J 2022

Test of incremental respiratory endurance as home-based, stand-alone therapy in chronic obstructive pulmonary disease: A case report

DOSBABA, Filip, Martin HARTMAN, Ladislav BAŤALÍK, Kristián BRAT, Marek PLUTINSKÝ et. al.

Basic information

Original name

Test of incremental respiratory endurance as home-based, stand-alone therapy in chronic obstructive pulmonary disease: A case report

Authors

DOSBABA, Filip (203 Czech Republic), Martin HARTMAN (203 Czech Republic), Ladislav BAŤALÍK (703 Slovakia, guarantor, belonging to the institution), Kristián BRAT (703 Slovakia), Marek PLUTINSKÝ (703 Slovakia), Jakub HNATIAK (203 Czech Republic), Magno F. FORMIGA and Lawrence Patrick CAHALIN

Edition

World Journal of Clinical Cases, PLEASANTON, BAISHIDENG PUBLISHING GROUP INC, 2022, 2307-8960

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30203 Respiratory systems

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 1.100

RIV identification code

RIV/00216224:14110/22:00125118

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.12998/wjcc.v10.i1.353

UT WoS

000763121300040

Keywords in English

Chronic obstructive pulmonary disease; Test of incremental respiratory endurance; Inspiratory muscle training; Telerehabilitation; Case report

Tags

14110525, rivok

Tags

International impact, Reviewed
Změněno: 31/1/2023 07:58, Mgr. Tereza Miškechová

Abstract

V originále

BACKGROUND The prevalence of chronic obstructive pulmonary disease (COPD) is increasing worldwide, and at the same time it is associated with increased mortality and reduced quality of life. Efforts to build sustainable rehabilitation approaches to COPD treatment and prevention are crucial. The system of long-term pulmonary rehabilitation care is insufficient. The main reasons for the absence of these outpatient programs are the lack of experience, the lack of interest of insurance companies in secondary prevention programs, and the lack of healthcare facilities in large geographical areas. The possibility of at-home pulmonary rehabilitation models (telemonitoring and telecoaching) could solve this problem. CASE SUMMARY A 71-year-old man with severe COPD, Global Initiative for Obstructive Lung Diseases stage 3 underwent an 8-wk remotely monitored inspiratory muscle training with a device based on the test of incremental respiratory endurance method. Spirometry, body plethysmography, test of incremental respiratory endurance examination, 6-min walking test, body mass index, airflow obstruction, dyspnea, exercise capacity index, and subjective perception of dyspnea were performed as part of the initial and final examination. The patient performed training at home, and the physiotherapist monitored the patient remotely through a web application that allowed the physiotherapist to evaluate all training parameters in real-time and respond to any problems. After 8 wk of home training, there was a significant increase in all monitored values: maximal inspiratory pressure, a novel parameter sustained maximal inspiratory pressure, forced expiratory volume in 1 s, total lung capacity, forced vital capacity, peak expiratory flow, and inspiratory capacity. There was also an improvement in the perception of dyspnea according to the COPD Assessment Test and a modified Medical Research Council Breathlessness Scale, an increase in exercise tolerance according to the 6-min walking test, and a decrease in the exercise capacity index as a predictor of prognosis. CONCLUSION Respiratory telerehabilitation was greatly beneficial in a cooperative patient with COPD and may represent an alternative therapeutic approach to the increasing incidence of all lung diseases.
Displayed: 31/10/2024 16:42