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Category: Volume 08 Issue 11 November 2020
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Title: Effects of Home-Based Pulmonary Rehabilitation on Six Minute Walk Distance in Patients with Chronic Obstructive Pulmonary Disease

Authors: Dr Vinayak Mohan, Dr Manoj.D.K, Dr.Rajani.M, Dr Rishna Raveendran, Dr Pretty Radhakrishnan

 DOI: https://dx.doi.org/10.18535/jmscr/v8i11.54

Abstract

Background: COPD is an obstructive and progressive airway disease, and is also associated with a significant reduction in physical activity, and psychological problems. Pulmonary rehabilitation has been shown to be the most effective nonpharmacological intervention for improving health status in COPD patients and has become a standard of care for COPD patients.

Aim of this study was to determine the outcome of pulmonary rehabilitation  in  dyspnoea and exercise capacity in patient with Chronic obstructive pulmonary disease (COPD) using six minute walk test  &to determine the effect  of pulmonary rehabilitation  in the change in  quality of  life in patient with Chronic obstructive pulmonary disease (COPD).

Method: Patients were selected according to inclusion and exclusion criteria.. After complete clinical and relevant investigations. A six minute walk test was done on the same day. A St. George questionnaire was issued to the patient before initiation of rehabilitation. Patients are randomly classified into study group and control group. Patients underwent pulmonary rehabilitation program .Patients were  advised to continue rehabilitation at home .A repeat 6 minute walk test was done after 12 weeks and the results was compared with his baseline distance. St George questionnaire was reissued and the results were compared.

Results: A sample of 40 patients were included. 6MWD decreases with increasing severity of the disease.  6MWD increased significantly after rehabilitation for 12weeks whereas no significant increase in 6mwd was noted in control group. All four domains of st Georges respiratory questionnaire namely the symptom score, activity score, impact score and total score showed improvement. statistically significant improvement was established insymptom score and activity score.

Conclusion: Pulmonary rehabilitation has shown to be very effective in improving the exercise capacity, psychological problems and the overall quality of life.

Keywords: COPD. 6minute Walking Distance, Pulmonary Rehabilitation

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Corresponding Author

Dr Rajani.M

Professor, Dept of Respiratory Medicine, GMC, Kannur