EHR519 Lecture Notes - Lecture 8: Chronic Respiratory Disease, Pulmonary Rehabilitation, Oxygen Therapy
1. Week 8: Evidence for Effects of Exercise Intervention
for Pulmonary Disease - Pulmonary Rehabilitation
Guidelines
Pulmonary Rehabilitation Guidelines
Outcomes of comprehensive pulmonary rehabilitation programs: lower extremity exercise training;
dyspnea; health-related quality of life (HRQOL); health care utilization and economic analysis; survival;
psychosocial outcomes; and long-term benefits from pulmonary rehabilitation;
Duration of pulmonary rehabilitation;
Post rehabilitation maintenance strategies;
Intensity of aerobic exercise training; strength training in pulmonary rehabilitation;
Anabolic drugs;
Upper extremity training;
Inspiratory muscle training (IMT);
Education;
Psychosocial and behavioural components of pulmonary rehabilitation;
Oxygen supplementation in pulmonary rehabilitation;
Pulmonary rehabilitation for patients with disorders other than COPD; and
Summary and recommendations for future research
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Baseline Evaluation
Control of symptoms of cough and fatigue
Real time evaluation: Medical Research Centre (MRC) breathlessness and Borg dyspnea scale
Recall of symptoms
Performance evaluation: Ability to do Activities of Daily Living (ADL)
Directly observed of self-reported + Physical Functional Tasks (PFTs), Arterial Blood Gases (ABG) or
Oximetry
Exercise tolerance:
6 minutes walking test
Cardiopulmonary exercise testing
Quality of life: (specific or non-specific)
Chronic respiratory disease questionnaire and SGRQs
SF - 36
Assessment of respiratory and peripheral muscle strength
Nutritional assessment
History, Laboratory, Anthropometric, Calorimetry (D & ID)
Health-Related Quality of life (HRQOL)
There may be evidence of an inverted U pattern in responsiveness (i.e. improvement) to pulmonary
rehabilitation based upon initial severity of disease.
Chronic Respiratory Disease Questionnaire (CRDQ): dyspnea, fatigue, emotion, mastery.
Study: those with a MRC score of 3 or 4 responded best. Controls or those with a score of 5 did
not show change.
Those with 5 were likely to impaired by COPD to engage in sufficient enough PR and activity to
gain benefits.
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Document Summary
Week 8: evidence for effects of exercise intervention for pulmonary disease - pulmonary rehabilitation. Outcomes of comprehensive pulmonary rehabilitation programs: lower extremity exercise training; dyspnea; health-related quality of life (hrqol); health care utilization and economic analysis; survival; psychosocial outcomes; and long-term benefits from pulmonary rehabilitation; Intensity of aerobic exercise training; strength training in pulmonary rehabilitation; Psychosocial and behavioural components of pulmonary rehabilitation; Pulmonary rehabilitation for patients with disorders other than copd; and. Real time evaluation: medical research centre (mrc) breathlessness and borg dyspnea scale. Performance evaluation: ability to do activities of daily living (adl) Directly observed of self-reported + physical functional tasks (pfts), arterial blood gases (abg) or. History, laboratory, anthropometric, calorimetry (d & id) There may be evidence of an inverted u pattern in responsiveness (i. e. improvement) to pulmonary rehabilitation based upon initial severity of disease. Chronic respiratory disease questionnaire (crdq): dyspnea, fatigue, emotion, mastery. Study: those with a mrc score of 3 or 4 responded best.
