Efficacy of adding activity of daily living simulation training to traditional pulmonary rehabilitation on dyspnea and health-related quality-of-life

Mahoney, Kayla; Pierce, Jacqueline; Papo, Stacey; Imran, Hafiz; Evans, Samuel Lewin; Wu, Wen‐Chih

doi:10.1371/journal.pone.0237973

Cited by 9 publications

(9 citation statements)

References 16 publications

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“…Including ADL-specific training in PR has been shown to further improve the impact of the disease [37]; the average oxygen uptake; and the time to perform ADL activities, such as stair climbing, which were correlated with improvements in the 6MWT [38]. Nonetheless, the authors did not perform a responder analysis and, therefore, the impact of such intervention on the proportion of responders is unknown.…”

Section: Discussionmentioning

confidence: 99%

Functional Status Following Pulmonary Rehabilitation: Responders and Non-Responders

Souto-Miranda

Mendes

Cravo

et al. 2022

JCM

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The 6 min walking test (6MWT) has been largely studied. Less is, however, known about responders and non-responders to pulmonary rehabilitation (PR) in other meaningful activities. We explored responders and non-responders and the predictors of response to PR in the 1 min sit-to-stand test (1 min STS) and the 6MWT and compared both measures in classifying responders. An observational study was conducted with 121 people with chronic obstructive pulmonary disease (COPD). The functional status was assessed before and after PR. Baseline differences between responders and non-responders were tested with Mann–Whitney U, chi-square, or Fisher exact tests. Predictors were explored with binary logistic regressions. Agreement between both measures was assessed with chi-square, Cohen’s kappa, and McNemar tests. There were 54.5% and 57.0% of responders in the 1 min STS and the 6MWT, respectively. The proportion of responders was significantly different (p = 0.048), with a small agreement between the measures (kappa = 0.180; p = 0.048). The baseline 6MWT was the only significant predictor of response in the 6MWT (OR = 0.995; pseudo-r2 = 0.117; p < 0.001). No significant predictors were found for the 1 min STS. A large number of non-responders in terms of functional status exist. The 1 min STS and the 6MWT should not be used interchangeably. Future studies should explore the added benefit of personalizing PR to this outcome and investigate other potential predictors.

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Section: Discussionmentioning

confidence: 99%

Functional Status Following Pulmonary Rehabilitation: Responders and Non-Responders

Souto-Miranda

Mendes

Cravo

et al. 2022

JCM

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“…etc., which aim to improve the physical and psychological status of patients with chronic respiratory diseases and promote long-term adherence to health-promoting behaviors [ 20 ]. Numerous trials [ 61 – 63 ] have demonstrated substantial improvements in dyspnea, exercise capacity, and health-related quality of life in patients following structured exercise training in PR programs. Exercise training can improve and prevent dyspnea and muscle dysfunction caused by airflow limitation and respiratory muscle and skeletal muscle dysfunction in patients with chronic respiratory disease, improve muscle function and exercise tolerance, reduce disease symptoms and disability, and delay disease.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Progress of Muscle Chain Theory in Shoulder Pain Rehabilitation: Potential Ideas for Pulmonary Rehabilitation

Wang

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Pulmonary dysfunction is very common in stroke patients. A study has shown that acute stroke patients often cause a series of pulmonary dysfunction due to primary damage to the respiratory center, which is an important reason for hindering disease treatment and recovery. American Thoracic Society (ATS) and the European Respiratory Society (ERS) pointed out that pulmonary rehabilitation (PR) can be applied to the rehabilitation of stroke patients to improve their lung function. PR can improve the respiratory muscle strength of stroke patients, which is beneficial to improving the respiratory function of patients. At the same time, it can also significantly increase the maximum oxygen intake of patients, effectively improve the cardiopulmonary function of stroke patients, and reduce respiratory complications such as aspiration pneumonia. However, the common dysfunction of joints and muscles such as shoulder pain after stroke will affect the process of pulmonary rehabilitation. This is mainly because the changes in the position of the shoulder girdle, the decrease in the range of motion of the cervical and thoracic spine, and the changes in the cervical spondylolisthesis position caused by the elevation of the upper limbs will directly affect the breathing movement during the pulmonary rehabilitation process. The instability of the spine will weaken the deep abdominal muscles and reduce the function of the diaphragm; moreover, changes in the alignment and stability of the cervical and thoracic spine will also lead to wrong breathing methods. Therefore, it is of practical clinical significance to evaluate the functional rehabilitation of shoulder joint muscles and evaluate the efficacy of stroke patients to improve their respiratory function. This article through an extensive review of domestic and foreign literature in recent years, combined with clinical practice experience, summarizes the practical application of chain structure theory in the fields of rehabilitation training, postural adjustment, pain relief, etc., and further studies the functional exercise method based on muscle chain theory. The research on the muscle chain of shoulder pain rehabilitation as a model illustrates the positive effect of reconstructing neuroarticular muscle function on the respiratory system, hoping to provide new ideas for the treatment of respiratory diseases in stroke patients.

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“…The technological advances of the last decade have allowed the expansion of the use of simulators in several areas, e.g., social sciences, engineering, robotics, medicine and rehabilitation, among others [ 23 , 24 ]. In the rehabilitation area, simulation software has become an ally because it allows the patient to perform a sequence of exercises in a more interactive way, avoiding the frustration and boredom that can be generated in the patient [ 25 ].…”

Section: Review Of Literaturementioning

confidence: 99%

Virtual Reality-Based Framework to Simulate Control Algorithms for Robotic Assistance and Rehabilitation Tasks through a Standing Wheelchair

Ortiz

Palacios-Navarro

Andaluz

et al. 2021

Sensors

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The implementation of control algorithms oriented to robotic assistance and rehabilitation tasks for people with motor disabilities has been of increasing interest in recent years. However, practical implementation cannot be carried out unless one has the real robotic system availability. To overcome this drawback, this article presents the development of an interactive virtual reality (VR)-based framework that allows one to simulate the execution of rehabilitation tasks and robotic assistance through a robotic standing wheelchair. The virtual environment developed considers the kinematic and dynamic model of the standing human–wheelchair system with a displaced center of mass, since it can be displaced for different reasons, e.g.,: bad posture, limb amputations, obesity, etc. The standing wheelchair autonomous control scheme has been implemented through the Full Simulation (FS) and Hardware in the Loop (HIL) techniques. Finally, the performance of the virtual control schemes has been shown by means of several experiments based on robotic assistance and rehabilitation for people with motor disabilities.

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Efficacy of adding activity of daily living simulation training to traditional pulmonary rehabilitation on dyspnea and health-related quality-of-life

Cited by 9 publications

References 16 publications

Functional Status Following Pulmonary Rehabilitation: Responders and Non-Responders

Functional Status Following Pulmonary Rehabilitation: Responders and Non-Responders

Progress of Muscle Chain Theory in Shoulder Pain Rehabilitation: Potential Ideas for Pulmonary Rehabilitation

Virtual Reality-Based Framework to Simulate Control Algorithms for Robotic Assistance and Rehabilitation Tasks through a Standing Wheelchair

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