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

Julio Cesar Oliveira, Fernando Sergio Leitão Filho, Luciana Sampaio, Ana Carolina Oliveira, Raquel Hirata, Dirceu Costa, Claudio Donner, Luis Vicente Oliveira
European Respiratory Journal 2011 38: p4805; DOI:
Julio Cesar Oliveira
1Pulmonary Rehabilitation, Lung Institute, Cascavel, PR, Brazil
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Fernando Sergio Leitão Filho
3Medicine Department, Fortaleza University, Fortaleza, CE, Brazil
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Luciana Sampaio
2Rehabilitation Sciences Master's Program, Nove de Julho University, Sao Paulo, SP, Brazil
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Ana Carolina Oliveira
1Pulmonary Rehabilitation, Lung Institute, Cascavel, PR, Brazil
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Raquel Hirata
2Rehabilitation Sciences Master's Program, Nove de Julho University, Sao Paulo, SP, Brazil
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Dirceu Costa
2Rehabilitation Sciences Master's Program, Nove de Julho University, Sao Paulo, SP, Brazil
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Claudio Donner
4Ambulatorio Diagnostico e Terapeutico Polispecialistico, Mondo Medico, Borgomanero, Italy
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Luis Vicente Oliveira
2Rehabilitation Sciences Master's Program, Nove de Julho University, Sao Paulo, SP, Brazil
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Abstract

Introduction: 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 results in an improvement in dyspnea, fatigue and quality of life. Despite its proven effectiveness and the strong scientific recommendations for its routine use in the care of COPD, PR is generally underutilized and strategies for increasing access to PR are needed. Homebased 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 strengthening of upper and lower limbs 3 times a week for 12 weeks.

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

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

  • © 2011 ERS
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Outpatient vs. home-based pulmonary rehabilitation in COPD: A randomized controlled trial
Julio Cesar Oliveira, Fernando Sergio Leitão Filho, Luciana Sampaio, Ana Carolina Oliveira, Raquel Hirata, Dirceu Costa, Claudio Donner, Luis Vicente Oliveira
European Respiratory Journal Sep 2011, 38 (Suppl 55) p4805;

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Outpatient vs. home-based pulmonary rehabilitation in COPD: A randomized controlled trial
Julio Cesar Oliveira, Fernando Sergio Leitão Filho, Luciana Sampaio, Ana Carolina Oliveira, Raquel Hirata, Dirceu Costa, Claudio Donner, Luis Vicente Oliveira
European Respiratory Journal Sep 2011, 38 (Suppl 55) p4805;
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More in this TOC Section

  • Pulmonary rehabilitation (PR) outcomes in chronic obstructive pulmonary disease (COPD) compared with interstitial lung disease (ILD)
  • Pilot study of effectiveness of home rehabilitation for homebound patients with severe COPD
Show more 494. Pulmonary rehabilitation: looking at alternative approaches and alternative populations beyond COPD

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