Journal of cardiopulmonary rehabilitation and prevention
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J Cardiopulm Rehabil Prev · Sep 2009
Randomized Controlled Trial Comparative StudyHome-based pulmonary rehabilitation in very severe COPD: is it safe and useful?
To determine the safety and usefulness of a home-based pulmonary rehabilitation program for patients with very severe chronic obstructive pulmonary disease (COPD) who receive long-term treatment with oxygen. ⋯ A home-based pulmonary rehabilitation program for patients with very severe COPD under long-term oxygen treatment is safe and useful, as it achieves an improvement in exercise tolerance, reduces dyspnea after effort, and improves quality of life without causing any complication arising from the performance of the exercises.
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J Cardiopulm Rehabil Prev · Sep 2009
ReviewArm exercise training in patients with chronic obstructive pulmonary disease: a systematic review.
Patients with chronic obstructive pulmonary disease (COPD) often report intolerable dyspnea when they use their arms for simple activities of daily living. Although arm exercise training is recommended in the guidelines for pulmonary rehabilitation (PR), there is limited information regarding its impact. Therefore, we undertook a systematic review of studies that have investigated the effects of an arm training program (ATP) on symptoms, exercise capacity, and health-related quality of life. ⋯ There is evidence to support the use of ATP to improve arm exercise capacity. Larger trials with standardized training methodology and outcomes are required to better understand the optimal training regimen for patients with COPD.
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J Cardiopulm Rehabil Prev · Sep 2009
Randomized Controlled Trial Comparative StudyPulmonary rehabilitation after acute exacerbation of chronic obstructive pulmonary disease in patients who previously completed a pulmonary rehabilitation program.
Acute exacerbations of chronic obstructive pulmonary disease (AECOPD) impair health-related quality of life (HRQL). We evaluated the effect of an abbreviated repeat pulmonary rehabilitation (PR) program on HRQL after an AECOPD. ⋯ The reduction in dyspnea in those who did not experience a second AECOPD provides preliminary evidence for the role of repeat programs. The application of repeat PR should be refined in larger trials.