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

DOI: 10.1186/2049-6958-5-6-401

Keywords: COPD, home-based pulmonary rehabilitation, pulmonary rehabilitation

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Abstract:

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.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.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.Chronic obstructive pulmonary disease (COPD) is a common cause of illness and death that affects a large and increasing number of individuals in both developed and developing countries. Estimates suggest that COPD will become the 3rd most common cause of death in the world and 5th most common cause of illness in the next 20 years [1,2].Pulmonary rehabilitation (PR) is a multidisciplinary intervention that integrates physical exercise, nutritional therapy, patient education and psychological support [3-7]. Evidence indicates that PR offers numerous clinical benefits, such as improved health-related quality of life, a reduction in anxiety and depression, increased tolerance to physical exercise and a reduction in the number of hospitalizations and days of hospital stay per year [3,4]. However, despite the strong scientific recommendations for its routine use in the treatment of COPD, PR is generally underutilized [5-7]. A survey carried out in 2005 in Canada demonstrated that only 1-2% of the Canadian population with COPD has access to rehabilitation programs [8]. Similar statistics are reported for other countries [7,9].A search of the scientific literature revealed few controlled studies that demonstrate the b

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