Impact of pulmonary rehabilitation on lung functions and quality of life in chronic respiratory disease patients

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Original Article

Author Details : Bhagyashri Karande*, Nayana Gosavi, Ajay Godse

Volume : 8, Issue : 4, Year : 2023

Article Page : 150-156

https://doi.org/10.18231/j.ijirm.2023.030

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Abstract

Introduction: Patients with chronic pulmonary disease commonly present with dyspnea, cough, fatigue, physical limitations, and low Quality-of-Life (QoL).With these morbidities and physical limitations, it may be difficult to perform their day-to-day activities. The London Chest Activity Daily Living (LCADL) scale assesses the self-reported dyspnea of patients with chronic respiratory disease during Activities of Daily Living (ADL). The study was designed to assess the impact of pulmonary rehabilitation on the dyspnea grade (mMRC scale), the Quality-of-Life parameters viz LCADL scale, 6 Minute Walk Test (6MWT) and lung functions (FEV1 & FVC). 
Materials and Methods: The study is a retrospective observational study conducted over a period of 1 year, at the Department of Pulmonology, Bhakti Vedanta Hospital & Research Institute. Patients with different pulmonary conditions such as Chronic Obstructive Pulmonary Disease (COPD), Interstitial Lung Disease (ILD), Post-covid Lung Dysfunction, etc. were enrolled in the study. A total of 80 patients were referred to Pulmonary Rehabilitation (PR). Out of which, 40 patients completed an 8-week program. The distribution of the study population was as follows: 18 patients with COPD, 13 patients with ILD, 9 patients with other pulmonary diseases. 15 patients required oxygen support where oxygen saturation (SpO2) was < 90> Result: Overall, the statistically significant difference noted in Quality-of-Life parameters like LCADL score, mMRC, 6MWT, and lung functions (FEV1, FVC) with an 8-week Pulmonary Rehabilitation program.
The p-value (< 0> improved from 52.30 % to 56.73 % of predicted and FVC improved from 56.20 % to 58.20 % of predicted. The mean difference of FEV1 and FVC was 4.43 to 2.0, respectively.
Conclusion: An 8-week supervised pulmonary rehabilitation program has demonstrated that the inclusion of pulmonary rehabilitation, not only reduces the symptoms but also improves the exercise capacity and add significant positive effect on the quality of life as well as lung functions in patients with chronic respiratory disease.

Keywords: Exercise training, Quality of life, Pulmonary rehabilitation program

How to cite : Karande B, Gosavi N, Godse A, Impact of pulmonary rehabilitation on lung functions and quality of life in chronic respiratory disease patients. IP Indian J Immunol Respir Med 2023;8(4):150-156

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