The Effect of Pulmonary Rehabilitation on the Physical Activity Level and General Clinical Status of Patients with Bronchiectasis

Pehlivan, Esra; Niksarlıoğlu, Elif Yelda; Balcı, Arif; Kılıç, Lütfiye

doi:10.5152/turkthoracj.2018.18093

Cited by 14 publications

(21 citation statements)

References 31 publications

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“…The HBPR proposed in this study demonstrate an increase in daily steps above the minimum important difference values for people with COPD (600 steps) [ 30 ]. The improvement in physical activity after HBPR in people with bronchiectasis has been previously demonstrated using a questionnaire [ 10 ], something that was confirmed in our study through direct measurement using accelerometers. In this sense, it is important to remove the barriers that hinder the participation of individuals with chronic lung diseases, considering the low demand and adherence to pulmonary rehabilitation programmes.…”

Section: Discussionsupporting

confidence: 87%

“…So far, only one study has demonstrated that HBPR in people with bronchiectasis improved the patient's level of physical activity and functional capacity; however, this was an uncontrolled study with a small sample size (19 participants), and the level of physical activity was measured indirectly using a questionnaire. 10 One of the barriers for HBPR is developing a physical training program that does not require expensive resources such as treadmills, cycle ergometers, or weight training equipment. A low-cost physical training program was recently developed and was composed of functional activities with materials that were accessible in the home environment (i.e., sitting and getting up from a chair, climbing steps, and lifting weights with water bottles using the upper limbs) and walking as aerobic exercise.…”

Section: Introductionmentioning

confidence: 99%

“…In this context, home-based pulmonary rehabilitation (HBPR) may be an alternative to overcome some of the barriers to attendance at centre-based programmes. So far, only one study has demonstrated that HBPR in people with bronchiectasis improved the patient's level of physical activity and functional capacity; however, this was an uncontrolled study with a small sample size (19 participants), and the level of physical activity was measured indirectly using a questionnaire [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Home-based pulmonary rehabilitation in people with bronchiectasis: a randomised controlled trial

et al. 2021

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AimTo investigate the short- and long-term effects of Home-based Pulmonary Rehabilitation (HBPR) on functional capacity, quality of life, peripheral muscle strength, dyspnea and daily physical activity in people with bronchiectasis.MethodsRandomised controlled trial with 63 participants with bronchiectasis. The HBPR group performed three sessions per week for 8 weeks (aerobic exercise: step training for 20 min; resistance training: exercises for quadriceps, hamstrings, deltoids, and biceps brachii with elastic bands). The control group received recommendation to walk at moderate intensity, three times per week. A weekly phone call was conducted for all participants, and the HBPR group received a home visit every 15 days. The primary outcome was distance in the incremental shuttle walk test (ISWT). Secondary outcomes were time in the endurance shuttle walk test (ESWT), number of steps in the incremental step test, quality of life, quadriceps muscle strength and daily physical activity. Measures were taken before and after intervention and 6 months later.ResultsAfter the intervention, the HBPR group had increased the distance in ISWT compared with the control group with between-group difference: 87.9 m (95% CI 32.4 to 143.5). Between-group differences was found in ESWT, incremental step test, quality of life and quadriceps muscle strength in favor to HBPR group too. After 6 months, no differences were observed between the groups.ConclusionHBPR is an effective alternative for offering pulmonary rehabilitation for people with bronchiectasis. However, the program was not effective in maintaining the benefits after 6 months of follow-up.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Home-based pulmonary rehabilitation in people with bronchiectasis: a randomised controlled trial

et al. 2021

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“…A significant proportion of those with bronchiectasis have shown marked decreases in their exercise tolerance and PA levels (Burtin and Hebestreit, 2015;Pehlivan et al, 2019). Additionally, the bronchiectasis population have demonstrated largely inactive lifestyles, with few meeting the recommended PA guidelines (Bradley et al, 2015).…”

Section: Bronchiectasismentioning

confidence: 99%

“…Indeed, current PA promotion in CF is limited to informal discussion and generic advice as current assessments in CF clinics are not sufficient to provide information about habitual PA (Shelley et al, 2018). Habitual PA levels are less equivocal in the bronchiectasis population who are generally reported to be largely inactive, with few meeting PA guidelines (Bradley et al, 2015), and a significant proportion showing marked decreases in exercise tolerance and PA levels (Burtin & Hebestreit, 2015;Pehlivan, Niksarlıoğlu, Balcı, & Kılıç, 2019). Poor engagement in PA in both CF and bronchiectasis could be attributed to numerous factors, including, but not limited to, treatment burden, which increases with age and disease severity (Roberts & Hubbard, 2010;Williams & Stevens, 2013).…”

Section: Introductionmentioning

confidence: 99%

Exploring Pulmonary Rehabilitation Strategies for those with Respiratory Conditions

McCreery¹

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Effective rehabilitation strategies are paramount to improve physiological and psychological health in pulmonary disease. The aim of this thesis was to investigate traditional and alternative pulmonary rehabilitation strategies in those with chronic respiratory disease. Chapter Four found that traditional pulmonary rehabilitation (PR) was physiologically and psychologically effective, regardless of respiratory disease, with socioeconomic status being a key determinant of adherence. Chapter Five investigated the feasibility and acceptability of IMT. Children aged 10.8 ± 0.8 years with Cystic Fibrosis (CF) enjoyed the IMT intervention, perceiving improvements in their physical ability and psychosocial health. The care team highlighted that future interventions needed to be longer and to monitor engagement and adherence. Chapter Six assessed the effectiveness of an alternative rehabilitation strategy, using a four-week inspiratory muscle training (IMT) intervention, on lung function and heart rate variability in children with CF aged 10.8 ± 1.1 years. There were significant and clinically meaningful increases in respiratory muscle strength, a clinically meaningful decrease in sympathetic modulation, and decreases in respiratory symptoms. Subsequently, utilising the formative, physiological and psychological findings derived from Chapters Five and Six, an eight-week IMT intervention with live biofeedback, performed at 80% maximal inspiratory pressure, three times a week was implemented, with an eight-week optional IMT top-up. Overall, Chapter Seven found that eight weeks of IMT elicited significant increases in respiratory muscle strength, aerobic capacity and in CF-specific questionnaire domains in children (11.0 ± 2.2 years) with CF, which were maintained following the eight-week top-up period. Chapter Eight demonstrated significant improvements in inspiratory muscle strength and endurance after eight weeks, with sustained improvements in physiological health after 16-weeks in adults with bronchiectasis (64.5 ± 10.3 years). CF and bronchiectasis participants demonstrated high levels of adherence and reported competency and autonomy. Overall, IMT may be an effective and feasible alternative to pulmonary rehabilitation.

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A comparative study of the effectiveness of hospital-based versus home-based pulmonary rehabilitation in candidates for bronchoscopic lung volume reduction

et al. 2020

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The Effect of Pulmonary Rehabilitation on the Physical Activity Level and General Clinical Status of Patients with Bronchiectasis

Cited by 14 publications

References 31 publications

Home-based pulmonary rehabilitation in people with bronchiectasis: a randomised controlled trial

Home-based pulmonary rehabilitation in people with bronchiectasis: a randomised controlled trial

Exploring Pulmonary Rehabilitation Strategies for those with Respiratory Conditions

A comparative study of the effectiveness of hospital-based versus home-based pulmonary rehabilitation in candidates for bronchoscopic lung volume reduction

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