PMID- 22885612
OWN - NLM
STAT- MEDLINE
DCOM- 20130129
LR  - 20120831
IS  - 1932-751X (Electronic)
IS  - 1932-7501 (Linking)
VI  - 32
IP  - 5
DP  - 2012 Sep-Oct
TI  - Pulmonary rehabilitation in patients with bronchiectasis: pulmonary function, 
      arterial blood gases, and the 6-minute walk test.
PG  - 278-83
LID - 10.1097/HCR.0b013e3182631314 [doi]
AB  - BACKGROUND: Information regarding the effects of pulmonary rehabilitation (PR) on 
      pulmonary function (PF), arterial blood gases (ABG), and 6-minute walk distance 
      (6MWD) in patients with bronchiectasis is scant in the literature. METHODS: To 
      evaluate the effects of PR on these indices in this population, a retrospective 
      evaluation of those who attended PR from 2007 to 2010, was made. Pulmonary 
      rehabilitation lasted a mean of 12 weeks and included cycle ergometer exercise 
      for 30 minutes, 3 times per week, with additional upper limbs and quadriceps 
      training. PF, ABG, and 6MWD were evaluated before and after PR to determine the 
      potential influence of gender, exacerbations, underlying cause of bronchiectasis, 
      severity of obstruction, and colonization with bacteria. RESULTS: Forty-one 
      patients (48.8% males; median age, 54 years) were included; 25 had severe 
      obstruction and 19 were colonized with bacteria. Following PR, no significant 
      changes were detected in PF or ABG. Median 6MWD before PR was 425 m and post-PR 
      was 450 m (P = .431). Outcomes did not show any interaction with gender, 
      colonization, or exacerbations. However, patients with idiopathic bronchiectasis 
      did show a significant improvement in forced vital capacity in percent of 
      predicted and residual volume after PR (P = .016 and .048, respectively). 
      Patients with severe obstruction showed a statistically significant decrease in 
      percent of predicted residual volume (P = .025). CONCLUSION: There appears to be 
      a beneficial impact of PR on PF in certain groups of patients with 
      bronchiectasis. In addition, PR indications and protocols for patients with 
      bronchiectasis may need to be adapted to accommodate specific patients, so that 
      expressive exercise capacity improvement can be achieved.
FAU - van Zeller, Mafalda
AU  - van Zeller M
AD  - Servico de Pneumologia, Centro Hospitalar Sao Joao, Porto, Portugal. 
      mafalda_vanzeller@hotmail.com
FAU - Mota, Patricia Caetano
AU  - Mota PC
FAU - Amorim, Adelina
AU  - Amorim A
FAU - Viana, Paulo
AU  - Viana P
FAU - Martins, Paula
AU  - Martins P
FAU - Gaspar, Luis
AU  - Gaspar L
FAU - Hespanhol, Venceslau
AU  - Hespanhol V
FAU - Gomes, Isabel
AU  - Gomes I
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Cardiopulm Rehabil Prev
JT  - Journal of cardiopulmonary rehabilitation and prevention
JID - 101291247
SB  - IM
MH  - Adult
MH  - Aged
MH  - Blood Gas Analysis/methods
MH  - Bronchiectasis/*rehabilitation
MH  - Female
MH  - Humans
MH  - Lung Diseases/*rehabilitation
MH  - Male
MH  - Middle Aged
MH  - *Respiratory Function Tests
MH  - Retrospective Studies
MH  - Sputum
MH  - Statistics as Topic
MH  - Statistics, Nonparametric
MH  - Treatment Outcome
MH  - *Walking
MH  - Young Adult
EDAT- 2012/08/14 06:00
MHDA- 2013/01/30 06:00
CRDT- 2012/08/14 06:00
PHST- 2012/08/14 06:00 [entrez]
PHST- 2012/08/14 06:00 [pubmed]
PHST- 2013/01/30 06:00 [medline]
AID - 10.1097/HCR.0b013e3182631314 [doi]
PST - ppublish
SO  - J Cardiopulm Rehabil Prev. 2012 Sep-Oct;32(5):278-83. doi: 
      10.1097/HCR.0b013e3182631314.