Mantenimiento de los efectos tras la rehabilitación pulmonar en pacientes con enfermedad pulmonar obstructiva crónica

Translated title of the contribution: Maintenance of effects after pulmonary rehabilitation in patients with chronic obstructive pulmonary disease

Jordi Vilaró Casamitjana, A. B. Varas de la Fuente, S. Córdoba Fuente, S. García Juez, I. Rodríguez Andonaegui

Research output: Indexed journal article Articlepeer-review

1 Citation (Scopus)

Abstract

Background/objective: The duration of the effects of pulmonary rehabilitation (PR) in patients with chronic obstructive pulmonary disease (COPD) is limited. The aim of the study was to describe the short- and long-term effects of various modalities of clinical PR programs in COPD patients and to identify possible influencing factors. Patients/methods: Retrospective longitudinal observational study was conducted on 35 COPD subjects who received one of the following PR clinical programs (8 weeks): PRP1 (endurance training), PRP2 (endurance-strength training), and PRP3 (endurance-strength-respiratory muscle training). Variables: exercise capacity (distance in the Six-Minute Walk Test, 6MWD), dyspnoea (modified Medical Research Council Scale, mMRC), and respiratory pressures (only PRP3), evaluated pre-treatment, post-treatment and post-12 months. Results: The 6MWD improved post-treatment (59.1 ± 27.3 m, P <.01) and the mMRC Scale was reduced (−0.7 ± 0.4, P < 0.01). Post−12 months after treatment there was a decline in 6MWD (−49.8 ± 23 m, P < 0.01) and an increase in mMRC Scale (0.7 ± 0.4, P < 0.01). These results were slightly higher in the PRP2 and PRP3 groups, but without significant differences (P > 0.05). A similar behaviour was observed in the respiratory pressures. An analysis was made of the possible influencing factors in the decline in 6MWD during follow−up. Only a significant and inverse correlation was found between the increase in post−treatment 6MWD and its post−12 months decline (r = −0.52, P < 0.01). Conclusion: Conventional PR programs in COPD improve exercise capacity and dyspnoea, but these benefits are lost after 12 months without maintenance. The increase in 6MWD after PR may be a prognostic factor of decline in exercise tolerance.

Translated title of the contributionMaintenance of effects after pulmonary rehabilitation in patients with chronic obstructive pulmonary disease
Original languageSpanish
Pages (from-to)297-304
Number of pages8
JournalFisioterapia
Volume40
Issue number6
DOIs
Publication statusPublished - 1 Nov 2018

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