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Test of incremental respiratory endurance as home-based, standalone therapy in chronic obstructive pulmonary disease: A case report

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World Journal of Clinical Cases 2022年第1期10卷 353-360页

作者： Filip Dosbaba Martin Hartman Ladislav Batalik Kristian Brat Marek Plutinsky jakub hnatiak Magno F Formiga Lawrence Patrick Cahalin Department of Rehabilitation University Hospital BrnoBrno 62500Czech Republic Department of Public Health Faculty of MedicineMasaryk University BrnoBrno 62500Czech Republic Department of Respiratory Diseases University Hospital BrnoBrno 62500Czech Republic International Clinical Research Center St.Anne’s University HospitalBrno 65691Czech Republic Departamento de Fisioterapia Universidade Estadual da ParaíbaCampina Grande 58051Brazil Department of Physical Therapy University of Miami–Miller School of MedicineCoral GablesFL 33101United States

BACKGROUND The prevalence of chronic obstructive pulmonary disease(COPD)is increasing worldwide,and at the same time it is associated with increased mortality and reduced quality of *** to build sustainable rehabilitation approaches to COPD treatment and prevention are *** system of long-term pulmonary rehabilitation care is *** main reasons for the absence of these outpatient programs are the lack of experience,the lack of interest of insurance companies in secondary prevention programs,and the lack of healthcare facilities in large geographical *** possibility of at-home pulmonary rehabilitation models(telemonitoring and telecoaching)could solve this *** SUMMARY A 71-year-old man with severe COPD,Global Initiative for Obstructive Lung Diseases stage 3 underwent an 8-wk remotely monitored inspiratory muscle training with a device based on the test of incremental respiratory endurance ***,body plethysmography,test of incremental respiratory endurance examination,6-min walking test,body mass index,airflow obstruction,dyspnea,exercise capacity index,and subjective perception of dyspnea were performed as part of the initial and final *** patient performed training at home,and the physiotherapist monitored the patient remotely through a web application that allowed the physiotherapist to evaluate all training parameters in real-time and respond to any *** 8 wk of home training,there was a significant increase in all monitored values:maximal inspiratory pressure,a novel parameter sustained maximal inspiratory pressure,forced expiratory volume in 1 s,total lung capacity,forced vital capacity,peak expiratory flow,and inspiratory *** was also an improvement in the perception of dyspnea according to the COPD Assessment Test and a modified Medical Research Council Breathlessness Scale,an increase in exercise tolerance according to the 6-min walking test,and a decrease in the exercise

关键词： Chronic obstructive pulmonary disease Test of incremental respiratory endurance Inspiratory muscle training Telerehabilitation Case report

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