Optimizing home-based pulmonary rehabilitation for patients with bronchiectasis: a multicenter study

• Grant number: 17/50273-4
• Support Opportunities: Regular Research Grants
• Start date: February 01, 2018
• End date: January 31, 2020
• Field of knowledge: Health Sciences - Physiotherapy and Occupational Therapy
• Mobility Program: SPRINT - Projetos de pesquisa - Mobilidade
• Principal Investigator: Simone Dal Corso
• Grantee: Simone Dal Corso
• Principal researcher abroad: Anne Elizabeth Holland
• Institution abroad: La Trobe University, Australia
• Host Institution: Universidade Nove de Julho (UNINOVE). Campus Memorial. São Paulo , SP, Brazil

Abstract

Pulmonary rehabilitation (PR) at home is an advantageous strategy to overcome the barriers of non-adherence to PR programs conducted in outpatients, but has been underutilized worldwide. It is crucial to have PR protocols in which the evaluation and physical training can be carried out in full in the patient's home, and that interventions be focused on individual patient needs. Aim: To optimize the home-based PR model by combining key elements of programs developed in Brazil and Australia: an aerobic training protocol (Brazil) and a patient - centered educational and behavioral modification component (Australia) to improve exercise tolerance and physical activity in daily life. A multicenter study (Brazil and Australia), with a single group of patients (n = 36) with bronchiectasis. The program will be held three times/week for eight weeks. Patients will perform incremental step test for the establishment of the workload of aerobic training (step training). The resistance training will be held for upper and lower limbs with elastic bands (3 sets of 8 repetitions). The behavioral change intervention will use motivational interviewing techniques to assist participants to identify their motivation for change and move towards commitment and action. Before and immediately after eight weeks of intervention, patients will be assessed for functional capacity (six-minute walk test), physical activity in daily life (accelerometer) and peripheral muscle strength (1-maximum repetition). (AU)

Scientific publications

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

MALAGUTI, CARLA; DAL CORSO, SIMONE; JANJUA, SADIA; HOLLAND, ANNE E.. Supervised maintenance programmes following pulmonary rehabilitation compared to usual care for chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, n. 8, 2021. (17/50273-4)

BURGE, ANGELA T.; RODRIGUES, JR., JOSE C.; ABRAMSON, MICHAEL J.; COX, NARELLE S.; BONDARENKO, JANET; WEBB, ELIZABETH; MARCEAU, TUNYA; HANDLEY, EMMA; MACDONALD, HEATHER; ASKIN, ANNABEL; et al. Application of the Modified Incremental Step Test for Pulmonary Rehabilitation. PHYSICAL THERAPY, v. 101, n. 5, MAY 2021. (17/50273-4)

BURGE, A.; DAL CORSO, S.; BONDARENKO, J.; HANDLEY, E.; MACLACHLAN, S.; ABRAMSON, M.; HOLLAND, A.. FEASIBILITY AND REPRODUCIBILITY OF THE MODIFIED INCREMENTAL STEP TEST FOR PULMONARY REHABILITATION. Respirology, v. 24, p. 1-pg., 2019-03-01. (17/50273-4)