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Is there any simple tool to enhance physical activity in patients with COPD?

Perumal, Shakila Devi 2016. Is there any simple tool to enhance physical activity in patients with COPD? EC Pulmonology and Respiratory Medicine 2 (4) , pp. 148-160.

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Background: Physical inactivity is considered as a complex behaviour that predicts poor outcomes in COPD and hastens the disease progression. Pulmonary rehabilitation has been endorsed as an effective non-pharmacological therapy to enhance exercise capacity and quality of life in patients with COPD, yet its effects on promotion of physical activity is unknown. Furthermore, the recent international guidelines on pulmonary rehabilitation emphasize on “long-term health enhancing behaviour change” and increase in physical activity is considered to enhance positive health benefits in COPD. The current study had explored the effects of ground walking prescription combined with comprehensive pulmonary rehabilitation to promote physical activity in patients with COPD. Methods: Retrospective analysis were performed on 33 COPD patients [FEV1: 59.08 % (± 22.00)] enrolled to a comprehensive 8 weeks out patients PR programme (PRP). Patients were provided with individualized ground walking prescription and feedback during PRP. Paired t-test was used to examine mean difference between outcomes at Week 0 and Week 8. A p - value < 0.05 was considered significant. Results: 29 patients completed the 8 weeks out-patient PRP. Significant improvements were observed in 6 min walk test (p ˂ 0.0001), incremental shuttle walk test (p ˂ 0.0081), CAT score (p ˂ 0.0017), Chronic Respiratory Disease Questionnaire total score (p ˂ 0.0002) and mMRC dyspnea scale (p ˂ 0.0001) at Week 8 compared to Week 0. Mean walking duration per session and days per week improved from Week 0 to Week 8 (p ˂ 0.0001 and p = 0.0054). Conclusion: This study suggests that inclusion of ground walking prescription would be pragmatic behavioral intervention during comprehensive PR to stimulate physical activity behavior in patients with COPD.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Healthcare Sciences
Publisher: E-Cronicon
Date of First Compliant Deposit: 26 September 2018
Date of Acceptance: 6 October 2016
Last Modified: 30 May 2019 14:18

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