Pulmonary Rehabilitation Improves Subjective Sleep Quality in COPD

Abstract

After PR, the PSQI score decreased from 9.41 ؎ 4.33 to 7.82 ؎ 3.90 (P < .001). The number of subjects with a PSQI score > 5 also decreased (85.3-64.7%, P ‫؍‬ .006). There were significant improvements in HRQOL (SGRQ, P ‫؍‬ .003), exercise capacity (peak oxygen uptake, P < .001; and work rate, P < .001), dyspnea score (P < .001), and respiratory muscle strength (inspiratory muscle strength, P ‫؍‬ .005; and expiratory muscle strength, P ‫؍‬ .004) after PR. There were no significant changes in pulmonary function test results (FEV 1 , P ‫؍‬ .77; FVC, P ‫؍‬ .90; FEV 1 /FVC, P ‫؍‬ .90). CONCLUSIONS: PR results in significant improvement in sleep quality, along with concurrent improvements in HRQOL and exercise capacity. PR is an effective nonpharmacologic treatment to improve sleep quality in patients with COPD and should be part of their clinical management.

Sleep Dysfunction and its Association to Chronic Rhinosinusitis: Updated Review

“…). Patients with CRS report overall worse SQ on the PSQI than patients with other chronic diseases such as inflammatory bowel disease, HIV, chronic kidney disease, and Sjogren's Syndrome . In fact, only patients with chronic fatigue syndrome, chronic back pain, and cirrhosis reported worse SQ .…”

“…There have only been a few studies that have evaluated PSQI scores before and after treatment of chronic illnesses associated with poor SQ. Figure compares the results of three individual studies that examined mean PSQI scores among patients with either COPD, celiac disease, or CRS at baseline and following treatment . Of these three illnesses, CRS was the only disease in which the intervention involved surgical management.…”

“…Patients with CRS report overall worse SQ on the PSQI than patients with other chronic diseases such as inflammatory bowel disease, HIV, chronic kidney disease, and Sjogren's Syndrome. [24][25][26][27][28][29][30][31] In fact, only patients with chronic fatigue syndrome, chronic back pain, and cirrhosis reported worse SQ. [32][33][34][35] There have only been a few studies that have evaluated PSQI scores before and after treatment of chronic illnesses associated with poor SQ.…”

“…Figure 2 compares the results of three individual studies that examined mean PSQI scores among patients with either COPD, celiac disease, or CRS at baseline and following treatment. 14,28,31 Of these three illnesses, CRS was the only disease in which the intervention involved surgical management. The change between pre-treatment and posttreatment scores was the greatest for the CRS patients and was more than two times greater than in COPD and more than three times greater than in celiac disease.…”

‘I'm useless after a bad night's sleep, doctor’: could sleep be the key to improving physical activity in people with COPD?

“…Two small studies found that increasing physical activity with pulmonary rehabilitation improved subjective sleep quality over the 8–12 weeks of the programmes,16 17 although a third study showed no effect 18. Long-acting bronchodilators, nocturnal oxygen therapy, treatment of associated sleep disorders, non-invasive ventilation, melatonin and non-benzodiazepine hypnotics (‘Z’ drugs) have all been shown to improve sleep quality for patients with COPD 19.…”