Home-based exercise training as maintenance after outpatient pulmonary rehabilitation
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Home-based exercise training as maintenance after outpatient pulmonary rehabilitation. / du Moulin, Marcel; Taube, Karin; Wegscheider, Karl; Behnke, Michaela; van den Bussche, Hendrik.
In: RESPIRATION, Vol. 77, No. 2, 2009, p. 139-45.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Home-based exercise training as maintenance after outpatient pulmonary rehabilitation
AU - du Moulin, Marcel
AU - Taube, Karin
AU - Wegscheider, Karl
AU - Behnke, Michaela
AU - van den Bussche, Hendrik
N1 - 2008 S. Karger AG, Basel.
PY - 2009
Y1 - 2009
N2 - 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; FEV(1) 58.6%, 95% CI 53.8-63.4), and 10 patients served as controls (mean age 72 years, 95% CI 69-77; FEV(1) 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 FEV(1) 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.
AB - 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; FEV(1) 58.6%, 95% CI 53.8-63.4), and 10 patients served as controls (mean age 72 years, 95% CI 69-77; FEV(1) 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 FEV(1) 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.
KW - Aged
KW - Exercise Therapy
KW - Exercise Tolerance
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Quality of Life
KW - Respiration Disorders
KW - Respiratory Function Tests
KW - Self Care
KW - Journal Article
KW - Randomized Controlled Trial
U2 - 10.1159/000150315
DO - 10.1159/000150315
M3 - SCORING: Journal article
C2 - 18667807
VL - 77
SP - 139
EP - 145
JO - RESPIRATION
JF - RESPIRATION
SN - 0025-7931
IS - 2
ER -