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Short‐and long‐term hospital and community exercise programmes for patients with chronic obstructive pulmonary disease

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dc.contributor.author Watson, Carol
dc.date.accessioned 2015-10-06T12:25:58Z
dc.date.available 2015-10-06T12:25:58Z
dc.date.issued 2004
dc.identifier.citation ELLIOTT, M., WATSON, C., WILKINSON, E., MUSK, A. W. and LAKE, F. R. (2004), Short- and long-term hospital and community exercise programmes for patients with chronic obstructive pulmonary disease. Respirology, 9: 345–351. doi: 10.1111/j.1440-1843.2004.00595.x en_US
dc.identifier.uri http://erepo.usiu.ac.ke/11732/1278
dc.identifier.uri
dc.description.abstract Objective: Pulmonary rehabilitation in patients with COPD has been shown to be beneficial but the optimal setting is not known. In the present study, the efficacy of a short-term community-based exercise programme was compared with a standard hospital outpatient programme. Additionally, the usefulness of community or home programmes in maintaining improvements in the longer term was studied. Methodology: Forty-three patients with moderate to severe COPD were randomized to one of the following three groups: a 3-month hospital programme then a 9 month home programme (Hospital/Home); a 3-month hospital programme then a 9-month community programme (Hospital/Community); or a 12-month community programme (Community/Community). The initial 3-month programme was analysed by comparing the Hospital group (Hospital/Home plus Hospital/Community) with the Community group (Community/Community). Six-minute walking distance (6MWD), quality of life (Guyatt chronic respiratory disease questionnaire, CRQ) and lung function were measured at 0, 3, 6 and 12 months and results were analysed using the Wilcoxon rank sum test. Results: At 3 months, there was a significant improvement from baseline in 6MWD in the Hospital group (81.3 ± 18.3 m, P < 0.05, anova) but not the Community group (14.4 ± 28.5 m, not significant). The difference between the groups was not significant (P = 0.058). At 3 months, there was a significant improvement in quality of life in the Hospital group (CRQ +16.3 ± 3.1, P < 0.01, anova) and in the Community group (CRQ +10.2 ± 4.9, P < 0.05, anova) but the difference between the groups was not significant. Following the initial 3-month programme, the dropout rate was high overall (73% by 12 months), and therefore data from the maintenance programme could not be analysed. Conclusions: A 3-month community-based exercise programme for patients with COPD did not improve 6MWD. The long-term retention rates in the programmes were poor. en_US
dc.language.iso en en_US
dc.title Short‐and long‐term hospital and community exercise programmes for patients with chronic obstructive pulmonary disease en_US
dc.type Article en_US


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