A Study of Short-Term Effect of Rehabilitative Therapy in Chronic Obstructive Pulmonary Disease

Nicolino Ambrosino, Pier Luigi Paggiaro, Marcello Macchi, M. Filieri, G. De Toma, Aghini Lombardi, F. Del Cesta, Alessandra Parlanti, A M Loi, L Baschieri

Respiration · 2009 · 39 citations · 0 references

Concepts

Abstract

51 male patients with mild degree chronic airway obstruction underwent detailed evaluation of pulmonary function tests, blood gas analysis and exercise tolerance test before and after a short-term therapy. The patients were randomly assigned to medical therapy alone or to medical and rehabilitative therapy. 23 patients treated with medical and rehabilitative therapy showed a significant decrease of respiratory rate and P<sub>a</sub>CO<sub>2</sub> and a significant increase of TV, FEV<sub>1.0</sub>, FEV<sub>0.75×</sub><sub>4.0</sub>, p<sub>a</sub>O<sub>2</sub>, SaO<sub>2</sub> and exercise tolerance after a month of therapy. 28 patients treated with medical therapy alone showed a significant increase of VC and FEV<sub>0.75x4.0</sub>. These data suggest that rehabilitative therapy is a valid adjunct to medical therapy in the short-term treatment of chronic airway obstruction.