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首页> 外文学位 >Exercise and airway clearing devices in pulmonary rehabilitation programs for patients with chronic obstructive pulmonary disease.
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Exercise and airway clearing devices in pulmonary rehabilitation programs for patients with chronic obstructive pulmonary disease.

机译：慢性阻塞性肺病患者肺康复计划中的运动和气道清理设备。

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摘要

Background. Since chronic obstructive pulmonary disease (COPD) is often complicated by excess airway mucus, providing airway clearance treatments (ACTs) for patients during pulmonary rehabilitation (PR) may enhance their PR outcomes. Objective. To assess the effect of ACTs before and after exercise training on COPD patients participating in PR. Methods. Thirty-five patients with COPD from three PR centers were randomly assigned to either: (1) usual care group, (PR - Exercise Training), n = 12, (2) usual care plus high-frequency chest wall oscillation (HFCWO, The Vest(TM)) n = 11, or (3) usual care plus vibratory positive expiratory pressure (VPEP, The AcapellaRTM), n = 12. Airway clearance therapy (HFCWO or VPEP) was given for 10 min before and after the exercise for PR patients assigned to those treatment arms. Assessments of Pulmonary Function Status Scale (PFSS), Six-Minute Walk (SMW) test, Physical Activity Stage of Change Questionnaire (PASCQ), Forced Expiratory Volume in one second (FEV1) and Peak Expiratory Flow (PEF) were measured at baseline and completion of PR. Sputum quantity was measured before exercise, during exercise, and after exercise. Results. The entire group showed significant changes in the PFSS: pre 118 SD +/- 22.6 to post 123 SD +/- 21.9 (p < 0.5); SMW test pre 803.7ft SD +/- 383 to post 967.9ft SD +/- 386 (p < 0.5); PASCQ of precontemplation pre 8% to post 0%, contemplation pre 43% to post 0%, preparation pre 37% to post 14%, action pre 3% to post 66%, and maintenance pre 9% to post 20%; FEV1 0.90 L +/- 0.44 to 0.96 L +/- 0.56; and PEF 157 l/min +/- 96 to 180 l/min +/- 131 (p < 0.05). No significant differences were found in all the outcomes between the three treatment groups (p > 0.05). As well, the mean wet sputum weights at each time interval between treatment arms were not significant (p > 0.05). Conclusions. Based on the current findings, adding VPEP or HFCWO ten minutes before and after exercise training did not yield additional benefits in the outcomes collected. Exercise may be used as an inexpensive airway clearing treatment for improving lung function, exercise capacity, and sputum clearance. More research is needed to demonstrate quality initiatives to acquire better rehabilitation outcomes in caring for the growing COPD population.
机译：背景。由于慢性阻塞性肺疾病（COPD）通常并发于气道粘液过多，因此在肺部康复（PR）期间为患者提供气道清除治疗（ACTs）可能会提高其PR结果。目的。评估运动训练前后ACTs对参与PR的COPD患者的影响。方法。来自三个PR中心的35例COPD患者被随机分配至：（1）常规护理组（PR-运动训练），n = 12，（2）常规护理加高频胸壁振荡（HFCWO， Vest（TM））n = 11，或（3）日常护理加上振动性呼气正压（VPEP，AcapellaRTM），n =12。在进行运动之前和之后进行气道清除疗法（HFCWO或VPEP）10分钟。 PR患者被分配到那些治疗组。在基线时测量肺功能状态量表（PFSS），六分钟步行（SMW）测试，体力活动变化量表问卷（PASCQ），一秒钟的强迫呼气量（FEV1）和呼气峰值流量（PEF）。公关完成。在运动前，运动中和运动后测量痰量。结果。整个组的PFSS都有显着变化：从118 SD +/- 22.6到123 SD +/- 21.9（p <0.5）；在803.7ft SD +/- 383之前的SMW测试到967.9ft SD +/- 386之后的SMW测试（p <0.5）;预想的PASCQ为8％到0％，沉思为43％到0％，准备前为37％到14％，行动为3％到66％，维护之前为9％到20％； FEV1 0.90 L +/- 0.44至0.96 L +/- 0.56;和PEF 157 l / min +/- 96至180 l / min +/- 131（p <0.05）。三个治疗组之间的所有结局均未发现显着差异（p> 0.05）。同样，治疗臂之间每个时间间隔的平均湿痰重量也不显着（p> 0.05）。结论。根据目前的发现，在运动训练前后十分钟添加VPEP或HFCWO不会对所收集的结果产生额外的好处。运动可以用作廉价的气道清洁治疗，以改善肺功能，运动能力和痰清除率。需要更多的研究来证明高质量的计划，以便在照顾不断增长的COPD人群时获得更好的康复效果。

著录项

  • 作者

    McCarroll, Michele L.;

  • 作者单位

    The Ohio State University.;

  • 授予单位 The Ohio State University.;
  • 学科 Physical therapy.;Public health.
  • 学位 Ph.D.
  • 年度 2005
  • 页码 96 p.
  • 总页数 96
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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