Benefits of Pulmonary Rehabilitation in Patients with COPD with Use and without the Use of Supplemental Oxygen During Exercise

Abstract

Objective: To determine the effects of a pulmonary rehabilitation program in patients with COPD who use and do not use supplemental oxygen during exercise. Materials and Methods: Prospective longitudinal descriptive study on 59 patients with COPD who were part of a pulmonary rehabilitation program and who were classified into two groups: a group that required supplemental oxygen during rehabilitation and another that did not. Results: 31 patients were linked to the group that used oxygen during rehabilitation and 28 patients who did not use it. The average age was 69.1 ± 10.6 years old. The mMRC dyspnea decreased 0.7 ± 0.2 (p = 0.000) in the group that used oxygen and 0.8 ± 0.1 (p = 0.000) in the group that did not use it. The distance increased 45.9 meters ± 7.2 (p = 0.000) in the group that used oxygen and 65.2 meters ± 16.3 (p = 0.001) in the group that did not use it. Conclusion: Both groups showed significant improvements in dyspnea and aerobic capacity, however, there was a greater increase in the group that did not use oxygen.

Efecto de un programa de ejercicio físico y educación en pacientes con enfermedades pulmonares intersticiales difusas

“…7 Es importante tener en cuenta que esta situación anteriormente descrita obligó que 11 pacientes del total de ellos requirieran utilizar oxígeno suplementario durante las sesiones de ejercicio; no obstante, esta situación presentada evidenció que no habían diferencias entre los grupos de intervención, por lo que ambos grupos presentaban similares condiciones de desempeño funcional, tanto en la PM6M como en las sesiones de ejercicio. 7,20 En la disnea medida con la escala MRC, se evidenció que ambos grupos de pacientes presentaron una mejoría significativa; situación que puede explicarse debido a que los ejercicios realizados en el programa de ejercicio y educación permite el entrenamiento de músculos periféricos ocasionando una mejor tolerancia al esfuerzo Tabla 3: Cambios en antropométricos, capacidad aeróbica funcional, disnea ansiedad/depresión y calidad de vida relacionada con la salud en pacientes con otras EPID (N = 32). evidenciado en el incremento de la distancia recorrida en la PM6M.…”

Impact of telephone follow-up on COPD outcomes in pulmonary rehabilitation patients: A randomized clinical trial

“…Progression in intensity was performed using the modified Borg scale, increasing until scores between 3/10 and 5/10 were reached. 23 Muscle-strengthening exercises were performed in four series of 12 repetitions, starting at 50% of maximum resistance (MR) and increasing until reaching scores between 3/10 and 5/10. The estimation of the MR was made considering the highest number of times that the patients were able to perform each movement evaluated using the correct technique.…”

“…Patients who had saturation <90% or desaturation ≥ 4 points from baseline saturation during the 6MWT were administered oxygen to maintain SpO2 ≥90% during exercise sessions. 23…”