Abstract: Slide Presentations |

Efficacy Of A Short 18-Session Inpatient Pulmonary Rehabilitation Program For Chronic Respiratory Diseases FREE TO VIEW

Chian Min Loo, MBBS*; Li Whye Ng; Peter Lim, MD
Author and Funding Information

Singapore General Hospital, Singapore, Singapore


Chest. 2004;126(4_MeetingAbstracts):762S. doi:10.1378/chest.126.4_MeetingAbstracts.762S-b
Text Size: A A A
Published online


PURPOSE:  To study the efficacy of a short intensive pulmonary rehabilitation program on the exercise capacity, dyspnea and quality of life (QOL) in patients with chronic respiratory diseases.

METHODS:  This study was conducted from October 2003 to March 2004 in a tertiary referral center where patients who were referred for pulmonary rehabilitation were offered an intensive inpatient program if they were not able to attend the regular 6-week outpatient program. All patients underwent lung function tests, 6-minute walk test, cardiopulmonary exercise test (if able to do so) as well as 2 QOL questionnaires on admission –these were repeated on completion of the program. Each patient underwent 2 sessions of physical therapy (including inspiratory muscle training) daily, for a total of 18 sessions over the 16 days of hospital stay. Each session consisted of a 5-minute warm-up, 30 to 40 minutes of aerobic exercises, and strengthening exercises using elasticity-graduated Theraband and free weights. Oxygen was administered to keep hemoglobin saturation above 90%.

RESULTS:  Twelve male patients (8 with COPD, 2 with bronchiectasis, 2 with interstitial fibrosis) aged 64.5±14.5 (mean±SD) years were recruited. The results of paired analysis of data from these patients are shown in the tableVariables (units)NumberMean change ± SDSignificance (2-tailed)MIP (kPascal)90.95±1.870.575MEP(kPascal)90.14±1.370.674Max. VO2 (ml/kg/min)52.2±0.80.043Work rate (W)94±110.400Max. ventilation (L/min)511.6±17.10.043Borg scale92.7±2.30.0266-min walk test (m)1229.5±44.40.033CRDQ-Total score1213.8±12.40.003SGRQ-Total score1210.10±9.220.003, with p<0.05 considered signficant. Improvement was seen in exercise capacity, minute ventilation, QOL and dyspnea scores but not respiratory muscle strength.

CONCLUSION:  We conclude that a short 18-session intensive pulmonary rehabilitation program is able to improve exercise capacity, dyspnea and QOL of patients with chronic respiratory diseases.

CLINICAL IMPLICATIONS:  In our country where many of our patients find it logistically difficult to travel 3 times a week to an oupatient facility for 6-8 weeks of pulmonary rehabilitation because of caregiver and transportation issues, this intensive inpatient pulmonary rehabilitation program may be offered as an alternative. Whether its efficacy is equivalent to the usual 6-8 week program requires further study.

DISCLOSURE:  C. Loo, None.

Tuesday, October 26, 2004

2:30 PM- 4:00 PM




Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

CHEST Journal Articles
PubMed Articles
Infant/toddler pulmonary function tests-2008 revision & update.
American Association for Respiratory Care | 4/3/2009
Removal of the endotracheal tube—2007 revision & update.
American Association for Respiratory Care | 8/17/2007
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543