Abstract
Aim To investigate the short- and long-term effects of Home-based Pulmonary Rehabilitation (HBPR) on functional capacity, quality of life, peripheral muscle strength, dyspnea 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 with elastic bands). The control group received 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 the distance in ISWT compared with the control group with between-group difference: 87.9 m (95% CI 32.4 to 143.5). Between-group differences was found in ESWT, incremental step test, quality of life and quadriceps muscle strength in favor to HBPR group too. After 6 months, no differences were observed between the groups.
Conclusion HBPR is an effective alternative for offering pulmonary rehabilitation for people with bronchiectasis. However, the program was not effective in maintaining the benefits after 6 months of follow-up.
Footnotes
This manuscript has recently been accepted for publication in the ERJ Open Research. It is published here in its accepted form prior to copyediting and typesetting by our production team. After these production processes are complete and the authors have approved the resulting proofs, the article will move to the latest issue of the ERJOR online. Please open or download the PDF to view this article.
Conflict of interest: Dr. José has nothing to disclose.
Conflict of interest: Dr. Holland has nothing to disclose.
Conflict of interest: Dr. Selman has nothing to disclose.
Conflict of interest: Dr. de Camargo has nothing to disclose.
Conflict of interest: Dr. Fonseca has nothing to disclose.
Conflict of interest: Dr. Athanazio has nothing to disclose.
Conflict of interest: Dr. Rached has nothing to disclose.
Conflict of interest: Dr. Cukier has nothing to disclose.
Conflict of interest: Dr. Stelmach has nothing to disclose.
Conflict of interest: Dr. Dal Corso has nothing to disclose.
This is a PDF-only article. Please click on the PDF link above to read it.
- Received January 12, 2021.
- Accepted March 31, 2021.
- Copyright ©The authors 2021
This version is distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0. For commercial reproduction rights and permissions contact permissions{at}ersnet.org