effect of individualized pulmonary rehabilitation after moderate or severe exacerbation in individuals with chronic obstructive pulmonary disease.
Published: 2007
Language: eng
Number of pages: 106
ISBN-13: 9780494274101
Description: Purpose. This study was to characterize acute exacerbations (AEs) in terms of health-related quality of life (HRQL) and functional exercise capacity in individuals with chronic obstructive pulmonary disease (COPD) following pulmonary rehabilitation (PR), and examine the feasibility of abbreviated PR after AEs. Methods. Sixty subjects had baselines measures after PR. Those experiencing exacerbations were randomized into two groups. The treatment group attended a 3-week intervention. Results. Thirty-four subjects were randomized. Baseline six-minute walk (6MW) was 66m lower (p&lt;0.02) in those with AEs versus those without. Exacerbations resulted in reductions in the 6MW (Delta-59.3 +/- 80m, p&lt;0.01) and three CRQ domains: fatigue (Delta1 +/- 1.3, p&lt;0.01), emotion (Delta0.6 +/- 0.95, p&lt;0.01) and mastery (Delta0.5 +/- 1.4, p&lt;0.05). Sixteen (94%) individuals completed the intervention. Conclusions . Individuals with lower functional exercise capacity are more likely to experience AEs, exacerbations significantly reduce functional exercise capacity and HRQL, and abbreviated PR after AE is feasible.
Notes: Source: Masters Abstracts International, Volume: 45-06, page: 3154.

Thesis (M.Sc.)--University of Toronto, 2007.

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