Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Activity levels after pulmonary rehabilitation what really happens? (2013) |
Auteurs : | C.A.E. Dyer ; Nigel Harris ; E. Jenkin |
Type de document : | Article |
Dans : | Physiotherapy (2013/3, 2013) |
Article en page(s) : | pp. 228-232 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Broncho-pneumopathie chronique obstructive ; Exercice physique ; Rééducation et réadaptation |
Mots-clés: | Exercise ; Pulmonary Disease ; Chronic Obstructive |
Résumé : |
Objectives To assess the changes in physical activity in subjects with chronic obstructive pulmonary disease over 6 months after pulmonary rehabilitation. Design Prospective, observational study. Activity was measured over 2-day periods at the end of rehabilitation, and repeated every 6 weeks for 6 months using the ActivPAL uni-axial accelerometer. These results were compared with the shuttle walking test (SWT) and the St. George's Respiratory Disease Questionnaire (SGRDQ). Setting UK community hospital. Participants Adults completing a community rehabilitation programme. Main outcome measure Time spent standing and mobilising (uptime). Results Of 34 subjects recruited, 28 completed the 6-month study period (mean age 69 years, mean forced expiratory volume in 1 second 1.3 l). Participants wore the monitor for 13.8 to 14.2 hours/day. At baseline (post-rehabilitation), participants spent 1.7 [standard deviation (SD) 1.3] hours/day walking and 3.5 (SD 2.6) hours/day standing. Taking the group as a whole, mean uptime decreased marginally by 13.6 minutes after 24 weeks compared with baseline, with significant individual variability. In all but one subject who showed decreased activity, this was apparent after 6 weeks. There were no significant changes in the mean SWT or SGRDQ. Significant associations between total uptime and the SWT were found, but coefficients were weak. It was not possible to predict individual responses from baseline data. Conclusion The accelerometer provides useful supplementary data in patients completing rehabilitation programmes, and the results reveal wide variation. The weak associations between activity data and the SWT suggest that monitors provide additional information. More work is required to determine the factors associated with early deterioration in activity in order to design appropriate interventions. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940612000326 |