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COPD; pulmonary rehabilitation

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https://www.readbyqxmd.com/read/29439942/using-robots-at-home-to-support-patients-with-chronic-obstructive-pulmonary-disease-pilot-randomized-controlled-trial
#1
Elizabeth Broadbent, Jeff Garrett, Nicola Jepsen, Vickie Li Ogilvie, Ho Seok Ahn, Hayley Robinson, Kathryn Peri, Ngaire Kerse, Paul Rouse, Avinesh Pillai, Bruce MacDonald
BACKGROUND: Socially assistive robots are being developed for patients to help manage chronic health conditions such as chronic obstructive pulmonary disease (COPD). Adherence to medication and availability of rehabilitation are suboptimal in this patient group, which increases the risk of hospitalization. OBJECTIVE: This pilot study aimed to investigate the effectiveness of a robot delivering telehealth care to increase adherence to medication and home rehabilitation, improve quality of life, and reduce hospital readmission compared with a standard care control group...
February 13, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29425213/a-study-on-nonlinear-estimation-of-submaximal-effort-tolerance-based-on-the-generalized-met-concept-and-the-6mwt-in-pulmonary-rehabilitation
#2
Jan Szczegielniak, Krzysztof J Latawiec, Jacek Łuniewski, Rafał Stanisławski, Katarzyna Bogacz, Marcin Krajczy, Marek Rydel
BACKGROUND: The six-minute walk test (6MWT) is considered to be a simple and inexpensive tool for the assessment of functional tolerance of submaximal effort. The aim of this work was 1) to background the nonlinear nature of the energy expenditure process due to physical activity, 2) to compare the results/scores of the submaximal treadmill exercise test and those of 6MWT in pulmonary patients and 3) to develop nonlinear mathematical models relating the two. METHODS: The study group included patients with the COPD...
2018: PloS One
https://www.readbyqxmd.com/read/29423258/an-intervention-for-pulmonary-rehabilitators-to-develop-a-social-identity-for-patients-attending-exercise-rehabilitation-a-feasibility-and-pilot-randomised-control-trial-protocol
#3
Andrew R Levy, Bashir Matata, Sam Pilsworth, Adrian Mcgonigle, Lyndsey Wigelsworth, Linda Jones, Nicola Pott, Max Bettany, Adrian W Midgley
Background: Chronic obstructive pulmonary disease (COPD) is a degenerative condition that can impair health-related quality of life (HRQoL). A number of self-management interventions, employing a variety of behavioural change techniques (BCTs), have been adopted to improve HRQoL for COPD patients. However, a lack of attention has been given to group management interventions with an emphasis on incorporating BCTs into rehabilitators' practice. This study aims to pilot and feasibly explore a social identity group management intervention, delivered by COPD rehabilitation staff to patients attending exercise pulmonary rehabilitation...
2018: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29411860/self-management-for-bronchiectasis
#4
REVIEW
Carol Kelly, Seamus Grundy, Dave Lynes, David Jw Evans, Sharada Gudur, Stephen J Milan, Sally Spencer
BACKGROUND: Bronchiectasis is a long term respiratory condition with an increasing rate of diagnosis. It is associated with persistent symptoms, repeated infective exacerbations, and reduced quality of life, imposing a burden on individuals and healthcare systems. The main aims of therapeutic management are to reduce exacerbations and improve quality of life. Self-management interventions are potentially important for empowering people with bronchiectasis to manage their condition more effectively and to seek care in a timely manner...
February 7, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29411700/how-will-telemedicine-change-clinical-practice-in-chronic-obstructive-pulmonary-disease
#5
Michele Vitacca, Alessandra Montini, Laura Comini
Within telehealth there are a number of domains relevant to pulmonary care: telemonitoring, teleassistance, telerehabilitation, teleconsultation and second opinion calls. In the last decade, several studies focusing on the effects of various telemanagement programs for patients with chronic obstructive pulmonary disease (COPD) have been published but with contradictory findings. From the literature, the best telemonitoring outcomes come from programs dedicated to aged and very sick patients, frequent exacerbators with multimorbidity and limited community support; programs using third-generation telemonitoring systems providing constant analytical and decisionmaking support (24 h/day, 7 days/week); countries where strong community links are not available; and zones where telemonitoring and rehabilitation can be delivered directly to the patient's location...
January 2018: Therapeutic Advances in Respiratory Disease
https://www.readbyqxmd.com/read/29410587/correlation-between-diaphragm-thickness-and-respiratory-synergist-muscle-activity-according-to-severity-of-chronic-obstructive-pulmonary-disease
#6
Jeong-Il Kang, Dae-Keun Jeong, Hyun Choi
[Purpose] This study aims to analyze the effect that moderate to severe chronic obstructive pulmonary disease (COPD) has on the respiratory synergist muscles. The results will provide basic data that can be used in the clinical management of COPD. [Subjects and Methods] The subjects in the study were 47 male patients with COPD between 55 and 70 years old who were treated in a medical institution located in Jeollanam-do Province, South Korea, from October 2015 to December 2016. Measurements were analyzed to determine the correlation between the diaphragm thickness and the respiratory synergist muscle activity in patients with mild COPD...
January 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29391784/efficacy-of-supervised-maintenance-exercise-following-pulmonary-rehabilitation-on-health-care-use-a-systematic-review-and-meta-analysis
#7
Alex R Jenkins, Holly Gowler, Ffion Curtis, Neil S Holden, Christopher Bridle, Arwel W Jones
Introduction: The clinical benefit of continued supervised maintenance exercise programs following pulmonary rehabilitation in COPD remains unclear. This systematic review aimed to synthesize the available evidence on the efficacy of supervised maintenance exercise programs compared to usual care following pulmonary rehabilitation completion on health care use and mortality. Methods: Electronic databases (MEDLINE, Embase, CINAHL, Cochrane Central Register of Controlled Trials, Web of Science, and PEDro) and trial registers (ClinicalTrials...
2018: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/29391781/a-new-pulmonary-rehabilitation-maintenance-strategy-through-home-visiting-and-phone-contact-in-copd
#8
Yi Li, Jing Feng, Yuechuan Li, Wei Jia, Hongyu Qian
Background: The benefit of pulmonary rehabilitation (PR) for patients with COPD diminishes over time. We investigated a new strategy involving home-visit and phone contact and compared this to usual care in maintenance of PR benefits. Methods: A total of 172 stable COPD patients receiving 8-week PR program were recruited for this prospective study. Patients were allocated into usual care group (UC) and PR maintenance group (PRMG) randomly. Patients in PRMG participated in maintenance strategy at home under supervision through home-visit and phone contact...
2018: Patient Preference and Adherence
https://www.readbyqxmd.com/read/29389476/efficacy-of-yoga-training-in-chronic-obstructive-pulmonary-disease-patients-a-systematic-review-and-meta-analysis
#9
REVIEW
Chenyang Li, Yanhui Liu, Yunan Ji, Lingli Xie, Zhenhua Hou
OBJECTIVES: To evaluate the impact of yoga training in patients with chronic obstructive pulmonary disease (COPD). METHOD: A literature search was performed in PubMed, Cochrane Library, Embase, CINAHL, and Web of Science for relevant studies published before June 2017. Quality assessment, sensitivity analysis and heterogeneity were performed. Stata12.0 software was used for statistical analysis. RESULTS: Ten studies were eligible for this analysis...
February 2018: Complementary Therapies in Clinical Practice
https://www.readbyqxmd.com/read/29386337/mindfulness-based-cognitive-therapy-in-copd-a-cluster-randomised-controlled%C3%A2-trial
#10
Ingeborg Farver-Vestergaard, Mia S O'Toole, Maja O'Connor, Anders Løkke, Elisabeth Bendstrup, Sharee A Basdeo, Donal J Cox, Pádraic J Dunne, Kai Ruggeri, Frances Early, Robert Zachariae
A considerable proportion of patients with chronic obstructive pulmonary disease (COPD) entering pulmonary rehabilitation (PR) report psychological distress, which is often accompanied by poor physical health status. Mindfulness-based cognitive therapy (MBCT) has been shown to improve psychological and physical outcomes in other chronic diseases. We therefore evaluated the efficacy of MBCT as an add-on to a standard PR programme in COPD.COPD patients eligible for PR were cluster randomised to receive either an 8-week, group-based MBCT programme as an add-on to an 8-week PR programme (n=39), or PR alone (n=45)...
February 2018: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
https://www.readbyqxmd.com/read/29379282/religious-coping-and-religiosity-in-patients-with-copd-following-pulmonary-rehabilitation
#11
Guilherme Pf da Silva, Francisco Ab Nascimento, Tereza Pm Macêdo, Maria T Morano, Rafael Mesquita, Eanes Db Pereira
Background: Religious coping (RC) is defined as the use of behavioral and cognitive techniques in stressful life events in a multidimensional construct with positive and negative effects on outcomes, while religiosity is considered a use of individual beliefs, values, practices, and rituals related to faith. There is no evidence for the effects of pulmonary rehabilitation (PR) in RC and religiosity in patients with COPD. The aims of this study were 1) to compare RC and religiosity in patients with COPD following PR and 2) to investigate associations between changes in RC, religiosity and exercise capacity, quality of life (QoL), anxiety, depression, and dyspnea...
2018: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/29371382/inspiratory-muscle-training-does-not-improve-clinical-outcomes-in-3-week-copd-rehabilitation-results-from-a-randomised-controlled-trial
#12
Konrad Schultz, Danijel Jelusic, Michael Wittmann, Benjamin Krämer, Veronika Huber, Sebastian Fuchs, Nicola Lehbert, Silke Wingart, Dragan Stojanovic, Oliver Göhl, Harma J Alma, Corina de Jong, Thys van der Molen, Hermann Faller, Michael Schuler
The value of inspiratory muscle training (IMT) in pulmonary rehabilitation in chronic obstructive pulmonary disease (COPD) is unclear. The RIMTCORE (Routine Inspiratory Muscle Training within COPD Rehabilitation) randomised controlled trial examined the effectiveness of IMT added to pulmonary rehabilitation.In total, 611 COPD patients (Global Initiative for Chronic Obstructive Lung Disease stage II-IV) received a 3-week inpatient pulmonary rehabilitation, of which 602 patients were included in the intention-to-treat analyses...
January 2018: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
https://www.readbyqxmd.com/read/29371379/effects-of-inspiratory-muscle-training-on-dyspnoea-in-severe-copd-patients-during-pulmonary-rehabilitation-controlled-randomised-trial
#13
Marc Beaumont, Philippe Mialon, Catherine Le Ber, Patricia Le Mevel, Loïc Péran, Olivier Meurisse, Capucine Morelot-Panzini, Angelina Dion, Francis Couturaud
The benefit of inspiratory muscle training (IMT) combined with a pulmonary rehabilitation programme (PRP) is uncertain. We aimed to demonstrate that, in severe and very severe chronic obstructive pulmonary disease (COPD) patients, IMT performed during a PRP is associated with an improvement of dyspnoea.In a single-blind randomised controlled trial, 150 severe or very severe COPD patients were allocated to follow PRP+IMT versus PRP alone. The evaluations were performed at inclusion and after 4 weeks. The primary outcome was the change in dyspnoea using the Multidimensional Dyspnoea Profile questionnaire at the end of a 6-min walk test (6MWT) at 4 weeks...
January 2018: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
https://www.readbyqxmd.com/read/29340496/effects-of-simple-long-term-respiratory-care-strategies-in-older-men-with-copd
#14
Fabrício Zambom-Ferraresi, Pilar Cebollero, Javier Hueto, María Hernández, José Cascante, María Milagros Antón
OBJECTIVE: To evaluate a 24-month supervised, community-based maintenance exercise program after 3 months of pulmonary rehabilitation (PR) in comparison with a 27-month physical activity counseling program, in terms of the effects on maximal muscle strength, muscle power output, and exercise capacity, in individuals with COPD. METHODS: Sixty-three men with moderate-to-severe COPD were recruited from two previous studies. Of those 63 participants, 31 were offered 3 months of PR followed by a 24-month supervised maintenance exercise program (24MME group) and 32 were offered a 27-month physical activity counseling program (27MPAC group)...
November 2017: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/29320895/effects-of-telephone-support-on-exercise-capacity-and-quality-of-life-in-patients-with-chronic-obstructive-pulmonary-disease-a-meta-analysis
#15
Nan Deng, Ting Gu, Qian Zhao, Xiaoyi Zhang, Fangfang Zhao, Hong He
The aim of this meta-analysis was to evaluate the effects of disease education or pulmonary rehabilitation programs assisted with telephone support on physical capacity and quality of life (QOL) in chronic obstructive pulmonary disease (COPD) patients. A systematic search of PubMed, Embase, Web of Science and The Cochrane Library was conducted until May 2017. Randomized controlled trials (RCTs) examining the effects of telephone-assisted intervention versus a control group on exercise tolerance and QOL in patients with COPD were included...
January 10, 2018: Psychology, Health & Medicine
https://www.readbyqxmd.com/read/29320803/moving-pulmonary-rehabilitation-forward-in-copd-stepping-towards-home-based-action
#16
EDITORIAL
Christian R Osadnik
No abstract text is available yet for this article.
January 10, 2018: Respirology: Official Journal of the Asian Pacific Society of Respirology
https://www.readbyqxmd.com/read/29319356/six-minute-stepper-test-to-set-pulmonary-rehabilitation-intensity-in-patients-with-copd
#17
Tristan Bonnevie, Francis-Edouard Gravier, Antoine Cuvelier, David Debeaumont
No abstract text is available yet for this article.
January 10, 2018: COPD
https://www.readbyqxmd.com/read/29316273/pilot-project-physiologic-responses-to-a-high-intensity-active-video-game-with-copd-patients-tools-for-home-rehabilitation
#18
Andrée-Anne Parent, Vincent Gosselin-Boucher, Marilyn Houle-Peloquin, Claude Poirier, Alain-Steve Comtois
INTRODUCTION: Chronic Obstructive Pulmonary Disease (COPD) is a respiratory condition that causes a significant deterioration of the quality of life. However, exercise can improve the quality of life for COPD patients and it is for this reason previous study observed the effects of active video games to increase exercise. Using motion capture devices with short bursts of exercise never been tried with COPD patients. OBJECTIVES: The objective was to observe the feasibility of using this device safely and easily with COPD patients...
January 8, 2018: Clinical Respiratory Journal
https://www.readbyqxmd.com/read/29303373/cardiac-autonomic-function-and-reactivity-tests-in-physically-active-subjects-with-moderately-severe-copd
#19
Jibril Mohammed, Eric Derom, Tine De Backer, Inge De Wandele, Patrick Calders
Patients with chronic obstructive pulmonary disease (COPD) show impairments in the autonomic nervous systems (ANS) function, which is responsible for cardiac autonomic regulation. This study assessed the autonomic function and cardio-vagal reactivity in conveniently sampled subjects with COPD participating in a pulmonary rehabilitation (PR) program. Twenty-six subjects with COPD and 22 age and gender matched control subjects were evaluated. R-R intervals were collected at rest in supine position. Thereafter, resting autonomic function parameters comprising linear and nonlinear analyses of heart rate variability (HRV) and baroreceptor sensitivity (BRS) were calculated...
January 5, 2018: COPD
https://www.readbyqxmd.com/read/29303008/behavioural-modes-of-adherence-to-inspiratory-muscle-training-in-people-with-chronic-obstructive-pulmonary-disease-a-grounded-theory-study
#20
Dorthe Sørensen, Marie Ernst Christensen
PURPOSE: Our aim was to develop a theoretical account of the behavioural pattern of adherence to home-based inspiratory muscle training (IMT) in people with chronic obstructive pulmonary disease (COPD), performed as two daily sessions of 30 breaths with mechanical threshold loading. METHODS: This was a qualitative study based on the classic grounded theory method. We conducted interviews with people living with COPD recruited after completion of 6 weeks of outpatient pulmonary rehabilitation program in 2015...
January 5, 2018: Disability and Rehabilitation
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