Effects of Home-Based Pulmonary Rehabilitation with a Metronome-Guided Walking Pace in Chronic Obstructive Pulmonary Disease.
10.3346/jkms.2013.28.5.738
- Author:
Sung Soon LEE
1
;
Changhwan KIM
;
Young Soo JIN
;
Yeon Mok OH
;
Sang Do LEE
;
Yun Jun YANG
;
Yong Bum PARK
Author Information
1. Department of Internal Medicine, Inje University College of Medicine, Busan, Korea.
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Pulmonary Disease, Chronic Obstructive;
Rehabilitation;
Exercise Test;
Quality of Life
- MeSH:
Aged;
Exercise;
Exercise Test;
Female;
*Home Care Services, Hospital-Based;
Humans;
Lung/physiopathology;
Male;
Middle Aged;
Program Evaluation;
Pulmonary Disease, Chronic Obstructive/physiopathology/*rehabilitation;
Quality of Life;
Questionnaires;
Respiratory Function Tests;
Treatment Outcome;
*Walking
- From:Journal of Korean Medical Science
2013;28(5):738-743
- CountryRepublic of Korea
- Language:English
-
Abstract:
Despite documented efficacy and recommendations, pulmonary rehabilitation (PR) in chronic obstructive pulmonary disease (COPD) has been underutilized. Home-based PR was proposed as an alternative, but there were limited data. The adequate exercise intensity was also a crucial issue. The aim of this study was to investigate the effects of home-based PR with a metronome-guided walking pace on functional exercise capacity and health-related quality of life (HRQOL) in COPD. The subjects participated in a 12-week home-based PR program. Exercise intensity was initially determined by cardiopulmonary exercise test, and was readjusted (the interval of metronome beeps was reset) according to submaximal endurance test. Six-minute walk test, pulmonary function test, cardiopulmonary exercise test, and St. George's Respiratory Questionnaire (SGRQ) were done before and after the 12-week program, and at 6 months after completion of rehabilitation. Thirty-three patients participated in the program. Six-minute walking distance was significantly increased (48.8 m; P = 0.017) and the SGRQ score was also improved (-15; P < 0.001) over the six-month follow-up period after rehabilitation. There were no significant differences in pulmonary function and peak exercise parameters. We developed an effective home-based PR program with a metronome-guided walking pace for COPD patients. This rehabilitation program may improve functional exercise capacity and HRQOL.
