SESSION TITLE: Physiology/PFTs/Rehabilitation Posters
SESSION TYPE: Original Investigation Poster
PRESENTED ON: Wednesday, October 29, 2014 at 01:30 PM - 02:30 PM
PURPOSE: Chronic obstructive pulmonary disease (COPD) appears to be associated with low bone mineral density (BMD); BMD decreases with increasing severity of the COPD. Elderly females with COPD experience complex disability and significant perturbation of quality of life (QOL). First, we assessed the effects of a 6 week complex outpatient rehabilitation program - RP (pharmacotherapy, educational sessions, breathing techniques and respiratory muscle training, multi-modal exercise and psychological support) on exercise tolerance and QOL, in elderly COPD females. Second, we evaluated the relationship between HRQOL measurements, BMD and the BODE index.
METHODS: 48 elderly females with COPD, GOLD stage II, were randomly assigned to a rehabilitation group - RG (n=26; 67.5 years mean age) and a pharmacotherapy group - PG (n=22; 68.3 years mean age). Clinical evaluation - body mass index, bronchial obstruction, dyspnoea, exercise (six minute walking distance - 6MWD) (BODE index), the generic HRQOL scale Short Form Medical Outcomes Study (SF-MOS) and disease-specific HRQOL scale Chronic Respiratory Disease Questionnaire (CRQ) were performed. BMD was measured by dual X-ray absorptiometry in lumbar spine.
RESULTS: After RP, 6MWD variance mean was 45 meters and HRQOL scale scores had improved (SF-MOS score with 33% and CRQ score with 27%). All females in RG were more satisfied about the overall outcome of their rehabilitative treatment compared with PG subjects. We obtained the significant correlations between the mean value of the T-score mean and generic HRQOL scale SF-MOS score at the beginning and after the RP, and the significant correlations between the BODE index and CRQ scores for all females.
CONCLUSIONS: The disability in elderly females with COPD had a broad dimension. An outpatient rehabilitation program in our subjects could be followed be the home-training. Multi-modal exercise, based on the aerobic exercise, represents the adequate mode of physical training in elderly females with COPD.
CLINICAL IMPLICATIONS: The predictive value of the BODE index on specific HRQOL questionnaire has an important clinical aspect for PR applied in COPD patients. This index provides useful data on PR outcomes, especial wellbeing and quality of life patient status. Exercise training - the most important part of pulmonary rehabilitation - appears to be also effective for falls prevention.
DISCLOSURE: The following authors have nothing to disclose: Rodica Traistaru, Mara Popescu-Hagen, Mimi Nitu, Damaris Ardelean, Paraschiva Postolache
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