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  • Title: Effects of pulmonary rehabilitation on fatigue, functional status and health perceptions in patients with chronic obstructive pulmonary disease: a randomized controlled trial.
    Author: Theander K, Jakobsson P, Jörgensen N, Unosson M.
    Journal: Clin Rehabil; 2009 Feb; 23(2):125-36. PubMed ID: 19164400.
    Abstract:
    OBJECTIVE: To test the effects of pulmonary rehabilitation on fatigue, functional status and health perceptions in patients with chronic obstructive pulmonary disease. DESIGN: Randomized controlled trial. SETTING: Pulmonary outpatient department. SUBJECTS: Thirty patients randomly assigned to a rehabilitation (3 men, 9 women, mean age 66 (+/-2) years) or a control group (10 men, 4 women, mean age 64 (+/-2) years). INTERVENTIONS: The patients in the rehabilitation group participated in a multidisciplinary rehabilitation programme comprising exercise training twice weekly, for a 12-week period, nutritional and self-care advice, and education about disease and energy conservation strategies. MAIN MEASURES: Fatigue, functional limitations due to fatigue, functional performance and satisfaction, six-minute walking distance, hand grip strength and health perception were assessed at baseline and after 12 weeks. RESULTS: At baseline there were no significant differences between the groups, except for gender. The six-minute walking distance was 312.6 (+/-79.3) m for the rehabilitation group and 360.3 (+/-84.7) m for the control group. After 12 weeks, the rehabilitation group improved their walking distance by 40.6 (+/-27.2) m (P<0.05). The rehabilitation group improved in performance (from 4.8 (+/-2.0) to 6.0 (+/-1.5) scores, P<0.01) and satisfaction (from 4.6 (+/-2.2) to 6.0 (+/-2.1) scores, P<0.001) with regard to own selected daily activities. No statistically significant differences were seen between the changes within the rehabilitation group and changes within the control group at the 12-week follow-up. CONCLUSIONS: Although the pulmonary rehabilitation programme had an immediate effect, it was not sustained.
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