Online ISSN: 2515-8260

Efficacy of Pulmonary Rehabilitation Maintenance on HealthRelated Quality of Life Among COPD Patients

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Dr. Kalagiri Rakesh Reddy1 , Dr. Madhire Ramulu

Abstract

Background: COPD, or Chronic Obstructive Pulmonary Disease, is a chronic lung disease that affects millions of people worldwide. It is characterized by persistent airflow limitation that is usually progressive and associated with an enhanced chronic inflammatory response in the airways and the lung to noxious particles or gases, mostly tobacco smoke. Home-based pulmonary rehabilitation (PR) for chronic obstructive lung disease can improve compliance (COPD). The purpose of this study is to examine how well-home-based PR treats dyspnea, exercise tolerance, health-related quality of life, and lung function in COPD patients. Methods: The patients were allotted randomly to two groups Group (control) Hospital-based outpatient rehabilitation group (n=20) Who are newly enrolled to participate in the Department of Physical Medicine & Rehabilitation's endurance training, lower limb, upper limb, and deep breathing exercises under supervision twice or three times per week for three months will be monitored & followed up at every visit to the PR clinic. Home-based rehabilitation Group (study) (n=20) They will get instruction in deep breathing techniques, upper body exercises, and lower body endurance training at OPD and practice at home three times a week for three months. The patient will keep a log of their endurance exercises at home, and they will have biweekly check-ups at the PR clinic. Results: The improvement in FEV1 in the study group was far better than the control group with significant p values. Similarly, the mean 6MWD also showed improvement in the study group whereas it decreased in the control group. The change in Borg scores in both groups showed the study group showed a greater decrease in the scores than the control group and the SGRQ scores at the end of 6 weeks were significantly lesser in the study group than the control group. The CAT score was also found to be significantly lesser in the study group as compared to the control group. Conclusion: The results of our study support the notion that a low-cost, home-based PR program is an effective COPD treatment, as seen by improvements in lung function (FEV1) and quality of life (SGRQ, Borg, and CAT scores). The research backs up the idea that people with COPD can improve their quality of life and increase their physical capability with home-based PR.

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