Does home-based pulmonary rehabilitation improve functional capacity, peripheral muscle strength and quality of life in patients with bronchiectasis compared to standard care?

Author(s)

Jose, Anderson ^[1] ; Holland, Anne E. ^[2] ; de Oliveira, Cristiane S. ^[1] ; Selman, Jessyca P. R. ^[1] ; de Castro, Rejane A. S. ^[1] ; Athanazio, Rodrigo A. ^[3] ; Rached, Samia Z. ^[3] ; Cukier, Alberto ^[3] ; Stelmach, Rafael ^[3] ; Dal Corso, Simone ^[1]

Affiliation

^[1] Univ Nove Julho UNINOVE, Programa POs Grad Ciencias Reabilitacao, Rua Vergueiro 235-249, BR-01504001 Sao Paulo, SP - Brazil

^[2] La Trobe Univ, Inst Breathing & Sleep, Melbourne, Vic - Australia

^[3] Univ Sao Paulo, Hosp Clin, Fac Med, Inst Coracao, Div Pneumol, Sao Paulo, SP - Brazil

• Document type: Journal article
• Source: BRAZILIAN JOURNAL OF PHYSICAL THERAPY; v. 21, n. 6, p. 473-480, NOV-DEC 2017.
• Web of Science Citations: 3

Abstract

Background: Home-based pulmonary rehabilitation is a promising intervention that may help patients to overcome the barriers to undergoing pulmonary rehabilitation. However, home-based pulmonary rehabilitation has not yet been investigated in patients with bronchiectasis.\& para;\& para;Objectives: To investigate the effects of home-based pulmonary rehabilitation in patients with bronchiectasis.\& para;\& para;Methods: An open-label, randomized controlled trial with 48 adult patients with bronchiectasis will be conducted. Interventions: The program will consist of three sessions weekly over a period of 8 weeks. Aerobic exercise will consist of stepping on a platform for 20 min (intensity: 60-80% of the maximum stepping rate in incremental step test). Resistance training will be carried out using an elastic band for the following muscles: quadriceps, hamstrings, deltoids, and biceps brachii (load: 70% of maximum voluntary isometric contraction). Control: The patients will receive an educational manual and a recommendation to walk three times a week for 30 min. All patients will receive a weekly phone call to answer questions and to guide the practice of physical activity. The home-based pulmonary rehabilitation group also will receive a home visit every 15 days. Main outcome measures: incremental shuttle walk test, quality of life, peripheral muscle strength, endurance shuttle walk test, incremental step test, dyspnea, and physical activity in daily life. The assessments will be undertaken at baseline, after the intervention, and 8 months after randomization.\& para;\& para;Discussion: The findings of this study will determine the clinical benefits of home-based pulmonary rehabilitation and will contribute to future guidelines for patients with bronchiectasis. (C) 2017 Associacao Brasileira de Pesquisa e Pos-Graduacao em Fisioterapia. Published by Elsevier Editora Ltda. All rights reserved. (AU)

• FAPESP's process: 16/13756-4 - Short and long-term effects of a home-based pulmonary rehabilitation on functional capacity, peripheral muscle strength and quality of life: a randomized controlled trial.
• Grantee: Simone Dal Corso
• Support Opportunities: Regular Research Grants