PT  - JOURNAL ARTICLE
AU  - Irene Torres Sanchez
AU  - Marie Carmen Valenza
AU  - Tamara Del Corral Núñez-Flores
AU  - Alfredo Molina Ocaña
AU  - Laura López López
AU  - Gerald Valenza Demet
TI  - Repercussion of different physical therapy interventions on the perceived health status of AECOPD patients
AID  - 10.1183/13993003.congress-2016.PA4423
DP  - 2016 Sep 01
TA  - European Respiratory Journal
PG  - PA4423
VI  - 48
IP  - suppl 60
4099  - http://erj.ersjournals.com/content/48/suppl_60/PA4423.short
4100  - http://erj.ersjournals.com/content/48/suppl_60/PA4423.full
SO  - Eur Respir J2016 Sep 01; 48
AB  - Introduction: Perceived health status is being recognized as an important outcome measure when evaluating patients with chronic obstructive pulmonary disease (COPD).Objectives: To evaluate the repercussion of different physical therapy interventions on the perceived health status of COPD patients during hospitalization due to acute exacerbation (AE).Methods: Randomized controlled trial. Patients were randomly assigned to three groups.Control group received standard medical treatment. Intervention groups (IG) 1 and 2 received additionally a physical therapy program. IG 1 performed daily controlled breathing exercises and active range of motion exercises and IG 2 daily resistance lower limbs exercises.Perceived health status as main outcome was assessed at baseline and at discharge using the EuroQol-5D (EQ-5D) questionnaire. Clinical profile was also evaluated.Results: 90 patients were included. No significant differences were observed between groups at admission.VariableControl group (n=30)p-valueIG 1 (n=30)p-valueIG 2 (n=30)p-valueEQ-5D indexPre0,302±0,4180,424±0,3840,384±0,451Post0,624±0,414<,001**0,810±0,247<,001**0,854±0,381<,001**EQ-5D VASPre42,45±16,9550,00±9,8343,82±1,54Post56,22±21,56<,001**78,33±15,83<,001**72,93±14,29<,001**EQ-5D: EuroQol-5D; VAS: Visual Analogue Scale; p<0,001**TABLE 1. Effects of the interventionsIG 1 and 2 showed significant between groups differences in EQ-5D index and VAS at discharge when compared to the control group. No significant differences were observed between IG 1 and 2.Conclusions: Physical therapy added to standard treatment in patients hospitalized due to AECOPD achieves a higher improvement than standard medical treatment alone.