Interventions to modify physical activity in patients with COPD: where do we go from here?

Langer, Daniël; Demeyer, Heleen

doi:10.1183/13993003.00762-2016

Cited by 15 publications

(22 citation statements)

References 31 publications

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“…1 COPD symptoms include not only shortness of breath, chronic cough, and sputum production, but also reduced exercise tolerance. [2][3][4][5][6] Traditional programs of pulmonary rehabilitation have been shown to be capable of at least partially reversing muscle dysfunction and improving mobility; it is the most effective therapy to improve exercise tolerance in chronic respiratory diseases, 7,8 idiopathic pulmonary fibrosis, 9 and lung cancer. 10 However, in international surveys, traditional pulmonary rehabilitation is available to only a small fraction of COPD patients.…”

Section: Introductionmentioning

confidence: 99%

<p>Virtual Reality Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial</p>

Rutkowski¹,

Rutkowska²,

Kiper³

et al. 2020

COPD

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This study compared the effects of inpatient-based rehabilitation program of patients with chronic obstructive pulmonary disease (COPD) using non-immersive virtual reality (VR) training with a traditional pulmonary rehabilitation program. The aims of this study were to determine 1) whether rehabilitation featuring both VR as well as exercise training provides benefits over exercise training (ET) alone and 2) whether rehabilitation featuring VR training instead of exercise training provides equivalent benefits. Patients and Methods: The study recruited 106 patients with COPD to a 2-week highintensity, five times a week intervention. Randomized into three groups, 34 patients participated in a traditional pulmonary rehabilitation program including endurance exercise training (ET), 38 patients participated in traditional pulmonary rehabilitation, including both endurance exercise training and virtual reality training (ET+VR) and 34 patients participated in pulmonary rehabilitation program including virtual reality training but no endurance exercise training (VR). The traditional pulmonary rehabilitation program consisted of fitness exercises, resistance respiratory muscle and relaxation training. Xbox 360 ® and Kinect ® Adventures software were used for the VR training of lower and upper body strength, endurance, trunk control and dynamic balance. Comparison of the changes in the Senior Fitness Test was the primary outcome. Analysis was performed using linear mixed-effects models. Results: The comparison between ET and ET+VR groups showed that ET+VR group was superior to ET group in Arm Curl (p<0.003), Chair stand (p<0.008), Back scratch (p<0.002), Chair sit and reach (p<0.001), Up and go (p<0.000), 6-min walk test (p<0.011). Whereas, the comparison between ET and VR groups showed that VR group was superior to ET group in Arm Curl (p<0.000), Chair stand (p<0.001), 6-min walk test (p<0.031). Conclusion: Results suggest that pulmonary rehabilitation program supplemented with VR training is beneficial intervention to improve physical fitness in patients with COPD.

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Section: Introductionmentioning

confidence: 99%

<p>Virtual Reality Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial</p>

Rutkowski¹,

Rutkowska²,

Kiper³

et al. 2020

COPD

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“…An alternative strategy to improve physical activity levels may be a lifestyle PA counselling program to help the patients to translate PR-induced improvements in exercise capacity during daily living. It may be postulated that implementation of comprehensive counselling program during PR is the strategy of choice [ 20 ]. One promising approach is counselling based on motivational interviewing (MI).…”

Section: Introductionmentioning

confidence: 99%

“…Designing the optimal intervention for the promotion of PA in people with COPD is an intensively investigated topic in recent literature [ 19 , 20 , 31 ]. In order to address the recommendations of the ATS and the ERS more accurately, the current study aims to improve long-term self-management and adherence to exercise at home during PR by adding counselling based on MI.…”

Section: Introductionmentioning

confidence: 99%

Effect of counselling during pulmonary rehabilitation on self-determined motivation towards physical activity in people with chronic obstructive pulmonary disease – protocol of a mixed methods study

et al. 2017

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BackgroundPhysical activity promotion in people with Chronic Obstructive Pulmonary Disease (COPD) is focus of research and public health. Patient-centred interventions like counselling are promising approaches to help patients reducing sedentary behaviour. Aim of the present study is to investigate if a physical activity counselling program during pulmonary rehabilitation increases physical activity level in daily life in people with COPD.MethodsA two-armed, single blind randomised controlled trial including 56 people with COPD will be conducted in an outpatient pulmonary rehabilitation. Patients will participate in a 12-week-rehabilitation program; individuals randomized to the interventional group will additionally participate in five counselling sessions with a physiotherapist, based on the principles of motivational interviewing. The participants’ physical activity level will be measured using an accelerometer (SenseWear Pro®) before, directly and 3 months after pulmonary rehabilitation. Semi-structured interviews will be conducted to learn more about barriers and facilitators regarding daily physical activity.DiscussionIf the strategy successfully improves the physical activity level in people with COPD, counselling might be implemented in pulmonary rehabilitation.Trial registrationClinical Trials.gov NCT02455206 (05/21/2015), Swiss National Trails Portal SNCTP000001426 (05/21/2015).

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“…Il est aujourd'hui bien démontré que la pratique d'une activité physique (AP) régulière joue un rôle protecteur sur la qualité de vie et les risques d'hospitalisation et de mortalité des personnes atteintes de maladies respiratoires chroniques (e.g., BPCO), et ce indépendamment de l'âge, du sexe ou du stade de sévérité de la maladie (Esteban, et al, 2014 ;Garcia-Aymerich, et al, 2006 ;Pitta, et al, 2006 ;Vaes, et al, 2014). À cet égard, la promotion de l'AP est devenue progressivement un élément fondamental de la prise en charge de ces populations (Langer & Demeyer, 2016). Cependant, les personnes atteintes d'une maladie respiratoire apparaissent significativement moins actives et plus sédentaires (i.e., temps passé en position assise, Chevance, Foucault, & Bernard, 2016) que des sujets en bonne santé du même âge (Pitta, et al, 2005), ou atteints d'une autre maladie chronique (i.e., arthrite rhumatoïde et diabète, Arne, et al, 2009).…”

Section: Introductionunclassified

Quels sont les profils motivationnels envers l’activité physique et la sédentarité de patients admis en réhabilitation respiratoire ?

Chevance¹,

Roux²,

Calvat³

et al. 2019

Mov Sport Sci/Sci Mot

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Contexte : La poursuite d’une Activité physique (AP) régulière et la limitation des comportements sédentaires (SED) représentent des enjeux fondamentaux de la réhabilitation respiratoire (RR). La motivation joue un rôle significatif à cet égard et peut évoluer au cours d’un programme. Cette étude avait pour objectif d’identifier les profils motivationnels présents au début d’un programme de RR. Méthode : Quatre variables motivationnelles (attitudes, auto-efficacité, intentions, planification) ont été évaluées au début d’un programme de RR grâce à un questionnaire auprès de 211 participants. Ces variables ont ensuite fait l’objet d’analyses de profils latents. Résultats : Concernant la motivation envers l’AP, 3 profils sont apparus : un profil de patients « Motivés » (66 %), un profil de patients « Non motivés » (20 %) et un profil de patients présentant une « Faible planification » (14 %). Concernant la SED, 3 profils sont apparus : un profil « Motivés » (82 %), un profil « Faibles intentions » (10 %) et un profil « Faible confiance » (8 %). Aucune caractéristique démographique, clinique, ou comportementale ne distinguait ces profils, à l’exception de la sévérité de la pathologie respiratoire. Conclusion : Les patients admis pour un programme de RR présentent des profils motivationnels variés et leurs profils envers l’AP et la SED ne sont pas nécessairement associés. Identifier ces profils pourrait permettre une meilleure individualisation des interventions vers un style de vie actif, en s’appuyant sur des taxonomies récentes.

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Interventions to modify physical activity in patients with COPD: where do we go from here?

Cited by 15 publications

References 31 publications

<p>Virtual Reality Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial</p>

<p>Virtual Reality Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial</p>

Effect of counselling during pulmonary rehabilitation on self-determined motivation towards physical activity in people with chronic obstructive pulmonary disease – protocol of a mixed methods study

Quels sont les profils motivationnels envers l’activité physique et la sédentarité de patients admis en réhabilitation respiratoire ?

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