PMID- 32131643
OWN - NLM
STAT- MEDLINE
DCOM- 20210628
LR  - 20210628
IS  - 1541-2563 (Electronic)
IS  - 1541-2563 (Linking)
VI  - 17
IP  - 2
DP  - 2020 Apr
TI  - The Impact of Pulmonary Rehabilitation on Chronic Pain in People with COPD.
PG  - 165-174
LID - 10.1080/15412555.2020.1733952 [doi]
AB  - Chronic pain affects up to 88% of people with chronic obstructive pulmonary 
      disease (COPD) and has been associated with comorbidities. However, with pain not 
      evaluated during pulmonary rehabilitation (PR) assessments, it is unclear whether 
      PR impacts pain intensity and coping ability. This study aimed to 1) determine 
      the effect of PR on pain qualities, coping behavior and psychological symptoms in 
      those with COPD and chronic pain; and 2) assess the impact of PR on exercise 
      capacity and quality of life in individuals with COPD and chronic pain compared 
      to those without pain. Patients with COPD and comorbidities enrolling in 
      outpatient PR were assessed for chronic pain. Those with chronic pain completed 
      the Brief Pain Inventory, Coping Strategies Questionnaire-24, Fear Avoidance 
      Behavior Questionnaire and measures of anxiety and depression. Changes in HRQOL 
      and 6-minute walk distance (6MWD) following PR were compared between participants 
      with and without chronic pain. Thirty-four participants with chronic pain and 34 
      participants without pain were included (mean +/- SD, FEV(1) 47 +/- 19% predicted). 
      In those with chronic pain, PR did not affect pain intensity (median[IQR] 
      pre/post PR 3[2-5] vs. 4[2-6] points, p = 0.21), anxiety (7[2-9] vs. 5[3-8] 
      points, p = 0.82) or depression (4[2-8] vs. 3[1-6] points, p = 0.38) and did not 
      change pain coping strategies. Both groups improved in 6MWD (mean difference [95% 
      CI] 17[-39 to 72] m), and those without pain had greater improvement in mastery 
      (p = 0.013). PR was effective in patients with moderate to severe COPD whether or 
      not they reported chronic pain at the time of their initial assessment.
FAU - Lee, Annemarie L
AU  - Lee AL
AD  - Department of Respiratory Medicine, West Park Healthcare Centre, Toronto, 
      Ontario, Canada.
AD  - Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.
AD  - Department of Physiotherapy, Monash University, Frankston, Victoria, Australia.
AD  - Institute for Breathing and Sleep, Austin Hospital, Heidelberg, Victoria, 
      Australia.
AD  - Cabrini Health, Malvern, Victoria, Australia.
FAU - Butler, Stacey J
AU  - Butler SJ
AD  - Department of Respiratory Medicine, West Park Healthcare Centre, Toronto, 
      Ontario, Canada.
FAU - Varadi, Robert G
AU  - Varadi RG
AD  - Department of Respiratory Medicine, West Park Healthcare Centre, Toronto, 
      Ontario, Canada.
FAU - Goldstein, Roger S
AU  - Goldstein RS
AD  - Department of Respiratory Medicine, West Park Healthcare Centre, Toronto, 
      Ontario, Canada.
AD  - Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.
AD  - Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
FAU - Brooks, Dina
AU  - Brooks D
AUID- ORCID: 0000-0001-6080-5052
AD  - Department of Respiratory Medicine, West Park Healthcare Centre, Toronto, 
      Ontario, Canada.
AD  - Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.
AD  - School of Rehabilitation Sciences, McMaster University, Hamilton, Ontario, 
      Canada.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20200305
PL  - England
TA  - COPD
JT  - COPD
JID - 101211769
SB  - IM
MH  - Adaptation, Psychological
MH  - Aged
MH  - Aged, 80 and over
MH  - Anxiety/etiology
MH  - Chronic Pain/*complications/*psychology
MH  - Comorbidity
MH  - Depression/etiology
MH  - Exercise Tolerance
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pain Measurement
MH  - Prospective Studies
MH  - Pulmonary Disease, Chronic 
      Obstructive/*complications/physiopathology/psychology/*rehabilitation
MH  - Quality of Life
MH  - Walk Test
OTO - NOTNLM
OT  - Pulmonary rehabilitation
OT  - chronic obstructive pulmonary disease
OT  - chronic pain
EDAT- 2020/03/07 06:00
MHDA- 2021/06/29 06:00
CRDT- 2020/03/06 06:00
PHST- 2020/03/07 06:00 [pubmed]
PHST- 2021/06/29 06:00 [medline]
PHST- 2020/03/06 06:00 [entrez]
AID - 10.1080/15412555.2020.1733952 [doi]
PST - ppublish
SO  - COPD. 2020 Apr;17(2):165-174. doi: 10.1080/15412555.2020.1733952. Epub 2020 Mar 
      5.