Elsevier

Respiratory Medicine

Volume 106, Issue 12, December 2012, Pages 1647-1654
Respiratory Medicine

A pilot study of pulmonary rehabilitation and chest physiotherapy versus chest physiotherapy alone in bronchiectasis

https://doi.org/10.1016/j.rmed.2012.08.004Get rights and content
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Summary

Aim

The aim of our study was to assess the efficacy of pulmonary rehabilitation in addition to regular chest physiotherapy in non cystic fibrosis bronchiectasis.

Methods

Thirty patients with clinically significant bronchiectasis and limited exercise tolerance were randomized into either the control group receiving chest physiotherapy (8 weeks) or into the intervention group, receiving pulmonary rehabilitation in addition to chest physiotherapy (8 weeks).

Both groups were encouraged to maintain their exercise program and or chest physiotherapy, following completion of the study.

Results

End of training (8 weeks)

No improvement in control group.

In the intervention group, incremental shuttle walk test (ISWT) improved by 56.7 m (p = 0.03), endurance walk test (EWT) by 193.3 m (p = 0.01), Leicester Cough Questionnaire (LCQ) improved by 2.6units (p < 0.001) and St. George's Respiratory Questionnaire (SGRQ) by 8units (p < 0.001).

At 20 weeks (12 weeks post end of training)

No improvement in control group.

In the intervention group, ISWT improved by 80 m (p = 0.04) and EWT by 247.5 m (p = 0.003). LCQ improved by 4.4 units (p < 0.001) and SGRQ by 4 units (p < 0.001).

Conclusion

Pulmonary rehabilitation in addition to regular chest physiotherapy, improves exercise tolerance and health related quality of life in non cystic fibrosis bronchiectasis and the benefit was sustained at 12 weeks post end of pulmonary rehabilitation.

Clinical trials regn no. NCT00868075.

Keywords

Pilot study
Bronchiectasis
Pulmonary rehabilitation
Chest physiotherapy
Efficacy

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Guarantor of this paper: Dr Pallavi Mandal.