Exercise capacity in pulmonary Tuberculosis

Hall, Megan N.; Charmoy, S. de

doi:10.4102/sajp.v58i2.236

Cited by 3 publications

(2 citation statements)

References 4 publications

(8 reference statements)

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“…Traditionally, physiotherapists do not treat patients with PTB unless they need to assist in the mobilisation of secretions (Goodman & Fuller 2009 ). Hall and de Charmoy ( 2002 ), in their study of young male subjects with PTB, found no reductions in exercise capacity and suggested that the physiotherapist may play more of an educational role in PTB. The study, however, had a small sample size and very particular patient demographics, that is, young male subjects who may already be fitter than the general population by virtue of their gender and age.…”

Section: Discussionmentioning

confidence: 96%

Pulmonary impairment after tuberculosis in a South African population

Cole

Miller

Ebrahim

et al. 2016

South African Journal of Physiotherapy

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BackgroundIn South Africa, pulmonary tuberculosis (PTB) remains a problem of epidemic proportions. Despite evidence demonstrating persistent lung impairment after PTB cure, few population-based South African studies have investigated this finding. Pulmonary rehabilitation post-cure is not routinely received.ObjectivesTo determine the effects of PTB on lung function in adults with current or past PTB. To determine any association between PTB and chronic obstructive pulmonary disease (COPD).MethodsThis study was observational and cross-sectional in design. Participants (n = 55) were included if they were HIV positive on treatment, had current PTB and were on treatment, and/or had previous PTB and completed treatment or if they were healthy adult subjects with no history of PTB. A sample of convenience was used with participants coming from a similar socio-economic background and undergoing spirometry testing. Multiple regression analyses were conducted on each lung function variable.ResultsCompared to normal percentage-predicted values, forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC) and FEV1:FVC were significantly reduced in those with current PTB by 23.39%, 15.99% and 6.4%, respectively. Both FEV1 and FVC were significantly reduced in those with past PTB by 11.76% and 10.79%, respectively. There was no association between PTB and COPD – those with previous PTB having a reduced FEV1:FVC (4.88% less than the norm), which was just short of significance (p = 0.059).ConclusionsLung function is reduced both during and after treatment for PTB and these deficits may persist. This has implications regarding the need for pulmonary rehabilitation even after medical cure.

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Section: Discussionmentioning

confidence: 96%

Pulmonary impairment after tuberculosis in a South African population

Cole

Miller

Ebrahim

et al. 2016

South African Journal of Physiotherapy

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“…Despite the fact that in the present study, there was no exercise training, the results are in accordance with those of Yoshida et al (2006) . Previous study concluded that it seems not necessary to submit patients suffering from pulmonary TB to pulmonary rehabilitation ( Hall and De Charmoy, 2002 ). Nevertheless, in contrary with our study, there was no SpO 2 variation after 2 weeks, may be because of the short duration of the exercise training.…”

Section: Discussionmentioning

confidence: 99%

Physical and functional follow-up of tuberculosis patients in initial intensive phase of treatment in Cameroon using the 6-min walk test

Guessogo¹,

Mandenguè²,

Ndemba³

et al. 2016

J Exerc Rehabil

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This study aimed to evaluate functional capacities of Cameroonian tuberculosis (TB) patients in initial intensive phase of treatment using the 6-min walk test (6MWT) and to compare them to an age-matched healthy group. Twenty-eight TB patients newly diagnosed and 19 healthy age-matched peoples participated in the study. Performance parameters were determined using the 6MWT. Anthropometric and cardiorespiratory parameters were measured at baseline and after 6MWT. Two months later, TB patients were submitted to the same evaluation. We found significant differences in anthropometric parameters between the two groups. The baseline cardiorespiratory parameters and performance characteristics of TB patients were lower than control group (571.7±121.0 m vs 841.6±53.0 m, P<0.0001 for 6-min walk distance (6MWD) and 18.1±2.8 mL/kg/min vs 24.3±1.2 mL/kg/min, P<0.001 for mean VO2 peak (peak oxygen consumption). Two months after, significant improvements were noted in anthropometric, cardiorespiratory and performance parameters except for bone mass and FEV1/FEV6 (forced expiratory volumes in 1 second/6 seconds) ratio. Significant correlations were found between the 2-min walked distance (P<0.0001, r=0.95), 4-min walked distance (P<0.0001, r=0.97) and 6MWD. In conclusion, TB patients have impaired physical functional capacity but they improved after 2 months of treatment. 6MWT can be a useful tool in the assessment of physical parameters and cardiorespiratory functional capacity rehabilitation of TB patients during the treatment.

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Post-tuberculosis lung disease and inflammatory role players: can we characterise the myriad inflammatory pathways involved to gain a better understanding?

Malefane,

Maarman

2024

Chemico-Biological Interactions

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Exercise capacity in pulmonary Tuberculosis

Cited by 3 publications

References 4 publications

Pulmonary impairment after tuberculosis in a South African population

Pulmonary impairment after tuberculosis in a South African population

Physical and functional follow-up of tuberculosis patients in initial intensive phase of treatment in Cameroon using the 6-min walk test

Post-tuberculosis lung disease and inflammatory role players: can we characterise the myriad inflammatory pathways involved to gain a better understanding?

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