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Research Paper | Medical Science | India | Volume 12 Issue 6, June 2023
Effect of Out Patient Based Pulmonary Rehabilitation in Stable Chronic Obstructive Pulmonary Disease
Dr. Sandra M | Dr. Malavika S Kurup | Dr. A K Abdul Khader
Abstract: Introduction: Chronic obstructive pulmonary disease (COPD) is one of the top three causes of death worldwide (1). Since COPD is a chronic and progressive disease it produces health related problems as well as economic and social burden to patients and families. So, the management of COPD values more. In these patients, exercise capacity, health - related quality of life and participation in daily activities are often impaired out of proportion to lung function impairment (2). Pulmonary rehabilitation is a foremost intervention for the management of COPD. Pulmonary rehabilitation is not frequently included in the integrated care of patients and is often inaccessible to patients. Our aim is to assess the impact of pulmonary rehabilitation on exercise capacity (6MWT), and quality of life in COPD. Materials and Methods: 60 patients of age group 40 - 80 years who are diagnosed with COPD as per GOLD guidelines and who met the inclusion criteria were included in this study. Detailed evaluation was done. Pulmonary rehabilitation offered patient education, breathing exercises, chest physiotherapy, and exercise training. 6 MWT, Spirometry (FEV1), SGRQ, BORG dyspnoea scale was assessed initially and after 12 weeks of the programme. Results: % of sample population were males and 33.3% were females. The mean age of the population was 68.7 years. Pulmonary rehabilitation program for 3 months was associated with statistically significant (p <0.05) and clinically relevant improvement in physical performance in the study group. The mean improvement in 6MWT was 57 meters. Quality of life which was measured by the SGRQ score improved by more than 10 points, p value of <0.05. Conclusion: The results of the present study clearly demonstrate that pulmonary rehabilitation play a definite role in the management of COPD patients. In our study, outpatient based pulmonary rehabilitation resulted in significant improvement in exercise tolerance and quality of life. Hence Outpatient based pulmonary rehabilitation has to be offered to moderate to severe COPD Patients. Also the concomitant treatment of both arteriovenous disease showed significant benefits in healing and overall outcome of the patient.
Keywords: Pulmonary Rehabilitation, COPD, Quality of Life, 6MWT
Edition: Volume 12 Issue 6, June 2023,
Pages: 1703 - 1705