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VOLUME 59 , ISSUE 3 ( July-September, 2017 ) > List of Articles

Original Article

Can Pulmonary Rehabilitation Improve the Well-being of COPD Patients: Experience at a Tertiary Care Hospital in Ahmedabad, Gujarat, India

Amit Dedun, Utsav Kumar, Rajesh N. Solanki

Keywords : Pulmonary rehabilitation, Dyspnoea, HRQoL, COPD

Citation Information : Dedun A, Kumar U, Solanki RN. Can Pulmonary Rehabilitation Improve the Well-being of COPD Patients: Experience at a Tertiary Care Hospital in Ahmedabad, Gujarat, India. Indian J Chest Dis Allied Sci 2017; 59 (3):131-134.

DOI: 10.5005/ijcdas-59-3-131

License: CC BY-NC 4.0

Published Online: 18-11-2022

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

Background. Chronic obstructive pulmonary disease (COPD) is a major cause of disease burden worldwide. Patients with COPD have impaired quality-of-life due to dyspnoea, frequent exacerbations, limitation of exercise capacity, muscle dysfunction, and malnutrition. Hence, pulmonary rehabilitation should be considered as a part of management of patients with COPD. Present study emphasises on the efficacy of pulmonary rehabilitation in improving the long-term well-being of patients with COPD. Methods. Fifty patients with COPD were included and were followed up at 8, 24, 48 and 96 weeks. Patients were taught exercises to strengthen the lower limb muscles, breathing exercises along with upper limb exercises. Results. The outcomes recorded after 96th week of rehabilitation programme were as follows: dyspnoea grade at (4.1±1.06 versus 1.6±0.6 with paired ‘t’ test of 20.8328, p<0.0001), health-related quality-of-life (HRQoL) (57.7±11.6 versus 38.7±10.6, ‘t’ test 75.9631, p<0.0001), forced expiratory volume in one second (FEV1) (43.1±16.0 versus 40.3±16.0, ‘t’ test 19.1064, p<0.0001) FEV1/forced vital capacity (FVC) (0.86±0.11 versus 0.80±0.12, ‘t’ test 17.0750, p<0.0001). Conclusion. Pulmonary rehabilitation reduces dyspnoea, increases the exercise capacity and improves qualityof-life, reduces frequent exacerbations, thus, improves overall well-being of patients with COPD, resulting in reduction of significant cost of health burden on society indirectly.


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  1. Hurd S. The impact of COPD in lung health worldwide: epidemiology and incidence. Chest 2000;117:15-45.
  2. Murry CJL, Lopez AD. Alternative projection of mortality and disability by cause 1990-2020: Global Burden of Disease Study. Lancet 1997;349:1498-504.
  3. Jindal SK, Solanki R, Misra N, Jain VK, Thanasekaraan V, Baruwa P, et al. Indian multicentric study on epidemiology of asthma and chronic bronchitis in adults (NSEARCH). ICMR Report; 2010.
  4. Vijayan VK. Chronic obstructive pulmonary disease (Centenary Review Article). Indian J Med Res 2013;137:251-69.
  5. Aaron SD, Vandemheen KL Clinch JJ, Ahuja J, Brison J, Dickinson G, et al. Measurement of short term changes in dyspnoea and disease specific quality of life following an acute COPD exacerbation. Chest 2002;121:688-96.
  6. Miravitlles M, Ferrer M, Pont A, Zalacain R, Alvarez-Sala JL, Masa F, et al for IMPACT STUDY GROUP. Effect of exacerbation on quality of life in patients with chronic obstructive pulmonary disease: a 2-year follow up study. Thorax 2004;59:387-95.
  7. Borg G. Borg's Perceived Exertion and Pain Scales; 1st edition. USA: Human Kinetics; 1998:pp 2-9.
  8. Jones PW, Quirk FH, Baveystock CM, Littlejohns P. A self complete measure for chronic airflow limitation-The St. George's Respiratory Questionnaire. Am Rev Respir Dis 1992;45:1321-7.
  9. Bevridaux P-O, Gerbase MW, Probst-Hensch NM, Schindler C, Gaspoz J-M, Rochat T. Long term decline in lung function, utilization of care and quality of life in modified GOLD stage I COPD. Thorax 2008;63:768-74.
  10. Anthonisen NR, Connett JE, Murray RP. Smoking and lung function of lung health study participants after 11 years. Am J Respir Crit Care Med 2002;166:675-9.
  11. Puhan MA, Gimeno-Santos E, Scharplatz M, Troosters T, Walters EH, Steurer J. Pulmonary rehabilitation following exacerbation of chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2011;10:CD005305.
  12. Jones PW. Interpreting thresholds for a clinically significant change in health status in asthma and COPD. Eur Respir J 2002;19:398-404.
  13. Dodd JW, Hogg L, Nolan J, Jefford H, Grant A, Lord VM, et al. The COPD Assessment Test (CAT): response to pulmonary rehabilitation: a multicentre, prospective study. Thorax 2011;66:425-9.
  14. Pande A, Singhal P, Kumar R, Gaur SN. Effect of homebased pulmonary rehabilitation programme on disability in patients with chronic obstructive pulmonary disease. Indian J Chest Dis Allied Sci 2005;47:217-9.
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