Cardiorespiratory adaptation during 6-Minute Walk Test in fibrotic idiopathic interstitial pneumonia patients who did or did not respond to pulmonary rehabilitation

Autor: Cécile Chenivesse, Jean-Marie Grosbois, Baptiste Chéhère, Benoit Wallaert, Valérie Bougault
Přispěvatelé: Université de Brest, ORPHY, 29200 Brest, France, Laboratoire Motricité Humaine Expertise Sport Santé (LAMHESS), Université Nice Sophia Antipolis (... - 2019) (UNS), COMUE Université Côte d'Azur (2015-2019) (COMUE UCA)-COMUE Université Côte d'Azur (2015-2019) (COMUE UCA)-Université de Toulon (UTLN)-Université Côte d'Azur (UCA), Centre de compétences des maladies pulmonaires rares de l'adulte [CHU Lille] (CRMPR), Service de Pneumologie et Immuno-Allergologie [CHU LIlle], Pole Cardio-vasculaire et pulmonaire [CHU Lille], Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille)-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille)-Pole Cardio-vasculaire et pulmonaire [CHU Lille], Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille)-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), FormAction Santé [Pérenchies], Department of Respiratory Medicine, Germon and Gauthier Hospital, Béthune, France.
Rok vydání: 2019
Předmět:
Male
Spirometry
030506 rehabilitation
medicine.medical_specialty
MESH: Idiopathic Pulmonary Fibrosis
medicine.medical_treatment
Population
Walk Test
Physical Therapy
Sports Therapy and Rehabilitation
Hospital Anxiety and Depression Scale
Hypoxemia
03 medical and health sciences
Idiopathic pulmonary fibrosis
0302 clinical medicine
Heart Rate
Internal medicine
[SDV.MHEP.PHY]Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO]
medicine
Humans
Pulmonary rehabilitation
Oximetry
Treatment Failure
education
Idiopathic interstitial pneumonia
Aged
[SDV.EE.SANT]Life Sciences [q-bio]/Ecology
environment/Health
education.field_of_study
medicine.diagnostic_test
Pulmonary Gas Exchange
business.industry
Total Lung Capacity
Rehabilitation
MESH: Quality of Life
Cardiorespiratory fitness
Middle Aged
medicine.disease
Idiopathic Pulmonary Fibrosis
3. Good health
MESH: Walk Test
Quality of Life
Female
MESH: Spirometry
medicine.symptom
MESH: Pulmonary Gas Exchange
0305 other medical science
business
030217 neurology & neurosurgery
Zdroj: European Journal of Physical and Rehabilitation Medicine
European Journal of Physical and Rehabilitation Medicine, Edizioni Minerva Medica, 2019, 55 (1), pp.103-112. ⟨10.23736/S1973-9087.18.05093-1⟩
ISSN: 1973-9095
1973-9087
DOI: 10.23736/s1973-9087.18.05093-1
Popis: International audience; Background: Pulmonary rehabilitation (PR) improves performance in the 6-min walk test (6MWT) in a subset of patients with fibrotic idiopathic interstitial pneumonia (f-IIP); however, a large proportion of patients does not respond to PR.Aim: To investigate the effects of a PR program on cardiorespiratory responses during a 6MWT and to identify the characteristics of patients who do not show improved performance after PR.Design: An observational study.Setting: Patients were recruited from the Competence Centre for Rare Pulmonary Diseases at Lille University Hospital, France and completed an 8-week home-based PR program.Population: A total of 19 patients with f-IIP; 12 with idiopathic pulmonary fibrosis (IPF) and 7 with fibrotic non-specific interstitial pneumonia.Methods: Patients underwent spirometry and completed a 6MWT before and after an 8-week PR program. Gas exchange, heart rate, and pulse O2 saturation were measured continuously during the 6MWT. Quality of life, dyspnea, and anxiety/depression were assessed using the Short-Form 36 (SF-36), the baseline/transition dyspnea index (BDI/TDI), and the Hospital Anxiety and Depression Scale (HADS) questionnaires.Results: Patients who did and did not improve the distance walked in the 6MWT by at least 30 m after PR were classified as responders (N.=9) and non-responders (N.=10), respectively. O2 uptake, ventilation rate, and distance covered during the 6MWT were significantly improved only in the responder group (P
Databáze: OpenAIRE
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