Application of progressive exercise training based on mMRC grading in respiratory rehabilitation for patients with chronic obstructive pulmonary disease in a primary healthcare setting

ObjectiveTo explore the efficacy of progressive exercise training based on the modified Medical Research Council dyspnea scale (mMRC) grading in respiratory rehabilitation for patients with chronic obstructive pulmonary disease (COPD) at a primary healthcare setting. MethodsA total of 106 patients w...

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Main Authors: Tingting GE, Chengyue ZHU, Yanan ZHANG, Zixuan ZHENG, Jiannan LI, Junqing LI, Zhijun JIE, Jindong SHI, Hanwei ZHAO
Format: Article
Language:English
Published: Shanghai Chinese Clinical Medicine Press Co., Ltd. 2025-08-01
Series:Zhongguo Linchuang Yixue
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Online Access:https://www.c-jcm.com/article/doi/10.12025/j.issn.1008-6358.2025.20250370
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author Tingting GE
Chengyue ZHU
Yanan ZHANG
Zixuan ZHENG
Jiannan LI
Junqing LI
Zhijun JIE
Jindong SHI
Hanwei ZHAO
author_facet Tingting GE
Chengyue ZHU
Yanan ZHANG
Zixuan ZHENG
Jiannan LI
Junqing LI
Zhijun JIE
Jindong SHI
Hanwei ZHAO
author_sort Tingting GE
collection DOAJ
description ObjectiveTo explore the efficacy of progressive exercise training based on the modified Medical Research Council dyspnea scale (mMRC) grading in respiratory rehabilitation for patients with chronic obstructive pulmonary disease (COPD) at a primary healthcare setting. MethodsA total of 106 patients with COPD admitted to Zhuanqiao Community Health Service Center in Shanghai from Aug.1, 2022 to Jul. 30, 2024 were selected as research subjects. They were randomly divided into a study group and a control group in a 1∶1 ratio, with 53 patients in each group. The control group received conventional treatment, while the study group received conventional treatment combined with progressive exercise training. After 4 weeks of continuous treatment, the changes in the 6-minute walk test (6MWT), COPD assessment test (CAT) score, mMRC grading, Global Initiative for Chronic Obstructive Lung Disease (GOLD) grading and pulmonary function were compared between the two groups. ResultsPatients in both groups showed improvements in 6MWT distance, CAT score, mMRC grading, GOLD grading, and pulmonary function compared to baseline (P<0.05). Moreover, the study group had better improvements in 6MWT distance, CAT score, mMRC grading, GOLD grading, and pulmonary function than the control group (P<0.05). ConclusionsConventional treatment combined with progressive exercise training based on mMRC grading can enhance the effect of respiratory rehabilitation in patients with COPD, particularly in improving pulmonary function and exercise tolerance.
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spelling doaj-art-d9b9cdf2fdde44f6998afb8a30638e5b2025-08-26T01:29:39ZengShanghai Chinese Clinical Medicine Press Co., Ltd.Zhongguo Linchuang Yixue1008-63582025-08-0132457858410.12025/j.issn.1008-6358.2025.2025037020250370Application of progressive exercise training based on mMRC grading in respiratory rehabilitation for patients with chronic obstructive pulmonary disease in a primary healthcare settingTingting GE0Chengyue ZHU1Yanan ZHANG2Zixuan ZHENG3Jiannan LI4Junqing LI5Zhijun JIE6Jindong SHI7Hanwei ZHAO8Department of Respiratory and Critical Care Medicine, Shanghai Fifth People’s Hospital, Fudan University, Shanghai 200240, ChinaDepartment of Respiratory and Critical Care Medicine, Shanghai Fifth People’s Hospital, Fudan University, Shanghai 200240, ChinaDepartment of General Practice, Zhuanqiao Community Health Service Center, Minhang District, Shanghai, Shanghai 201108, ChinaDepartment of General Practice, Zhuanqiao Community Health Service Center, Minhang District, Shanghai, Shanghai 201108, ChinaDepartment of General Practice, Zhuanqiao Community Health Service Center, Minhang District, Shanghai, Shanghai 201108, ChinaDepartment of Respiratory and Critical Care Medicine, Shanghai Fifth People’s Hospital, Fudan University, Shanghai 200240, ChinaDepartment of Respiratory and Critical Care Medicine, Shanghai Fifth People’s Hospital, Fudan University, Shanghai 200240, ChinaDepartment of Respiratory and Critical Care Medicine, Shanghai Fifth People’s Hospital, Fudan University, Shanghai 200240, ChinaFudan University Community Health Research Center, Shanghai 200240, ChinaObjectiveTo explore the efficacy of progressive exercise training based on the modified Medical Research Council dyspnea scale (mMRC) grading in respiratory rehabilitation for patients with chronic obstructive pulmonary disease (COPD) at a primary healthcare setting. MethodsA total of 106 patients with COPD admitted to Zhuanqiao Community Health Service Center in Shanghai from Aug.1, 2022 to Jul. 30, 2024 were selected as research subjects. They were randomly divided into a study group and a control group in a 1∶1 ratio, with 53 patients in each group. The control group received conventional treatment, while the study group received conventional treatment combined with progressive exercise training. After 4 weeks of continuous treatment, the changes in the 6-minute walk test (6MWT), COPD assessment test (CAT) score, mMRC grading, Global Initiative for Chronic Obstructive Lung Disease (GOLD) grading and pulmonary function were compared between the two groups. ResultsPatients in both groups showed improvements in 6MWT distance, CAT score, mMRC grading, GOLD grading, and pulmonary function compared to baseline (P<0.05). Moreover, the study group had better improvements in 6MWT distance, CAT score, mMRC grading, GOLD grading, and pulmonary function than the control group (P<0.05). ConclusionsConventional treatment combined with progressive exercise training based on mMRC grading can enhance the effect of respiratory rehabilitation in patients with COPD, particularly in improving pulmonary function and exercise tolerance.https://www.c-jcm.com/article/doi/10.12025/j.issn.1008-6358.2025.20250370progressive exercise trainingrespiratory rehabilitationmmrcchronic obstructive pulmonary disease
spellingShingle Tingting GE
Chengyue ZHU
Yanan ZHANG
Zixuan ZHENG
Jiannan LI
Junqing LI
Zhijun JIE
Jindong SHI
Hanwei ZHAO
Application of progressive exercise training based on mMRC grading in respiratory rehabilitation for patients with chronic obstructive pulmonary disease in a primary healthcare setting
Zhongguo Linchuang Yixue
progressive exercise training
respiratory rehabilitation
mmrc
chronic obstructive pulmonary disease
title Application of progressive exercise training based on mMRC grading in respiratory rehabilitation for patients with chronic obstructive pulmonary disease in a primary healthcare setting
title_full Application of progressive exercise training based on mMRC grading in respiratory rehabilitation for patients with chronic obstructive pulmonary disease in a primary healthcare setting
title_fullStr Application of progressive exercise training based on mMRC grading in respiratory rehabilitation for patients with chronic obstructive pulmonary disease in a primary healthcare setting
title_full_unstemmed Application of progressive exercise training based on mMRC grading in respiratory rehabilitation for patients with chronic obstructive pulmonary disease in a primary healthcare setting
title_short Application of progressive exercise training based on mMRC grading in respiratory rehabilitation for patients with chronic obstructive pulmonary disease in a primary healthcare setting
title_sort application of progressive exercise training based on mmrc grading in respiratory rehabilitation for patients with chronic obstructive pulmonary disease in a primary healthcare setting
topic progressive exercise training
respiratory rehabilitation
mmrc
chronic obstructive pulmonary disease
url https://www.c-jcm.com/article/doi/10.12025/j.issn.1008-6358.2025.20250370
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