Influence of home-based pulmonary rehabilitation program among people with interstitial lung disease: A pre-post study.

IF 1.6 4区医学 Q2 REHABILITATION Physiotherapy Theory and Practice Pub Date : 2024-10-01 Epub Date: 2023-08-21 DOI:10.1080/09593985.2023.2245878

Revati Amin, K Vaishali, G Arun Maiya, Aswini Kumar Mohapatra, Vishak Acharya, R Vani Lakshmi

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引用次数: 0

Abstract

Introduction: Access to interstitial lung disease programs may not be available in rural settings. Home-based pulmonary rehabilitation (PR) programs have been proposed as an alternative to hospital-based programs.

Method: Forty participants with ILD underwent a structured unsupervised home-based pulmonary rehabilitation program from September 2020 to September 2022. Quality of life was assessed using St. George Respiratory Questionnaire (SGRQ) and functional capacity using 6-minute walk test (6MWT). The outcome measures were assessed at baseline and 4 weeks post-unsupervised home-based PR program.

Result: We recruited 40 participants with ILD. There was statistically significant improvement in the 6-minute walk distance (353.8 m and 368 m, effect size - 0.5, p ≤ .001) and quality of life using SGRQ total score (38.6 and 42.35, effect size - 2.5, p ≤ .001) between before and after receiving home-based PR among all 40 participants with ILD.

Conclusion: Four weeks of home-based PR program, using minimal resources, deliver short-term improvements in functional exercise capacity and quality of life among ILD participants. Our home-based PR program resulted in a quarter percentage improvement in functional capacity, and we believe that if consistency is maintained, it will result in similar changes corresponding to the already established Minimal Clinically Important Difference (MCID) of 35 m.

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家庭肺康复计划对间质性肺病患者的影响：一项前后研究。

引言：在农村地区可能无法获得间质性肺病项目。基于家庭的肺部康复（PR）计划已被提议作为基于医院的计划的替代方案。方法：从2020年9月到2022年9月，40名ILD参与者接受了一项结构化的无监督家庭肺部康复计划。使用圣乔治呼吸问卷（SGRQ）评估生活质量，使用6分钟步行测试（6MWT）评估功能能力。在基线和4 无监督的家庭公关计划后数周。结果：我们招募了40名患有ILD的参与者。6分钟步行距离有统计学意义的改善（353.8 m和368 m、效果大小-0.5，p ≤ .001）和使用SGRQ总分的生活质量（38.6和42.35，效应大小-2.5，p ≤ .001）。结论：为期四周的家庭公关计划，使用最少的资源，可以在短期内改善ILD参与者的功能锻炼能力和生活质量。我们的家庭公关计划使功能能力提高了四分之一，我们相信，如果保持一致性，将导致类似的变化，对应于已经确定的35米的最小临床重要差异（MCID）。

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来源期刊

Physiotherapy Theory and Practice REHABILITATION-

CiteScore

3.40

自引率

10.00%

发文量

300

期刊介绍： The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.