Value of pulmonary rehabilitation in patients with idiopathic pulmonary fibrosis

• Main Authors: Nizar Rifaat, Essam Anwar, Yosra M. Ali, Abdu Ellabban, Ali A. Hasan
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2014-10-01
• Series: Egyptian Journal of Chest Disease and Tuberculosis
• Subjects: Pulmonary rehabilitation; Idiopathic pulmonary fibrosis; Exercise capacity; Quality of life
• Online Access: http://www.sciencedirect.com/science/article/pii/S0422763814001186

Background: Idiopathic pulmonary fibrosis (IPF) is a chronic lung condition of uncertain etiology that causes progressive shortness of breath, cough, reduced exercise tolerance and quality of life. This may, at least in part, be due to daily physical inactivity. Therefore symptomatic patients with lung fibrosis may be good candidates for comprehensive pulmonary rehabilitation (PR) programs. Aim of work: To evaluate the role of PR program in improving the functional status and dyspnea scale in patients with IPF. Patients and methods: Thirty patients had IPF, according to the recent consensus statement, were subjected to PR program that mainly consisted of three sessions per week for 8 week duration. The program basically consisted of upper and lower extremity exercises, breathing exercise, and chest physical therapy. Psychological support and patient education rounded out the program. Spirometery, diffusion capacity of the lung for carbon monoxide [DLco], arterial blood gas analysis, 6-minute walking distance (6MWD), dyspnea rating with the Modified Borg Scale (MBS) and health-related quality of life (HRQL) score using the St. George’s Respiratory Questionnaire (SGRQ) score were evaluated at baseline, after 4 weeks and at the end of the eighth week of the program. Results: There were significant improvement in dyspnea score (P = 0.001), 6MWD (P = 0.001), % predicted of forced vital capacity (FVC% predicted) (P = 0.001) and HRQL (P = 0.001). However, arterial blood gas values and DLco showed no significant improvement at the end of the program. Conclusions: PR improves dyspnea score, exercise capacity and HRQL in patients with IPF.