Exercise performance after standard rehabilitation in COPD patients with lung hyperinflation
Autor: | Enrico Clini, Guido Vagheggini, Ernesto Crisafulli, Franco Pasqua, Elena Venturelli, Andrea Iattoni, Gianluca Biscione, Alfredo Cesario, Sasha Lucic, Nicolino Ambrosino |
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Rok vydání: | 2011 |
Předmět: |
Male
Lung hyperinflation Chronic Obstructive medicine.medical_specialty Functional Residual Capacity medicine.medical_treatment Pulmonary Disease Pulmonary Disease Chronic Obstructive Functional residual capacity Quality of life Internal medicine Internal Medicine COPD Humans Medicine Pulmonary rehabilitation Exercise Lung Aged Retrospective Studies Exercise Tolerance Rehabilitation Pulmonary Gas Exchange business.industry Medicine (all) Retrospective cohort study Middle Aged respiratory system medicine.disease respiratory tract diseases Cohort Linear Models Emergency Medicine Cardiology Physical therapy Female business Body mass index |
Zdroj: | Internal and Emergency Medicine. 9:23-31 |
ISSN: | 1970-9366 1828-0447 |
DOI: | 10.1007/s11739-011-0727-z |
Popis: | The role of pulmonary rehabilitation (PR) in COPD patients with lung hyperinflation has not yet been fully investigated. We retrospectively evaluated the effect of a standard PR course on exercise tolerance and symptoms according to the presence or absence of associated lung hyperinflation, as defined by lung function parameters in three Italian rehabilitation centres. In a cohort of 823 COPD patients (age 71 ± 8 years, FEV1 56 ± 18% pred.) we have systematically recorded: changes (∆) in 6-minute walking test (6MWD) as the primary outcome; dyspnoea (D); muscle fatigue (F); SO2nadir during effort; perceived breathlessness score (MRC); and specific health-related quality of life (SGRQ). Outcomes were compared between patients with lung hyperinflation (n = 283, LH) or without (n = 540 No-LH). Groups were comparable for age, body mass index, baseline exercise tolerance, and breathlessness. ∆-6MWD (+72 ± 47 vs. +62 ± 42 m, p |
Databáze: | OpenAIRE |
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