Journal of cardiopulmonary rehabilitation and prevention
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J Cardiopulm Rehabil Prev · Jan 2015
Prescription of walking exercise intensity from the 6-minute walk test in people with chronic obstructive pulmonary disease.
The 6-minute walk test (6MWT) is widely used in clinical practice, particularly to assess functional exercise capacity and to prescribe walking training intensity in people with chronic obstructive pulmonary disease (COPD). However, the actual walking intensity prescribed from the 6MWT, in terms of percent peak oxygen uptake (%(Equation is included in full-text article.)O2peak) and percent (Equation is included in full-text article.)O2 reserve (%(Equation is included in full-text article.)O2R), has not been previously reported. This study aims to examine the exercise intensity when walking training is prescribed at 80% average 6MWT speed. ⋯ Walking exercise prescribed at 80% average 6MWT speed resulted in a high but tolerable exercise intensity that is likely to result in training benefits in most people with COPD.
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J Cardiopulm Rehabil Prev · Sep 2014
Randomized Controlled TrialClinical benefits of home-based pulmonary rehabilitation in patients with chronic obstructive pulmonary disease.
To evaluate the benefits of home-based pulmonary rehabilitation (PR) in patients with severe and very severe chronic obstructive pulmonary disease (COPD). ⋯ This study offers evidence that home-based PR promotes benefits in the quality of life, breathlessness in activities of daily living, and exercise capacity in patients with severe and very severe COPD. Home-based PR must be considered as part of the treatment for patients who live far from hospitals even in severe COPD.
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J Cardiopulm Rehabil Prev · Sep 2014
Practice GuidelineClinical competency guidelines for pulmonary rehabilitation professionals: position statement of the American Association of Cardiovascular and Pulmonary Rehabilitation.
The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) recognizes that interdisciplinary health care professionals providing pulmonary rehabilitation services need to have certain core competencies. This statement updates the previous clinical competency guidelines for pulmonary rehabilitation professionals, and it complements the AACVPR's Guidelines for Pulmonary Rehabilitation Programs. These competencies provide a common core of 13 professional and clinical competencies inclusive of multiple academic and clinical disciplines. The core competencies include patient assessment and management; dyspnea assessment and management; oxygen assessment, management, and titration; collaborative self-management; adherence; medication and therapeutics; non-chronic obstructive pulmonary diseases; exercise testing; exercise training; psychosocial management; tobacco cessation; emergency responses for patient and program personnel; and universal standard precautions.
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J Cardiopulm Rehabil Prev · Jan 2014
Randomized Controlled Trial Comparative StudyBreathing helium-hyperoxia and tolerance of partitioned exercise in patients with COPD.
Partitioning exercise by 1-legged cycling is more effective than conventional training in patients with chronic obstructive pulmonary disease. Similarly, inhaling helium-hyperoxia can extend conventional exercise tolerance. This study aimed to determine whether breathing helium-hyperoxia could increase the tolerance of a high-intensity exercise session achieved by 1-legged cycling. ⋯ Inspiring a helium-hyperoxia mixture does not increase the endurance of what would be a typical training session, breathing supplemental oxygen, of high-intensity 1-legged constant power exercise. Leg muscle fatigue was similar after 1-legged exercise with and without breathing the helium mixture.
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J Cardiopulm Rehabil Prev · Jan 2014
Randomized Controlled TrialDeep breathing exercises performed 2 months following cardiac surgery: a randomized controlled trial.
Postoperative breathing exercises are recommended to cardiac surgery patients. Instructions concerning how long patients should continue exercises after discharge vary, and the significance of treatment needs to be determined. Our aim was to assess the effects of home-based deep breathing exercises performed with a positive expiratory pressure device for 2 months following cardiac surgery. ⋯ No significant differences in lung function, subjective perceptions, or quality of life were found between patients performing home-based deep breathing exercises and control patients 2 months after cardiac surgery.