Objective monitoring of adherence with home exercise training during pulmonary rehabilitation for chronic obstructive pulmonary disease

Physiotherapy ◽  
2006 ◽  
Vol 92 (1) ◽  
pp. 50-54 ◽  
Author(s):  
J. Hunter ◽  
S.J. Singh ◽  
M.D.L. Morgan
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Exercise Training ◽  
Pulmonary Disease ◽  
Pulmonary Rehabilitation ◽  
Home Exercise ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Objective Monitoring

Exercise training during pulmonary rehabilitation in chronic obstructive pulmonary disease

Lung ◽  
1990 ◽  
Vol 168 (S1) ◽  
pp. 481-488 ◽  
Author(s):  
P. N. R. Dekhuijzen ◽  
C. L. A. van Herwaarden ◽  
N. J. M. Cox ◽  
H. Th. M. Folgering
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Exercise Training ◽  
Pulmonary Disease ◽  
Pulmonary Rehabilitation ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease

scholarly journals The effect of pulmonary rehabilitation on carotid chemoreceptor activity and sensitivity in chronic obstructive pulmonary disease

2019 ◽  
Vol 127 (5) ◽  
pp. 1278-1287
Author(s):  
Bradley W. Byers ◽  
Desi P. Fuhr ◽  
Linn E. Moore ◽  
Mohit Bhutani ◽  
Eric Y. L. Wong ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Exercise Training ◽  
Pulmonary Disease ◽  
Pulmonary Rehabilitation ◽  
Autonomic Function ◽  
Control Group ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Copd Patients ◽  
Minute Walk

Recent work demonstrates that carotid chemoreceptor (CC) activity/sensitivity is elevated in patients with chronic obstructive pulmonary disease (COPD) compared with healthy controls, and this elevated chemoreception appears to contribute to increased cardiovascular risk. Exercise training has been shown to normalize CC activity/sensitivity in other populations, and therefore, the purpose of this study was to determine whether pulmonary rehabilitation (PR) can reduce CC activity/sensitivity in COPD. Forty-five COPD patients [mean FEV1 (forced expiratory volume in 1 s) = 56.6% predicted] completed PR, while 15 COPD patients (mean FEV1 = 74.6% predicted) served as non-PR controls. CC activity was determined by the reduction in ventilation while breathing transient hyperoxia ([Formula: see text] = 1.0); CC sensitivity was evaluated by the increase in ventilation relative to the drop in arterial saturation while breathing hypoxia. Dyspnea, six-minute walk and autonomic function data were also obtained. PR improved 6-minute walk distance ( P < 0.001) and dyspnea ( P = 0.04); however, there was no effect on CC activity ( P = 0.60), sensitivity ( P = 0.69), or autonomic function ( P > 0.05 for all). Subgroup analyses indicated that PR reduced CC activity in those with elevated baseline CC activity, independent of changes in autonomic function. No change in dyspnea ( P = 0.24), CC activity ( P = 0.19), sensitivity ( P = 0.80), or autonomic function ( P > 0.05 for all) was observed in the control group. Despite improvements in exercise tolerance and dyspnea, PR appears to be generally ineffective at reducing CC sensitivity in stable COPD patients; while PR reduced CC activity in those with elevated basal CC activity, the physiological significance of this is unclear. Further investigations aimed at improving CC function in COPD are needed. NEW & NOTEWORTHY While work in other chronic diseases has shown that exercise training may help normalize carotid chemoreceptor (CC) activity/sensitivity, the current study found that exercise training through pulmonary rehabilitation did not consistently reduce CC activity/sensitivity in patients with chronic obstructive pulmonary disease (COPD). These results suggest that other interventions are needed to normalize CC activity/sensitivity in COPD.

scholarly journals Access to, use, knowledge, and preferences for information technology and technical equipment among people with chronic obstructive pulmonary disease (COPD) in Sweden. A cross-sectional survey study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Pernilla Sönnerfors ◽  
Kirsti Skavberg Roaldsen ◽  
Agneta Ståhle ◽  
Karin Wadell ◽  
Alexandra Halvarsson
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Information Technology ◽  
Exercise Training ◽  
Pulmonary Disease ◽  
Pulmonary Rehabilitation ◽  
Survey Study ◽  
The Internet ◽  
Chronic Obstructive ◽  
Technical Equipment ◽  
Obstructive Pulmonary Disease

Abstract Background The use of information technology can make pulmonary rehabilitation interventions in people with chronic obstructive pulmonary disease (COPD) more flexible and thereby has the potential to reach a larger proportion of the population. However, the success of using information technology in pulmonary rehabilitation is dependent on the end-user’s competence in information technology and access to the Internet. The aim was to describe the access to, and the use, knowledge, and preferences of information technology and technical equipment among people with COPD. Methods Telephone interviews were conducted using a standardised questionnaire on information technology and technical devises addressing the household, access to and usage of the Internet, contact with authorities, e-commerce, security, the workplace, digital competence, and disabilities. Questions were also posed regarding participants’ views on a future eHealth tool for COPD, appropriate content, and the potential likelihood for them to use an eHealth tool for exercise training. Results In total 137 persons agreed to participate, 17 dropped out resulting in 120 included participants (response rate 88%). The participants (86 women) were aged 51 to 92 years (mean: 72.5), and all severity grades of COPD according to GOLD A-D were represented. Over 90% had access to the Internet. Smartphones were used by 81%, and over 90% used apps. Participants had high knowledge of how to use the Internet, 91% had used the Internet during the last 3 months, 85% almost every day. The most common requests for a future eHealth tool for COPD were evidence-based and trustworthy information on COPD, (including medication, exercise training, inhalation and breathing techniques), communication (chat) with others and with health carers. Access to individually adjusted exercise training, and support, (motivation via prompts, chat rooms, digital information board) was also desired. Conclusions The present study showed that people with COPD in Sweden have high access and ability to use the Internet and information technology. They are frequent users and most of them take part in the digital society, even to a higher extent than the general population. The results show that the use of an eHealth tool could be a suitable strategy for people with COPD.

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