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COPD; pulmonary rehabilitation

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https://www.readbyqxmd.com/read/28719225/association-between-social-support-and-self-care-behaviors-in-adults-with-chronic-obstructive-pulmonary-disease
#1
Zijing Chen, Vincent S Fan, Basia Belza, Kenneth Pike, Huong Q Nguyen
RATIONALE: Higher social support is associated with a better quality of life and functioning in adults with chronic obstructive pulmonary disease (COPD). OBJECTIVES: To determine the association between structural and functional social support and self-care behaviors in adults with COPD. METHODS: This was a longitudinal study using data from the CASCADE (COPD Activity: Serotonin Transporter, Cytokines, and Depression) study which was focused on depression and functioning in COPD...
July 18, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/28716786/online-versus-face-to-face-pulmonary-rehabilitation-for-patients-with-chronic-obstructive-pulmonary-disease-randomised-controlled-trial
#2
Simon Bourne, Ruth DeVos, Malcolm North, Anoop Chauhan, Ben Green, Thomas Brown, Victoria Cornelius, Tom Wilkinson
OBJECTIVE: To obtain evidence whether the online pulmonary rehabilitation(PR) programme 'my-PR' is non-inferior to a conventional face-to-face PR in improving physical performance and symptom scores in patients with COPD. DESIGN: A two-arm parallel single-blind, randomised controlled trial. SETTING: The online arm carried out pulmonary rehabilitation in their own homes and the face to face arm in a local rehabilitation facility. PARTICIPANTS: 90 patients with a diagnosis of chronic obstructive pulmonary disease (COPD), modified Medical Research Council score of 2 or greater referred for pulmonary rehabilitation (PR), randomised in a 2:1 ratio to online (n=64) or face-to-face PR (n=26)...
July 17, 2017: BMJ Open
https://www.readbyqxmd.com/read/28714735/effect-of-yoga-breathing-pranayama-on-exercise-tolerance-in-patients-with-chronic-obstructive-pulmonary-disease-a-randomized-controlled-trial
#3
David A Kaminsky, Kalpalatha K Guntupalli, Joan Lippmann, Stephanie M Burns, Melissa A Brock, Joan Skelly, Michael DeSarno, Heidi Pecott-Grimm, Ali Mohsin, Catherine LaRock-McMahon, Penney Warren, Martha C Whitney, Nicola A Hanania
OBJECTIVE: Pulmonary rehabilitation improves exercise tolerance in patients with chronic obstructive pulmonary disease (COPD). However, many patients do not have access to pulmonary rehabilitation programs. We hypothesized that an alternative to pulmonary rehabilitation to improve exercise tolerance is the practice of pranayama, or yoga breathing, which could be done independently at home. We also sought to determine whether yoga nonprofessionals could adequately teach pranayama to patients...
July 17, 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/28696575/impact-of-pulmonary-rehabilitation-on-postoperative-complications-in-patients-with-lung-cancer-and-chronic-obstructive-pulmonary-disease
#4
Hajime Saito, Kazutoshi Hatakeyama, Hayato Konno, Toshiki Matsunaga, Yoichi Shimada, Yoshihiro Minamiya
BACKGROUND: Given the extent of the surgical indications for pulmonary lobectomy in breathless patients, preoperative care and evaluation of pulmonary function are increasingly necessary. The aim of this study was to assess the contribution of preoperative pulmonary rehabilitation (PR) for reducing the incidence of postoperative pulmonary complications in non-small cell lung cancer (NSCLC) patients with chronic obstructive pulmonary disease (COPD). METHODS: The records of 116 patients with COPD, including 51 patients who received PR, were retrospectively analyzed...
July 11, 2017: Thoracic Cancer
https://www.readbyqxmd.com/read/28689709/the-reliability-of-short-term-measurement-of-heart-rate-variability-during-spontaneous-breathing-in-people-with-chronic-obstructive-pulmonary-disease
#5
C A Sima, J A Inskip, A W Sheel, S F van Eeden, W D Reid, P G Camp
BACKGROUND: Reduced heart rate variability (HRV), a marker of autonomic system dysfunction, has been reported in patients with chronic obstructive pulmonary disease (COPD). Yet, limited data exists on the reliability of HRV measurement in this population. Here we investigated the reliability of short-term HRV measurement performed during spontaneous breathing in patients with COPD. METHODS: Thirteen individuals (8 males) with moderate-to-severe COPD (FEV1 46±16% predicted; FEV1/FVC 49±13) underwent standard time and frequency domain HRV measurements derived from 5-minute electrocardiograms collected on two separate days using a SphygmoCor device...
July 6, 2017: Revista Portuguesa de Pneumologia
https://www.readbyqxmd.com/read/28665906/characteristics-of-patients-with-congestive-heart-failure-or-chronic-obstructive-pulmonary-disease-readmissions-within-30-days-following-an-acute-exacerbation
#6
Austin Castillo, Hawa Edriss, Kavitha Selvan, Kenneth Nugent
BACKGROUND: The Hospital Readmissions Reduction Program targets Medicare patients with congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD) and penalizes hospitals that have increased 30-day readmission rates for these patients. The main goals of this study were to determine the clinical explanations for readmissions within 30 days, to identify possible deficiencies in patient care, and to identify typical characteristics of patients who were readmitted to the hospital...
July 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28652722/pulmonary-rehabilitation-in-copd-available-resources-and-utilization-in-swedish-primary-and-secondary-care
#7
Josefin Sundh, Helena Lindgren, Mikael Hasselgren, Scott Montgomery, Christer Janson, Björn Ställberg, Karin Lisspers
INTRODUCTION: Pulmonary rehabilitation is effective in all stages of COPD. The availability and utilization of pulmonary rehabilitation resources, and the characteristics of COPD patients receiving rehabilitation, were investigated in primary and secondary care in central Sweden. MATERIALS AND METHODS: Data on available pulmonary rehabilitation resources were collected using questionnaires, to 14 hospitals and 54 primary health care centers, and information on utilization of different rehabilitation professionals was obtained from questionnaires completed by 1,329 COPD patients from the same centers...
2017: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/28625881/effects-of-exposure-to-biomass-burning-on-pulmonary-inflammatory-markers-and-pulmonary-function-in-individuals-with-copd
#8
D Ramos, M Proença, M R Leite, A D Ferreira, I B Trevisan, G F S Brígida, G Y Tacao, E M C Ramos
INTRODUCTION: Pulmonary rehabilitation (PR) has many benefits for individuals with COPD. However, it is not clear whether PR could prevent the hazards of air pollution exposure. This study aimed to analyze the effects of biomass burning exposure on pulmonary inflammatory markers and pulmonary function in individuals with COPD, participants and non-participants of PR. METHODS: 35 subjects were divided into three groups: individuals with COPD who received PR (G1, n=15), those who did not (G2, n=10), and a control group composed of healthy individuals without COPD (CG, n=10)...
June 15, 2017: Revista Portuguesa de Pneumologia
https://www.readbyqxmd.com/read/28615937/patient-perceived-treatment-burden-of-chronic-obstructive-pulmonary-disease
#9
Nathan Harb, Juliet M Foster, Claudia C Dobler
BACKGROUND: While chronic morbidity and mortality from COPD is well documented, little is known about the treatment burden faced by patients with COPD. SUBJECTS AND METHODS: Patients with severe airflow obstruction (forced expiratory volume in 1 second [FEV1] <50% predicted) representing different age-groups, sex, and number of comorbidities participated in a semistructured interview. Interviews were conducted until thematic saturation was reached. Interviews were recorded, transcribed, and analyzed thematically using an established treatment-burden framework...
2017: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/28611230/effect-of-a-motivational-interviewing-based-health-coaching-on-quality-of-life-in-subjects-with-copd
#10
Hamid Rehman, Craig Karpman, Kristin Vickers Douglas, Roberto P Benzo
BACKGROUND: Improving quality of life (QOL) is a key goal in the care of patients with COPD. Pulmonary rehabilitation (PR) has clearly been shown to improve QOL, but is not accessible to many eligible patients. There is a need for alternative programs designed to improve patient well-being that are accessible to all patients with COPD. Our goal was to pilot test a simple, telephone-based health-coaching intervention that was recently shown to decrease readmission among hospitalized COPD patients and stable COPD patients eligible for PR...
June 13, 2017: Respiratory Care
https://www.readbyqxmd.com/read/28610673/sit-to-stand-tests-for-copd-a-literature-review
#11
REVIEW
Trija Vaidya, Arnaud Chambellan, Claire de Bisschop
BACKGROUND: Sit-to-stand tests (STST) have recently been developed as easy-to-use field tests to evaluate exercise tolerance in COPD patients. As several modalities of the test exist, this review presents a synthesis of the advantages and limitations of these tools with the objective of helping health professionals to identify the STST modality most appropriate for their patients. METHOD: Seventeen original articles dealing with STST in COPD patients have been identified and analysed including eleven on 1min-STST and four other versions of the test (ranging from 5 to 10 repetitions and from 30 s to 3 min)...
July 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/28608438/a-randomized-clinical-trial-investigating-the-efficacy-of-targeted-nutrition-as-adjunct-to-exercise-training-in-copd
#12
Coby van de Bool, Erica P A Rutten, Ardy van Helvoort, Frits M E Franssen, Emiel F M Wouters, Annemie M W J Schols
BACKGROUND: Evidence regarding the efficacy of nutritional supplementation to enhance exercise training responses in COPD patients with low muscle mass is limited. The objective was to study if nutritional supplementation targeting muscle derangements enhances outcome of exercise training in COPD patients with low muscle mass. METHODS: Eighty-one COPD patients with low muscle mass, admitted to out-patient pulmonary rehabilitation, randomly received oral nutritional supplementation, enriched with leucine, vitamin D, and omega-3 fatty acids (NUTRITION) or PLACEBO as adjunct to 4 months supervised high intensity exercise training...
June 12, 2017: Journal of Cachexia, Sarcopenia and Muscle
https://www.readbyqxmd.com/read/28605481/measurement-properties-of-short-lower-extremity-functional-exercise-tests-in-people-with-chronic-obstructive-pulmonary-disease-systematic-review
#13
Kylie N Johnston, Adrian J Potter, Anna Phillips
Background: An increasing variety of short functional exercise tests are reported in people with chronic obstructive pulmonary disease (COPD). Systematic review of the psychometric properties of these exercise tests is indicated. Purpose: The aim of this study was to determine the reliability, validity and responsiveness of short (less than 6 minutes duration) lower extremity functional exercise tests in people with COPD. Data Sources: Five databases were searched: MEDLINE, EmBASE, Scopus, AMED and CINAHL...
June 12, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28601868/pulmonary-rehabilitation-outcomes-after-single-or-double-lung-transplantation-in-patients-with-chronic-obstructive-pulmonary-disease-or-interstitial-lung-disease
#14
Tessa Schneeberger, Rainer Gloeckl, Tobias Welte, Klaus Kenn
BACKGROUND: Pulmonary rehabilitation (PR) following lung transplantation (LTx) has been shown to be effective with regard to exercise capacity and health-related quality of life (HRQL). However, outcome data is limited with respect to LTx as a population. Differences concerning the effects of PR in patients with single LTx (SLTx) or double LTx (DLTx) have not been studied yet. OBJECTIVES: The aim was to compare possible differences concerning PR outcomes between SLTx and DLTx...
2017: Respiration; International Review of Thoracic Diseases
https://www.readbyqxmd.com/read/28558953/are-heart-rate-dynamics-in-the-transition-from-rest-to-submaximal-exercise-related-to-maximal-cardiorespiratory-responses-in-copd
#15
Adriana Mazzuco, Wladimir Musetti Medeiros, Aline Soares de Souza, Maria Clara Noman Alencar, José Alberto Neder, Audrey Borghi-Silva
BACKGROUND: Poor exercise capacity is an important negative prognostic marker in patients with chronic obstructive pulmonary disease (COPD). Heart rate variability (HRV) responses can indicate alterations in cardiac autonomic control. Nevertheless, it remains unclear whether these abnormalities are related to cardiorespiratory responses to exercise in these patients. OBJECTIVE: To evaluate whether HRV at rest and submaximal exercise are related to impaired cardiopulmonary responses to exercise in COPD patients...
July 2017: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/28553720/cognitive-impairment-and-clinical-characteristics-in-patients-with-chronic-obstructive-pulmonary-disease
#16
Fiona A H M Cleutjens, Martijn A Spruit, Rudolf W H M Ponds, Lowie E G W Vanfleteren, Frits M E Franssen, Candy Gijsen, Jeanette B Dijkstra, Emiel F M Wouters, Daisy J A Janssen
We aimed to investigate (1) the relationship between cognitive impairment (CI) and disease severity and (2) the potential differences in exercise performance, daily activities, health status, and psychological well-being between patients with and without CI. Clinically stable chronic obstructive pulmonary disease (COPD) patients, referred for pulmonary rehabilitation, underwent a neuropsychological examination. Functional exercise capacity (6-minute walk test [6MWT]), daily activities (Canadian Occupational Performance Measure [COPM]), health status (COPD Assessment Test [CAT]) and St George's Respiratory Questionnaire-COPD specific [SGRQ-C]), and psychological well-being (Hospital Anxiety and Depression Scale [HADS], Beck Depression Inventory [BDI], and Symptom Checklist 90 [SCL-90]) were compared between patients with and without CI...
January 1, 2017: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/28553100/relationships-between-heart-rate-target-determined-in-different-exercise-testing-in-copd-patients-to-prescribed-with-individualized-exercise-training
#17
Claudine Fabre, Baptiste Chehere, Frédéric Bart, Patrick Mucci, Benoit Wallaert, Jean Marie Grosbois
BACKGROUND: It has been scientifically proven that pulmonary rehabilitation improves exercise tolerance and facilitates the carrying out of daily physical activities. To optimize the physical and physiological benefits, it is necessary to individualize the training intensity for each patient. The aim of this study is to compare the heart rate (HR) responses to three exercise modalities measuring aerobic fitness in chronic obstructive pulmonary disease patients, in order to easily prescribe individual target HRs for endurance training...
2017: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/28546268/home-based-maintenance-tele-rehabilitation-reduces-the-risk-for-acute-exacerbations-of-copd-hospitalisations-and-emergency-department-visits
#18
Maroula Vasilopoulou, Andriana I Papaioannou, Georgios Kaltsakas, Zafeiris Louvaris, Nikolaos Chynkiamis, Stavroula Spetsioti, Eleni Kortianou, Sofia Antiopi Genimata, Anastasios Palamidas, Konstantinos Kostikas, Nikolaos G Koulouris, Ioannis Vogiatzis
Pulmonary rehabilitation (PR) remains grossly underutilised by suitable patients worldwide. We investigated whether home-based maintenance tele-rehabilitation will be as effective as hospital-based maintenance rehabilitation and superior to usual care in reducing the risk for acute chronic obstructive pulmonary disease (COPD) exacerbations, hospitalisations and emergency department (ED) visits.Following completion of an initial 2-month PR programme this prospective, randomised controlled trial (between December 2013 and July 2015) compared 12 months of home-based maintenance tele-rehabilitation (n=47) with 12 months of hospital-based, outpatient, maintenance rehabilitation (n=50) and also to 12 months of usual care treatment (n=50) without initial PR...
May 2017: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
https://www.readbyqxmd.com/read/28539067/multitask-protocols-to-evaluate-activities-of-daily-living-performance-in-people-with-copd-a-systematic-review
#19
Thaís Paes, Felipe Vilaça Cavallari Machado, Vinícius Cavalheri, Fabio Pitta, Nidia Aparecida Hernandes
People with chronic obstructive pulmonary disease (COPD) present symptoms such as dyspnea and fatigue, which hinder their performance in activities of daily living (ADL). A few multitask protocols have been developed to assess ADL performance in this population, although measurement properties of such protocols were not yet systematically reviewed. Areas covered: Studies were included if an assessment of the ability to perform ADL was conducted in people with COPD using a (objective) performance-based protocol...
July 2017: Expert Review of Respiratory Medicine
https://www.readbyqxmd.com/read/28527920/emerging-bronchoscopic-treatments-for-chronic-obstructive-pulmonary-disease
#20
REVIEW
Wouter H van Geffen, Huib A M Kerstjens, Dirk-Jan Slebos
Chronic obstructive pulmonary disease (COPD) is a progressive lung disease characterized by pathophysiological factors including airflow limitation, hyperinflation and reduced gas exchange. Treatment consists of lifestyle changes, lung rehabilitation and pharmacological therapies such as long acting beta-2-agonists (LABA) and long acting muscarinic antagonists (LAMA). More recently bronchoscopic treatments are emerging for COPD. Among them endobronchial valves(EBV) and endobronchial coils (EBC), next to endobronchial stents, sclerosing agents, targeted lung denervation and liquid nitrogen metered cryospray...
May 17, 2017: Pharmacology & Therapeutics
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