Effects of home-based pulmonary rehabilitation with a metronome-guided walking pace in chronic obstructive pulmonary disease

Despite documented efficacy and recommendations, pulmonary rehabilitation (PR) in chronic obstructive pulmonary disease (COPD) has been underutilized. Home-based PR was proposed as an alternative, but there were limited data. The adequate exercise intensity was also a crucial issue. The aim of this...

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Bibliographic Details
Published in:Journal of Korean medical science 2013, 28(5), 176, pp.738-743
Main Authors: Lee, Sung-soon, Kim, Changhwan, Jin, Young-Soo, Oh, Yeon-Mok, Lee, Sang-Do, Yang, Yun Jun, Park, Yong Bum
Format: Article
Language:English
Subjects:
Aged
Exercise
Exercise Test
Female
Home Care Services, Hospital-Based
Humans
Lung - physiopathology
Male
Middle Aged
Original
Program Evaluation
Pulmonary Disease, Chronic Obstructive - physiopathology
Pulmonary Disease, Chronic Obstructive - rehabilitation
Quality of Life
Respiratory Function Tests
Surveys and Questionnaires
Treatment Outcome
Walking
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Summary:Despite documented efficacy and recommendations, pulmonary rehabilitation (PR) in chronic obstructive pulmonary disease (COPD) has been underutilized. Home-based PR was proposed as an alternative, but there were limited data. The adequate exercise intensity was also a crucial issue. The aim of this study was to investigate the effects of home-based PR with a metronome-guided walking pace on functional exercise capacity and health-related quality of life (HRQOL) in COPD. The subjects participated in a 12-week home-based PR program. Exercise intensity was initially determined by cardiopulmonary exercise test, and was readjusted (the interval of metronome beeps was reset) according to submaximal endurance test. Six-minute walk test, pulmonary function test, cardiopulmonary exercise test, and St. George's Respiratory Questionnaire (SGRQ) were done before and after the 12-week program, and at 6 months after completion of rehabilitation. Thirty-three patients participated in the program. Six-minute walking distance was significantly increased (48.8 m; P = 0.017) and the SGRQ score was also improved (-15; P < 0.001) over the six-month follow-up period after rehabilitation. There were no significant differences in pulmonary function and peak exercise parameters. We developed an effective home-based PR program with a metronome-guided walking pace for COPD patients. This rehabilitation program may improve functional exercise capacity and HRQOL.
ISSN:1011-8934
1598-6357
DOI:10.3346/jkms.2013.28.5.738