PMID- 20650624
OWN - NLM
STAT- MEDLINE
DCOM- 20110224
LR  - 20220409
IS  - 1532-3064 (Electronic)
IS  - 0954-6111 (Linking)
VI  - 104
IP  - 10
DP  - 2010 Oct
TI  - Generic, symptom based, exercise rehabilitation; integrating patients with COPD 
      and heart failure.
PG  - 1473-81
LID - 10.1016/j.rmed.2010.04.024 [doi]
AB  - 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.
FAU - Evans, R A
AU  - Evans RA
AD  - Dept. of Respiratory Medicine, Allergy and Thoracic Surgery, University Hospitals 
      of Leicester NHS trust, Glenfield Hospital, Leicester, United Kingdom. 
      rach27evans@hotmail.com
FAU - Singh, S J
AU  - Singh SJ
FAU - Collier, R
AU  - Collier R
FAU - Loke, I
AU  - Loke I
FAU - Steiner, M C
AU  - Steiner MC
FAU - Morgan, M D L
AU  - Morgan MD
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20100721
PL  - England
TA  - Respir Med
JT  - Respiratory medicine
JID - 8908438
SB  - IM
MH  - Aged
MH  - Dyspnea/metabolism/physiopathology/*rehabilitation
MH  - Exercise Therapy/*methods
MH  - Female
MH  - Forced Expiratory Volume/physiology
MH  - Heart Failure/metabolism/physiopathology/*rehabilitation
MH  - Humans
MH  - Male
MH  - Oxygen Consumption/*physiology
MH  - Pulmonary Disease, Chronic Obstructive/metabolism/physiopathology/*rehabilitation
MH  - Treatment Outcome
MH  - Walking/physiology
EDAT- 2010/07/24 06:00
MHDA- 2011/02/25 06:00
CRDT- 2010/07/24 06:00
PHST- 2010/02/15 00:00 [received]
PHST- 2010/04/23 00:00 [revised]
PHST- 2010/04/26 00:00 [accepted]
PHST- 2010/07/24 06:00 [entrez]
PHST- 2010/07/24 06:00 [pubmed]
PHST- 2011/02/25 06:00 [medline]
AID - S0954-6111(10)00204-0 [pii]
AID - 10.1016/j.rmed.2010.04.024 [doi]
PST - ppublish
SO  - Respir Med. 2010 Oct;104(10):1473-81. doi: 10.1016/j.rmed.2010.04.024. Epub 2010 
      Jul 21.