E-ISSN 2149-2530
Original Article
The Effect of Eight-week Pulmonary Rehabilitation Program on Dyspnea and Functional Capacity in Patients on Waiting List for Lung Transplantation
1 Health Sciences University, Yedikule Chest Diseases and Chest Surgery Training and Research Hospital, Department of Pulmonary Rehabilitation, Istanbul, Turkey  
2 Physiotherapist, Health Sciences University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Istanbul, Turkey  
3 Physiotherapist, Health Sciences University, Yedikule Chest Diseases and Chest Surgery Training and Research Hospital, Department of Pulmonary Rehabilitation, Istanbul, Turkey  
4 Sisli Memorial Private Hospital, Department of Chest Diseases, Istanbul, Turkey  
Turk Thorac J ; 5: -
DOI: 10.5152/TurkThoracJ.2019.18202
Key Words: Dyspnea, exercise capacity, lung transplantation, pulmonary rehabilitation, waiting list
Abstract

Objectives: The aim of this study was to evaluate the effect of a comprehensive eight-week outpatient pulmonary rehabilitation (PR) consisting of 60-min sessions twice a week under supervision on dyspnea and exercise capacity in patients on the lung transplantation (LTx) candidate.

 

Materials and Methods: Between March 2012 and December 2014, medical data of 23 patients on the waiting list for LTx who were referred to our pulmonary rehabilitation (PR) unit and completed 16-session outpatient PRP under direct supervision were retrospectively analyzed. Data including exercise capacity as assessed by six-minute walking test (6MWT), the rate of perceived dyspnea as assessed by the Borg Scale and Medical Research Council (MRC) Dyspnea Scale were recorded.

 

Results: Of a total of 23 patients (85%), 57% were males and the mean age was 35±10 (range, 16 to 48) years. Four patients were operated early, as an appropriate donor became available. Diagnosis was as follows: bronchiectasis (n=10, 44%), silicosis (n=7, 30%), sarcoidosis (n=2, 9%), idiopathic pulmonary fibrosis (n=1, 4%), chronic obstructive pulmonary disease (n=1, 4%), and others (n=2, 9%). At the end of the treatment, there was a significant improvement (median 60 m) in the 6MWT scores (360 [70-254] m vs. 300 [139-489] m; p=0.018). A clinical improvement was also observed in the Borg (p=0.000) and MRC scores (p=0.008).

 

Conclusion: Our study results suggest that an eight-week outpatient PR consisting of training twice a week is effective to decrease perceived dyspnea and to improve exercise capacity in patients who are on the waiting list for LTx.

 

Cite this article as: Kılıç L, Pehlivan E, Balcı A, et al. The Effect of Eight-week Pulmonary Rehabilitation Program on Dyspnea and Functional Capacity in Patients on Waiting List for Lung Transplantation. Turk Thorac J 2019; DOI: 10.5152/TurkThoracJ.2019.18202

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