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COPD; pulmonary rehabilitation

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https://www.readbyqxmd.com/read/29906421/effectiveness-of-pulmonary-rehabilitation-in-patients-with-chronic-obstructive-pulmonary-disease-with-different-degrees-of-static-lung-hyperinflation
#1
Michiel J E G W Vanfleteren, Maud Koopman, Martijn A Spruit, Herman-Jan Pennings, Frank Smeenk, Willem Pieters, Jan J A M van den Bergh, Arent-Jan Michels, Emiel F M Wouters, Miriam T J Groenen, Frits M E Franssen, Lowie E G W Vanfleteren
OBJECTIVE: To evaluate the effect of pulmonary rehabilitation (PR) on exercise performance and quality of life in patients with chronic obstructive pulmonary disease (COPD) with different degrees of static lung hyperinflation (LH). DESIGN: Retrospective cohort study. SETTING: Pulmonary Rehabilitation Network. PARTICIPANTS: A cohort of 1981 patients with COPD (55% males; age: 66.8 ± 9.3y; FEV1%: 50.7 ± 19.5; RV%: 163...
June 12, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29903607/improvement-of-physical-activity-in-chronic-obstructive-pulmonary-disease-by-pulmonary-rehabilitation-and-pharmacological-treatment
#2
REVIEW
Takanobu Shioya, Susumu Sato, Masahiro Iwakura, Hitomi Takahashi, Yoshino Terui, Sachiko Uemura, Masahiro Satake
Physical activity (PA) is defined as bodily movement produced by skeletal muscles with energy expenditure beyond resting levels. PA is closely related to reduced morbidity and mortality in chronic obstructive pulmonary disease (COPD). Self-report questionnaires are often subject to recall bias, correlating poorly with objectively qualified PA, and do not provide an accurate estimate of free-living energy expenditure. PA may be objectively evaluated by newly developed tri-axial accelerometers by quantifying steps or body movements over a period of time...
June 11, 2018: Respiratory Investigation
https://www.readbyqxmd.com/read/29898588/role-of-rehabilitation-in-the-elderly-after-an-acute-event-insights-from-a-real-life-prospective-study-in-the-sub-acute-care-setting
#3
Gianluigi Galizia, Giulio Balestrieri, Beatrice De Maria, Cinzia La Storia, Mauro Monelli, Stefano Salvaderi, Giuseppe Romanelli, Laura A Dalla Vecchia
BACKGROUND: Any acute event, either primary or secondary to a chronic disease, is generally followed by some degree of physical impairment. The Sub-Acute Care (SAC) represents one of the inpatient intermediate care settings aimed at completing recovery and restoring functional capacity. Debate exists on the role of the rehabilitation treatment in the SAC setting. AIM: To compare the outcomes of patients managed in two different SAC Units where A) patients undergo an individualized rehabilitation program on top of optimal medical therapy (OMT) B) patients receive OMT only...
June 11, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29883526/reliability-and-validity-of-the-brief-pain-inventory-in-individuals-with-chronic-obstructive-pulmonary-disease
#4
Yi-Wen Chen, Bahareh HajGhanbari, Jeremy D Road, Harvey O Coxson, Pat G Camp, W Darlene Reid
BACKGROUND: Pain is prevalent in chronic obstructive pulmonary disease (COPD) and the Brief Pain Inventory (BPI) appears to be a feasible questionnaire to assess this symptom. However, the reliability and validity of the BPI have not been determined in individuals with COPD. This study aimed to determine the internal consistency, test-retest reliability, and validity (construct, convergent, divergent, and discriminant) of the BPI in individuals with COPD. METHODS: In order to examine the test-retest reliability, individuals with COPD were recruited from pulmonary rehabilitation programs to complete the BPI twice one week apart...
June 8, 2018: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/29881266/acute-exacerbation-of-copd-during-pulmonary-rehabilitation-outcomes-and-risk-prediction
#5
Bertrand Herer, Thierry Chinet
Purpose: This study was performed to examine acute exacerbation of COPD (AECOPD) during pulmonary rehabilitation (PR) and the usefulness of multidimensional indices (MIs) to predict AECOPD at enrolment in PR. Patients and methods: A 4-week PR program (PRP) was implemented for 125 consecutive patients with COPD. At baseline and PRP completion, we recorded the FEV1 , 6-minute walk test, peak work rate at cardiopulmonary testing, modified Medical Research Council score, and COPD Assessment Test (CAT) score...
2018: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/29869904/the-impact-of-community-pharmacy-led-medicines-management-support-for-people-with-copd
#6
Sarah Alton, Lisa Farndon
Chronic obstructive pulmonary disease (COPD) is a common long-term condition involving restricted airflow, which reduces quality of life. Treatments include lifestyle changes (smoking cessation), pulmonary rehabilitation and medication with inhaled therapies. However, medication adherence is often suboptimal, resulting in poor health outcomes. A pilot project assessed the impact of medicines management support from a community pharmacy team for people with COPD, delivered in their own homes. Individuals were given a medication review and an assessment of their inhaler technique and were followed up at 3 and 6 months...
June 2, 2018: British Journal of Community Nursing
https://www.readbyqxmd.com/read/29867117/facilitators-and-barriers-to-physical-activity-following-pulmonary-rehabilitation-in-copd-a-systematic-review-of-qualitative-studies
#7
REVIEW
Hayley Robinson, Veronika Williams, Ffion Curtis, Christopher Bridle, Arwel W Jones
Pulmonary rehabilitation has short-term benefits on dyspnea, exercise capacity and quality of life in COPD, but evidence suggests these do not always translate to increased daily physical activity on a patient level. This is attributed to a limited understanding of the determinants of physical activity maintenance following pulmonary rehabilitation. This systematic review of qualitative research was conducted to understand COPD patients' perceived facilitators and barriers to physical activity following pulmonary rehabilitation...
June 4, 2018: NPJ Primary Care Respiratory Medicine
https://www.readbyqxmd.com/read/29866200/an-evaluation-of-the-short-physical-performance-battery-following-pulmonary-rehabilitation-in-patients-with-chronic-obstructive-pulmonary-disease
#8
Petra Larsson, Christine Råheim Borge, Malin Nygren-Bonnier, Anners Lerdal, Anne Edvardsen
OBJECTIVE: There is a need for simple tools to evaluate physical performance in patients with COPD before and after pulmonary rehabilitation. The aims of this study were to evaluate changes in short physical performance battery (SPPB)-scores in patients with COPD after a 4-week pulmonary rehabilitation program; explore possible relationships between SPPB-scores and exercise capacity (6-min walk distance), dyspnea (modified Medical Research Council's dyspnea scale), disease-specific quality of life (COPD assessment test), and pulmonary function (predicted forced expiratory volume in one second) at baseline; and explore if changes in SPPB-scores are related to changes in exercise capacity, dyspnea, and disease-specific quality of life following pulmonary rehabilitation...
June 4, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29808349/multiprofessional-copd-care-in-austria-challenges-and-approaches-results-of-a-qualitative-study
#9
Firuzan Sari Kundt, Nina Enthaler, Anna Maria Dieplinger, Michael Studnicka, Anna Knoll, Jürgen Osterbrink, Tim Johansson, Maria Flamm
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a frequent disease of the lungs. Its prevalence was estimated to be 26% in the Global Initiative for Chronic Obstructive Lung Disease (GOLD) I and 11% for GOLD II-IV in Austria. Globally, it ranks third in mortality rate. The particular challenge is that care for these patients falls short due to the lack of structured integrated care. The aim was to assess the current status of multiprofessional COPD care in Austria and identify gaps and potentials...
May 28, 2018: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29805258/effectiveness-of-a-perioperative-pulmonary-rehabilitation-program-following-coronary-artery-bypass-graft-surgery-in-patients-with-and-without-copd
#10
Jui-O Chen, Jui-Fang Liu, Yu-Qi Liu, Yu-Mu Chen, Mei-Lien Tu, Hong-Ren Yu, Meng-Chih Lin, Chiu-Chu Lin, Shih-Feng Liu
Purpose: It is unclear whether the effectiveness of pulmonary rehabilitation program (PRP) after cardiac surgery differs between patients with and without COPD. This study aimed to compare the effectiveness of PRP between patients with and without COPD undergoing coronary artery bypass graft (CABG) surgery. Patients and methods: We retrospectively included patients who underwent CABG surgery and received 3-week PRP from January 2009 to December 2013. We excluded patients who underwent emergency surgery, had an unstable hemodynamic status, were ventilator dependent or did not complete the PRP...
2018: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/29799781/the-impact-of-community-pharmacy-led-medicines-management-support-for-people-with-copd
#11
Sarah Alton, Lisa Farndon
Chronic obstructive pulmonary disease (COPD) is a common long-term condition involving restricted airflow, which reduces quality of life. Treatments include lifestyle changes (smoking cessation), pulmonary rehabilitation and medication with inhaled therapies. However, medication adherence is often suboptimal, resulting in poor health outcomes. A pilot project assessed the impact of medicines management support from a community pharmacy team for people with COPD, delivered in their own homes. Individuals were given a medication review and an assessment of their inhaler technique and were followed up at 3 and 6 months...
June 2, 2018: British Journal of Community Nursing
https://www.readbyqxmd.com/read/29799285/rehabilitation-of-patients-with-coexisting-copd-and-heart-failure
#12
Michele Vitacca, Mara Paneroni
Chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF) frequently coexist, significantly reducing the patient's quality of life (QoL) and increasing morbidity, disability and mortality. For both diseases, a multidisciplinary disease-management approach offers the best outcomes and reduces hospital readmissions. In both conditions, muscle dysfunction may dramatically influence symptoms, exercise tolerance/performance, health status and healthcare costs. The present review describes muscular abnormalities and mechanisms underlying these alterations...
May 25, 2018: COPD
https://www.readbyqxmd.com/read/29799281/impact-of-chronic-obstructive-pulmonary-disease-on-cognitive-and-motor-performances-in-dual-task-walking
#13
Nelly Heraud, François Alexandre, Mathieu Gueugnon, Corentin Davy, Emilie Tremey, Nicolas Oliver, Alain Varray
When two tasks are performed simultaneously, they compete for attentional resources, resulting in a performance decrement in one or both tasks. Patients with attention disorders have a reduced ability to perform several tasks simultaneously (e.g., talking while walking), which increases the fall risk and frailty. This study assessed the cognitive and motor performances of patients with COPD and healthy controls within a dual-task walking paradigm. A subobjective was to assess the impact of a pulmonary rehabilitation program on the dual-task performances in COPD...
May 25, 2018: COPD
https://www.readbyqxmd.com/read/29796008/low-incidence-of-pneumonia-in-copd-patients-treated-with-inhaled-corticosteroids-undergoing-pulmonary-rehabilitation
#14
Erminia Ridolo, Cristoforo Incorvaia, Irene Martignago, Laura Pessina, Fulvio Lauretani, Luciano Loperfido, Gian Galeazzo Riario-Sforza, Annalisa Broglia, Bruna L Gritti, Lorenzo Panella
Background: Based on meta-analyses results, it is currently acknowledged that there is an increased risk of pneumonia in patients with chronic obstructive pulmonary disease (COPD) undergoing inhaled corticosteroids (ICS) treatment. However, this is not found to be true in those with asthma. No data on this risk are available for COPD patients involved in pulmonary rehabilitation program (PR). Methods: For 1 year, we prospectively studied 2 cohorts of COPD patients-undergoing PR and not undergoing PR...
2018: Clinical and Molecular Allergy: CMA
https://www.readbyqxmd.com/read/29783205/individual-approach-to-the-treatment-of-obese-copd-patients-can-reduce-anthropometric-indicators-the-level-of-systemic-inflammation-and-improve-the-quality-of-life
#15
Lesia V Savchenko, Igor P Kaidashev
OBJECTIVE: Introduction: Chronic obstructive pulmonary disease (COPD) and obesity are major causes of morbidity and mortality worldwide, and according to current estimates, the global burden of these conditions will be even greater. The basis for COPD treatment is bronchodilator therapy and non-pharmacotherapy approaches, such as respiratory rehabilitation and dietary counseling. The aim of this study was to assess the impact of lifestyle modification on anthropometric indices, markers of systemic inflammation, quality of life in patients with COPD and obesity...
2018: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/29757825/self-efficacy-predicts-success-in-an-exercise-training-only-model-of-pulmonary-rehabilitation-for-people-with-copd
#16
Felicity C Blackstock, Kate E Webster, Christine F McDonald, Catherine J Hill
PURPOSE: To determine whether people with chronic obstructive pulmonary disease (COPD) have characteristics that predict a clinically meaningful response to pulmonary rehabilitation (PR) that includes an education component compared with exercise training alone. METHODS: Participants were classified as responders or nonresponders to 2 models of PR; exercise training and education (ET + ED, n = 113) or exercise training alone (ET, n = 85). Responders were defined as those who achieved a clinically meaningful change in 6-min walk distance (6MWD) or any of the 4 domains of the Chronic Respiratory Questionnaire (CRQ)...
May 11, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
https://www.readbyqxmd.com/read/29749645/right-ventricular-dyssynchrony-and-its-improvements-after-pulmonary-rehabilitation-in-patients-with-chronic-obstructive-pulmonary-disease
#17
Batur Kanar, Beste Ozben, Elif Yıldırım, İpek Ozmen, Rüya Aydin
PURPOSE: Whether pathologic alterations of right ventricle (RV) in chronic obstructive pulmonary disease (COPD) affect intra- and interventricular dyssynchrony due to changes in mechanical activation of the septum and RV is unclear. The aim of this study was to determine mechanical activation and its changes after pulmonary rehabilitation program (PRP) with speckle tracking echocardiography (STE) in COPD patients. METHODS: After the exclusion of 15 patients due to poor echogenicity and 5 patients not tolerating PRP out of 69 consecutive COPD patients undergoing PRP, the remaining 49 patients and 41 healthy subjects were enrolled...
May 11, 2018: Echocardiography
https://www.readbyqxmd.com/read/29744054/a-quick-relaxation-exercise-for-people-with-chronic-obstructive-pulmonary-disease-explorative-randomized-controlled-trial
#18
Eleonora Volpato, Paolo Banfi, Antonello Nicolini, Francesco Pagnini
Background: People with Chronic Obstructive Pulmonary Disease (COPD) suffer from dyspnoea, which may be increased by anxiety. Previous studies suggest that relaxation techniques may have positive effects in pulmonary rehabilitation. The main aim of this study is to explore the clinical impact of a quick, one-session, relaxation training for people with COPD. Methods: In this perspective, 38 participants with COPD were recruited and randomly assigned to listen to a relaxing audio or to watch a neutral stimulus, during their routine exams...
2018: Multidisciplinary Respiratory Medicine
https://www.readbyqxmd.com/read/29719387/dietary-resilience-in-patients-with-severe-copd-at-the-start-of-a-pulmonary-rehabilitation-program
#19
Lies Ter Beek, Hester van der Vaart, Johan B Wempe, Aliaksandra O Dzialendzik, Jan Ln Roodenburg, Cees P van der Schans, Heather H Keller, Harriët Jager-Wittenaar
Background: COPD may impact food-related activities, such as grocery shopping, cooking, and eating. Decreased food intake may result in an unhealthy diet, and in malnutrition, which is highly prevalent in patients with COPD. Malnutrition is known to negatively impact clinical outcome and quality of life. Aims: In this qualitative study, we aimed to explore strategies used to overcome food-related challenges, ie, dietary resilience, and whether these led to a healthy diet...
2018: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/29706089/mortality-in-advanced-chronic-obstructive-pulmonary-disease-and-heart-failure-following-cardiopulmonary-rehabilitation
#20
Youjeong Kang, Bonnie G Steele, Robert L Burr, Cynthia M Dougherty
Cardiopulmonary rehabilitation (CR) improves physical function and quality of life (QoL) in chronic obstructive pulmonary disease (COPD) and heart failure (HF), but it is unknown if CR improves outcomes in very severe disease. This study's purpose was to describe functional capacity (6-min walk distance [6MWD], steps/day), symptoms (dyspnea, depression), QoL (Short-Form Health Survey-Veterans [SF-36 V]) and cardiopulmonary function ( N-terminal pro-brain natriuretic peptide [NT-proBNP], forced expiratory volume in 1 s [FEV1 ]), and derive predictors of mortality among patients with severe COPD and HF who participated in CR...
January 1, 2018: Biological Research for Nursing
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