Outpatient vs. home-based pulmonary rehabilitation in COPD: a randomized controlled trial

  • Julio C. Mendes de Oliveira Institute of the Lung, Cascavel, PR; Rehabilitation Sciences Master’s Program Department, Nove de Julho University, Sao Paulo, SP, Brazil.
  • Fernando S. Studart Leitão Filho Rehabilitation Sciences Master’s Program Department, Nove de Julho University, Sao Paulo, SP, Brazil.
  • Luciana M. Malosa Sampaio Rehabilitation Sciences Master’s Program Department, Nove de Julho University, Sao Paulo, SP, Brazil.
  • Ana C. Negrinho de Oliveira Institute of the Lung, Cascavel, PR,, Brazil.
  • Raquel Pastrello Hirata Rehabilitation Sciences Master’s Program Department, Nove de Julho University, Sao Paulo, SP, Brazil.
  • Dirceu Costa Rehabilitation Sciences Master’s Program Department, Nove de Julho University, Sao Paulo, SP, Brazil.
  • Claudio F. Donner Mondo Medico, Multidisciplinary and Rehabilitation Outpatient Clinic, Borgomanero (NO), Brazil.
  • Luis V.F. de Oliveira | oliveira.lvf@uninove.br Rehabilitation Sciences Master’s Program Department, Nove de Julho University, Sao Paulo, SP, Brazil.

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a common cause of morbidity and mortality affecting a large number of individuals in both developed and developing countries and it represents a significant financial burden for patients, families and society. Pulmonary rehabilitation (PR) is a multidisciplinary program that integrates components of exercise training, education, nutritional support, psychologi- cal support and self-care, resulting in an improvement in dyspnea, fatigue and quality of life. Despite its proven effectiveness and the strong scientific recommendations for its rou- tine use in the care of COPD, PR is generally underutilized and strategies for increasing access to PR are needed. Home- based self-monitored pulmonary rehabilitation is an alternative to outpatient rehabilitation. In the present study, patients with mild, moderate and severe COPD submitted to either an outpatient or at-home PR program for 12 weeks were analyzed.

Methods: Patients who fulfilled the inclusion criteria were randomized into three distinct groups: an outpatient group who performed all activities at the clinic, a home-based group who performed the activities at home and a control group. PR consisted of a combination of aerobic exercises and strength- ening of upper and lower limbs 3 times a week for 12 weeks.

Results: There was a significant difference in the distance cov- ered on the six-minute walk test (p < 0.05) and BODE index (p < 0.001) in the outpatient and at-home groups after partici- pating in the rehabilitation program compared to baseline.

Conclusion: A home-based self-monitoring pulmonary reha- bilitation program is as effective as outpatient pulmonary rehabilitation and is a valid alternative for the management of patients with COPD.

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Published
2010-11-29
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Original Research Articles
Keywords:
COPD, home-based pulmonary rehabilitation, pul- monary rehabilitation.
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How to Cite
Mendes de Oliveira, J. C., Studart Leitão FilhoF. S., Malosa Sampaio, L. M., Negrinho de Oliveira, A. C., Pastrello Hirata, R., Costa, D., Donner, C. F., & de Oliveira, L. V. (2010). Outpatient vs. home-based pulmonary rehabilitation in COPD: a randomized controlled trial. Multidisciplinary Respiratory Medicine, 5(1). https://doi.org/10.4081/mrm.2010.561