Irish Journal of Medical Science

, Volume 170, Issue 4, pp 231–232

Effect of once weekly pulmonary rehabilitation on exercise tolerance in patients with chronic lung disease

  • B. M. O’Neill
  • D. Johnston
  • N. Burrell
  • J. MacMahon
Original Paper

Abstract

Background

Pulmonary rehabilitation (PR) programmes improve exercise tolerance and reduce breathlessness in patients with chronic obstructive pulmonary disease.

Aim

A retrospective audit was undertaken to assess the effectiveness of the pulmonary rehabilitation programme at Belfast City Hospital (BCH).

Methods

Data from 74 patients who completed a six-week PR programme were reviewed. Exercise tolerance was assessed by the shuttle walk test (SWT), and breathlessness by the BORG scale. Paired t-tests were used for within group analysis.

Results

The mean (SD) exercise tolerance assessed by the SWT improved significantly as did duration of individual exercises. Patients were able to exercise more without increasing their breathlessness or heart rate.

Conclusions

This paper highlights the effect of PR on exercise tolerance and breathlessness in patients with chronic lung disease. The results compare favourably with published literature where more frequently supervised exercise sessions were provided.

References

  1. 1.
    Herbst K, McNeill S, Threlfall E, Morgan MDL. British Lung Foundation survey of respiratory healthcare provision in Greater London.Thorax 2000; 54 (s3); A43.Google Scholar
  2. 2.
    DHSS Information and Analysis Unit. July 1999.Google Scholar
  3. 3.
    Annual Report of the Registrar General. 1977Google Scholar
  4. 4.
    British Thoracic Society Guidelines for the Management of Chronic Obstructive Pulmonary Disease.Thorax 1997; 52 (S5): S1-S28.Google Scholar
  5. 5.
    Wedzicha JA, Bestall JC, Garrod R et al. Randomised controlled trial of pulmonary rehabilitation in severe chronic obstructive pulmonary disease patients, stratified with the MRC dyspnoea scale.Eur Resp J 1998; 12: 363–9.CrossRefGoogle Scholar
  6. 6.
    Goldstein RS, Gort EH, Stubbing D, Avednano MA, Guyatt GH. Randomised controlled trial of respiratory rehabilitation.Lancet 1994; 344: 1394–7.CrossRefPubMedGoogle Scholar
  7. 7.
    Wijkstra PJ et al. Quality of life in patients with chronic obstructive pulmonary disease improves after rehabilitation at home.Eur Respir J 1994; 7: 269–73.CrossRefPubMedGoogle Scholar
  8. 8.
    Wijkstra PJ, TenVergert EM, van Altena R et al. Long term benefits of rehabilitation at home on quality of life and exercise tolerance in patients with chronic obstructive pulmonary disease.Thorax 1995; 50: 824–8.CrossRefPubMedGoogle Scholar
  9. 9.
    Ries AL, Kaplan, RM, Limberg, TM, Prcwitt, LM. Effects of pulmonary rehabilitation on physiologic and psychosocial outcomes in patients with chronic obstructive pulmonary disease.Ann Intern Med 1995; 122: 823–32.PubMedGoogle Scholar
  10. 10.
    Lacasse Y, Wong E, Guyatt G et al. Meta-analysis of respiratory rehabilitation in chronic obstructive pulmonary disease.Lancet 1996; 348: 1115–9.CrossRefPubMedGoogle Scholar
  11. 11.
    Foster S, Thomas HM. Pulmonary rehabilitation in lung disease other than chronic obstructive pulmonary disease.Am Rev Respir Dis 1990; 141: 601–4.PubMedGoogle Scholar
  12. 12.
    Singh SJ, Morgan MDL, Walters DS, Hardman AE. Development of a shuttle walking test of disability in patients with chronic airways obstruction.Thorax 1992; 47: 1019–24.CrossRefPubMedGoogle Scholar
  13. 13.
    Borg GAV. Psychophysical basis of perceived exertion.Med Sci Sport Exercise 1982; 14: 377–81.Google Scholar
  14. 14.
    Green RH, Singh SJ, Williams J, Morgan MDL. A randomised controlled trial of 4 weeks versus 7 weeks of pulmonary rehabilitation in COPD.Thorax 2001; 56: 143–5.CrossRefPubMedGoogle Scholar
  15. 15.
    Guyatt GH, Berman LB, Townsend M, Pugsley SO, Chambers LW. A measure of quality of life for clinical trials in chronic lung disease.Thorax 1987; 42: 773–8.CrossRefPubMedGoogle Scholar
  16. 16.
    Jones PW. Issues concerning health-related quality of life in COPD.Chest 1995; 107: 187S-93S.CrossRefPubMedGoogle Scholar
  17. 17.
    Jaeschke R, Singer J, Guyatt GH. Measurement of health status: Ascertaining the minimal clinically important difference.Control Clin Trials 1989; 10: 407–15.CrossRefPubMedGoogle Scholar
  18. 18.
    Reardon J, Patel K, ZuWallacj RL. Improvement in quality of life is unrelated to improvement in exercise endurance after outpatient pulmonary rehabilitation.J Cardiopulmon Rehabil 1993; 13: 51–4.CrossRefGoogle Scholar
  19. 19.
    Foglio K, Bianchi L, Bruletti G et al. Long-term effects of pulmonary rehabilitation in pariants with chronic airway obstruction.Eur Respir J 1999; 13: 125–1332CrossRefPubMedGoogle Scholar
  20. 20.
    American Thoracic Society/American Lung Association. Pulmonary Rehabilitation-1999.Am J Respir Crit Care Med 1999; 159: 1666–82.Google Scholar

Copyright information

© Springer 2001

Authors and Affiliations

  • B. M. O’Neill
    • 1
    • 2
  • D. Johnston
    • 2
  • N. Burrell
    • 2
  • J. MacMahon
    • 3
  1. 1.School of Rehabilitation SciencesUniversity of Ulster, Belfast City HospitalBelfastNorthern Ireland
  2. 2.Physiotherapy DepartmentBelfast City HospitalBelfastNorthern Ireland
  3. 3.Department of Respiratory MedicineBelfast City HospitalBelfastNorthern Ireland
  4. 4.School of Rehabilitation SciencesUniversity of UlsterNewtownabbeyNorthern Ireland

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