Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
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Advances in Clinical and Experimental Medicine

2015, vol. 24, nr 6, November-December, p. 1079–1083

doi: 10.17219/acem/31679

Publication type: original article

Language: English

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Evaluation of a Home-Based Pulmonary Rehabilitation Program for Older Females Suffering from Bronchial Asthma

Michał Majewski1,A,B,C,D, Grażyna Dąbrowska1,B,E, Malwina Pawik1,B, Krystyna Rożek1,A,C,E,F

1 Department of Physiotherapy, University School of Physical Education, Wrocław, Poland

Abstract

Background. Asthma is a disease that affects people of all ages worldwide.
Objectives. The aim of the study was to evaluate the effectiveness of a home-based pulmonary rehabilitation program, with one supervised session a week, for improvement of respiratory function, inspiratory muscle strength and physical fitness in older women suffering from asthma.
Material and Methods. The study involved 10 female patients (mean age 70.8) with diagnosed bronchial asthma in the slight and moderate stage. Before the program started, all the patients were in a stable phase of the disease. All the patients carried out a respiratory function test based on measurement of the flow/volume loop assessing FVC, FEV1, FEV1/FVC, PEF, MEF50 and MEF25/75. An inspiratory muscle strength test (PImax) was also performed. Agility was assessed by the Fullerton Functional Fitness test, which consists of sitting down on/standing up from a chair, bicep curls with weights, upper and lower body flexibility trials, a complex coordination trial and a six minute walk test (6MWT) to assess the patients’ exercise capacity. To evaluate health-related quality of life, the Saint George Respiratory Questionnaire (SGRQ) was completed, and the Hospital Anxiety and Depression Scale was used to diagnose any signs of anxiety or depression. The main part of the program consisted of eight two-minute whole body exercises separated by one-minute intervals. Statistical significance was determined by the Wilcoxon test.
Results. Almost all the respiratory function parameters, PImax, exercise tolerance, lower body flexibility trial and 6MWT improved significantly after following the program for eight weeks. Among the parameters measured by the questionnaires and scales, only the component of the SGRQ related to symptoms of the disease has significantly improved.
Conclusion. The home-based pulmonary rehabilitation program significantly improved all respiratory function parameters. The patients’ PImax scores also significantly improved. Among the physical fitness parameters, the 6MWT and lower body flexibility trials significantly improved. The home-based pulmonary rehabilitation program can be used effectively in patients suffering from bronchial asthma.

Key words

asthma, pulmonary rehabilitation, home-based program

References (25)

  1. GINA. The Global Initiative for Asthma: www.ginasthma.com (Accessed 02/02/2012).
  2. American College of Sports Medicine. Physical activity programs and behavior counseling in older adults populations. Med Sci Sports Exerc 2004, 36, 1997–2003. DOI: 10.1249/01.MSS.0000145451.08166.97.
  3. Strunk RC, Mascia AV, Lipkowitz MA, Wolf SI: Rehabilitation of a patient with asthma in the outpatient setting. J Allergy Clin Immunol 1991, 87, 601–611. DOI: 10.1016/0091-6749(91)90374-W.
  4. Gomieiro LTY, Nascimento A, Tanno LK, Agondi R, Kalil J, Giavina-Bianchi P: Respiratory exercise program for elderly individuals with asthma. Clinics 2011, 66, 1165–1169.
  5. Golmohammadi K, Jacobs P, Sin DD: Economic evaluation of a community-based pulmonary rehabilitation program for chronic obstructive pulmonary disease. Lung 2004, 182, 187–196.
  6. Mador MJ, Angel Rodis A, Magalang UJ: Reproducibility of Borg Scale Measurements of Dyspnea during Exercise in Patients with COPD. Chest 1995, 107, 1590–1597.
  7. Snaith PR: The Hospital Anxiety and Depression Scale. Health Qual Life Outcomes 2003, 1, 29.
  8. European Respiratory Monograph 2005, 31, 1–14. Printed in UK – all rights reserved. Copyright ERS Journals Ltd 2005.
  9. Rikli R, Jones CJ: Senior Fitness Test Manual. Champaign, IL: Human Kinetics 2001.
  10. Singh S: Walking for the assessment of patients with chronic obstructive pulmonary disease. Eur Respir Mon 2007, 40, 148–164.
  11. Giavina-Bianchi P, Aun MV, Bisaccioni C, Agondi R, Kalil J: Difficult-tocontrol asthma management through the use of a specific protocol. Clinics 2010, 65, 905–918.
  12. Sterk PJ, Fabbri LM, Quanjer PJ: Airway responsiveness: standartised challenge testing with pharmacological, physicial and sensitizing stimuli in adults. Eur Respir J 1994, 6, 53–83.
  13. Sly RM, Harper RT, Rosselot I: The effect of physical conditioning upon asthmatic children. Ann Allergy 1972, 30, 86–94.
  14. Ahmaidi SB, Varray AL, Savy-Pacaux AM: Cardiorespiratory fitness evaluation by the shuttle test in asthmatic subjects during aerobic training. Chest 1993, 103, 1135–1141.
  15. Cochrane LM, Clark CJ: Benefits and problems of a physical training program for asthmatic patients. Thorax 1990, 45, 345–351.
  16. Swann IL, Hanson CA: Double-blind prospective study of the effect of physical training on childhood asthma. In: Oseid S, Edwards A, eds. The asthmatic child – in play and sport. London: Pitman Books Limited 1983, 318–325.
  17. Varray AL, Mercier JG, Prefaut CG: Individualized training reduces excessive exercise hyperventilation in asthmatics. Int J Rehabil Res 1995, 18, 297–312.
  18. Varray AL, Mercier JG, Terral CM: Individualized aerobic and high intensity training for asthmatic children in an exercise re-adaptation program: is training always helpful for better adaptation to exercise? Chest 1991, 99, 579–586.
  19. Fitch KD, Blitvich JD, Morton AR: The effect of running training on exercise-induced asthma. Ann Allergy 1986, 57, 90–94.
  20. Girodo M, Ekstrand KA, Metivier GJ: Deep diaphragmatic breathing: rehabilitation exercises for the asthmatic patient. Arch Phys Med Rehabil 1992, 73, 717–720.
  21. Lake FR, Henderson K: Upper-limb and lower-limb exercise training in patients with chronic airflow obstruction. Chest 1990, 97, 1077–1082.
  22. Kamahara K, Toshiaki H: Circuit training for elderly patients with chronic obstructive pulmonary disease: a preliminary study. Arch Gerontol Geriatr 2004, 39, 103–110.
  23. American Thoracic Society/European Respiratory Society Statement on Pulmonary Rehabilitation. Am J Respir Crit Care Med 2006, 173, 1390–1413.
  24. Emtner M, Herala M, Stålenheim G: High-intensity physical training in adults with asthma: a 10-week rehabilitation program. Chest 1996, 109, 323–330.
  25. Emtner M, Finne M, Stĺlenheim G: High intensity physical training in adults with asthma. A comparison between training on land and in water. Scand J Rehabil Med 1998, 30, 201–209.
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