Kurz- und langfristige Effekte der Ambulanten Medizinischen Rehabilitation für Patienten mit Asbestose

Abstract

In the frame of a pre-experimental study 104 male patients aged 65,7 ± 5,5 years suffering asbestosis carried out over a period of three weeks 5 times weekly 6 h at a time phase 1 of the OMR consisting of evidence-based contents of the pulmonary rehabilitation. Directly after that further therapeutic applications with the main focus on exercise therapy and sports were applied over a period of 12 weeks one time weekly 3 h at a time (phase 2). After phase 2 the rehabilitation centre led the patients into sports groups near at place of residence (phase 3). The effects of the OMR were evaluated at the beginning (T1), at the end of phase 1 (T2) and phase 2 (T3) as well as 6 (T4) and 18 months (T5) after T3 by means of a suitable assessment.Results: Compared to T1 physical fitness (6-minute Walk Test, Hand-Force Test, PWC Test) as well as health-related quality of life (SF-36) of the patients were significantly improved in T2. Whereas the parameter "vital capacity" and "forced expiratory volume" showed no change over the period of investigation data of "oxygen partial pressure" was significantly increased, too. These positive effects could be confirmed in T3. 82 patients (79 %) were doing sports due to health regularly still 6 and 18 months after T3 and could preserve their health outcome in T4 and T5, while the effects of rehabilitation of the 22 patients breaking off any sporting activities wore off again to and even below starting condition in T1.Conclusions: In spite of a restrictive pulmonary disease specific exercise therapy and sports are able to mobilize physical reserves of performance

Exercise training for asbestos-related and other dust-related respiratory diseases: a randomised controlled trial

“…Recently, exercise training has been shown to improve exercise capacity and HRQoL in people with ILD, predominantly IPF [ 10 , 11 ]. While there is an indication from uncontrolled or mixed-disease studies that exercise training may benefit people with dust-related interstitial respiratory diseases [ 12 , 13 ], no studies using rigorous randomised controlled trial methodology have investigated the effect of exercise training on exercise capacity and HRQoL in people with dust-related pleural and interstitial respiratory diseases.…”

Long-Term Efficacy of Pulmonary Rehabilitation in Patients with Occupational Respiratory Diseases

“…Concerning pulmonary rehabilitation in occupational respiratory diseases, only patients with asbestosis have been previously evaluated [30,31] using a 3-week intensified outpatient program followed by a 3-month maintenance program. This improved quadriceps muscle strength and 6MWD; ergometer testing was not conducted.…”

Nachhaltigkeit in der ambulanten pneumologischen Rehabilitation bei Patienten mit Asbestose

“…So war zum damaligen Zeitpunkt zu konstatieren, dass trotz einer irreversiblen Lungenerkrankung mit restriktiver Funktionsstörung gezielte sport-und bewegungstherapeutische Interventionen eine Konditionierung im Sinne einer Aktivierung vorhandener körperlicher Leistungsreserven mit einer begleitenden Vergrößerung von Lebensqualität und Belastbarkeit im Alltag bewirken können. Weiterhin betonten die Ergebnisse die Notwendigkeit der Einbindung von Nachsorgestrategien in das Rehabilitationskonzept [10]. Zur Überprüfung der langfristigen Ziele der ambulanten pneumologischen Rehabilitation wie Erhöhung und Erhalt von Lebensqualität und Wohlbefinden, Fähigkeitsentwicklung zum Selbstmanagement sowie der Herausbildung von Eigenverantwortlichkeit bzgl.…”