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首页> 外文期刊>Journal of cardiopulmonary rehabilitation >Long-term benefits of exercise maintenance after outpatient rehabilitation program in patients with chronic obstructive pulmonary disease.
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Long-term benefits of exercise maintenance after outpatient rehabilitation program in patients with chronic obstructive pulmonary disease.

机译：门诊康复计划对慢性阻塞性肺疾病患者进行运动维持的长期益处。

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BACKGROUND: Optimal strategies to maintain short-term benefits of an initial rehabilitation program (RP) are not known. To assess the long-term effects of exercise maintenance (EM) after an initial outpatient RP, the authors conducted a prospective study. PATIENTS AND METHODS: Fifty-eight patients with moderate to moderately severe chronic obstructive pulmonary disease who completed an initial 7-week outpatient RP were included. They were allocated into four groups according to the conditions of EM they self-selected: 15 patients received a structured EM session supervised by a physiotherapist twice a week (group A); 14 patients received a structured EM session supervised by a physiotherapist once a week (group B); 15 patients continued self EM daily at home (group C); and 14 patients did not continue EM (group D). Patients were evaluated before, immediately after, and 18 months after the initial outpatient RP. Measurements included exercise testing on a cycle ergometer and a visual analog scale to evaluate chronic dyspnea. RESULTS: After RP, all patients exhibited improvements in maximal workload (P < 0.05) and in dyspnea (P < 0.05). Improvements in maximal workload were maintained at 18 months in patients in groups A, B, and C but these only reached significance in groups B and C (P < 0.05). On the other hand, maximal workload returned to baseline values in group D (P = 0.01) at 18 months. CONCLUSION: Our results indicate definite benefits of EM after an initial outpatient RP compared with no EM. Daily EM at home appears to be as efficient as structured EM sessions supervised by a physiotherapist, once or twice a week, in moderate to moderately severe chronic obstructive pulmonary disease.
机译：背景：维持初始康复计划（RP）短期利益的最佳策略尚不清楚。为了评估初始门诊RP后运动维持（EM）的长期效果，作者进行了一项前瞻性研究。患者和方法：包括58位完成了初始7周门诊RP的中度至中度重度慢性阻塞性肺疾病的患者。根据他们自行选择的EM情况将他们分为四组：15名患者接受了每周两次物理治疗师指导的结构化EM疗程（A组）; 14名患者每周接受一次物理治疗师的物理治疗，由物理治疗师监督（B组）; 15名患者每天在家继续自我EM治疗（C组）; 14例患者未继续EM（D组）。在首次门诊RP之前，之后和18个月后对患者进行评估。测量包括在自行车测功机上的运动测试和视觉模拟量表，以评估慢性呼吸困难。结果：RP后，所有患者的最大工作量（P <0.05）和呼吸困难（P <0.05）均有改善。 A，B和C组患者的最大工作量得以改善维持18个月，但这些仅在B和C组中达到显着性（P <0.05）。另一方面，最大的工作量在18个月时恢复到D组的基线值（P = 0.01）。结论：我们的结果表明，与没有EM相比，初次门诊RP后EM具有明显的益处。在中度至中度严重的慢性阻塞性肺疾病中，在家中每天进行的EM与在物理治疗师的监督下进行的结构化EM疗程每周一次或两次一样有效。

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