Minimal-Resource Home Exercise Program Improves Activities of Daily Living, Perceived Health Status, and Shortness of Breath in Individuals with COPD Stages GOLD II to IV
Home exercises (HE) with minimal resources seem to be useful in individuals with COPD. The objective was to evaluate the effects of HE, on activities of daily living (ADL), dyspnea, on the health status(CAT) and quality of life (HRQoL) of individuals with COPD GOLD II to IV. Quasi-experimental study...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2023-12-01
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| Series: | COPD |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/15412555.2023.2253907 |
| _version_ | 1797403951003336704 |
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| author | Vanessa Joaquim Ribeiro Moço Aline Almeida Gulart Agnaldo José Lopes Arthur de Sá Ferreira Luis Felipe da Fonseca Reis |
| author_facet | Vanessa Joaquim Ribeiro Moço Aline Almeida Gulart Agnaldo José Lopes Arthur de Sá Ferreira Luis Felipe da Fonseca Reis |
| author_sort | Vanessa Joaquim Ribeiro Moço |
| collection | DOAJ |
| description | Home exercises (HE) with minimal resources seem to be useful in individuals with COPD. The objective was to evaluate the effects of HE, on activities of daily living (ADL), dyspnea, on the health status(CAT) and quality of life (HRQoL) of individuals with COPD GOLD II to IV. Quasi-experimental study of the effects of HE, for 2 months, 3 times a week. Individuals with COPD(n = 45) were recruited, 37 started the protocol(9 did not complete it). 28 individuals (mean age 62.04 ± 5.8 years, FEV1: 44.7 ± 2.25%, FEV1/FVC 59.8 ± 6.9%) were evaluated before and after training. We observed improvements in the ADL-Glittre (4.9 ± 1.4 vs 3.9 ± 1.1 min; mean difference: −0.9 ± 0.2 min [95%CI: −1.3 to −0.2]; p = 0.008), as well as the mMRC score(2.8 ± 1.1 vs 2.07 ± 0.81; mean difference: 0.7 ± 0.3 [95%CI: −1.20.18 to −0.2]; p = 0.009), and in the CAT (25.6 ± 4.8 vs 18.9 ± 3.1; mean difference: −6.6 ± 3.4 [95%CI: −10.6 to −1.6]; p = 0.042). Analyzing the mean change before and after the intervention, a weak correlation was observed between ADL-Glittre and mMRC (r = 0.35; [95% CI 0.09; 0.56]; p = 0.009); moderate between ADL-Glittre and CAT (r = 0.52; [95% CI 0.30; 0.69]; p < 0.001) and between ADL-Glittre and SGRQ (r = 0.50; [95% CI 0 .27; 0.67]; p < 0.001). Individuals with COPD can benefit from HE performed autonomously and with minimal resources, as this proposal improves functional capacity for ADL, health perception and dyspnea. |
| first_indexed | 2024-03-09T02:47:00Z |
| format | Article |
| id | doaj.art-1d743f6c5bec4dd488abc907c29e2074 |
| institution | Directory Open Access Journal |
| issn | 1541-2555 1541-2563 |
| language | English |
| last_indexed | 2024-03-09T02:47:00Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | COPD |
| spelling | doaj.art-1d743f6c5bec4dd488abc907c29e20742023-12-05T16:09:51ZengTaylor & Francis GroupCOPD1541-25551541-25632023-12-0120129830610.1080/15412555.2023.22539072253907Minimal-Resource Home Exercise Program Improves Activities of Daily Living, Perceived Health Status, and Shortness of Breath in Individuals with COPD Stages GOLD II to IVVanessa Joaquim Ribeiro Moço0Aline Almeida Gulart1Agnaldo José Lopes2Arthur de Sá Ferreira3Luis Felipe da Fonseca Reis4Rehabilitation Sciences Post-Graduation Programme, Augusto Motta University CentreRehabilitation, Polydoro Ernani de São Thiago University Hospital (HU-UFSC), Brazilian Hospital Services Company (EBSERH)Rehabilitation Sciences Post-Graduation Programme, Augusto Motta University CentreRehabilitation Sciences Post-Graduation Programme, Augusto Motta University CentreRehabilitation Sciences Post-Graduation Programme, Augusto Motta University CentreHome exercises (HE) with minimal resources seem to be useful in individuals with COPD. The objective was to evaluate the effects of HE, on activities of daily living (ADL), dyspnea, on the health status(CAT) and quality of life (HRQoL) of individuals with COPD GOLD II to IV. Quasi-experimental study of the effects of HE, for 2 months, 3 times a week. Individuals with COPD(n = 45) were recruited, 37 started the protocol(9 did not complete it). 28 individuals (mean age 62.04 ± 5.8 years, FEV1: 44.7 ± 2.25%, FEV1/FVC 59.8 ± 6.9%) were evaluated before and after training. We observed improvements in the ADL-Glittre (4.9 ± 1.4 vs 3.9 ± 1.1 min; mean difference: −0.9 ± 0.2 min [95%CI: −1.3 to −0.2]; p = 0.008), as well as the mMRC score(2.8 ± 1.1 vs 2.07 ± 0.81; mean difference: 0.7 ± 0.3 [95%CI: −1.20.18 to −0.2]; p = 0.009), and in the CAT (25.6 ± 4.8 vs 18.9 ± 3.1; mean difference: −6.6 ± 3.4 [95%CI: −10.6 to −1.6]; p = 0.042). Analyzing the mean change before and after the intervention, a weak correlation was observed between ADL-Glittre and mMRC (r = 0.35; [95% CI 0.09; 0.56]; p = 0.009); moderate between ADL-Glittre and CAT (r = 0.52; [95% CI 0.30; 0.69]; p < 0.001) and between ADL-Glittre and SGRQ (r = 0.50; [95% CI 0 .27; 0.67]; p < 0.001). Individuals with COPD can benefit from HE performed autonomously and with minimal resources, as this proposal improves functional capacity for ADL, health perception and dyspnea.http://dx.doi.org/10.1080/15412555.2023.2253907chronic obstructive pulmonary diseasedaily activitiessymptomsphysiotherapyhome-based exercises |
| spellingShingle | Vanessa Joaquim Ribeiro Moço Aline Almeida Gulart Agnaldo José Lopes Arthur de Sá Ferreira Luis Felipe da Fonseca Reis Minimal-Resource Home Exercise Program Improves Activities of Daily Living, Perceived Health Status, and Shortness of Breath in Individuals with COPD Stages GOLD II to IV COPD chronic obstructive pulmonary disease daily activities symptoms physiotherapy home-based exercises |
| title | Minimal-Resource Home Exercise Program Improves Activities of Daily Living, Perceived Health Status, and Shortness of Breath in Individuals with COPD Stages GOLD II to IV |
| title_full | Minimal-Resource Home Exercise Program Improves Activities of Daily Living, Perceived Health Status, and Shortness of Breath in Individuals with COPD Stages GOLD II to IV |
| title_fullStr | Minimal-Resource Home Exercise Program Improves Activities of Daily Living, Perceived Health Status, and Shortness of Breath in Individuals with COPD Stages GOLD II to IV |
| title_full_unstemmed | Minimal-Resource Home Exercise Program Improves Activities of Daily Living, Perceived Health Status, and Shortness of Breath in Individuals with COPD Stages GOLD II to IV |
| title_short | Minimal-Resource Home Exercise Program Improves Activities of Daily Living, Perceived Health Status, and Shortness of Breath in Individuals with COPD Stages GOLD II to IV |
| title_sort | minimal resource home exercise program improves activities of daily living perceived health status and shortness of breath in individuals with copd stages gold ii to iv |
| topic | chronic obstructive pulmonary disease daily activities symptoms physiotherapy home-based exercises |
| url | http://dx.doi.org/10.1080/15412555.2023.2253907 |
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