN: 1932-751X ISO Abbreviation: J Cardiopulm Rehabil Prev Publication Date: 2010 Jan-Feb |
Date Detail:
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Created Date: 2010-01-13 Completed Date: 2010-03-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101291247 Medline TA: J Cardiopulm Rehabil Prev Country: United States |
Other Details:
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Languages: eng Pagination: 47-52 Citation Subset: IM |
Affiliation:
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Department of Cardiology and Respiratory Medicine, University Hospital of Copenhagen, Hvidovre, Denmark. ringbaek@dadlnet.dk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Exercise Therapy* / organization & administration Exercise Tolerance Female Health Status* Hospitalization / statistics & numerical data Humans Male Middle Aged Pulmonary Disease, Chronic Obstructive / rehabilitation* Quality of Life Treatment Outcome Walking |
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