Turkish Thoracic Journal
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 0; 5: 0-0
DOI: 10.5152/TurkThoracJ.2019.18202
Read: 288 Downloads: 21 Published: 18 July 2019

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

EISSN 2149-2530
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