PMID- 37140475
OWN - NLM
STAT- MEDLINE
DCOM- 20230508
LR  - 20230902
IS  - 1538-6724 (Electronic)
IS  - 0031-9023 (Print)
IS  - 0031-9023 (Linking)
VI  - 103
IP  - 5
DP  - 2023 May 4
TI  - Pulmonary Rehabilitation Using Minimal Equipment for People With Chronic 
      Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis.
LID - 10.1093/ptj/pzad013 [doi]
LID - pzad013
AB  - OBJECTIVE: Pulmonary rehabilitation programs that use minimal equipment for 
      exercise training, rather than gymnasium equipment, would enable delivery of 
      pulmonary rehabilitation to a greater number of people with chronic obstructive 
      pulmonary disease (COPD). The effectiveness of minimal equipment programs in 
      people with COPD is unclear. This systematic review and meta-analysis aimed to 
      determine the effects of pulmonary rehabilitation using minimal equipment for 
      aerobic and/or resistance training in people with COPD. METHODS: Literature 
      databases were searched up to September 2022 for randomized controlled trials 
      (RCTs) comparing the effect of minimal equipment programs with usual care or with 
      exercise equipment-based programs for exercise capacity, health-related quality 
      of life (HRQoL), and strength. RESULTS: Nineteen RCTs were included in the review 
      and 14 RCTs were included in the meta-analyses, which reported low to moderate 
      certainty of evidence. Compared with usual care, minimal equipment programs 
      increased 6-minute walk distance (6MWD) by 85 m (95% CI = 37 to 132 m). No 
      difference in 6MWD was observed between minimal equipment and exercise 
      equipment-based programs (14 m, 95% CI = -27 to 56 m). Minimal equipment programs 
      were more effective than usual care for improving HRQoL (standardized mean 
      difference = 0.99, 95% CI = 0.31 to 1.67) and were not different from exercise 
      equipment-based programs for improving upper limb strength (6 N, 95% CI = -2 to 
      13 N) or lower limb strength (20 N, 95% CI = -30 to 71 N). CONCLUSION: In people 
      with COPD, pulmonary rehabilitation programs using minimal equipment elicit 
      clinically significant improvements in 6MWD and HRQoL and are comparable with 
      exercise equipment-based programs for improving 6MWD and strength. IMPACT: 
      Pulmonary rehabilitation programs using minimal equipment may be a suitable 
      alternative in settings where access to gymnasium equipment is limited. Delivery 
      of pulmonary rehabilitation programs using minimal equipment may improve access 
      to pulmonary rehabilitation worldwide, particularly in rural and remote areas and 
      in developing countries.
CI  - (c) The Author(s) 2023. Published by Oxford University Press on behalf of the 
      American Physical Therapy Association.
FAU - Cheng, Sonia Wing Mei
AU  - Cheng SWM
AUID- ORCID: 0000-0001-7783-6891
AD  - Discipline of Physiotherapy, Sydney School of Health Sciences, Faculty of 
      Medicine and Health, The University of Sydney, Sydney, Australia.
FAU - McKeough, Zoe J
AU  - McKeough ZJ
AD  - Discipline of Physiotherapy, Sydney School of Health Sciences, Faculty of 
      Medicine and Health, The University of Sydney, Sydney, Australia.
FAU - McNamara, Renae J
AU  - McNamara RJ
AD  - Department of Physiotherapy, Prince of Wales Hospital, South Eastern Sydney Local 
      Health District, Sydney, Australia.
AD  - Woolcock Emphysema Centre, Woolcock Institute of Medical Research, Sydney, 
      Australia.
FAU - Alison, Jennifer A
AU  - Alison JA
AD  - Discipline of Physiotherapy, Sydney School of Health Sciences, Faculty of 
      Medicine and Health, The University of Sydney, Sydney, Australia.
AD  - Allied Health Professorial Unit, Sydney Local Health District, Sydney, Australia.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Systematic Review
PL  - United States
TA  - Phys Ther
JT  - Physical therapy
JID - 0022623
SB  - IM
MH  - Humans
MH  - *Pulmonary Disease, Chronic Obstructive/rehabilitation
MH  - Quality of Life
MH  - *Resistance Training
MH  - Exercise Therapy
MH  - Exercise Tolerance
PMC - PMC10158642
OTO - NOTNLM
OT  - Chronic Obstructive Pulmonary Disease
OT  - Equipment and Supplies
OT  - Exercise
OT  - Pulmonary Rehabilitation
EDAT- 2023/05/04 12:42
MHDA- 2023/05/08 06:41
PMCR- 2023/02/09
CRDT- 2023/05/04 10:23
PHST- 2022/05/31 00:00 [received]
PHST- 2022/10/10 00:00 [revised]
PHST- 2022/12/28 00:00 [accepted]
PHST- 2023/05/08 06:41 [medline]
PHST- 2023/05/04 12:42 [pubmed]
PHST- 2023/05/04 10:23 [entrez]
PHST- 2023/02/09 00:00 [pmc-release]
AID - 7033328 [pii]
AID - pzad013 [pii]
AID - 10.1093/ptj/pzad013 [doi]
PST - ppublish
SO  - Phys Ther. 2023 May 4;103(5):pzad013. doi: 10.1093/ptj/pzad013.