Effects of pulmonary rehabilitation in patients with advanced lung disease under evaluation to lung transplantation

• Autor(a) principal: Eliane Viana Mancuzo
• Data de Publicação: 2019
• Outros Autores: Daisy Salomão Eduardo, Mariana Hoffman, Danielle Soares Rocha Vieira, Valéria Maria Augusto, Ricardo de Amorim Correa
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: http://hdl.handle.net/1843/40018
• topic: Doença Pulmonar Avançada; Transplante de Pulmão;; Teste de caminhada de seis minutos;; Tolerância ao Exercício

Background: Advanced lung disease patients (ADL) present impaired exercise capacity; however, the effects of pulmonary rehabilitation (PR) in these patients are not consensual. Objectives: To investigate the effects of a PR program on exercise capacity, dyspnea and quality of life in ADL patients on the lung transplant waiting list. Methods: Prospective study involving participants that completed 36 sessions of PR program that included endurance and muscle strength training. The walking distance in the 6-minute walk test (6MWD), the degree of dyspnea according to the modified Medical Research Council (mMMRC) scale, the BODE index and domains of the Medical Outcomes Study 36-item Short-Form Health questionnaire were evaluated pre and post rehabilitation. Results: Twenty-nine participants with a mean age of 51.9 ± 9.8 years, 55.2% female were included. Most patients 18 (62.1%) presented COPD, 6 (20.7%) had interstitial lung disease (ILD) and 5 (17.2%) had bronchiectasis. There was a mean increase of 104.7m in the 6MWD (340.2 ± 151.5 m vs. 444.8 ± 111.9 m; p < 0.001). The number of patients with higher mMRC score reduced significantly, from 13 (44.7%) to 5 (17.3%; p = 0.01) and the proportion of patients in BODE 1-2 increased from 3 (16.7%) to 12 (66.7%; p = 0.01). There were clinical and significant improvements in the SF 36 questionnaire in the domains of physical functioning (p = 0.001), social role functioning (p = 0.008) and emotional role functioning (p = 0.005). Conclusions: PR in patients with advanced lung disease being evaluated for lung transplantation increased exercise capacity, reduces the degree of dyspnea and improved quality of life parameters.