Physical Activity Level of Patients With COPD During Pulmonary Rehabilitation
Condition: Chronic Obstructive Pulmonary Disease
MeSH terms: Lung Diseases, Obstructive; Pulmonary Disease, Chronic Obstructive
Study type: Observational

Summary: 
      The aim of the project was to assess the acceptability of the device as well as adherence to
      the study. The objective of study was to assess physical activity in patients with COPD
      during in-hospital pulmonary rehabilitation program. The number of steps, average energy
      expenditure expressed in MET and kcal, and physical activity time during the consecutive 5
      days of the rehabilitation stay were analyzed. Physical activity level was continuously
      monitored to assess intensity during in-hospital procedures as well as during leisure time.
    

Detailed description: 
      The aim of the project was to assess the acceptability of the device as well as adherence to
      the study. The objective of study was to assess physical activity in patients with COPD
      during in-hospital pulmonary rehabilitation program. The number of steps, average energy
      expenditure expressed in MET and kcal, and physical activity time during the consecutive 5
      days of the rehabilitation stay were analyzed. Physical activity level was continuously
      monitored to assess intensity during in-hospital procedures as well as during leisure time.

      Patients participated in pulmonary rehabilitation program consisted of:

        -  specific respiratory exercises for 30 minutes - relaxation exercises for breathing
           muscles, strengthening exercises the diaphragm with resistance, exercises to increase
           costal or chest breathing, prolonged exhalation exercise, chest percussion, once a day
           for 30 min,

        -  training on a cycle ergometer, twice a day for 20-30 min.- until the Heart Rate reaches
           70% of the HRmax (220-age),

        -  fitness exercises - coordination and balance exercises, stretching exercises using
           elastic bands, balls rehabilitation, sensory pillows. Performed in a standing position,
           kneeling, sitting, lying on side, abdomen and back, once a day for 30 min

        -  Schultz autogenic training, once a day 20 min.
    

Intervention name(s): Assessment of physical activity level
Intervention type(s): Device
Intervention description(s): Physical activity was assessed using the Sensewear Armband device. Patients received the device on Thursday mornings, prior to exercise and treatments. The device was placed on the right arm throughout the study. Patients in whom the device monitored a minimum of 95% of the time of the study day were analyzed. Prior to the study, the devices were programmed to record a minimum level of intense (>3MET) and moderate ( >6MET) exercise.
Observational model: Cohort
Time perspective: Prospective
Sampling method: Non-Probability Sample
Study population: 
        Patients diagnosed with chronic obstructive pulmonary disease participating in a 3-week
        hospital-based pulmonary rehabilitation program
      
Keywords: COPD; Physical Activity; SenseWear Armband