Humans ; Lung ; Lung Diseases ; rehabilitation ; Pneumoconiosis ; rehabilitation ; Respiratory Therapy

Patients with chronic obstructive pulmonary disease (COPD) or those with paralytic restrictive pulmonary syndromes caused by progressive neuromuscular disease, kyphoscoliosis or traumatic quadriplegia may require frequent hospitalization because of respiratory impairment and have increased morbidity and mortality. Pulmonary rehabilitation has been shown to decrease the frequency of hospitalization, ameliorate symptoms, increase exercise tolerance, and in one study, prolong life for individuals with COPD. It is now recognized that principles of pulmonary rehabilitation can also be used to avoid hospitalization, intubation, tracheostomy and bronchoscopy while enhancing quality of life, decreasing cost, and greatly prolonging life for individuals with paralytic restrictive syndromes and global alveolar hypoventilation as well.
Female ; Human ; Lung Diseases/*rehabilitation ; Lung Diseases, Obstructive/rehabilitation ; Male ; Neuromuscular Diseases/complications ; Respiration, Artificial ; Respiratory Insufficiency/etiology/rehabilitation

OBJECTIVE: It is known that Mechanical in-exsufflator (MI-E) can reduce pulmonary complications such as pneumonia, atelectasis in tetraplegia by increasing inspiratory and expiratory capacity. The aim of this study is to clarify the effectiveness of MI-E on pulmonary function and coughing capacity in tetraplegia. METHOD: Thirty tetraplegic patients who had neither history nor radiologic finding of pulmonary disease were divided into two groups; control (n=15) and experimental (n=15) groups. Control group received conventional pulmonary rehabilitation, while experimental group received additional MI-E therapy for one month. The pulmonary function was evaluated by measuring percentage of predicted value of vital capacity (% VC), maximal insufflation capacity (MIC), unassisted peak cough flow (UPCF), volume assisted peak cough flow (VPCF), manual assisted peak cough flow (MPCF), manual and volume assisted peak cough flow (MVPCF). These data of pulmonary function before and after treatment were compared between two groups. RESULTS: 1) There are significant improvement of pulmonary function in both groups (p<0.05) except UPCF in control group before and after treatment. 2) The experimental group showed more improvement in MIC, VPCF, MPCF and MVPCF than control group (p<0.05). Conclusion: MI-E therapy can be used as an effective therapeutic modality for the improvement of pulmonary function in combination with conventional pulmonary rehabilitation.
Cough ; Humans ; Insufflation ; Lung Diseases ; Pneumonia ; Pulmonary Atelectasis ; Quadriplegia ; Rehabilitation* ; Vital Capacity

BACKGROUND:Even though it is well known that pulmonary rehabilitation (PR) improves exercise capacity, and the quality of life, in patients with chronic lung disease, not many patients can attend hospital based intensive PR in Korea. The purpose of this study was to develop a method for a home-based PR program, and study its effectiveness. METHODS:Twenty patients with chronic lung diseases were randomly divided into two groups : a home PR group comprising of 10 male patients, with a mean age of 70 years, and a control group comprisiong of 10 male patients, with a mean age of 65 years. We developed exercise programs, depending on the exercise capacity of each patient, which were easy to do at home. The PR program consisted of a 12 week period of enforced aerobic (mostly walking) and muscle strengthening exercises, as prescribed by the exercise specialist, in accordance with the functional capacity of the patient. In addition to the education, nutritional and psychiatric consultation was undertaken, and respiratory muscle training arranged. Patients visited hospital every 2 weeks for evaluation and exercise prescription. RESULTS: All patients finished the 12 week course of therapy. Following the home PR, the endurance times and work capacity of the upper and lower extremities were significantly increased in the treatment group in comparison to the controls. The six minute working (Eds note : should) 'working' read 'walking'?) distance was increased from 465+/-60m to 508+/-37m and the maximal inspiratory pressure from 72.8+/-27.2cmH2O to 91.4+/-30.9 cmH2O. The quality of life, as assessed by St Georges Respiratory Questionnaire (SGRQ), was also improved following PR. (Eds note : do you have figures for before and after, and a reference for the SGRQ? i.e. for the main paper.) CONCLUSION: The home PR program we developed seemed to be applicable, and effective, to most of the patients with chronic lung diseases in the study.
Breathing Exercises ; Education ; Exercise ; Humans ; Korea ; Lower Extremity ; Lung Diseases* ; Lung* ; Male ; Prescriptions ; Quality of Life ; Surveys and Questionnaires ; Rehabilitation* ; Specialization

BACKGROUND:Even though it is well known that pulmonary rehabilitation (PR) improves exercise capacity, and the quality of life, in patients with chronic lung disease, not many patients can attend hospital based intensive PR in Korea. The purpose of this study was to develop a method for a home-based PR program, and study its effectiveness. METHODS:Twenty patients with chronic lung diseases were randomly divided into two groups : a home PR group comprising of 10 male patients, with a mean age of 70 years, and a control group comprisiong of 10 male patients, with a mean age of 65 years. We developed exercise programs, depending on the exercise capacity of each patient, which were easy to do at home. The PR program consisted of a 12 week period of enforced aerobic (mostly walking) and muscle strengthening exercises, as prescribed by the exercise specialist, in accordance with the functional capacity of the patient. In addition to the education, nutritional and psychiatric consultation was undertaken, and respiratory muscle training arranged. Patients visited hospital every 2 weeks for evaluation and exercise prescription. RESULTS: All patients finished the 12 week course of therapy. Following the home PR, the endurance times and work capacity of the upper and lower extremities were significantly increased in the treatment group in comparison to the controls. The six minute working (Eds note : should) 'working' read 'walking'?) distance was increased from 465+/-60m to 508+/-37m and the maximal inspiratory pressure from 72.8+/-27.2cmH2O to 91.4+/-30.9 cmH2O. The quality of life, as assessed by St Georges Respiratory Questionnaire (SGRQ), was also improved following PR. (Eds note : do you have figures for before and after, and a reference for the SGRQ? i.e. for the main paper.) CONCLUSION: The home PR program we developed seemed to be applicable, and effective, to most of the patients with chronic lung diseases in the study.
Breathing Exercises ; Education ; Exercise ; Humans ; Korea ; Lower Extremity ; Lung Diseases* ; Lung* ; Male ; Prescriptions ; Quality of Life ; Surveys and Questionnaires ; Rehabilitation* ; Specialization

Aftercare ; Coronavirus Infections ; complications ; therapy ; Critical Care ; Equipment Design ; Humans ; Lung Diseases ; etiology ; rehabilitation ; Male ; Middle Aged ; Pandemics ; Pneumonia, Viral ; complications ; therapy ; Rehabilitation ; instrumentation ; Robotics

BACKGROUND: The aim of this study was to determine the effectiveness of self-efficacy promoting pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD). METHODS: thirty six patients, with clinically stable COPD were randomly assigned: 18 to a rehabilitation group and another 18 as a control group, The subjects participated in a the self-efficacy promoting pulmonary rehabilitation program for 8 weeks. This program consisted of education, breathing retraining, exercise training, relaxation and counseling. The control group received education only. The outcome variables were self-efficacy, dyspnea, exercise endurance, pulmonary function, and quality of life. Dyspnea was measured using the modified Borg scale. Exercise endurance was measured by the six minute walking distance. The quality of life was measured by the quality of life index for pulmonary disease patients. RESULTS: In the rehabilitation group after performing the self-efficacy promoting pulmonary rehabilitation program, the self-efficacy score, exercise endurance, and quality of life score were higher than the control group (p=0.007, p=0.038, and p=0.039, respectively). and the exertional dyspnea score was significantly lower than controls(p=0.045). However, the dyspnea score and FEV1 were similar after performing the self-efficacy promoting pulmonary rehabilitation program. CONCLUSION: The self-efficacy promoting pulmonary rehabilitation program is effective to in improve self-efficacy, exertional dyspnea, exercise endurance and quality of life in patients with COPD.
Counseling ; Dyspnea ; Education ; Humans ; Lung Diseases ; Outpatients* ; Pulmonary Disease, Chronic Obstructive* ; Quality of Life ; Rehabilitation* ; Relaxation ; Respiration ; Walking

Background: It is known that pulmonary rehabilitation improves dyspnea and exercise tolerance in patient with chronic lung disease, although it does not improve pulmonary function. But there is a controversy whether this improvement after pulmonary rehabilitation is due to increased aerobic exercise capacity. We performed this study to evaluate the effect of pulmonary rehabilitation for 6 weeks on the pulmonary function, gas exchange, exercise tolerance and aerobic exercise capacity in patients with chronic lung disease. Methods: Pulmonary rehabilitations including education, muscle strengthening exercise and symptom-limited aerobic exercise for six weeks, were performed in fourteen patients with chronic lung disease (COPD 11, bronchiectasis 1, IPF 1, sarcoidosis 1 ; mean age 57 +/-4 years ; male 12, female 2). Pre- and post-rehabilitation pulmonary function and exercise capacity were compared. Results: 1) Before the rehabilitation, FVC, FEV1 and FEF25-75% of the patients were 71.5+/-6.4%, 40.6+/- 3.4% and 19.3+/-3.8% of predicted value respectively. TLC, FRC and RV were 130.3+/-9.3%, 157.3 +/-13.2% and 211.1 +/-23.9% predicted respectively. Diffusing capacity and MW were 59.1 +/-1.1% and 48.6 +/-6.2%. These pulmonary functions did not change after pulmonary rehabilitation. 2) In the incremental exercise test using bicycle ergometer, maximum work rate (57.7 +/-4.9 watts vs. 64.8 +/-6.0 watts, P=0.036), maximum oxygen consumption (0.81 +/-0.07 L/min vs. 0.96 +/-0.08 L/min, P=0.004) and anaerobic threshold (0.60 +/-0.06 L/min vs. 0.76 +/-0.06 L/min, P=0.009) were significantly increased after pulmonary rehabilitation. There was no improvement in gas exchange after rehabilitation. 3) Exercise endurances of upper (4.5 +/-0.7 joule vs. 14.8+/-2.4 joule, P< 0.001) and lower extremity (25.4+/-5.7 joule vs. 42.6+/-7.7 joule, P<0.001), and 6 minute walking distance (392+/-35 meter vs. 459+/-33 meter, P<0.001) were significantly increased after rehabilitation. Maximum inspiratory pressure was also increased after rehabilitation (68.5 +/-5.4 cmH2O vs. 80.4 +/-6.4 cmH20, P<0.001). Conclusion: The pulmonary rehabilitation for 6 weeks can improve exercise performance in patients with chronic lung disease.
Anaerobic Threshold ; Bronchiectasis ; Dyspnea ; Education ; Exercise ; Exercise Test ; Exercise Tolerance ; Female ; Humans ; Lower Extremity ; Lung Diseases* ; Lung* ; Male ; Oxygen Consumption ; Rehabilitation* ; Sarcoidosis ; Walking

Background: It is known that pulmonary rehabilitation improves dyspnea and exercise tolerance in patient with chronic lung disease, although it does not improve pulmonary function. But there is a controversy whether this improvement after pulmonary rehabilitation is due to increased aerobic exercise capacity. We performed this study to evaluate the effect of pulmonary rehabilitation for 6 weeks on the pulmonary function, gas exchange, exercise tolerance and aerobic exercise capacity in patients with chronic lung disease. Methods: Pulmonary rehabilitations including education, muscle strengthening exercise and symptom-limited aerobic exercise for six weeks, were performed in fourteen patients with chronic lung disease (COPD 11, bronchiectasis 1, IPF 1, sarcoidosis 1 ; mean age 57 +/-4 years ; male 12, female 2). Pre- and post-rehabilitation pulmonary function and exercise capacity were compared. Results: 1) Before the rehabilitation, FVC, FEV1 and FEF25-75% of the patients were 71.5+/-6.4%, 40.6+/- 3.4% and 19.3+/-3.8% of predicted value respectively. TLC, FRC and RV were 130.3+/-9.3%, 157.3 +/-13.2% and 211.1 +/-23.9% predicted respectively. Diffusing capacity and MW were 59.1 +/-1.1% and 48.6 +/-6.2%. These pulmonary functions did not change after pulmonary rehabilitation. 2) In the incremental exercise test using bicycle ergometer, maximum work rate (57.7 +/-4.9 watts vs. 64.8 +/-6.0 watts, P=0.036), maximum oxygen consumption (0.81 +/-0.07 L/min vs. 0.96 +/-0.08 L/min, P=0.004) and anaerobic threshold (0.60 +/-0.06 L/min vs. 0.76 +/-0.06 L/min, P=0.009) were significantly increased after pulmonary rehabilitation. There was no improvement in gas exchange after rehabilitation. 3) Exercise endurances of upper (4.5 +/-0.7 joule vs. 14.8+/-2.4 joule, P< 0.001) and lower extremity (25.4+/-5.7 joule vs. 42.6+/-7.7 joule, P<0.001), and 6 minute walking distance (392+/-35 meter vs. 459+/-33 meter, P<0.001) were significantly increased after rehabilitation. Maximum inspiratory pressure was also increased after rehabilitation (68.5 +/-5.4 cmH2O vs. 80.4 +/-6.4 cmH20, P<0.001). Conclusion: The pulmonary rehabilitation for 6 weeks can improve exercise performance in patients with chronic lung disease.
Anaerobic Threshold ; Bronchiectasis ; Dyspnea ; Education ; Exercise ; Exercise Test ; Exercise Tolerance ; Female ; Humans ; Lower Extremity ; Lung Diseases* ; Lung* ; Male ; Oxygen Consumption ; Rehabilitation* ; Sarcoidosis ; Walking

PURPOSE: This study was designed to investigate the effects of a pulmonary rehabilitation program for patients with COPD. METHOD: 37 subjects, who had a FEV1/FVC below 70%, participated. 18 were assigned to the experimental group and 19 to the control group. The program consisted of individualized education program and exercise program for 6weeks, 3times a week. Data was collected through questionnaire surveys of general characteristics, anxiety and depression, blood tests for lactic acid and cardiopulmonary exercise tests, and also using bicycle ergometer, for exercise capacity. As for data analyses, paired and unpaired t-test and x2-test were adopted using an SPSS program. RESULT: The result revealed that the increase in VT, peak O2, Emax, HRmax and Wmax, at the maximal exercise, were significantly high in the experimental group. However, the anxiety and depression scores were not significantly high in the experimental group. CONCLUSION: The pulmonary rehabilitation program was effective in increasing cardiopulmonary endurance in patients with COPD. Accordingly, we should seriously consider an individualized pulmonary rehabilitation program as a nursing intervention.
Anxiety ; Depression ; Education ; Exercise Test ; Hematologic Tests ; Humans ; Lactic Acid ; Lung Diseases ; Methods ; Nursing ; Pulmonary Disease, Chronic Obstructive* ; Rehabilitation* ; Statistics as Topic