Objective To determine if supervised hospital-based exercise can maintain the benefits of functional exercise ability and quality of life gained from a pulmonary rehabilitation program in COPD.Methods A prospective and randomized study was carried out. Following completion of an eight-week pulmonary rehabilitation program in hospital, 43 COPD patients were recruited and randomized into either a supervised group ( supervised, every 10 days, hospital-based exercise, 22 cases ) or a control group ( unsupervised home exercise,21 cases) and followed for 12 months. Measurements were taken at baseline and 12 months later. Exercise measurements include six-minute walk test( 6MWT) and pulmonary function test. Quality of life was measured using the Chronic Respiratory Questionnaire ( CRQ) . Results After 12 months of different exercise program,6MWT in the supervised group was significantly longer than that in the unsupervised group[ ( 532. 0 ±168. 4) m vs ( 485. 0 ±151. 6) m, P lt; 0. 05] . There was no significant difference in pulmonary function between the two groups. The quality of life of the supervised group was higher than that of the unsupervised group( 114. 6 ±20. 8 vs 105. 6 ±21. 7, P lt;0. 05) . Conclusions After the completion of pulmonary rehabilitation program, a supervised, every 10 days, hospital-based following exercise program can maintain better functional exercise capacity and quality of life compared to home exercise in COPD patients.
Citation：
MENG Zhigang,SHE Ruifang,YAO Bin.. Effects of Supervised Periodical Exercise Programs on Maintaining Functional Exercise Capacity and Quality of Life after Pulmonary Rehabilitation in COPD. Chinese Journal of Respiratory and Critical Care Medicine, 2010, 9(2): 133-136. doi:
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- 2. Lacasse Y,Brosseau L,Milne S,et al.Pulmonary Rehabilitation for Chronic Obstructive Pulmonary Disease.Physiotherapy,2002,88:720-721.
- 3. Cambach W,Wagenaar RC,Koelman PT,et al.The long-term effects of pulmonary rehabilitation in patients with asthma and chronic obstructive pulmonary disease:A research synthesis.Arch Phys Med Rehabil,1999,80:103-111.
- 4. Ries AL,Kaplan RM,Limberg TM,et al.Effects of pulmonary rehabilitation on physiologic and psychosocial outcomes in patients with chronic obstructive pulmonary disease.Ann Intern Med,1995,122:823-832.
- 5. Ries AL,Ellis B,Hawkins RW.Upper extremity exercise training in chronic obstructive pulmonary disease.Chest,1988,93:688-692.
- 6. American Thoracic Society:ATS Statement:Guidelines for the six-minute walk test.Am J Respir Crit Care 2002,166:111-117.
- 7. Jones PW,Quirk FH,Baveystock CM,et al.A self-complete measure of health status for chronic airflow limitation.The St.George’s Respiratory Questionnaire.Am Rev Respir Dis,1992,145:1321-1327.
- 8. American Thoracic Society.Pulmonary rehabilitation-1999.Am J Respir Crit Care Med,1999,159:1666-1682.
- 9. Celli BR,MacNee W,ATS/ERS Task Force.Standards for the diagnosis and treatment of patients with COPD:a summary of the ATS/ERS position paper.Eur Respir J,2004,23:932-946.
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- 12. 文红,郑劲平.慢性阻塞性肺疾病患者肺康复治疗效果及其评价.中华结核和呼吸杂志,2006,29:769-771.
