Use of a Home-Based Manual as Part of a Pulmonary Rehabilitation Program

Souza, Yves De; Silva, Kenia Maynard da; Condesso, Diego; Figueira, Bianca; Filho, Arnaldo José Noronha; Rufino, Rogério; Gosselink, Rik; Costa, Cláudia Henrique da

doi:10.4187/respcare.05656

Cited by 10 publications

(21 citation statements)

References 23 publications

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“…32 On reliability, the Modified Incremental Step Test and the Step Test Protocol were the only tests with an appropriate time interval, 30,33 with tests conducted on different days. Responsiveness for the step tests was evaluated in patients undergoing pulmonary rehabilitation (six-minute Step Test, 46 and six-minute Stepper Test), 36,37,43,50,52,[56][57][58][59] physical training program (threeminute Step Test, 48 and six-minute Step Test 45,47 ), pharmacological treatment -bronchodilator (threeminute Step Test 49 ), physical activity counseling program (two-minute Step Test), 44 and photobiomodulation therapy (six-minute Stepper Test 51 ). However, only the six-minute Stepper Test presented appropriate statistical analysis in two articles, 36,37 according to the correlations between the changes in the number of steps and changes in the six-minute walk test (distance) in pulmonary rehabilitation.…”

Section: Resultsmentioning

confidence: 99%

“…Eleven articles included validity, 29,[31][32][33][34][35][36][37][38][39][40] seven articles included reliability, 30,31,33,35,[41][42][43] 13 articles included responsiveness, 36,37,[43][44][45][46][47][48][49][50][51][52][53] and five articles included interpretability 33,34,37,54,55 of the step tests. Details on each article included in this review are presented in Supplemental Appendix 3.…”

Section: Modified Incrementalmentioning

confidence: 99%

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Measurement properties of step tests for exercise capacity in COPD: A systematic review

2020

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Objective: To determine the level of evidence of the measurement properties (validity, reliability, and responsiveness) and interpretability of the step tests available for assessing the exercise capacity in patients with chronic obstructive pulmonary disease. Data sources: The data sources Web of Science, MEDLINE, PubMed, PEDro, CENTRAL of Cochrane Library, and Scopus were searched up to June 26, 2020. Review methods: Studies of any design that reported results for any measurement property of the step tests for assessing the exercise capacity in COPD patients were selected. One reviewer extracted the data, and two reviewers independently rated the level of evidence by using the Consensus-Based Standards for the Selection of Health Measurements Instruments recommendations. Results: Thirty-one studies were included in the data synthesis. Chester Step Test, Modified Incremental Step Test, two-, three-, four-, and six-Minute Step Test, Paced Step Test, and six-Minute Stepper Test were identified. A step test protocol was also found. The level of evidence of their results for the measurement properties was mostly determined as “low” to “very low.” The best level of evidence found was for the six-minute stepper test: “high” on construct validity ( r = 0.56–0.71); and “moderate” on criterion validity ( r = 0.36–0.69), and responsiveness ( r = 0.26–0.34). Conclusion: The general level of evidence of the measurement properties of the step tests is “low” to “very low” for assessing exercise capacity in patients with chronic obstructive pulmonary disease, which can limit their application in clinical practice. The six-minute Stepper Test is currently the most appropriate step test available.

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Section: Resultsmentioning

confidence: 99%

Section: Modified Incrementalmentioning

confidence: 99%

Measurement properties of step tests for exercise capacity in COPD: A systematic review

2020

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“…The 180 studies included were conducted between 1987 and 2019. In total, 156 studies included patients with COPD [23,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83,84,85,86,87,88,89,90,91,92,93,94,95,96,97,98,99,100,101,102,103,104...…”

Section: Resultsmentioning

confidence: 99%

“…In general, 22.8% of the studies [23,48,50,55,63,67,69,73,77,78,79,80,83,84,86,88,91,95,97,110,111,115,122,126,127,132,142,149,150,155,161,165,175,185,187,189,190,193,197,205,206] did not report information about the eligibility criteria, 18.3% of the studies [33,42,54,65,66,72,82,96,98,99,101,108,116,117,118,119,128,137,141,143,145,146,180,182,194,195,200,201,202,203,207,208,…”

Section: Resultsmentioning

confidence: 99%

Exercise Training in Patients with Chronic Respiratory Diseases: Are Cardiovascular Comorbidities and Outcomes Taken into Account?—A Systematic Review

Machado

Quadflieg

Oliveira

et al. 2019

JCM

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Patients with chronic obstructive pulmonary disease (COPD), asthma and interstitial lung diseases (ILD) frequently suffer from cardiovascular comorbidities (CVC). Exercise training is a cornerstone intervention for the management of these conditions, however recommendations on tailoring programmes to patients suffering from respiratory diseases and CVC are scarce. This systematic review aimed to identify the eligibility criteria used to select patients with COPD, asthma or ILD and CVC to exercise programmes; assess the impact of exercise on cardiovascular outcomes; and identify how exercise programmes were tailored to CVC. PubMed, Scopus, Web of Science and Cochrane were searched. Three reviewers extracted the data and two reviewers independently assessed the quality of studies with the Quality Assessment Tool for Quantitative Studies. MetaXL 5.3 was used to calculate the individual and pooled effect sizes (ES). Most studies (58.9%) excluded patients with both stable and unstable CVC. In total, 26/42 studies reported cardiovascular outcomes. Resting heart rate was the most reported outcome measure (n = 13) and a small statistically significant effect (ES = −0.23) of exercise training on resting heart rate of patients with COPD was found. No specific adjustments to exercise prescription were described. Few studies have included patients with CVC. There was a lack of tailoring of exercise programmes and limited effects were found. Future studies should explore the effect of tailored exercise programmes on relevant outcome measures in respiratory patients with CVC.

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“…21 The small amount of evidence supporting the use of guidebooks in PR programs suggested that the use of this resource may help maintain the positive effects of the initial PR program in terms of exercise performance, through an illustrated and structured book. 29 The use of pedometers in the studies included in this SLR allowed no conclusion that could help determine if this strategy contributed to the maintenance of PR benefits. 3,18,20 The literature has shown that the use of pedometers in the context of PR programs for COPD patients, has been intended to provide feedback on physical activity levels.…”

Section: Maintenance Strategiesmentioning

confidence: 99%

Maintaining Effects of Pulmonary Rehabilitation at Home in Chronic Obstructive Pulmonary Disease: A Systematic Literature Review

Pinto

Spencer

Pereira

et al. 2021

Home Health Care Management & Practice

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To systematize strategies that may support patients with Chronic Obstructive Pulmonary Disease to maintain the effects of pulmonary rehabilitation over time. This systematic literature review was conducted, and the evidence was electronically searched in the Web of Science, Scopus, and EBSCO databases. This review included randomized controlled clinical trials, published until September 2019, that addressed components of an unsupervised home-based pulmonary rehabilitation program, maintenance strategies following outpatient pulmonary rehabilitation programs, as well as data on outcomes for quality of life, exercise performance, and dyspnea. A final sample of 5 articles was obtained from a total of 1693 studies. Data for final synthesis were grouped into 2 categories: components of unsupervised home-based pulmonary rehabilitation programs and maintenance strategies. An unsupervised home-based pulmonary rehabilitation program should consist of an educational component, an endurance training component, and a strength training component. When patients are transferred to the home environment, it is important to include more functional exercises specifically adapted to the patient’s condition, goals, and needs.

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Use of a Home-Based Manual as Part of a Pulmonary Rehabilitation Program

Abstract: The use of a simple, well-illustrated manual facilitated the maintenance of the benefits acquired in out-patient pulmonary rehabilitation over a period of 3 months after study termination.

Cited by 10 publications

References 23 publications

Measurement properties of step tests for exercise capacity in COPD: A systematic review

Measurement properties of step tests for exercise capacity in COPD: A systematic review

Exercise Training in Patients with Chronic Respiratory Diseases: Are Cardiovascular Comorbidities and Outcomes Taken into Account?—A Systematic Review

Maintaining Effects of Pulmonary Rehabilitation at Home in Chronic Obstructive Pulmonary Disease: A Systematic Literature Review

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