Influence of active and passive treadmill combined occupational therapy on patients with chronic ob—structive pulmonary disease during stable period／
10.3969/j.issn.1008－0074.2019.02.01
- VernacularTitle:主被动踏车结合作业疗法对稳定期慢性阻塞性肺疾病患者的影响
- Author:
Jianrong YUAN
1
;
Zehui GONG
;
Mingchuan HE
;
Chaorong ZHOU
;
Deping ZHANG
;
Ke REN
Author Information
1. 重庆三峡中心医院康复治疗科
- Keywords:
Pulmonary disease,chronic obstructive;
Exercise therapy;
Treatment outcome
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2019;28(2):129-133
- CountryChina
- Language:Chinese
-
Abstract:
Objective :To explore therapeutic effect of upper and lower extremity active and passive rehabilitation treadmill combined occupational therapy on patients with chronic obstructive pulmonary disease (COPD) during sta—ble period .Methods : A total of 92 COPD patients were randomly and equally divided into occupational therapy group and treadmill + occupational therapy group .Both groups received routine nursing care ,treatment and com—prehensive rehabilitation therapy ,occupational therapy group also received occupational therapy ,while treadmill +occupational therapy group received upper and lower extremity active and passive treadmill training based on occupa—tional therapy group .After eight—week treatment ,pulmonary function ,exercise function ,daily living capacity and quality of life were analyzed and compared between two groups .Results : Compared with before treatment ,after treatment ,there were significant improvements in pulmonary function ,exercise function ,score of activity of daily living scale (ADL) and quality of life (SGRQ) in two groups , P＜ 0. 05 or ＜ 0. 01. Compared with occupational therapy group after treatment ,there was significant reduction in modified Medical Research Council dyspnea scale (mMRC) [ (2. 7 ± 0. 4) grade vs.(2. 4 ± 0.6) grade] ,and significant rise in 6min walking distance [ (291. 4 ± 28. 9) m vs.(307. 8 ± 30. 4) m] and ADL score [(56.0 ± 11.4) scores vs .(62. 0 ± 10.9) scores] in treadmill + occupation—al therapy group ( P＜0.05 or ＜0. 01) ,but there were no significant differences in pulmonary function indexes and quality of life (SGRQ) between two groups , P＞0.05 all.Conclusion : Upper and lower extremity active and passive treadmill training combined occupational therapy can significantly improve pulmonary function and exercise function and daily living capacity in patients with chronic obstructive pulmonary disease .
