Results of a Home-Based Training Program for Patients With COPD

Effective Home-Based Pulmonary Rehabilitation in Patients with Restrictive Lung Diseases

“…Home-based PR is advantageous in that it requires minimal equipment, is less costly, and gives patients more time to spend with their families (Hernández et al 2000), although it tends to be of a lower training intensity as a result of the limited supervision (Gosselink et al 1997). Low-intensity exercise or muscle training in COPD patients resulted in modest improvements during a submaximal exercise test, while high-intensity training resulted in improvements during both maximal and submaximal exercise tests (Gosselink et al 1997).…”

Home or community-based pulmonary rehabilitation for individuals with chronic obstructive pulmonary disease: a systematic review and meta-analysis

“…Of these, 58 were considered potentially relevant and 23 studies 17,18,19,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50 met the eligibility criteria and were included in this review. One of the selected studies appeared in two distinct publications 49,50 in which the same intervention was applied to the same patients but describing different outcomes.…”

“…Thirteen studies were done in Europe 17,19,21,31,33,38,42,43,45,46,48,49,50 , six in Asia 30,36,39,40,44,47 , two in Australasia 34,35 , one in North America 41 , and one in South America 32 . Among the studies included in the review, 19 17,18,19,30,31,32,33,34,36,38,39,40,42,43,44,46,47,48,49,50 compared HCPR to control group (n = total 893; n HCPR = 485), while four 35,37,41,45 compared HCPR to OPR (n total = 375; n HCPR = 178). No studies reported harmful effects related to HCPR during interventions.…”

“…• Analysis 1: HCPR vs. control group (a) Functional Capacity and Dyspnea: Ten studies 30,31,33,36,40,44,46,47,48,50 (n = 461) assessed functional capacity with the 6MWT and seven used the ISWT 18,32,34,38,39,42,43 (n = 321). Four studies 19,38,43,48 (n = 280) evaluated dyspnea using the MRC.…”

“…Four studies 19,38,43,48 (n = 280) evaluated dyspnea using the MRC. The meta-analysis indicated significant improvement in the 6MWT (33.79 meters, 95%CI: 6.03 to 61.54, I 2 = 76%), but due to the high heterogeneity, a subgroup analysis was done on studies including patients with FEV 1 above and below 50% of predicted.…”