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Pulmonary Rehabilitation: Pulmonary Rehabilitation |

Pulmonary Rehabilitation in Patients With Parkinson Disease FREE TO VIEW

Giuseppe Fiorentino, PhD; Anna Annunziata, PhD; Rosa Cauteruccio, PhD; Gianfranco Scotto di Frega, PhD; Mariantonietta Mazza, PhD; Antonella Marotta, PhD; Anna Michela Gaeta, PhD; Ilernando Meoli, PhD
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Monaldi Hospital, Naples, Italy


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(4_S):A488. doi:10.1016/j.chest.2016.02.509
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SESSION TITLE: Pulmonary Rehabilitation

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Saturday, April 16, 2016 at 11:45 AM - 12:45 PM

PURPOSE: To evaluate the presence of dyspnea in patients affected by parkinson’s disease. To evaluate the improvement of the symptoms in patients who carried rehabilitation

METHODS: we evaluated 25 consecutive patients with parkinson’s disease, stage up to 2.5, according to Hoehn and Yahr modified. Patients performed sitting and supine spirometry, MIP, MEP, SNIFF, modified MRC questionnaire. It was proposed rehabilitation treatment with breathing exercises, inspiratory and expiratory muscle training. The training of the upper and lower limbs was performed in cycle-ergometer and treadmill. The patients were re-evaluated at 15 days of treatment and at the end of the cycle.

RESULTS: All patients had dyspnea (including 2-3, five patients 4). Sixteen patients began the cycle of respiratory rehabilitation. Three patient was excluded because of respiratory failure with severe hypoxemia. Six patients (MRC 2) did not accept the proposed rehabilitation in day hospital five days/week. All the treated patients showed an improvement of dyspnea with MRC equal to 1 for six patients, 2 for seven patients. Two patients with MRC 4 had grade 2, two patient with MRC 4 had grade 3.

CONCLUSIONS: The pulmonary rehabilitation improves the perception of dyspnea in patients with parkinson’s disease. The parkinsonian patient retains the ability adaptation to stress in the early stages but with time undergoes a decrease in effectiveness of the effort.

CLINICAL IMPLICATIONS: In parkinson’s patients a training program and an active lifestyle seem recommended, in fact respiratory muscle training showed significant benefits in reducing dyspnea.

DISCLOSURE: The following authors have nothing to disclose: Giuseppe Fiorentino, Anna Annunziata, Rosa Cauteruccio, Gianfranco Scotto di Frega, Mariantonietta Mazza, Antonella Marotta, anna michela gaeta, Ilernando Meoli

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