TY - JOUR T1 - Brazilian manual of home-based pulmonary rehabilitation: Is it a good tool to facilitate the patients to train the domiciliary exercise? JF - European Respiratory Journal JO - Eur Respir J VL - 44 IS - Suppl 58 SP - P624 AU - Yves Raphael AU - Kenia Maynard da Silva AU - Thiago Bartholo AU - Arnaldo Noronha AU - Rogério Rufino AU - Cláudia Costa Y1 - 2014/09/01 UR - http://erj.ersjournals.com/content/44/Suppl_58/P624.abstract N2 - Introduction: A Brazilian Manual of Home-based Pulmonary Rehabilitation was developed and it could help patients to do exercises at home. Objective: To evaluate if the use of the manual can maintain the effect of the Pulmonary Rehabilitation (PR) performed in the hospital. Methods: COPD patients, ≥ 40 y-o, and without history of exacerbation within the previous 3 months were screened from pulmonary out-clinic of State University of Rio de Janeiro and started a PR for 12 weeks. After this period of time, they were randomly allocated into one of two groups: the manual group (MG) and received the Brazilian Manual to use at home; and the control group (CG), who received only verbal orientation about the exercises they should continue to perform at home. All patients performed 6 minute-walk test (6MWT) and 6 minute-step test (6MST) when the PR finished and after 12 weeks performing exercises at home (with or without the manual). Results: 23 patients were screened, but 10 participants were excluded (3 smoking, 2 musculoskeletal diseases, 5 dropouts). It was analyzed the data from 13, who performed all tests. The mean distance walked by patients (6MWT) were 451,43±58,42 m and they climbed a mean of 371,46±63,41 steps (6MST). After 12 weeks at home, the MG achieved a better result in both tests: 6MWT 489,72±42,8 vs. 355,41±59,2 m (p=0,0008); 6MST: 410,50±45 vs. 310,29±50,64 steps (p=0,0018) Conclusion: The data suggest that COPD patients who used the manual at home could kept the results achieved during the outpatient PR performed at the hospital. The Brazilian Manual could be an important tool to facilitate the continuity of the outpatient PR program. ER -