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dc.contributor.authorSciriha, Anabel-
dc.contributor.authorLungaro-Mifsud, Stephen-
dc.contributor.authorScerri, Josianne-
dc.contributor.authorBilocca, David-
dc.contributor.authorFsadni, Claudia-
dc.contributor.authorFsadni, Peter-
dc.contributor.authorGerada, Eleanor-
dc.contributor.authorGouder, Caroline-
dc.contributor.authorCamilleri, Liberato-
dc.contributor.authorMontefort, Stephen-
dc.date.accessioned2017-05-18T19:16:47Z-
dc.date.available2017-05-18T19:16:47Z-
dc.date.issued2015-
dc.identifier.citationSciriha, A., Lungaro-Mifsud, S., Scerri, J., Bilocca, D., Fsadni, C., Fsadni, P., ... Montefort, S. (2015). Pulmonary rehabilitation in chronic obstructive pulmonary disease : outcomes in a 12 week programme. European Journal of Physiotherapy, 17(4), 1-9.en_GB
dc.identifier.urihttps://www.um.edu.mt/library/oar//handle/123456789/19210-
dc.description.abstractObjective. The optimal time-frame for pulmonary rehabilitation (PR) in patients diagnosed with chronic obstructive pulmonary disease (COPD) is still debated. A 12 week programme was designed looking at whether the benefits were reached at or before a 12 week period of PR for COPD patients. Method. Seventy-five patients (59 males, 16 females) aged 40 75 years were referred from the local general hospital in Malta. Baseline assessments were carried out on all patients 2 weeks before initiation of the programme. Sixty patients were eligible to start a twice-weekly, 12 week multidisciplinary programme delivered after the screening process. The Six-Minute Walk Test (6MWT), dyspnoea score using the Borg scale, spirometry testing, plethysmography, COPD Assessment Tool (CAT) score, St George's Respiratory Questionnaire (SGRQ) and Hospital and Anxiety scale score were monitored at 4 weekly intervals throughout the 12 weeks of PR for these COPD patients. Results. The 6MWT distance increased by a mean total of 132.45 m (p < 0.001) by 12 weeks, with the highest change recorded in the first 4 weeks for the milder COPD patients. Lung function test improvements were marginal. Borg scale readings at rest and following exertion decreased significantly from weeks 0 to 4 but remained fairly constant thereafter. The Body mass index, airway Obstruction, Dyspnoea, and Exercise capacity (BODE) index, SGRQ and CAT score values decreased significantly throughout the weeks irrespective of the initial Medical Research Council score. Anxiety scoring decreased significantly by 12 weeks, while the depression rating improved by 8 weeks. Conclusion. These findings show that 12 weeks of PR in this cohort of COPD patients resulted in clinically significant changes in functional outcome measures which are supported by statistically significant changes in health-related quality of life measures. In milder COPD cases, by 4 weeks of PR gains in exercise tolerance had already resulted. The more severe group required more time to obtain improvements. Therefore, hospitals could organize shorter PR programmes for larger numbers of patients with milder COPD.en_GB
dc.language.isoenen_GB
dc.publisherTaylor & Francisen_GB
dc.rightsinfo:eu-repo/semantics/openAccessen_GB
dc.subjectLungs -- Diseases, Obstructive -- Treatmenten_GB
dc.subjectQuality of lifeen_GB
dc.subjectDisease managementen_GB
dc.subjectLungs -- Diseases, Obstructive -- Maltaen_GB
dc.titlePulmonary rehabilitation in chronic obstructive pulmonary disease : outcomes in a 12 week programmeen_GB
dc.typearticleen_GB
dc.rights.holderThe copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder.en_GB
dc.description.reviewedpeer-revieweden_GB
dc.identifier.doi10.3109/21679169.2015.1078844-
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