Benefits of a home-based pulmonary rehabilitation program for patients with severe chronic obstructive pulmonary disease

Regiane Resqueti V, Gorostiza A, Gáldiz JB, López de Santa María E, Casan Clarà P, Güell Rous R

This study aimed to assess the short- and medium-term efficacy of such a program in this clinical setting. 38 patients with severe COPD and incapacitating dyspnea were randomized to a control or domiciliary rehabilitation group. The 9-week supervised pulmonary rehabilitation program included educational sessions, respiratory physiotherapy, and muscle training in weekly sessions in the patient's home. Lung function, exercise tolerance, dyspnea, and health-related quality of life with the Chronic Respiratory Questionnaire were assessed at baseline, 9 weeks, and 6 months. Distance covered on the walk test increased significantly in the rehabilitation group and the difference was maintained at 6 months. Dyspnea also improved significantly with rehabilitation, but the reduction was not evident at 6 months. Statistically significant improvements in symptoms related to 2 CRQ domains were detected between baseline and 9 weeks.  A clinically relevant but not statistically significant change in mastery over disease was detected. All improvements were maintained at 6 months.

Home-based pulmonary rehabilitation for patients with severe to very severe COPD and severe functional incapacity leads to improvements in exercise tolerance and health-related quality of life that are maintained at 6 months.

Archivos Bronconeumologia, 2007, 43(11), 599-604

Link to Abstract

Principles of Exercise Rehabilitation

Join Lee Herrington to explore the fundamentals of physical stress theory, the effects of loading, mobility and rigidity and the influence of pain, to improve the foundations of all your…