Detailed Information on Publication Record
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:
Impact factor
Impact factor: 1.100
RIV identification code
RIV/00216224:14110/22:00125118
Organization unit
Faculty of Medicine
UT WoS
000763121300040
Keywords in English
Chronic obstructive pulmonary disease; Test of incremental respiratory endurance; Inspiratory muscle training; Telerehabilitation; Case report
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.