Impact of pulmonary rehabilitation on quality of life and functional capacity in patients on waiting lists for lung transplantation

To investigate the impact of a pulmonary rehabilitation program on the functional capacity and on the quality of life of patients on waiting lists for lung transplantation. Patients on lung transplant waiting lists were referred to a pulmonary rehabilitation program consisting of 36 sessions. Before...

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Published inJornal brasileiro de pneumologia Vol. 39; no. 3; pp. 349 - 356
Main Authors Florian, Juliessa, Rubin, Adalberto, Mattiello, Rita, Fontoura, Fabrício Farias da, Camargo, José de Jesus Peixoto, Teixeira, Paulo Jose Zimermann
Format Journal Article
LanguageEnglish
Portuguese
Published Brazil Sociedade Brasileira de Pneumologia e Tisiologia 01.06.2013
Subjects
Adult
Breathing Exercises
Exercicio
Exercise Therapy - methods
Exercise Tolerance
Female
Humans
Idiopathic Pulmonary Fibrosis - physiopathology
Idiopathic Pulmonary Fibrosis - rehabilitation
Lung Diseases - physiopathology
Lung Diseases - rehabilitation
Lung Transplantation
Male
Middle Aged
Original
Prospective Studies
Pulmonary Emphysema - physiopathology
Pulmonary Emphysema - rehabilitation
Qualidade de vida
Quality of Life
Reabilitacao
Respiratory Function Tests
RESPIRATORY SYSTEM
Statistics, Nonparametric
Tolerancia ao exercicio
Transplante de pulmao
Waiting Lists
Exercicio
Reabilitacao
Exercise
Qualidade de vida
Lung transplantation
Exercise tolerance
Rehabilitation
Transplante de pulmao
Tolerancia ao exercicio
Quality of life
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Abstract To investigate the impact of a pulmonary rehabilitation program on the functional capacity and on the quality of life of patients on waiting lists for lung transplantation. Patients on lung transplant waiting lists were referred to a pulmonary rehabilitation program consisting of 36 sessions. Before and after the program, participating patients were evaluated with the six-minute walk test and the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36). The pulmonary rehabilitation program involved muscle strengthening exercises, aerobic training, clinical evaluation, psychiatric evaluation, nutritional counseling, social assistance, and educational lectures. Of the 112 patients initially referred to the program, 58 completed it. The mean age of the participants was 46 ± 14 years, and females accounted for 52%. Of those 58 patients, 37 (47%) had pulmonary fibrosis, 13 (22%) had pulmonary emphysema, and 18 (31%) had other types of advanced lung disease. The six-minute walk distance was significantly greater after the program than before (439 ± 114 m vs. 367 ± 136 m, p = 0.001), the mean increase being 72 m. There were significant point increases in the scores on the following SF-36 domains: physical functioning, up 22 (p = 0.001), role-physical, up 10 (p = 0.045); vitality, up 10 (p < 0.001); social functioning, up 15 (p = 0.001); and mental health, up 8 (p = 0.001). Pulmonary rehabilitation had a positive impact on exercise capacity and quality of life in patients on lung transplant waiting lists.
AbstractList OBJECTIVE: To investigate the impact of a pulmonary rehabilitation program on the functional capacity and on the quality of life of patients on waiting lists for lung transplantation. METHODS: Patients on lung transplant waiting lists were referred to a pulmonary rehabilitation program consisting of 36 sessions. Before and after the program, participating patients were evaluated with the six-minute walk test and the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36). The pulmonary rehabilitation program involved muscle strengthening exercises, aerobic training, clinical evaluation, psychiatric evaluation, nutritional counseling, social assistance, and educational lectures. RESULTS: Of the 112 patients initially referred to the program, 58 completed it. The mean age of the participants was 46 ± 14 years, and females accounted for 52%. Of those 58 patients, 37 (47%) had pulmonary fibrosis, 13 (22%) had pulmonary emphysema, and 18 (31%) had other types of advanced lung disease. The six-minute walk distance was significantly greater after the program than before (439 ± 114 m vs. 367 ± 136 m, p = 0.001), the mean increase being 72 m. There were significant point increases in the scores on the following SF-36 domains: physical functioning, up 22 (p = 0.001), role-physical, up 10 (p = 0.045); vitality, up 10 (p < 0.001); social functioning, up 15 (p = 0.001); and mental health, up 8 (p = 0.001). CONCLUSIONS: Pulmonary rehabilitation had a positive impact on exercise capacity and quality of life in patients on lung transplant waiting lists.
OBJECTIVE: To investigate the impact of a pulmonary rehabilitation program on the functional capacity and on the quality of life of patients on waiting lists for lung transplantation. METHODS: Patients on lung transplant waiting lists were referred to a pulmonary rehabilitation program consisting of 36 sessions. Before and after the program, participating patients were evaluated with the six-minute walk test and the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36). The pulmonary rehabilitation program involved muscle strengthening exercises, aerobic training, clinical evaluation, psychiatric evaluation, nutritional counseling, social assistance, and educational lectures. RESULTS: Of the 112 patients initially referred to the program, 58 completed it. The mean age of the participants was 46 ± 14 years, and females accounted for 52%. Of those 58 patients, 37 (47%) had pulmonary fibrosis, 13 (22%) had pulmonary emphysema, and 18 (31%) had other types of advanced lung disease. The six-minute walk distance was significantly greater after the program than before (439 ± 114 m vs. 367 ± 136 m, p = 0.001), the mean increase being 72 m. There were significant point increases in the scores on the following SF-36 domains: physical functioning, up 22 (p = 0.001), role-physical, up 10 (p = 0.045); vitality, up 10 (p < 0.001); social functioning, up 15 (p = 0.001); and mental health, up 8 (p = 0.001). CONCLUSIONS: Pulmonary rehabilitation had a positive impact on exercise capacity and quality of life in patients on lung transplant waiting lists. OBJETIVO: Avaliar o impacto de um programa de reabilitação pulmonar na capacidade funcional e na qualidade de vida de pacientes em lista de espera para transplante pulmonar. MÉTODOS: Pacientes em lista de espera para transplante pulmonar encaminhados a um programa de reabilitação pulmonar de 36 sessões. Os participantes foram avaliados no início e no final desse com o teste de caminhada de seis minutos (TC6) e com o questionário de qualidade de vida Medical Outcomes Study 36-item Short-Form Health Survey (SF-36). O programa de reabilitação pulmonar foi composto por exercícios de fortalecimento muscular, treinamento aeróbico, acompanhamento clínico e psiquiátrico, acompanhamento nutricional, assistência social e palestras educacionais. RESULTADOS: Dos 112 pacientes encaminhados, 58 completaram o programa. A média de idade dos participantes foi de 46 ± 14 anos; sendo 52% do sexo feminino. Entre esses pacientes, 37 (47%) eram portadores de fibrose pulmonar, 13 (22%) tinham enfisema pulmonar, e 18 (31%), tinham outras doenças pulmonares em fase avançada. Houve uma melhora significativa na distância percorrida no TC6 ao final do programa (367 ± 136 m vs. 439 ± 114 m; p = 0,001), com um aumento médio de 72 m. Houve aumentos significativos nas pontuações dos seguintes domínios do SF-36: capacidade funcional, 22 pontos (p = 0,001); aspectos físicos, 10 (p = 0,045); vitalidade, 10 (p < 0,001); aspectos sociais, 15 (p = 0,001); e saúde mental, 8 (p = 0,001). CONCLUSÕES: O programa de reabilitação pulmonar teve um impacto positivo na capacidade de exercício e na qualidade de vida nos pacientes em lista de espera para transplante pulmonar.
To investigate the impact of a pulmonary rehabilitation program on the functional capacity and on the quality of life of patients on waiting lists for lung transplantation. Patients on lung transplant waiting lists were referred to a pulmonary rehabilitation program consisting of 36 sessions. Before and after the program, participating patients were evaluated with the six-minute walk test and the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36). The pulmonary rehabilitation program involved muscle strengthening exercises, aerobic training, clinical evaluation, psychiatric evaluation, nutritional counseling, social assistance, and educational lectures. Of the 112 patients initially referred to the program, 58 completed it. The mean age of the participants was 46 ± 14 years, and females accounted for 52%. Of those 58 patients, 37 (47%) had pulmonary fibrosis, 13 (22%) had pulmonary emphysema, and 18 (31%) had other types of advanced lung disease. The six-minute walk distance was significantly greater after the program than before (439 ± 114 m vs. 367 ± 136 m, p = 0.001), the mean increase being 72 m. There were significant point increases in the scores on the following SF-36 domains: physical functioning, up 22 (p = 0.001), role-physical, up 10 (p = 0.045); vitality, up 10 (p < 0.001); social functioning, up 15 (p = 0.001); and mental health, up 8 (p = 0.001). Pulmonary rehabilitation had a positive impact on exercise capacity and quality of life in patients on lung transplant waiting lists.
OBJECTIVETo investigate the impact of a pulmonary rehabilitation program on the functional capacity and on the quality of life of patients on waiting lists for lung transplantation. METHODSPatients on lung transplant waiting lists were referred to a pulmonary rehabilitation program consisting of 36 sessions. Before and after the program, participating patients were evaluated with the six-minute walk test and the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36). The pulmonary rehabilitation program involved muscle strengthening exercises, aerobic training, clinical evaluation, psychiatric evaluation, nutritional counseling, social assistance, and educational lectures. RESULTSOf the 112 patients initially referred to the program, 58 completed it. The mean age of the participants was 46 ± 14 years, and females accounted for 52%. Of those 58 patients, 37 (47%) had pulmonary fibrosis, 13 (22%) had pulmonary emphysema, and 18 (31%) had other types of advanced lung disease. The six-minute walk distance was significantly greater after the program than before (439 ± 114 m vs. 367 ± 136 m, p = 0.001), the mean increase being 72 m. There were significant point increases in the scores on the following SF-36 domains: physical functioning, up 22 (p = 0.001), role-physical, up 10 (p = 0.045); vitality, up 10 (p < 0.001); social functioning, up 15 (p = 0.001); and mental health, up 8 (p = 0.001). CONCLUSIONSPulmonary rehabilitation had a positive impact on exercise capacity and quality of life in patients on lung transplant waiting lists.
Author Florian, Juliessa
Mattiello, Rita
Fontoura, Fabrício Farias da
Camargo, José de Jesus Peixoto
Rubin, Adalberto
Teixeira, Paulo Jose Zimermann
AuthorAffiliation Universidade Federal de Ciências da Saúde de Porto Alegre
Pontifícia Universidade Católica do Rio Grande do Sul
Santa Casa Sisters of Mercy Hospital Complex
Universidade FEEVALE
AuthorAffiliation_xml – name: Universidade FEEVALE
– name: Universidade Federal de Ciências da Saúde de Porto Alegre
– name: Pontifícia Universidade Católica do Rio Grande do Sul
– name: Santa Casa Sisters of Mercy Hospital Complex
Author_xml – sequence: 1
  givenname: Juliessa
  surname: Florian
  fullname: Florian, Juliessa
  email: juliessaflorian@yahoo.com.br
  organization: Santa Casa Sisters of Mercy Hospital Complex, Department of Pulmonary Rehabilitation and Physical Therapy, Porto Alegre, Brazil. juliessaflorian@yahoo.com.br
– sequence: 2
  givenname: Adalberto
  surname: Rubin
  fullname: Rubin, Adalberto
– sequence: 3
  givenname: Rita
  surname: Mattiello
  fullname: Mattiello, Rita
– sequence: 4
  givenname: Fabrício Farias da
  surname: Fontoura
  fullname: Fontoura, Fabrício Farias da
– sequence: 5
  givenname: José de Jesus Peixoto
  surname: Camargo
  fullname: Camargo, José de Jesus Peixoto
– sequence: 6
  givenname: Paulo Jose Zimermann
  surname: Teixeira
  fullname: Teixeira, Paulo Jose Zimermann
BackLink https://www.ncbi.nlm.nih.gov/pubmed/23857680$$D View this record in MEDLINE/PubMed
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DocumentTitleAlternate Impacto da reabilitacao pulmonar na qualidade de vida e na capacidade funcional de pacientes em lista de espera para transplante pulmonar
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Issue 3
Keywords Exercicio
Reabilitacao
Exercise
Qualidade de vida
Lung transplantation
Exercise tolerance
Rehabilitation
Transplante de pulmao
Tolerancia ao exercicio
Quality of life
Language English
Portuguese
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Snippet To investigate the impact of a pulmonary rehabilitation program on the functional capacity and on the quality of life of patients on waiting lists for lung...
OBJECTIVE: To investigate the impact of a pulmonary rehabilitation program on the functional capacity and on the quality of life of patients on waiting lists...
OBJECTIVETo investigate the impact of a pulmonary rehabilitation program on the functional capacity and on the quality of life of patients on waiting lists for...
SourceID doaj
scielo
pubmedcentral
proquest
crossref
pubmed
SourceType Open Website
Open Access Repository
Aggregation Database
Index Database
StartPage 349
SubjectTerms Adult
Breathing Exercises
Exercicio
Exercise Therapy - methods
Exercise Tolerance
Female
Humans
Idiopathic Pulmonary Fibrosis - physiopathology
Idiopathic Pulmonary Fibrosis - rehabilitation
Lung Diseases - physiopathology
Lung Diseases - rehabilitation
Lung Transplantation
Male
Middle Aged
Original
Prospective Studies
Pulmonary Emphysema - physiopathology
Pulmonary Emphysema - rehabilitation
Qualidade de vida
Quality of Life
Reabilitacao
Respiratory Function Tests
RESPIRATORY SYSTEM
Statistics, Nonparametric
Tolerancia ao exercicio
Transplante de pulmao
Waiting Lists
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  priority: 102
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Title Impact of pulmonary rehabilitation on quality of life and functional capacity in patients on waiting lists for lung transplantation
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https://pubmed.ncbi.nlm.nih.gov/PMC4075851
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132013000300349&lng=en&tlng=en
https://doaj.org/article/15b3626ef7934278ac33cea54a416e24
Volume 39
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