Effects of Home-Based Pulmonary Rehabilitation on Dyspnea, Exercise Capacity, Quality of Life and Impact of the Disease in COPD Patients: A Systematic Review
Conventional pulmonary rehabilitation programs are used as therapies for the treatment of chronic obstructive pulmonary disease (COPD). However, this modality presents barriers that make rehabilitation difficult. For this reason, home-based pulmonary rehabilitation (HBPR) has been used to overcome t...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2022-12-01
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| Series: | COPD |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/15412555.2021.2020234 |
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| author | Diêgo Mendes Xavier Endi Lanza Galvão Alenice Aliane Fonseca Glaciele Maria de Souza Vanessa Pereira Lima |
| author_facet | Diêgo Mendes Xavier Endi Lanza Galvão Alenice Aliane Fonseca Glaciele Maria de Souza Vanessa Pereira Lima |
| author_sort | Diêgo Mendes Xavier |
| collection | DOAJ |
| description | Conventional pulmonary rehabilitation programs are used as therapies for the treatment of chronic obstructive pulmonary disease (COPD). However, this modality presents barriers that make rehabilitation difficult. For this reason, home-based pulmonary rehabilitation (HBPR) has been used to overcome these barriers. The objective was to systematically compare a structured program with HBPR or a control group for participants with COPD. The primary outcome was an improvement in symptoms in the level of dyspnea and secondary outcomes were parameters in lung function, exercise capacity, health-related quality of life (HRQoL) and the impact of the disease on the individual. The Medline (via PubMed), Virtual Health Library and Cochrane Library databases were searched until May 10, 2021. Randomized controlled trials were included without restrictions on the year of publication or language. The risk of bias was evaluated using the Cochrane risk-of-bias tool for randomized trials (RoB). Our results showed that there was a significant decrease in the level of dyspnea, (MD: 5.46; 95% CI: 1.97 to 8.96), increased distance covered (MD: 61.75; 95% CI: 42, 94 to 80.56, significant improvement in HRQoL (MD: −11.30; 95% CI: −19.81 to −2.79) and reduction in the impact of the disease (DM: −4.71; 95% CI: −7.95 to −1.47). All results found were comparing the intervention group versus the control group. To conclude we found a reduction in the levels of dyspnea, an increase in the distance covered on the six-minute walk test, improving HRQoL and decreasing the impact of the disease in COPD patients in home-based pulmonary rehabilitation.Supplemental data for this article is available online at https://doi.org/10.1080/15412555.2021.2020234 . |
| format | Article |
| id | doaj-art-ed116a57c32e4cd7aafe08cb5d178cff |
| institution | Kabale University |
| issn | 1541-2555 1541-2563 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | COPD |
| spelling | doaj-art-ed116a57c32e4cd7aafe08cb5d178cff2025-08-20T03:36:34ZengTaylor & Francis GroupCOPD1541-25551541-25632022-12-01191184610.1080/15412555.2021.2020234Effects of Home-Based Pulmonary Rehabilitation on Dyspnea, Exercise Capacity, Quality of Life and Impact of the Disease in COPD Patients: A Systematic ReviewDiêgo Mendes Xavier0Endi Lanza Galvão1Alenice Aliane Fonseca2Glaciele Maria de Souza3Vanessa Pereira Lima4Department of Physiotherapy, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil DiamantinaDepartment of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, BrazilDepartment of Physiotherapy, Faculdade Verde - Norte, Montes Claros, BrazilDepartment of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, BrazilDepartment of Physiotherapy, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil DiamantinaConventional pulmonary rehabilitation programs are used as therapies for the treatment of chronic obstructive pulmonary disease (COPD). However, this modality presents barriers that make rehabilitation difficult. For this reason, home-based pulmonary rehabilitation (HBPR) has been used to overcome these barriers. The objective was to systematically compare a structured program with HBPR or a control group for participants with COPD. The primary outcome was an improvement in symptoms in the level of dyspnea and secondary outcomes were parameters in lung function, exercise capacity, health-related quality of life (HRQoL) and the impact of the disease on the individual. The Medline (via PubMed), Virtual Health Library and Cochrane Library databases were searched until May 10, 2021. Randomized controlled trials were included without restrictions on the year of publication or language. The risk of bias was evaluated using the Cochrane risk-of-bias tool for randomized trials (RoB). Our results showed that there was a significant decrease in the level of dyspnea, (MD: 5.46; 95% CI: 1.97 to 8.96), increased distance covered (MD: 61.75; 95% CI: 42, 94 to 80.56, significant improvement in HRQoL (MD: −11.30; 95% CI: −19.81 to −2.79) and reduction in the impact of the disease (DM: −4.71; 95% CI: −7.95 to −1.47). All results found were comparing the intervention group versus the control group. To conclude we found a reduction in the levels of dyspnea, an increase in the distance covered on the six-minute walk test, improving HRQoL and decreasing the impact of the disease in COPD patients in home-based pulmonary rehabilitation.Supplemental data for this article is available online at https://doi.org/10.1080/15412555.2021.2020234 .https://www.tandfonline.com/doi/10.1080/15412555.2021.2020234Physical therapy modalitiespulmonary diseasechronic obstructiveexercise tolerance |
| spellingShingle | Diêgo Mendes Xavier Endi Lanza Galvão Alenice Aliane Fonseca Glaciele Maria de Souza Vanessa Pereira Lima Effects of Home-Based Pulmonary Rehabilitation on Dyspnea, Exercise Capacity, Quality of Life and Impact of the Disease in COPD Patients: A Systematic Review COPD Physical therapy modalities pulmonary disease chronic obstructive exercise tolerance |
| title | Effects of Home-Based Pulmonary Rehabilitation on Dyspnea, Exercise Capacity, Quality of Life and Impact of the Disease in COPD Patients: A Systematic Review |
| title_full | Effects of Home-Based Pulmonary Rehabilitation on Dyspnea, Exercise Capacity, Quality of Life and Impact of the Disease in COPD Patients: A Systematic Review |
| title_fullStr | Effects of Home-Based Pulmonary Rehabilitation on Dyspnea, Exercise Capacity, Quality of Life and Impact of the Disease in COPD Patients: A Systematic Review |
| title_full_unstemmed | Effects of Home-Based Pulmonary Rehabilitation on Dyspnea, Exercise Capacity, Quality of Life and Impact of the Disease in COPD Patients: A Systematic Review |
| title_short | Effects of Home-Based Pulmonary Rehabilitation on Dyspnea, Exercise Capacity, Quality of Life and Impact of the Disease in COPD Patients: A Systematic Review |
| title_sort | effects of home based pulmonary rehabilitation on dyspnea exercise capacity quality of life and impact of the disease in copd patients a systematic review |
| topic | Physical therapy modalities pulmonary disease chronic obstructive exercise tolerance |
| url | https://www.tandfonline.com/doi/10.1080/15412555.2021.2020234 |
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