Article Respiratory System
Pulmonary telerehabilitation vs. conventional pulmonary rehabilitation - a secondary responder analysis
Henrik Hansen, Andre Torre, Thomas Kallemose, Charlotte Suppli Ulrik, Nina Skavlan Godtfredsen
Summary: This study analyzed the proportion of minimal important changes in patients with COPD who received home-based pulmonary telerehabilitation (PTR) or traditional hospital-based outpatient pulmonary rehabilitation (PR). The results showed no significant difference in the improvement of walking distance between home-based PTR and traditional PR at 10 and 62 weeks. While home-based PTR is an effective alternative, outpatient PR remains the preferred option.
THORAX (2023)
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Article Biochemistry & Molecular Biology
Clinical Assessment of Endothelial Function in Convalescent COVID-19 Patients Undergoing Multidisciplinary Pulmonary Rehabilitation
Pasquale Ambrosino, Antonio Molino, Ilenia Calcaterra, Roberto Formisano, Silvia Stufano, Giorgio Alfredo Spedicato, Andrea Motta, Antimo Papa, Matteo Nicola Dario Di Minno, Mauro Maniscalco
Summary: This study found that endothelial function improved in convalescent COVID-19 patients after pulmonary rehabilitation, with a direct correlation between pulmonary function and endothelial health. Endothelial function testing may be useful for follow-up care in these patients.
BIOMEDICINES (2021)
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Article Rheumatology
Physical activity in patients with rheumatoid arthritis-an agile lifelong behaviour: a qualitative meta-synthesis
Emma Swardh, Christina Opava, Nina Brodin
Summary: Physical activity (PA) in rheumatoid arthritis (RA) is considered a lifelong behavior influenced by the disease. Patients perceive the impact of the disease on their health and engage in PA by increasing awareness, enhancing body awareness, and seeking social support. This meta-synthesis provides insights for tailoring PA support to individual drivers and determinants in clinical practice, benefiting both health professionals and RA patients.
RMD OPEN (2021)
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Article Orthopedics
Use of supplemental oxygen during exercise testing and training for people with chronic obstructive pulmonary disease: a survey of Australian pulmonary rehabilitation programs
Regina W. M. Leung, Jennifer A. Alison, Sue C. Jenkins, Anne E. Holland, Kylie Hill, Norman R. Morris, Lissa M. Spencer, Catherine J. Hill, Annemarie L. Lee, Helen E. Seale, Nola M. Cecins, Christine F. McDonald, Zoe J. McKeough
Summary: The majority of Australian pulmonary rehabilitation programs monitor oxygen saturation and provide supplemental oxygen during testing and training. Most programs prescribe oxygen during exercise training to maintain SpO(2) above a threshold of 80-88%, but few have a protocol for supplemental oxygen prescription. This may be due to lack of strong evidence supporting the use of supplemental oxygen during exercise training.
BRAZILIAN JOURNAL OF PHYSICAL THERAPY (2021)
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Article Cardiac & Cardiovascular Systems
Differential Evaluating Effect on Exercise Capacity of Cardiopulmonary Exercise Testing and Treadmill Exercise Testing in Post-percutaneous Coronary Intervention Patients
Yifan Gao, Bin Feng, Rong Hu, YingYue Zhang, Yajun Shi, Yong Xu, Jing Ma
Summary: This study aimed to compare the differences in maximum exercise capacity in post-PCI patients measured by CPET and TET, and analyze the factors influencing the differences. The results showed that the maximum exercise capacity measured by TET was significantly higher than that measured by CPET, and it was negatively correlated with waist-hip ratio.
FRONTIERS IN CARDIOVASCULAR MEDICINE (2021)
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Article Critical Care Medicine
Pulmonary Rehabilitation in Persons With COPD
Chris Garvey
Summary: Pulmonary rehabilitation is highly effective but underused in the treatment of COPD. Lack of reimbursem*nt and poor access, especially in rural areas, are major challenges. Virtual PR may improve access, but there is uncertainty about Medicare coverage and considerable heterogeneity in virtual PR models.
RESPIRATORY CARE (2023)
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Article Pharmacology & Pharmacy
Effect of pulmonary rehabilitation on heart rate recovery in adult individuals with asthma or chronic obstructive pulmonary disease
Elisabetta Zampogna, Nicolino Ambrosino, Federico Mattia Oliva, Monica Rudi, Giovanni Sotgiu, Laura Saderi, Antonio Spanevello, Dina Visca
Summary: This study evaluated the impact of pulmonary rehabilitation on heart rate recovery (HRR) in individuals with asthma compared to those with COPD. The findings showed that individuals with asthma had a lower prevalence of slow HRR than those with COPD. However, exercise training significantly improved exercise capacity in both populations.
FRONTIERS IN PHARMACOLOGY (2022)
Article Cardiac & Cardiovascular Systems
Standardized exercise training is feasible, safe, and effective in pulmonary arterial and chronic thromboembolic pulmonary hypertension: results from a large European multicentre randomized controlled trial
Ekkehard Gruenig, Alison MacKenzie, Andrew J. Peaco*ck, Christina A. Eichstaedt, Nicola Benjamin, Robert Nechwatal, Silvia Ulrich, Stephanie Saxer, Maurizio Bussotti, Marinella Sommaruga, Stefano Ghio, Lina Gumbiene, Egle Paleviciute, Elena Jureviciene, Antonio Cittadini, Anna A. Stanziola, Alberto M. Marra, Gabor Kovacs, Horst Olschewski, Joan-Albert Barbera, Isabel Blanco, Martijn A. Spruit, Frits M. E. Franssen, Anton Vonk Noordegraaf, Abilio Reis, Mario Santos, Sofia Goncalves Viamonte, Heleen Demeyer, Marion Delcroix, Eduardo Bossone, Martin Johnson
Summary: This study is the first multicentre and largest randomized, controlled study on the feasibility, safety, and efficacy of exercise training as add-on to medical therapy in PAH and CTEPH patients, showing that exercise training can improve patients' exercise capacity, quality of life, and WHO functional class.
EUROPEAN HEART JOURNAL (2021)
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Article Cardiac & Cardiovascular Systems
Standardized exercise training is feasible, safe, and effective in pulmonary arterial and chronic thromboembolic pulmonary hypertension: results from a large European multicentre randomized controlled trial
Ekkehard Gruenig, Alison MacKenzie, Andrew J. Peaco*ck, Christina A. Eichstaedt, Nicola Benjamin, Robert Nechwatal, Silvia Ulrich, Stephanie Saxer, Maurizio Bussotti, Marinella Sommaruga, Stefano Ghio, Lina Gumbiene, Egle Paleviciute, Elena Jureviciene, Antonio Cittadini, Anna A. Stanziola, Alberto M. Marra, Gabor Kovacs, Horst Olschewski, Joan-Albert Barbera, Isabel Blanco, Martijn A. Spruit, Frits M. E. Franssen, Anton Vonk Noordegraaf, Abilio Reis, Mario Santos, Sofia Goncalves Viamonte, Heleen Demeyer, Marion Delcroix, Eduardo Bossone, Martin Johnson
Summary: This study demonstrated that exercise training for patients with PAH and CTEPH can significantly improve quality of life, WHO functional class, and peak oxygen consumption, and is feasible, safe, and well-tolerated as an add-on to medical therapy.
EUROPEAN HEART JOURNAL (2021)
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Review Biochemistry & Molecular Biology
Efficacy of Pulmonary Rehabilitation in Post-COVID-19: A Systematic Review and Meta-Analysis
Erika Melendez-Oliva, Oliver Martinez-Pozas, Juan Nicolas Cuenca-Zaldivar, Jorge Hugo Villafane, Laura Jimenez-Ortega, Eleuterio A. Sanchez-Romero
Summary: This systematic review and meta-analysis examines the impact of pulmonary rehabilitation on subacute and long COVID-19 patients, evaluating improvements in dyspnea, physical function, quality of life, psychological state, and fatigue. The study included 34 studies involving 1970 patients and found moderate to large effects on dyspnea, physical function, quality of life, and depressive symptoms. However, caution should be taken due to the high risk of bias in the included studies.
BIOMEDICINES (2023)
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Article Rehabilitation
Swimming-induced changes in pulmonary function: special observations for clinical testing
Marja Paivinen, Kari Keskinen, Heikki Tikkanen
Summary: Swimmers commonly experience respiratory symptoms at competition speed intensity swimming. There are gender differences in respiratory function measurements between land and water testing in swimmers, suggesting the need for consideration in clinical testing. During the intensity that triggered the most severe symptoms, swimmers exhibited approximately 20% higher minute ventilation than the target ventilations for clinical testing.
BMC SPORTS SCIENCE MEDICINE AND REHABILITATION (2021)
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Article Pharmacology & Pharmacy
Repurposing of Pirfenidone (Anti-Pulmonary Fibrosis Drug) for Treatment of Rheumatoid Arthritis
Donghao Gan, Wenxiang Cheng, Liqing Ke, Antonia RuJia Sun, Qingyun Jia, Jianhai Chen, Jietao Lin, Jian Li, Zhanwang Xu, Peng Zhang
Summary: Clinical studies have shown that pirfenidone effectively relieves joint pain in rheumatoid arthritis patients. This study investigated the repurposing of pirfenidone for RA treatment and explored its anti-rheumatic mechanisms. Through in vivo and in vitro models, the study suggested that pirfenidone may alleviate pathological changes in RA by inhibiting inflammation and angiogenesis through multiple pathways such as JAK2/STAT3 and Akt.
FRONTIERS IN PHARMACOLOGY (2021)
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Review Immunology
Clinical effect and biological mechanism of exercise for rheumatoid arthritis: A mini review
Zongpan Li, Xue-Qiang Wang
Summary: Exercise is effective for treating rheumatoid arthritis (RA) but the mechanism of its effectiveness is still unclear.
FRONTIERS IN IMMUNOLOGY (2023)
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Article Medicine, General & Internal
Effectiveness of Pulmonary Rehabilitation for Chronic Obstructive Pulmonary Disease Therapy: Focusing on Traditional Medical Practices
Katrina O. Tonga, Brian G. Oliver
Summary: Chronic obstructive pulmonary disease (COPD) is a complex and serious disease with various physical and psychological manifestations. Pulmonary rehabilitation, including exercise, is an effective intervention for COPD. However, the efficacy of non-traditional forms of exercise in alternative medicine remains poorly understood. This study aims to fill this knowledge gap and provide a summary of the clinical evidence for traditional exercise regimens in the pulmonary rehabilitation of COPD patients.
JOURNAL OF CLINICAL MEDICINE (2023)
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Review Nursing
The effect of physical exercise on rheumatoid arthritis: An overview of systematic reviews and meta-analysis
Huiling Hu, Anqi Xu, Chao Gao, Zhenqing Wang, Xue Wu
Summary: This study addressed which outcomes will be improved by different exercise interventions and evaluated the evidence quality for each intervention. The results showed significant improvement in different symptoms of rheumatoid arthritis (RA) patients with different exercise methods. For RA patients, any exercise is better than no exercise, but the intensity, frequency, and period of exercise for better results are yet to be determined.
JOURNAL OF ADVANCED NURSING (2021)
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Article Orthopedics
Home-based rehabilitation improves functional capacity and quality of life in women with systemic sclerosis: A preliminary study
Samantha Gomes de Alegria, Beatriz Luiza Pinheiro Alves Azevedo, Jessica Gabriela Messias Oliveira, Matheus Mello da Silva, Damara Guedes Gardel, Thiago Thomaz Mafort, Agnaldo Jose Lopes
Summary: This study examined the impact of therapist-oriented home rehabilitation (TOHR) on functional capacity, physical function, hand function, and quality of life (QoL) among women with systemic sclerosis (SSc). The results showed that after TOHR, there was a significant reduction in total time and manual time for TGlittre tasks, improvement in hand function and QoL.
JOURNAL OF BACK AND MUSCULOSKELETAL REHABILITATION (2023)
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Article Orthopedics
Education to keep the abdomen relaxed versus contracted during pilates in patients with chronic low back pain: study protocol for a randomised controlled trial
Luciana Crepaldi Lunkes, Milton Apolinario Dias Neto, Lavinia Fernandes Barra, Livia Resende de Castro, Arthur Sa Ferreira, Ney Meziat-Filho
Summary: This study aims to investigate the effectiveness of education to keep the abdomen relaxed versus contracted during Pilates exercises in patients with primary chronic low back pain. The study will be conducted as a two-group randomised controlled trial with a total of 152 participants. The findings will help in clinical decision-making and understanding the importance of abdominal contraction in the effectiveness of the Pilates method for this population.
BMC MUSCULOSKELETAL DISORDERS (2023)
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Article Physiology
Is postexercise hypotension a method-dependent phenomenon in chronic stroke? A crossover randomized controlled trial
Guilherme F. Fonseca, Andre C. Michalski, Arthur S. Ferreira, Victor A. B. Costa, Renato Massaferri, Paulo Farinatti, Felipe A. Cunha
Summary: This study assessed the reproducibility of postexercise hypotension (PEH) detection after two bouts of mixed circuit training (MCT) in chronic stroke patients. The most reliable approach for determining PEH was to compare the postexercise blood pressure values with a control session, and the proportion of PEH responders was not affected by the cut-off values applied.
CLINICAL PHYSIOLOGY AND FUNCTIONAL IMAGING (2023)
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Article Rehabilitation
Frailty Education
Maria Chiara Maccarone, Stefano Masiero, Jannis Papathanasiou, Kiril Panayotov, Yana Kashilska, Konstantinos Prokopidis, Christina Papanastasiou, Minos Tyllianakis, Yannis Dionyssiotis
Summary: Frailty, a geriatric syndrome, is associated with an increased risk of disability and adverse health and socioeconomic outcomes. Customized evaluation and management plans, including physical activity, educative strategies, nutritional interventions, and proposals for social reintegration, are needed for better management of these patients.
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION (2023)
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Article Clinical Neurology
Prefrontal tDCS modulates autonomic responses in COVID-19 inpatients
Talita P. Pinto, Jacqueline C. Inacio, Erivelton de Aguiar, Arthur S. Ferreira, Felipe Kenji Sudo, Fernanda Tovar-Moll, Erika C. Rodrigues
Summary: The study aimed to investigate the efficacy, safety, and feasibility of a single session of bihemispheric prefrontal tDCS on cardiac autonomic regulation and mood of COVID-19 inpatients. The results showed a significant effect of tDCS on cardiac autonomic regulation, with increased oxygen saturation in the active group. However, no significant differences were observed in mood and adverse effects. Therefore, a single prefrontal tDCS session is safe and effective in modulating cardiac autonomic regulation in acute COVID-19 inpatients.
BRAIN STIMULATION (2023)
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Article Orthopedics
Assessment of short- and long-term functionality and quality of life in patients with post-acute COVID-19 syndrome
Joao Eduardo de Azevedo Vieira, Thiago Thomaz Mafort, Laura Braga Monnerat, Mariana Soares da Cal, Angelo Thomaz Abalada Ghetti, Agnaldo Jose Lopes
Summary: This study evaluated muscle function and quality of life in patients with post-acute COVID-19 syndrome at 3, 6, 9, and 12 months, and assessed their associations with general fatigue and lung function. The results showed a progressive improvement in quality of life, general fatigue, and pulmonary function during the 12 months of follow-up, with more pronounced improvement in the first 6 months. There was a relationship between functionality and quality of life in these patients.
JOURNAL OF BACK AND MUSCULOSKELETAL REHABILITATION (2023)
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Article Health Care Sciences & Services
Assessment of Functional Capacity in Patients with Nondialysis-Dependent Chronic Kidney Disease with the Glittre Activities of Daily Living Test
Mauro Ribeiro Balata, Arthur Sa Ferreira, Ariane da Silva Sousa, Laura Felipe Meinertz, Luciana Milhomem de Sa, Vinicius Guterres Araujo, Jannis Papathanasiou, Agnaldo Jose Lopes
Summary: This study evaluated the functional capacity in patients with NDD-CKD using the Glittre-ADL test and found a correlation between TGlittre time and handgrip strength (HGS) as well as physical activity level (PAL). Incorporating the TGlittre into the evaluation of these patients may improve risk stratification and personalized care.
HEALTHCARE (2023)
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Article Public, Environmental & Occupational Health
Better Work Ability Is Associated With Lower Levels of Both Occupational Stress and Occupational Physical Activity in Professional Drivers
Cynthia Mara Zilli Casagrande, Jean Paulo Farias, Ney Meziat-Filho, Leandro Alberto Calazans Nogueira, Arthur Sa Ferreira
Summary: Better work ability is associated with lower levels of occupational stress and physical activity, but higher levels of leisure activities and physical exercises. Sociodemographic factors and ergonomics organization have a smaller role in determining the work ability of professional drivers.
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE (2023)
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Article Multidisciplinary Sciences
Performance during the Glittre-ADL test between patients with and without post-tuberculosis bronchiectasis: A cross-sectional study
Cristiane Pires Motta, Davi Luiz Olimpio da Silva, Lohana Resende da Costa, Giselle Faria Galhardo, Agnaldo Jose Lopes
Summary: This study used TGlittre to compare patients with PTBB to patients with NPTBB and evaluate the determinants of performance during TGlittre. The results showed that PTBB patients had lower than expected performance on TGlittre, and lung volume and QMS were the important factors affecting performance.
PLOS ONE (2023)
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Article Multidisciplinary Sciences
Association between clinical, serological, functional and radiological findings and ventilatory distribution heterogeneity in patients with rheumatoid arthritis
Elizabeth Jauhar Cardoso Bessa, Felipe de Miranda Carbonieri Ribeiro, Rosana Souza Rodrigues, Claudia Henrique da Costa, Rogerio Rufino, Geraldo da Rocha Castelar Pinheiro, Agnaldo Jose Lopes
Summary: This study found that lung function, extent of lung involvement, and age are associated with poorly distributed ventilation in patients with RA. In addition, respiratory symptoms and deteriorated physical function are closely related to the distribution of ventilation in these patients.
PLOS ONE (2023)
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Article Respiratory System
Oscillometry of the respiratory system in Parkinson's disease: physiological changes and diagnostic use
Bruno Tavares Caldas, Fernando Carlos Vetromille Ribeiro, Joao Santos Pereira, Wilma Costa Souza, Agnaldo Jose Lopes, Pedro Lopes de Melo
Summary: Respiratory oscillometry simplifies lung function analysis in Parkinson's disease (PD) and has high diagnostic accuracy in early and more advanced stages of the disease. Different stages of PD are associated with respiratory abnormalities including increased peripheral resistance, reductions in dynamic compliance, and an increase in resonance frequency.
BMC PULMONARY MEDICINE (2023)
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Article Rehabilitation
Feasibility of the Glittre-ADL test in the preoperative period of thoracic surgery
Isabelle da Nobrega Ferreira, Ariane Moreira Carneiro de Oliveira, Brenda Mesquita dos Santos, Agnaldo Jose Lopes
Summary: This study evaluated the association between TGlittre test and measures of pulmonary function, body balance, and quality of life in patients undergoing thoracic surgery in the preoperative period. It also found that TGlittre test may be a prognostic test for postoperative complications, especially with respect to chest tube duration.
PHYSIOTHERAPY THEORY AND PRACTICE (2023)
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Article Rehabilitation
Prediction models for physical function in COVID-19 survivors
Joao Eduardo de Azevedo Vieira, Arthur de Sa Ferreira, Laura Braga Monnerat, Mariana Soares da Cal, Angelo Thomaz Abalada Ghetti, Thiago Thomaz Mafort, Agnaldo Jose Lopes
Summary: This study built prediction models for the Post-COVID-19 Functional Status (PCFS) scale using sociodemographic data, clinical findings, lung function, and muscle strength. The results showed that worse general fatigue and handgrip strength were associated with more severe physical function impairments in patients with post-COVID-19 syndrome. Additionally, a history of prior hospitalization resulted in worse physical function. Prediction models incorporating objective measures can better assess the physical function of these patients and aid in the selection of candidates for a physical reconditioning program.
JOURNAL OF BODYWORK AND MOVEMENT THERAPIES (2024)
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