2.50
Hdl Handle:
http://hdl.handle.net/10755/161284
Type:
Presentation
Title:
Training in persons with COPD
Abstract:
Training in persons with COPD
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Bauldoff, Gerene, PhD, RN
Title:Assistant Professor
Contact Address:CON, 1585 Neil Avenue, Columbus, OH, 43210, USA
Co-Authors:Philip T. Diaz, MD
Dyspnea, is the primary disabling symptom in Chronic Obstructive Pulmonary Disease (COPD). Distractive auditory stimuli (DAS) may reduce the sensation of dyspnea, and thus promote increased exercise tolerance. The purpose of this study was to determine the feasibility of the use of DAS during upper extremity training (UET) on perceived dyspnea [University of California San Diego Shortness of Breath Questionnaire (UCSD SOBQ)], arm exercise performance [6-minute ring and pegboard test], and health-related quality of life (HRQoL) [St. George’s Respiratory Questionnaire (SGRQ)] in patients with moderate to severe COPD (FEV1 < 60% predicted). In addition, the study described adherence to an UET program (exercise logs). Eighteen subjects (7 male, 11 female) with moderate-to-severe chronic obstructive pulmonary disease (FEV1% predicted 40.9% + 19.8%) were randomized into either the DAS (n=12) or control group (n=6). The DAS group was instructed to use an investigator-provided walkman-type cassette player and music tapes as distraction during UET for 4 weeks. Significant differences were seen at baseline for SGRQ Total (p=0.042) and SGRQ Symptoms subscore (p=0.014). At 4 weeks, significant difference was seen for number of rings moved (p=0.004). The experimental group moved 44 more rings from baseline to 4 weeks while the control group had only an 11 ring increase. No significant differences were noted between groups for perceived dyspnea. (p=0.775). ANCOVA was used to analyze SGRQ scores with the baseline SGRQ Total and Symptom Subscores as covariates. Significant differences were seen between groups for all SGRQ 4-week scores (Total score p=0.000; Symptoms p=0.024; Activity p=0.025 and Impacts p=0.000). All subjects completed logs and returned for follow-up appointments to date. These findings support the feasibility of DAS on UET on arm exercise performance and health-related quality of life.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleTraining in persons with COPDen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161284-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Training in persons with COPD</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Bauldoff, Gerene, PhD, RN </td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">CON, 1585 Neil Avenue, Columbus, OH, 43210, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Philip T. Diaz, MD </td></tr><tr><td colspan="2" class="item-abstract">Dyspnea, is the primary disabling symptom in Chronic Obstructive Pulmonary Disease (COPD). Distractive auditory stimuli (DAS) may reduce the sensation of dyspnea, and thus promote increased exercise tolerance. The purpose of this study was to determine the feasibility of the use of DAS during upper extremity training (UET) on perceived dyspnea [University of California San Diego Shortness of Breath Questionnaire (UCSD SOBQ)], arm exercise performance [6-minute ring and pegboard test], and health-related quality of life (HRQoL) [St. George&rsquo;s Respiratory Questionnaire (SGRQ)] in patients with moderate to severe COPD (FEV1 &lt; 60% predicted). In addition, the study described adherence to an UET program (exercise logs). Eighteen subjects (7 male, 11 female) with moderate-to-severe chronic obstructive pulmonary disease (FEV1% predicted 40.9% + 19.8%) were randomized into either the DAS (n=12) or control group (n=6). The DAS group was instructed to use an investigator-provided walkman-type cassette player and music tapes as distraction during UET for 4 weeks. Significant differences were seen at baseline for SGRQ Total (p=0.042) and SGRQ Symptoms subscore (p=0.014). At 4 weeks, significant difference was seen for number of rings moved (p=0.004). The experimental group moved 44 more rings from baseline to 4 weeks while the control group had only an 11 ring increase. No significant differences were noted between groups for perceived dyspnea. (p=0.775). ANCOVA was used to analyze SGRQ scores with the baseline SGRQ Total and Symptom Subscores as covariates. Significant differences were seen between groups for all SGRQ 4-week scores (Total score p=0.000; Symptoms p=0.024; Activity p=0.025 and Impacts p=0.000). All subjects completed logs and returned for follow-up appointments to date. These findings support the feasibility of DAS on UET on arm exercise performance and health-related quality of life. </td></tr></table>en_GB
dc.date.available2011-10-26T23:18:52Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:18:52Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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