Document Detail


Pulmonary rehabilitation for chronic obstructive pulmonary disease: a pilot study evaluating a once-weekly versus twice-weekly supervised programme.
MedLine Citation:
PMID:  20113765     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To compare the effectiveness of a once-weekly supervised pulmonary rehabilitation programme with a standard twice-weekly format. DESIGN: Randomised trial of equivalency. SETTING: Pulmonary rehabilitation service of a primary care trust delivered at two physiotherapy outpatient departments. PARTICIPANTS: Thirty patients with chronic obstructive pulmonary disease. OUTCOME MEASURES: Primary outcomes were the Incremental Shuttle Walking Test (ISWT), Endurance Shuttle Walking Test (ESWT) and St George's Respiratory Questionnaire (SGRQ), assessed at baseline and at completion of the supervised programme. Secondary outcomes were home-exercise activity, attendance levels and patient satisfaction with the programme. INTERVENTIONS: The once-weekly group (n=15) received one supervised rehabilitation session per week, and the twice-weekly group (n=15) received two sessions per week, both for 8 weeks, together with a home-exercise plan. RESULTS: After pulmonary rehabilitation, the groups showed similar improvements in exercise tolerance (median values: ISWT once-weekly 60metres, twice-weekly 50metres; ESWT once-weekly 226seconds, twice-weekly 109seconds). However, for health-related quality-of-life, the once-weekly group's score did not change (SGRQ 0), whereas an improvement was seen for the twice-weekly group (SGRQ 3.7). The number of home-exercise sessions and attendance levels were similar between the groups. Patient satisfaction with both formats was high and almost identical between the groups. CONCLUSIONS: This pilot provides data to inform a larger study and shows that the methodology is feasible. The findings suggest that once-weekly supervision may be capable of producing equivalent improvements in exercise tolerance as a twice-weekly programme, but the health-related quality-of-life outcome appeared to be poorer for once-weekly supervision.
Authors:
Fiona Liddell; Janet Webber
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2009-07-24
Journal Detail:
Title:  Physiotherapy     Volume:  96     ISSN:  1873-1465     ISO Abbreviation:  Physiotherapy     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-01     Completed Date:  2010-04-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401223     Medline TA:  Physiotherapy     Country:  England    
Other Details:
Languages:  eng     Pagination:  68-74     Citation Subset:  IM    
Affiliation:
Department of Respiratory Medicine, East and North Herts NHS and Primary Care Trusts, Lister Hospital, Stevenage SG1 4AB, UK. fiona.liddell@nhs.net
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MeSH Terms
Descriptor/Qualifier:
Aged
Ambulatory Care
Exercise Therapy / methods
Female
Health Status
Humans
Male
Middle Aged
Patient Compliance
Patient Satisfaction
Physical Endurance
Physical Therapy Modalities*
Pilot Projects
Pulmonary Disease, Chronic Obstructive / rehabilitation*
Quality of Life
Questionnaires
Treatment Outcome
Walking

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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