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Effect of inpatient rehabilitation on quality of life and exercise capacity in long-term lung transplant survivors: A prospective, randomized study
Abstract
Background The purpose of this study was to examine the effect of an inpatient rehabilitation program on health-related quality of life (HRQOL) and exercise capacity (EC) in long-term (>1 year after lung transplantation) survivors (LTSs) in comparison to a control group (CG). Methods Sixty LTSs, 4.5 ± 3.2 years after lung transplantation (LTx), were randomly assigned to two equally sized groups that were stratified for gender and underlying disease. Thirty LTSs (age 49 ± 13 years, 13 male and 17 females, 19 double LTxs, 7 BOS Stage ≥ 1) attended an inpatient rehabilitation program (intervention group, IG) for 23 ± 5 days. The CG (age 50 ± 12 years, 13 males and 17 females, 20 double LTxs, 2 BOS Stage ≥ 1) received medical standard therapy (physiotherapy). Patients were evaluated by cardiopulmonary exercise testing, 6-minute walk test (6MWT), SF-36, SGRQ and the Quality of Life Profile for Chronic Diseases questionnaire before and after (18 ± 3 days) the program. Results The groups were statistically indistinguishable in terms of clinical data. Each treatment group significantly improved their sub-maximal EC (6MWT: IG, 493 ± 90 m vs 538 ± 90 m, p < 0.001; CG, 490 ± 88 m vs 514 ± 89 m, p < 0.001) and maximal EC (VO(2peak): IG, 17.0 vs 18.5 ml/min/kg, p = 0.039; CG, 18.0 vs 19.5 ml/min/kg, p = 0.005), without reaching statistical significance between the groups. In both study groups, patients HRQOL tended to improve. Significant correlations were found between EC parameters and HRQOL scales. Conclusions Our data suggest that structured physical training may improve exercise tolerance in LTS. Our study results did not demonstrate a significant benefit of an inpatient over an outpatient exercise program.
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“Regular physical exercise has a positive effect on quality of life, exercise capacity and post-transplant hypertension in LTx patients[46,47] and we encourage all our patients to regularly perform exercises by themselves or to take part in medical training programs, depending on their capabilities.”
From Adherence is associated with a favorable outcome after lung transplantation (2019) · cites this paper as [46]
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Metadata
- Authors
- Ihle, F., Neurohr, C., Huppmann, P., Zimmermann, G., Leuchte, H., Baumgartner, R., Kenn, K., Sczepanski, B., Hatz, R., Czerner, S., Frey, L., Ueberfuhr, P., Bittmann, I., & Behr, J.
- Affiliations
- LMU Klinikum (DE)
- Venue
- The Journal of Heart and Lung Transplantation
- Publisher
- Elsevier BV
- Published
- 2011-04
- Volume
- 30
- Issue
- 8
- Pages
- 912-9
- ISSN
- 1053-2498 (ISSN-L)
- OpenAlex
- W2163447359
- Cited by
- 50
- References
- 32
- Citations by year
- 2024: 2 · 2023: 4 · 2022: 5 · 2021: 4 · 2020: 2 · 2019: 3 · 2018: 7 · 2017: 1 · 2016: 7 · 2015: 5 · 2014: 3 · 2013: 6 · 2012: 1
- FWCI
- 3.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Heart and Lung Transplantation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Transplantation: Methods and Outcomes
- Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- lung transplantation, inpatient rehabilitation, health-related quality of life, exercise capacity, long-term transplant survivors, 6-minute walk test, cardiopulmonary exercise testing, physiotherapy
- MeSH terms
- Adult, Female, Humans, Inpatients, Male, Middle Aged, Outpatients, Prospective Studies, Quality of Life, Surveys and Questionnaires, Respiratory Function Tests, Lung Transplantation, Walking, Treatment Outcome, Exercise Tolerance, Physical Therapy Modalities
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- Ihle, F., Neurohr, C., Huppmann, P., Zimmermann, G., Leuchte, H., Baumgartner, R., Kenn, K., Sczepanski, B., Hatz, R., Czerner, S., Frey, L., Ueberfuhr, P., Bittmann, I., & Behr, J. (2011). Effect of inpatient rehabilitation on quality of life and exercise capacity in long-term lung transplant survivors: A prospective, randomized study. The Journal of Heart and Lung Transplantation. https://doi.org/10.1016/j.healun.2011.02.006