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Titre : | Evaluation of Activity Limitation in Patients With Idiopathic Pulmonary Fibrosis Grouped According to Medical Research Council Dyspnea Grade (2014) |
Auteurs : | Ryo Kozu ; Sue Jenkins ; Hideaki Senjyu |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/5, 2014) |
Article en page(s) : | p. 950-955 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Dyspnée ; Fibrose pulmonaire idiopathique ; Rééducation et réadaptation |
Mots-clés: | Dyspnea ; Idiopathic pulmonary fibrosis |
Résumé : |
Objective To investigate the relations between Medical Research Council (MRC) dyspnea grade and peripheral muscle force, activities of daily living (ADL) performance, health status, lung function, and exercise capacity in subjects with idiopathic pulmonary fibrosis (IPF). Design Prospective cross-sectional observational study. Setting University hospital. Participants Subjects with IPF (N=65, 46 men) in a stable clinical state with a mean age of 68+7 years. Interventions Not applicable. Main Outcome Measures Right ventricular systolic pressure (RVSP) via transthoracic echocardiography, pulmonary function, isometric quadriceps force (QF) and handgrip force (HF), 6-minute walk distance (6MWD), ADL score, and health status (Medical Outcomes Study 36-Item Short-Form Health Survey [SF-36]) were assessed and compared between subjects grouped according to MRC grade. Results Of the participants, 16 were in MRC grade 2, 17 were in MRC grade 3, 17 were in MRC grade 4, and 15 were in MRC grade 5. RVSP, pulmonary function, QF, HF, 6MWD, ADL, and SF-36 scores decreased with increasing MRC grade (all P<.001 all measures were lower in subjects with grades and than strong associations found between mrc grade p=".001)" adl score was also associated rvsp pulmonary function qf hf> Conclusions The MRC dyspnea scale provides a simple and useful method of categorizing individuals with IPF with respect to their activity limitation and may assist in understanding the impact of IPF on an individual. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |