The Efficacy of Pulmonary Rehabilitation in Patients with Idiopathic Pulmonary Fibrosis

Choi, Hee Eun; Kim, Tae Hoon; Jang, Ji Hoon; Jang, Hang-Jea; Yi, Jisook; Jung, So Young; Kim, Daewook; Lee, Jae Ha

doi:10.3390/life13020403

Cited by 4 publications

(13 citation statements)

References 36 publications

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“…In concurrent with current study, Choi et al [17] did not confirm any improvement in PFT [FVC] variables values between the groups after eight weeks of PR on 25 patients with IPF, also reported the significant improvement in 6MWT values after PR in the PR group with p value = 0.002. Also, Sciriha et al [18] reported; after 12 weeks of Pulmonary Rehabilitation program for 60 patients with ILDs resulted in significant improvement in 6MWT [P value = 0.001] and no significant changes were found in FVC [p = 0.832].…”

Section: Discussionsupporting

confidence: 54%

Effect of Combined Exercise Training on Functional Capacity in Post Covid-19 Pulmonary Fibrosis

Reouf,

Abd El Hady,

Eshmawey

et al. 2024

International Journal of Medical Arts

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Article informationBackground: Post COVID-19 pulmonary fibrosis is considered as one of the most long-term pulmonary complication of Coronavirus Disease , being an infectious respiratory condition, which characterized by progressive exertional dyspnea, fatigue, reduced exercise capacity and health related quality of life. TheAim of the work: This study aimed to determine the effect of combined exercise training on functional capacity in post COVID-19 pulmonary fibrosis. Patients and Methods: Forty patients of both sexes with Post COVID-19 pulmonary fibrosis with an age above 25 years old. They were recruited from the outpatient clinic at Al-Mamora chest hospital. Patients were assigned into two group; Group A [study group] which received 8 weeks [3 sessions per week] of combined exercise training [consisting of aerobic, resisted training] and breathing exercises along with the pharmacological treatment and Group B [control group] which received 8 weeks [3 sessions per week] of breathing exercise along with the pharmacological treatment. after thorough assessment of functional capacity through [6MWT], dyspnea during activity by mMRC, and measure Pulmonary function test [FVC]. Results: There was statistically significant [P<0.001] decrease of the mean values of mMRC dyspnea scale, a statistically significant [P<0.05] increase of the mean value of 6MWT after management that were significantly higher in group A associated with a non-statistical change [p-value >0.05] in the mean value of FVC. There were significant improvements in all outcomes [P-value<0.05] after management that were significantly higher in group A except the pulmonary function test [FVC] was a non-significant improvement [p-value >0.05]. Conclusion: Eight weeks of combined exercise training improves functional capacity decreasing patients' physical and functional disabilities, promoting a much more independent and functional lifestyle.

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Section: Discussionsupporting

confidence: 54%

Effect of Combined Exercise Training on Functional Capacity in Post Covid-19 Pulmonary Fibrosis

Reouf,

Abd El Hady,

Eshmawey

et al. 2024

International Journal of Medical Arts

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“…Choi et al [23] compared two groups of IPF patients, of which one underwent PR, with significant improvements in the 6MWD in the interventional group at the end of PR. Exercise programmes also improved the maximum oxygen consumption (VO 2 max) measured by the cardiopulmonary test (CPET), an indicator of maximal exertion levels.…”

Section: The Impact Of Pr On Exercise Capacitymentioning

confidence: 99%

“…Moreover, PR can take place in different settings, thus affecting the adherence degree of the patient as well as the overall effectiveness of the therapy. Most of the studies so far included in this review took place in a supervised outpatient [22,23,25,27,[31][32][33][34]49] or inpatient [28] setting, while only a few were conducted as home-based [24,33,35] or combined [26,29] PR programmes. Home-based PR is a self-care-based, mostly unsupervised intervention in which the physiotherapist provides a training scheme and the participants perform the PR exercise by themselves.…”

Section: Which Are the Most Appropriate Settings And Programmes For P...mentioning

confidence: 99%

“…Recommended training variables such as the ideal frequency, intensity, time, and type (known as the FITT components) have not been defined yet for IPF. In most of the studies reported in this review (Supplemental Table S1), exercise training was practiced with an overall frequency of 2-3 days per week at a moderate-to-vigorous intensity [22][23][24][25][26][27]29,[31][32][33][34][35]49], although a higher frequency at the same level of intensity was also reported to be beneficial [28][29][30]36]. Aerobic exercises had an average length of 20-30 min per session, with an intensity of over 60-80% maximal work rate delivered.…”

Section: Which Are the Most Appropriate Settings And Programmes For P...mentioning

confidence: 99%

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The Beneficial Impact of Pulmonary Rehabilitation in Idiopathic Pulmonary Fibrosis: A Review of the Current Literature

Zamparelli,

Lombardi,

Candia

et al. 2024

JCM

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Idiopathic pulmonary fibrosis (IPF) is a chronic and irreversible fibrotic disease whose natural history is characterised by a progressive worsening of the pulmonary function, exertional dyspnoea, exercise intolerance, reduced physical activity, and health-related quality of life (HRQOL) impairment. Pulmonary rehabilitation (PR) is a comprehensive, multi-disciplinary programme that uses a combination of strength training, teaching, counselling, and behaviour modification techniques to reduce symptoms and optimise functional capacity in patients with chronic lung disease. Based on the well-documented effectiveness of PR in chronic obstructive pulmonary disease (COPD), over the years supportive evidence of its benefits for other respiratory diseases has been emerging. Although the latest rehabilitation guidelines recognised PR’s efficacy for interstitial lung disease (ILD) and IPF in particular, this comprehensive approach remains underused and under-resourced. In this review, we will discuss the advantages and beneficial effects of PR on IPF, analysing its impact on exercise capacity, disease-related symptoms, cardiovascular outcomes, body composition, and HRQOL.

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“…Ten studies [30][31][32][33][34][35][36][37][38][39] were included in this systematic review. Of these, four were randomized controlled trials [31][32][33][34], five were quasi-experimental trials [30,32,[34][35][36], and one was a pilot study [33].…”

Section: Study Selectionmentioning

confidence: 99%

Effect of Chest Physiotherapy on Quality of Life, Exercise Capacity and Pulmonary Function in Patients with Idiopathic Pulmonary Fibrosis: A Systematic Review and Meta-Analysis

Martín-Núñez,

Heredia-Ciuró,

López-López

et al. 2023

Healthcare

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Background: Idiopathic pulmonary fibrosis (IPF) is one of the most deleterious diseases of the pulmonary fibrosis spectrum. Its clinical presentation includes irreversible loss of lung function, and increasing cough, dyspnea and impaired quality of life. Chest physiotherapy can improve ventilation capacity, gas exchange, dyspnea, exercise capacity and quality of life. The aim of this study was to review the evidence about chest physiotherapy in IPF, specifically meta-analyzing quality of life, exercise capacity and pulmonary function. Methods: A wide search was conducted in PubMed, Embase, Cochrane and Web of Science for articles included until October 2023. PROSPERO Identifier: CRD42022333496. The Downs and Black scale and the Cochrane tool were employed to evaluate quality assessments and to assess the risk of bias. Data were pooled, and a meta-analysis was conducted. Results: We selected 10 studies in which a chest physiotherapy program was performed with a total of 340 patients; of these, three articles were meta-analyzed. Significant effects in favor of chest physiotherapy were found for quality of life (MD = −8.60, 95% CI = −11.30, −5.90; p < 0.00001; I2 = 24%), exercise capacity (MD = 37.62, 95% CI = 15.10, 60.13; p = 0.001; I2 = 65%) and pulmonary function (MD = 7.86, 95% CI = 2.54, 13.17; p = 0.004; I2 = 80%). Conclusions: The systematic review showed significant results for the application of chest physiotherapy regarding pulmonary capacity, diffusion of gases and quality of life in IPF patients. The meta-analysis showed a significant improvement associated with applying chest physiotherapy in pulmonary function, exercise capacity and quality of life.

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The Efficacy of Pulmonary Rehabilitation in Patients with Idiopathic Pulmonary Fibrosis

Cited by 4 publications

References 36 publications

Effect of Combined Exercise Training on Functional Capacity in Post Covid-19 Pulmonary Fibrosis

Effect of Combined Exercise Training on Functional Capacity in Post Covid-19 Pulmonary Fibrosis

The Beneficial Impact of Pulmonary Rehabilitation in Idiopathic Pulmonary Fibrosis: A Review of the Current Literature

Effect of Chest Physiotherapy on Quality of Life, Exercise Capacity and Pulmonary Function in Patients with Idiopathic Pulmonary Fibrosis: A Systematic Review and Meta-Analysis

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