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An Evaluation of Service Provision and Novel Strength Assessment on Patient Outcomes in a UK based Pulmonary Rehabilitation Setting

Barlow, Ruth and Jones, Ben and Rogerson, Mike and Bannister, Hannah and Stuart, Rebecca and Jawadh, Iqbal and Andrews, Leanne and Easton, Izzie (2020) 'An Evaluation of Service Provision and Novel Strength Assessment on Patient Outcomes in a UK based Pulmonary Rehabilitation Setting.' COPD: Journal of Chronic Obstructive Pulmonary Disease, 17 (3). 280 - 288. ISSN 1541-2555

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Abstract

This study’s purpose was to (i) assess the impact of a 7-week Pulmonary Rehabilitation (PR) programme upon patient outcomes; incremental shuttle walk test (ISWT), COPD assessment tool (CAT), Clinical COPD Questionnaire (CCQ) and the Hospital Anxiety and Depression Scale (HADS); (ii) assess the impact of COPD severity on ISWT and psychological functioning and quality of life measures following PR; (iii) assess the feasibility of incorporating individually prescribed one repetition maximum (1RM) training loads into the existing strength training programme. Patients were people with COPD enrolled onto one of three versions (locations A, B & C) of a 7-week PR programme, which consisted of group exercise sessions and a social plus education element. Two locations incorporated individually prescribed training loads. Minimal Clinically Important Changes (MCIC) are reported for the ISWT across all locations. Statistically significant changes in both CAT and the CCQ were found, with MCIC’s evident for CAT score overall and individually at location B. MCIC’s were not found for the CCQ. No statistically significant or MCIC were evident for the HADS. MCIC’s were present only in patients with mild to moderate severity for the ISWT. For the CAT, moderate, severe and very severe patients with COPD experienced MCIC’s. MCIC’s and statistically significant increases in 1RM strength were seen at both locations. These findings evidence an effective PR service. Basic strength exercise programming and assessment are feasible and should be implemented in PR services to maximize patient outcomes.

Item Type: Article
Uncontrolled Keywords: pulmonary rehabilitation; copd; service provision
Divisions: Faculty of Science and Health > Health and Social Care, School of
Faculty of Science and Health > Sport, Rehabilitation and Exercise Sciences, School of
Depositing User: Elements
Date Deposited: 13 May 2020 12:54
Last Modified: 06 Aug 2020 17:15
URI: http://repository.essex.ac.uk/id/eprint/27523

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