PMID- 9105341
OWN - NLM
STAT- MEDLINE
DCOM- 19970508
LR  - 20190512
IS  - 0031-9023 (Print)
IS  - 0031-9023 (Linking)
VI  - 77
IP  - 4
DP  - 1997 Apr
TI  - The disablement process in patients with pulmonary disease.
PG  - 385-94
AB  - BACKGROUND AND PURPOSE: The purposes of this study were (1) to describe the 
      disabilities of patients with pulmonary disease and (2) to examine the 
      relationships among impairments, functional limitations, and disability, as 
      described by the disablement process model. SUBJECTS: Subjects were 154 patients 
      with chronic pulmonary disease (64% female, 36% male; mean age = 59 years, SD = 
      14, range = 24-86). METHODS: Information was abstracted from physical therapy 
      records, including measurements of pulmonary impairment, 6-minute walk distance 
      (6MWD), and Functional Status Questionnaire (FSQ) scores. Multivariate analyses 
      were used to examine the relationships among measurements of impairment, 6MWD, 
      and FSQ scores. RESULTS: Mean FSQ scores ranged from 52.6 for instrumental 
      activities of daily living to 83.3 for basic activities of daily living, where 
      100 represents the highest level of ability. Fifty percent of patients were not 
      working because of health problems. Percentage of predicted 1-second forced 
      expiratory volume (FEV1), oxyhemoglobin saturation, and the ratio of FEV1 to 
      forced vital capacity were related to 6MWD but not to FSQ scores. The 6MWD was 
      associated with scales of the FSQ, including basic activities of daily living (R2 
      = .24), instrumental activities of daily living (R2 = .35), and social activity 
      (R2 = .26). CONCLUSION AND DISCUSSION: Patients entering a pulmonary 
      rehabilitation program have clinically important disabilities. The results 
      support the use of the disablement process model and suggest that different and 
      important information is obtained from measurements of impairment, functional 
      limitation, and disability in patients with pulmonary disease.
FAU - Jette, D U
AU  - Jette DU
AD  - Graduate Program in Physical Therapy, Graduate School for Health Studies, Simmons 
      College, Boston, MA 02115, USA. djette@vmsvax.simmons.edu
FAU - Manago, D
AU  - Manago D
FAU - Medved, E
AU  - Medved E
FAU - Nickerson, A
AU  - Nickerson A
FAU - Warzycha, T
AU  - Warzycha T
FAU - Bourgeois, M C
AU  - Bourgeois MC
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Phys Ther
JT  - Physical therapy
JID - 0022623
RN  - 0 (Oxyhemoglobins)
SB  - IM
MH  - Activities of Daily Living
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Disability Evaluation
MH  - Female
MH  - Forced Expiratory Volume
MH  - Humans
MH  - Interpersonal Relations
MH  - Lung Diseases/*diagnosis/physiopathology/rehabilitation
MH  - Male
MH  - Mental Health
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Oxyhemoglobins/analysis
MH  - Retrospective Studies
MH  - Vital Capacity
MH  - Walking
MH  - Work
EDAT- 1997/04/01 00:00
MHDA- 1997/04/01 00:01
CRDT- 1997/04/01 00:00
PHST- 1997/04/01 00:00 [pubmed]
PHST- 1997/04/01 00:01 [medline]
PHST- 1997/04/01 00:00 [entrez]
AID - 10.1093/ptj/77.4.385 [doi]
PST - ppublish
SO  - Phys Ther. 1997 Apr;77(4):385-94. doi: 10.1093/ptj/77.4.385.