Obstacle of physical activity and activities of daily living in patients with COPD: Dyspnea related kinesiophobia

Gürses, Hülya Nilgün; Saka, Seda; Ucgun, Hikmet; Zeren, Melih; Bayram, Mehmet

doi:10.1183/13993003.congress-2019.pa1247

Cited by 2 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…14 However, changing PA behavior of individuals with COPD remains a challenge, since this population not only faces the same barriers to PA as the general population, but additional disease-specific barriers, such as dyspnea-related kinesiophobia. [15][16][17] To increase PA for these individuals may be counterintuitive because this leads to an increase in their symptoms. However, a downward spiral of dyspnea-induced PA reduction could lead to changes in patients' lifestyles, which in turn would further lower activity levels and increase social isolation and depression.…”

Section: Introductionmentioning

confidence: 99%

The Influence of Pulmonary Rehabilitation and Counselling on Perceptions of Physical Activity in Individuals with COPD – A Qualitative Study

Scheermesser¹,

Reicherzer²,

Beyer³

et al. 2021

COPD

View full text Add to dashboard Cite

Objective The aim of this study was to explore to what extent a combined counselling and pulmonary rehabilitation program (PR) influences the perception of physical activity (PA) and motivation for behavioral change in PA in individuals with COPD. The results of previous quantitative trial that investigated the effect of this combined treatment on daily PA were inconclusive. It is conjectured that a more targeted tailoring of the counselling and PR intervention could improve its effectiveness. Patients and Methods Eighteen individuals with COPD (median age 69, 8 females) who had participated in the PneumoReha program were interviewed twice (following PR and at three-month follow-up). These interviews were transcribed and analyzed thematically. Based on the codes thus identified, three categories ‘perception of PA intensity’, ‘quality of motivation to perform PA’, and ‘strategies to cope with barriers’ were used to differentiate ‘types’ of participants. Results Four different types of COPD individuals were distinguished. Study findings indicate that those individuals who participated in the PR program combined with embedded counselling tended to be more active and intrinsically motivated. Conclusion A typology of four types of people with COPD was developed, characterized by their perception of activity, individual motivation and strategies for managing barriers. The patients’ physical activity level might be influenced by their concept of physical activity and the quality of motivation. Recognizing patients’ different activity behaviors is important for improving the quality of outpatient PR programs and developing tailored (according to each type) counselling interventions embedded in outpatient PR programs. Clinical Trial Registration The study was registered on the website of https://www.clinicaltrials.gov/ with the identifier NCT02455206 (27/05/2015), as well as on the Swiss National Trails Portal SNCTP000001426 (05/21/2015).

show abstract