PMID- 19008697
OWN - NLM
STAT- MEDLINE
DCOM- 20090219
LR  - 20220408
IS  - 1932-7501 (Print)
IS  - 1932-7501 (Linking)
VI  - 28
IP  - 6
DP  - 2008 Nov-Dec
TI  - Repeat pulmonary rehabilitation programs confer similar increases in functional 
      exercise capacity to initial programs.
PG  - 410-4
LID - 10.1097/HCR.0b013e31818c3c8d [doi]
AB  - PURPOSE: The benefits of pulmonary rehabilitation (PR) diminish over 12 to 24 
      months following program completion. In many jurisdictions, patients may be 
      offered a repeat program if they report a decrement in exercise capacity. The aim 
      of this study was to compare measures of functional exercise capacity collected 
      during initial and repeat PR programs. METHODS: A retrospective medical record 
      review was conducted for patients who completed a minimum of 4 consecutive weeks 
      of inpatient PR at our facility in 2001. Measures included the 6-minute walk 
      distance (6MWD) and time to symptom limitation during an endurance walk (EWT) 
      collected prior to and on completion of the initial PR program (year 2001) and, 
      where possible, the first repeat program completed between years 2001 and 2006. 
      RESULTS: Of 76 patients (forced expiratory volume in 1 second = 40 +/- 19% 
      predicted; 34 males), 17 repeated PR 25.1 +/- 18.4 months after the 2001 program. 
      Change in the 6MWD during the initial program was 37.1 m greater in repeaters 
      than in nonrepeaters (P = .036). In repeaters, the 6MWD measured before 
      commencing the repeat PR program was 45.1 +/- 63.7 m lower than the 6MWD measured 
      prior to the initial PR program (P = .013). Improvements in the 6MWD (90.6 +/- 
      70.0 m vs 78.4 +/- 83.8 m; P = .43) and the EWT (21 +/- 11 minutes vs 21 +/- 11 
      minutes; P = .87) were similar between the initial and repeat programs. 
      CONCLUSION: Similar gains in functional exercise capacity were achieved on 
      completion of initial and repeat PR programs. The large decrement in the 6MWD 
      between PR programs spaced 25 months apart suggests that a shorter time period is 
      needed between programs.
FAU - Hill, Kylie
AU  - Hill K
AD  - Department of Respirology, West Park Healthcare Centre, Toronto, Ontario, Canada.
FAU - Bansal, Vishal
AU  - Bansal V
FAU - Brooks, Dina
AU  - Brooks D
FAU - Goldstein, Roger S
AU  - Goldstein RS
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Cardiopulm Rehabil Prev
JT  - Journal of cardiopulmonary rehabilitation and prevention
JID - 101291247
SB  - IM
MH  - Aged
MH  - *Exercise Test
MH  - *Exercise Tolerance
MH  - Female
MH  - Humans
MH  - Lung Diseases/*rehabilitation
MH  - Male
MH  - Middle Aged
MH  - Respiratory Function Tests
MH  - Retreatment
MH  - Retrospective Studies
EDAT- 2008/11/15 09:00
MHDA- 2009/02/20 09:00
CRDT- 2008/11/15 09:00
PHST- 2008/11/15 09:00 [pubmed]
PHST- 2009/02/20 09:00 [medline]
PHST- 2008/11/15 09:00 [entrez]
AID - 01273116-200811000-00010 [pii]
AID - 10.1097/HCR.0b013e31818c3c8d [doi]
PST - ppublish
SO  - J Cardiopulm Rehabil Prev. 2008 Nov-Dec;28(6):410-4. doi: 
      10.1097/HCR.0b013e31818c3c8d.