Meta-analysis on the Effectiveness of Pulmonary Rehabilitation Program on Exercise Capacity/Tolerance and General Health Status

만성 폐쇄성 폐질환 환자를 위한 호흡재활 중재가 운동 능력 및 내구성, 일반적 건강상태에 미치는 효과에 대한 메타분석

  • Published : 2003.10.01

Abstract

Purpose: This study was conducted to combine the effects of pulmonary rehabilitation program (PRP) on exercise capacity/tolerance and general health status of COPD patients based on the primary research results examined the effects of PRP, Method: Seventeen studies were selected by the sampling criteria established to include the studies that reported enough statistics necessary to conduct meta-analysis. Result: According to the study results, the most effective indicators for exercise capacity/tolerance were exercise time (such as cycling time or treadmill walking time) and ground walking distance within given time (6 minutes or 12 minutes), whereas effects on such indicators as VE and VO$_2$ were not statistically significant. PRP induced significant effect on patients' general health status, frequently measured by physical, psycho-emotional, and holistic indicators, the enhancement on psycho-emotional dimension resulted from PRP was more prominent than those of the other dimensions. From the results, it was noted that the place where PRP was given and the contents of PRP exercised their influence on the outcome variables. Which body part was trained was also one of the important factors that influence on the patients' perception of dyspnea during exercise as well as on exercise capacity/tolerance. Conclusion: PRP including exercise training significantly improved the exercise capacity and general health status of COPD patients.

Keywords

References

  1. Belman M. J. (1993). Exercise in patients with chronic obstructive pulmonary disease, Thorax, 48, 936-946
  2. Belman M. J. (1986). Exercise in chronic obstructive pulmonary disease, Clinics in Chest Medicine, 7(4), 585-597
  3. Celli, B. R. (1993). Exercise training in pulmonary rehabilitation, Seminars in Respiratory Medicine, 14(2), 132-138 https://doi.org/10.1055/s-2007-1006315
  4. Oh, E. G., Kim, S. H., Kim, S. H., Park, H. O. Lee, C. W. (2002). The analysis of research on the home-based pulmonary rehabilitation program, Journal of Korean Academy of Adult Health Nursing, 14(3), 368-377
  5. Olopade C. O., Beck, K. C., Viggiano, R. W., Staats, B. A. (1992). Exercise limitation and pulmonary rehabilitation in chronic obstructive pulmonary disease, Mayo Clin Proc, 67, 144-157
  6. Giiell, R., Casan, P., Sangenis, M., Morante, F., Guyatt, G. H., and Sanchis J. (2000). Long-term effects of outpatient rehabilitation of COPD: A randomized trial, Chest, 117(4), 976-983 https://doi.org/10.1378/chest.117.4.976
  7. Goldstein, R. S., Gort, E. H., Stubbing, D., Avendano, M. A., & Gyatt, G. H. (1994). Randomized controlled trial of respiratory rehabilitation. The Lancet, 344, 1394-1397 https://doi.org/10.1016/S0140-6736(94)90568-1
  8. Hernandez, M. T. E., Rubio T. M., Ruiz, G. O., Riera, H. S. Gil, R. S., and Gomez, J. C. (2000). Results of home-based training program for patients with COPD, Chest, 118(1), 106-114 https://doi.org/10.1378/chest.118.1.106
  9. Lake, F. R., Henderson, K., Briffa, T., Openshaw, J., & Musk, A. W. (1990). Upper-limb and lower-limb exercise training in patients with chronic airflow obstruction, Chest, 97(5), 1077-1081 https://doi.org/10.1378/chest.97.5.1077
  10. Nava, S. (1998). Rehabilitation of patients admitted to a respiratory intensive care unit, Arch Phys Med Rehabil, 79, 849-854
  11. O,Donnell, D. E., McGuire, M., Lorelei S., & Webb, K. A. (1995). The impact of exercise reconditioning on breathlessness in severe chronic airflow limitation, Am J Respir Crit Care Med, 152, 2005-2013
  12. Reardon, J., Normandin, E., Vale, F., Clark, B., & Zuwallack, L. (1994). The effect of comprehensive outpatient pulmonary rehabilitation on dyspnea, Chest, 105, 1046-1052
  13. Ries, A., Ellis, B., & Hawkins, R. W. (1988). Upper extremity exercise training in chronic obstructive pulmonary disease, Chest, 93, 688-692
  14. Ries a., Kaplan, R. M., Limberg, T. M. Prewitt, L. M. (1995). Effects of pulmonary rehabilitation on physiologic and psychosocial outcomes in patients with chronic obstructive pulmonary disease, Ann Intern Med, 122(11), 823-832
  15. Ringbaek, T. J., Broendum, E., Hemmingsen, L., Lybeck, K., Nielsen, D., Anderson, C., & Lange, P. (2000). Rehabilitation of patients with chronic obstructive pulmonary disease. Exercise twice a week is not sufficient, Respir Med, 94, 150-154
  16. Sassi-Dambron, D. E., Eakin, E. C., Ries, A., & Kaplan, R. M. (1995). A controlled clinical trial of dyspnea management strategies, Chest, 107, 724-729
  17. Sinclair, D. J., & Ingram, C. G. (1980). Controlled trial of supervised exercise training in chronic bronchitis, Br Med J, 23, 519-521
  18. Strijbos, J. H., Goeter, G. H., & Meinesz, A. F. (1990). Home care rehabilitation and perception of dyspnea in chronic obstructive pulmonary disease patients, Chest, 97 suppl., 109S-110S
  19. Strijbos, J. H., POstma, D. S., Altena, R., Gimeno, F., & Koeter, G. H. (1996). A comparison between an outpatient hospital-based pulmonary rehabilitation program and a home-care pulmonary Rehabilitation program in patient with COPD, Chest, 109, 366-372
  20. Trooster, T., Gosselink, R., & Decramer, M. (2000). Short-and long-term effects of outpatient rehabilitation in patients with chronic obstructive pulmonary disease: A randomized trial, Am J Med, 109, 207-212
  21. Wijstra, P. J., TenVergert, E. M., Altena R van, Otten, V., Kraan, J., Postma, D. S., Koeter, G. H. (1995). Long-term benefits of rehabilitation at home on quality of life and exercise tolerance in patients with chronic obstructive pulmonary disease, Thorax, 50, 824-828
  22. Wijstra, P. J., Mark, Th. W., Kraan, J., Altena R van, Koeter, G. H., & Postma, D. S. (1996). Effects of home rehabilitation on physical performance in patients with chronic obstructive pulmonary disease, Eur Respir J, 9, 104-110