Value of pulmonary rehabilitation in patients with idiopathic pulmonary fibrosis
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 l...
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Wolters Kluwer Medknow Publications
2014-10-01
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doaj-9942353e18be44f0b86e160d39bad3c42020-11-25T00:45:26ZengWolters Kluwer Medknow PublicationsEgyptian Journal of Chest Disease and Tuberculosis0422-76382014-10-016341013101710.1016/j.ejcdt.2014.06.004Value of pulmonary rehabilitation in patients with idiopathic pulmonary fibrosisNizar Rifaat0Essam Anwar1Yosra M. Ali2Abdu Ellabban3Ali A. Hasan4Chest Department, Elminya University, EgyptChest Department, Elminya University, EgyptChest Department, Elminya University, EgyptRheumatology and Rehabilitation Department, Elminya University, EgyptChest Department, Faculty of Medicine, Assiut University, EgyptBackground: 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.http://www.sciencedirect.com/science/article/pii/S0422763814001186Pulmonary rehabilitationIdiopathic pulmonary fibrosisExercise capacityQuality of life |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nizar Rifaat Essam Anwar Yosra M. Ali Abdu Ellabban Ali A. Hasan |
spellingShingle |
Nizar Rifaat Essam Anwar Yosra M. Ali Abdu Ellabban Ali A. Hasan Value of pulmonary rehabilitation in patients with idiopathic pulmonary fibrosis Egyptian Journal of Chest Disease and Tuberculosis Pulmonary rehabilitation Idiopathic pulmonary fibrosis Exercise capacity Quality of life |
author_facet |
Nizar Rifaat Essam Anwar Yosra M. Ali Abdu Ellabban Ali A. Hasan |
author_sort |
Nizar Rifaat |
title |
Value of pulmonary rehabilitation in patients with idiopathic pulmonary fibrosis |
title_short |
Value of pulmonary rehabilitation in patients with idiopathic pulmonary fibrosis |
title_full |
Value of pulmonary rehabilitation in patients with idiopathic pulmonary fibrosis |
title_fullStr |
Value of pulmonary rehabilitation in patients with idiopathic pulmonary fibrosis |
title_full_unstemmed |
Value of pulmonary rehabilitation in patients with idiopathic pulmonary fibrosis |
title_sort |
value of pulmonary rehabilitation in patients with idiopathic pulmonary fibrosis |
publisher |
Wolters Kluwer Medknow Publications |
series |
Egyptian Journal of Chest Disease and Tuberculosis |
issn |
0422-7638 |
publishDate |
2014-10-01 |
description |
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. |
topic |
Pulmonary rehabilitation Idiopathic pulmonary fibrosis Exercise capacity Quality of life |
url |
http://www.sciencedirect.com/science/article/pii/S0422763814001186 |
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