Format

Send to

Choose Destination
Chest. 2009 Feb;135(2):442-447. doi: 10.1378/chest.08-1458. Epub 2008 Oct 10.

Pulmonary rehabilitation in interstitial lung disease: benefits and predictors of response.

Author information

1
Department of Medicine, University of California San Francisco, San Francisco, CA.
2
Department of Pulmonary and Cardiac Rehabilitation, Seton Medical Center Pulmonary Rehabilitation, Daly City, CA.
3
INOVA Fairfax Hospital Lung Health Services, Falls Church, VA.
4
John Muir Health Lung Health Services, Concord, CA.
5
Department of Medicine, New York University, New York, NY.
6
Department of Medicine, University of California San Francisco, San Francisco, CA. Electronic address: hal.collard@ucsf.edu.

Abstract

BACKGROUND:

Data examining the role of pulmonary rehabilitation (PR) in interstitial lung disease (ILD) are limited. We tested the hypothesis that PR can improve functional status and dyspnea in a large group of patients with ILD, and that certain baseline patient variables can predict this improvement.

METHODS:

Data from patients who were referred to PR with a diagnosis of ILD were included. Baseline and post-PR variables were recorded, and changes in 6-min walk test (6MWT) distance and dyspnea were evaluated. The impact of baseline variables on change in 6MWT distance and dyspnea were analyzed.

RESULTS:

A statistically significant difference was seen in both the change in Borg score and 6MWT distance after PR (p < 0.0001). These changes were consistent with previously established clinically significant differences. Baseline 6MWT distance was a significant predictor of change in 6MWT distance (p < 0.0001), with increasing baseline 6MWT distance predicting a smaller improvement after PR.

CONCLUSIONS:

These results suggest that PR should be considered as a standard of care for patients with ILD.

PMID:
18849399
DOI:
10.1378/chest.08-1458
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center