Home-based pulmonary rehabilitation in people with bronchiectasis: a randomised controlled trial

Autor(es)

Jose, Anderson ^[1] ; Holland, Anne E. ^{[2, 3]} ; Selman, Jessyca P. R. ^[4] ; de Camargo, Cristiane Oliveira ^[4] ; Fonseca, Diogo Simoes ^[5] ; Athanazio, Rodrigo A. ^[6] ; Rached, Samia Z. ^[6] ; Cukier, Alberto ^[6] ; Stelmach, Rafael ^[6] ; Dal Corso, Simone ^[4]

Afiliação do(s) autor(es)

^[1] Univ Fed Juiz de Fora, Postgrad Program Rehabil Sci & Phys Funct Perform, Juiz De Fora, MG - Brazil

^[2] Alfred Hlth, Physiotherapy, Melbourne, Vic - Australia

^[3] Monash Univ, Inst Breathing & Sleep, Allergy Immunol & Resp Med, Melbourne, Vic - Australia

^[4] Univ Nove Julho, Postgrad Program Rehabil Sci, Sao Paulo, SP - Brazil

^[5] Univ Fed Juiz de Fora, Juiz De Fora, MG - Brazil

^[6] Univ Sao Paulo SP, Heart Inst InCor, Pulm Div, Hosp Clin, Fac Med, Sao Paulo - Brazil

• Tipo de documento: Artigo Científico
• Fonte: ERJ OPEN RESEARCH; v. 7, n. 2 APR 1 2021.
• Citações Web of Science: 1

Resumo

Aim: To investigate the short- and long-term effects of home-based pulmonary rehabilitation (HBPR) on functional capacity, quality of life, peripheral muscle strength, dyspnoea and daily physical activity in people with bronchiectasis. Methods: Randomised controlled trial with 63 participants with bronchiectasis. The HBPR group performed three sessions per week for 8 weeks (aerobic exercise: step training for 20 min; resistance training: exercises for quadriceps, hamstrings, deltoids and biceps brachii using elastic bands). The control group received a recommendation to walk at moderate intensity, three times per week. A weekly phone call was conducted for all participants, and the HBPR group received a home visit every 15 days. The primary outcome was distance in the incremental shuttle walk test (ISWT). Secondary outcomes were time in the endurance shuttle walk test (ESWT), number of steps in the incremental step test, quality of life, quadriceps muscle strength and daily physical activity. Measures were taken before and after intervention and 6 months later. Results: After the intervention, the HBPR group had increased ISWT distance compared with the control group with between-group difference 87.9 m (95% CI 32.4-143.5 m). In addition, between-group differences were found in the ESWT, incremental step test, quality of life and quadriceps muscle strength, favouring the HBPR group. After 6 months, no differences were observed between the groups. Conclusion: HBPR is an effective alternative offering of pulmonary rehabilitation for people with bronchiectasis. However, the programme was not effective in maintaining the benefits after 6 months of follow-up. (AU)

• Processo FAPESP: 16/13756-4 - Efeitos a curto e longo prazo de um programa de reabilitação domiciliar na capacidade funcional, força muscular periférica e qualidade de vida em pacientes com bronquiectasia: ensaio clínico controlado e randomizado.
• Beneficiário: Simone Dal Corso
• Modalidade de apoio: Auxílio à Pesquisa - Regular