Generic, symptom based, exercise rehabilitation; integrating patients with COPD and heart failure
Summary Background Patients with Chronic Heart Failure (CHF) develop similar symptoms of exertional breathlessness and fatigue as patients with COPD. Although pulmonary (exercise based) rehabilitation (PR) is an integral part of the management of COPD, the potential for exercise rehabilitation (ER)...
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| creator | Evans, R.A Singh, S.J Collier, R Loke, I Steiner, M.C Morgan, M.D.L |
| description | Summary Background Patients with Chronic Heart Failure (CHF) develop similar symptoms of exertional breathlessness and fatigue as patients with COPD. Although pulmonary (exercise based) rehabilitation (PR) is an integral part of the management of COPD, the potential for exercise rehabilitation (ER) to assist patients with CHF may not be as readily appreciated. We investigated whether combined ER for patients with CHF and COPD was feasible and effective using the model of PR. Methods 57 patients with CHF were randomized 2:1 to 7 weeks ER (CHF-ER) or 7 weeks of usual care (CHF-UC). As a comparator 55 patients with COPD were simultaneously recruited to the same ER program (COPD-ER). The primary outcome measure was the Incremental Shuttle Walk Test (ISWT) and the secondary outcome measures were the Endurance Shuttle Walk Test (ESWT), isometric quadriceps strength and health status. Results 27 CHF and 44 COPD patients completed ER and 17 patients with CHF completed UC. The CHF-ER group made significant improvements, compared to CHF-UC, in the mean (95%CI) ISWT distance; 62(35–89)m vs −6(−11 to 33)m p |
| doi_str_mv | 10.1016/j.rmed.2010.04.024 |
| format | Article |
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Although pulmonary (exercise based) rehabilitation (PR) is an integral part of the management of COPD, the potential for exercise rehabilitation (ER) to assist patients with CHF may not be as readily appreciated. We investigated whether combined ER for patients with CHF and COPD was feasible and effective using the model of PR. Methods 57 patients with CHF were randomized 2:1 to 7 weeks ER (CHF-ER) or 7 weeks of usual care (CHF-UC). As a comparator 55 patients with COPD were simultaneously recruited to the same ER program (COPD-ER). The primary outcome measure was the Incremental Shuttle Walk Test (ISWT) and the secondary outcome measures were the Endurance Shuttle Walk Test (ESWT), isometric quadriceps strength and health status. Results 27 CHF and 44 COPD patients completed ER and 17 patients with CHF completed UC. The CHF-ER group made significant improvements, compared to CHF-UC, in the mean (95%CI) ISWT distance; 62(35–89)m vs −6(−11 to 33)m p < 0.001. The CHF-ER group also made statistically significant improvements in health status. The improvements in exercise performance and health status were similar between patients with CHF and COPD, treated with ER. Conclusion Patients with CHF who undergo ER improve similarly in their exercise performance and health status to COPD. Combined training programs for COPD and CHF are effective and feasible, such that service provision could be targeted around common disability rather than the primary organ disease.</description><identifier>ISSN: 0954-6111</identifier><identifier>EISSN: 1532-3064</identifier><identifier>DOI: 10.1016/j.rmed.2010.04.024</identifier><identifier>PMID: 20650624</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Aged ; Biological and medical sciences ; Cardiology. Vascular system ; Cardiovascular disease ; Chronic heart failure ; Chronic obstructive pulmonary disease ; Chronic obstructive pulmonary disease, asthma ; Dyspnea ; Dyspnea - metabolism ; Dyspnea - physiopathology ; Dyspnea - rehabilitation ; Education ; Energy conservation ; Exercise ; Exercise Therapy - methods ; Female ; Forced Expiratory Volume - physiology ; Heart ; Heart failure ; Heart Failure - metabolism ; Heart Failure - physiopathology ; Heart Failure - rehabilitation ; Heart failure, cardiogenic pulmonary edema, cardiac enlargement ; Humans ; Male ; Medical sciences ; Miscellaneous ; Musculoskeletal system ; Oxygen Consumption - physiology ; Pneumology ; Pulmonary Disease, Chronic Obstructive - metabolism ; Pulmonary Disease, Chronic Obstructive - physiopathology ; Pulmonary Disease, Chronic Obstructive - rehabilitation ; Pulmonary rehabilitation ; Pulmonary/Respiratory ; Quality of life ; Questionnaires ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Rehabilitation ; Respiratory system : syndromes and miscellaneous diseases ; Scholarships & fellowships ; Treatment Outcome ; Walking - physiology</subject><ispartof>Respiratory medicine, 2010-10, Vol.104 (10), p.1473-1481</ispartof><rights>Elsevier Ltd</rights><rights>2010 Elsevier Ltd</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c544t-4282a6345b8b1ca72d7a0a508f9c09621239360dceae9857ed5a973739d177013</citedby><cites>FETCH-LOGICAL-c544t-4282a6345b8b1ca72d7a0a508f9c09621239360dceae9857ed5a973739d177013</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0954611110002040$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23238040$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20650624$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Evans, R.A</creatorcontrib><creatorcontrib>Singh, S.J</creatorcontrib><creatorcontrib>Collier, R</creatorcontrib><creatorcontrib>Loke, I</creatorcontrib><creatorcontrib>Steiner, M.C</creatorcontrib><creatorcontrib>Morgan, M.D.L</creatorcontrib><title>Generic, symptom based, exercise rehabilitation; integrating patients with COPD and heart failure</title><title>Respiratory medicine</title><addtitle>Respir Med</addtitle><description>Summary Background Patients with Chronic Heart Failure (CHF) develop similar symptoms of exertional breathlessness and fatigue as patients with COPD. Although pulmonary (exercise based) rehabilitation (PR) is an integral part of the management of COPD, the potential for exercise rehabilitation (ER) to assist patients with CHF may not be as readily appreciated. We investigated whether combined ER for patients with CHF and COPD was feasible and effective using the model of PR. Methods 57 patients with CHF were randomized 2:1 to 7 weeks ER (CHF-ER) or 7 weeks of usual care (CHF-UC). As a comparator 55 patients with COPD were simultaneously recruited to the same ER program (COPD-ER). The primary outcome measure was the Incremental Shuttle Walk Test (ISWT) and the secondary outcome measures were the Endurance Shuttle Walk Test (ESWT), isometric quadriceps strength and health status. Results 27 CHF and 44 COPD patients completed ER and 17 patients with CHF completed UC. The CHF-ER group made significant improvements, compared to CHF-UC, in the mean (95%CI) ISWT distance; 62(35–89)m vs −6(−11 to 33)m p < 0.001. The CHF-ER group also made statistically significant improvements in health status. The improvements in exercise performance and health status were similar between patients with CHF and COPD, treated with ER. Conclusion Patients with CHF who undergo ER improve similarly in their exercise performance and health status to COPD. Combined training programs for COPD and CHF are effective and feasible, such that service provision could be targeted around common disability rather than the primary organ disease.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular disease</subject><subject>Chronic heart failure</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Chronic obstructive pulmonary disease, asthma</subject><subject>Dyspnea</subject><subject>Dyspnea - metabolism</subject><subject>Dyspnea - physiopathology</subject><subject>Dyspnea - rehabilitation</subject><subject>Education</subject><subject>Energy conservation</subject><subject>Exercise</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Forced Expiratory Volume - physiology</subject><subject>Heart</subject><subject>Heart failure</subject><subject>Heart Failure - metabolism</subject><subject>Heart Failure - physiopathology</subject><subject>Heart Failure - rehabilitation</subject><subject>Heart failure, cardiogenic pulmonary edema, cardiac enlargement</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Musculoskeletal system</subject><subject>Oxygen Consumption - physiology</subject><subject>Pneumology</subject><subject>Pulmonary Disease, Chronic Obstructive - metabolism</subject><subject>Pulmonary Disease, Chronic Obstructive - physiopathology</subject><subject>Pulmonary Disease, Chronic Obstructive - rehabilitation</subject><subject>Pulmonary rehabilitation</subject><subject>Pulmonary/Respiratory</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Rehabilitation</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Scholarships & fellowships</subject><subject>Treatment Outcome</subject><subject>Walking - physiology</subject><issn>0954-6111</issn><issn>1532-3064</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk2LFDEQhoMo7rj6BzxIQGQv22Plqz9QhGXUVVhYQT2HdLp6J2NPekzS6vx708wsC3vQU5HkqapUvS8hzxksGbDy9WYZttgtOeQLkEvg8gFZMCV4IaCUD8kCGiWLkjF2Qp7EuAGARkp4TE44lApKLhfEXKLH4Ow5jfvtLo1b2pqI3TnFPxisi0gDrk3rBpdMcqN_Q51PeBPywd_QXQ7oU6S_XVrT1fWX99T4jq7RhER744Yp4FPyqDdDxGfHeEq-f_zwbfWpuLq-_Ly6uCqskjIVktfclEKqtm6ZNRXvKgNGQd03FpqSMy4aUUJn0WBTqwo7ZZpKVKLpWFUBE6fk7FB3F8afE8akty5aHAbjcZyizrtQjRCC_5eslAQQqlaZfHmP3IxT8HkMzTLBeF3XMlP8QNkwxhiw17vgtibsM6RnpfRGz0rpWSkNUmelctKLY-mpnd9uU26lycCrI2CiNUMfjM963HF5kBokZO7tgcO83F8Og442i2KxcwFt0t3o_v2Pd_fS7eC8yx1_4B7j3bw6cg366-yp2VIsu4nP_f8CLvXD7A</recordid><startdate>20101001</startdate><enddate>20101001</enddate><creator>Evans, R.A</creator><creator>Singh, S.J</creator><creator>Collier, R</creator><creator>Loke, I</creator><creator>Steiner, M.C</creator><creator>Morgan, M.D.L</creator><general>Elsevier Ltd</general><general>Elsevier</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U9</scope><scope>ASE</scope><scope>FPQ</scope><scope>H94</scope><scope>K6X</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>7TS</scope></search><sort><creationdate>20101001</creationdate><title>Generic, symptom based, exercise rehabilitation; integrating patients with COPD and heart failure</title><author>Evans, R.A ; Singh, S.J ; Collier, R ; Loke, I ; Steiner, M.C ; Morgan, M.D.L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c544t-4282a6345b8b1ca72d7a0a508f9c09621239360dceae9857ed5a973739d177013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular disease</topic><topic>Chronic heart failure</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Chronic obstructive pulmonary disease, asthma</topic><topic>Dyspnea</topic><topic>Dyspnea - metabolism</topic><topic>Dyspnea - physiopathology</topic><topic>Dyspnea - rehabilitation</topic><topic>Education</topic><topic>Energy conservation</topic><topic>Exercise</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Forced Expiratory Volume - physiology</topic><topic>Heart</topic><topic>Heart failure</topic><topic>Heart Failure - metabolism</topic><topic>Heart Failure - physiopathology</topic><topic>Heart Failure - rehabilitation</topic><topic>Heart failure, cardiogenic pulmonary edema, cardiac enlargement</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Musculoskeletal system</topic><topic>Oxygen Consumption - physiology</topic><topic>Pneumology</topic><topic>Pulmonary Disease, Chronic Obstructive - metabolism</topic><topic>Pulmonary Disease, Chronic Obstructive - physiopathology</topic><topic>Pulmonary Disease, Chronic Obstructive - rehabilitation</topic><topic>Pulmonary rehabilitation</topic><topic>Pulmonary/Respiratory</topic><topic>Quality of life</topic><topic>Questionnaires</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Rehabilitation</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>Scholarships & fellowships</topic><topic>Treatment Outcome</topic><topic>Walking - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Evans, R.A</creatorcontrib><creatorcontrib>Singh, S.J</creatorcontrib><creatorcontrib>Collier, R</creatorcontrib><creatorcontrib>Loke, I</creatorcontrib><creatorcontrib>Steiner, M.C</creatorcontrib><creatorcontrib>Morgan, M.D.L</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Virology and AIDS Abstracts</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>Physical Education Index</collection><jtitle>Respiratory medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Evans, R.A</au><au>Singh, S.J</au><au>Collier, R</au><au>Loke, I</au><au>Steiner, M.C</au><au>Morgan, M.D.L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Generic, symptom based, exercise rehabilitation; integrating patients with COPD and heart failure</atitle><jtitle>Respiratory medicine</jtitle><addtitle>Respir Med</addtitle><date>2010-10-01</date><risdate>2010</risdate><volume>104</volume><issue>10</issue><spage>1473</spage><epage>1481</epage><pages>1473-1481</pages><issn>0954-6111</issn><eissn>1532-3064</eissn><abstract>Summary Background Patients with Chronic Heart Failure (CHF) develop similar symptoms of exertional breathlessness and fatigue as patients with COPD. Although pulmonary (exercise based) rehabilitation (PR) is an integral part of the management of COPD, the potential for exercise rehabilitation (ER) to assist patients with CHF may not be as readily appreciated. We investigated whether combined ER for patients with CHF and COPD was feasible and effective using the model of PR. Methods 57 patients with CHF were randomized 2:1 to 7 weeks ER (CHF-ER) or 7 weeks of usual care (CHF-UC). As a comparator 55 patients with COPD were simultaneously recruited to the same ER program (COPD-ER). The primary outcome measure was the Incremental Shuttle Walk Test (ISWT) and the secondary outcome measures were the Endurance Shuttle Walk Test (ESWT), isometric quadriceps strength and health status. Results 27 CHF and 44 COPD patients completed ER and 17 patients with CHF completed UC. The CHF-ER group made significant improvements, compared to CHF-UC, in the mean (95%CI) ISWT distance; 62(35–89)m vs −6(−11 to 33)m p < 0.001. The CHF-ER group also made statistically significant improvements in health status. The improvements in exercise performance and health status were similar between patients with CHF and COPD, treated with ER. Conclusion Patients with CHF who undergo ER improve similarly in their exercise performance and health status to COPD. Combined training programs for COPD and CHF are effective and feasible, such that service provision could be targeted around common disability rather than the primary organ disease.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>20650624</pmid><doi>10.1016/j.rmed.2010.04.024</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Biological and medical sciences Cardiology. Vascular system Cardiovascular disease Chronic heart failure Chronic obstructive pulmonary disease Chronic obstructive pulmonary disease, asthma Dyspnea Dyspnea - metabolism Dyspnea - physiopathology Dyspnea - rehabilitation Education Energy conservation Exercise Exercise Therapy - methods Female Forced Expiratory Volume - physiology Heart Heart failure Heart Failure - metabolism Heart Failure - physiopathology Heart Failure - rehabilitation Heart failure, cardiogenic pulmonary edema, cardiac enlargement Humans Male Medical sciences Miscellaneous Musculoskeletal system Oxygen Consumption - physiology Pneumology Pulmonary Disease, Chronic Obstructive - metabolism Pulmonary Disease, Chronic Obstructive - physiopathology Pulmonary Disease, Chronic Obstructive - rehabilitation Pulmonary rehabilitation Pulmonary/Respiratory Quality of life Questionnaires Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Rehabilitation Respiratory system : syndromes and miscellaneous diseases Scholarships & fellowships Treatment Outcome Walking - physiology |
| title | Generic, symptom based, exercise rehabilitation; integrating patients with COPD and heart failure |
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