Home-based exercise training as maintenance after outpatient pulmonary rehabilitation
In: Respiration; international review of thoracic diseases, Jg. 77 (2008-03-25), Heft 2
Online
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Zugriff:
Background: Pulmonary rehabilitation is successful in improving exercise capacity and quality of life in patients with chronic obstructive pulmonary disease (COPD). However, training effects diminish over time. Objectives:We evaluated the effects of simple, daily, structured, self-monitored, home-based exercise training for patients with moderate COPD after a 3-week outpatient rehabilitation. Methods: We conducted a randomized, controlled, observer-blind trial. Twenty patients were recruited. Ten patients performed home-based exercise training (mean age 67 years, 95% confidence interval [CI] 63–72; FEV1 58.6%, 95% CI 53.8–63.4), and 10 patients served as controls (mean age 72 years, 95% CI 69–77; FEV1 62.5%, 95% CI 57.7–67.3). At baseline, and after 3 and 6 months, we assessed exercise capacity (6-min walk test, 6MWT, primary endpoint), health-related quality of life (Chronic Respiratory Questionnaire, CRQ) and lung function. An intention-to-treat analysis was performed using two-way ANOVA models for comparison of time trends between random groups. Results: The training group had better results than the control group in 6MWT (p = 0.033), in CRQ total (p = 0.027), CRQ dyspnea (p = 0.014) and CRQ fatigue (p = 0.016). Improvement in FEV1 was also better in the intervention group than in the control group (p = 0.007). Conclusions: We demonstrated that training effects obtained from an outpatient rehabilitation program can be maintained by home-based exercise training in patients with moderate COPD.
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Home-based exercise training as maintenance after outpatient pulmonary rehabilitation
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Autor/in / Beteiligte Person: | Hendrik van den Bussche ; Marcel du Moulin ; Wegscheider, Karl ; Taube, Karin ; Behnke, Michaela |
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Zeitschrift: | Respiration; international review of thoracic diseases, Jg. 77 (2008-03-25), Heft 2 |
Veröffentlichung: | 2008 |
Medientyp: | unknown |
ISSN: | 1423-0356 (print) |
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