The Science Journal of the American Association for Respiratory Care

2006 OPEN FORUM Abstracts

EXERCISE CAPACITY IN PULMONARY REHABILITATION PATIENTS WITH RESTRICTIVE LUNG DISEASE

-  Gerilynn L. Connors, RRT, FAACVPR, Susan Farrell, RRT, NPS, AE-C, Judith Shumway, RRT, Sidnie Hess, RRT, AE-C, Heather Montilla, RRT, Junk Leah RRT, Jill Baker RRT, Tom Malinowski, RRT, FAARC, Tom Arrowsmith, RRT, James Lamberti, MD. Inova Fairfax Hospital, Falls Church, VA.

Background:  Pulmonary Rehabilitation programs have traditionally focused on patients with Chronic Obstructive Pulmonary Disease.  We have experienced an increase in the number of patients who disease etiology is restrictive in nature.  We hypothesize that the exercise capacity within this subset of patients who participate in a comprehensive pulmonary rehabilitation program can be improved.  We report on the exercise capacity in a cohort of patients with Restrictive Lung Disease.

Methods:  Retrospective Analysis of pre- and post exercise capacity as evidenced by the 6-minute walk test (6MWT).

Results: 18 restrictive lung disease patients received pre- and post 6 MWT.  The average pre distance was 1,126 ft with a post of 1,488 ft.  The average BORG scale (0-10) to measure dyspnea pre was 2.61 and post was 1.75.  The average level of energy expenditure (MET) as calculated to correlate with function level pre was 2.73 and post was 2.99.

Conclusions: Exercise training from a comprehensive pulmonary rehabilitation program in the patient population with restrictive lung disease resulted in improved exercise tolerance and functional level.  It is imperative that patients with a diagnosis of restrictive lung disease be referred to pulmonary rehabilitation to improve their function and exercise levels.


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