| Journal: | Brazilian journal of physical therapy |
| Database: | PERIÓDICA |
| System number: | 000380173 |
| ISSN: | 1809-9246 |
| Authors: | Farias, Catharinne C1 Resqueti, Vanessa2 Dias, Fernando A.L1 Borghi-Silva, Audrey3 Arena, Ross4 Fregonezi, Guilherme A.F1 |
| Institutions: | 1Universidade Federal do Rio Grande do Norte, Departamento de Terapia Fisica, Natal, Rio Grande do Norte. Brasil 2Universidade Federal de Pernambuco, Departamento de Terapia Fisica, Recife, Pernambuco. Brasil 3Universidade Federal de Sao Carlos, Departamento de Terapia Fisica, Sao Carlos, Sao Paulo. Brasil 4University of Illinois at Chicago, College of Applied Health Sciences, Chicago, Illinois. Estados Unidos de América |
| Year: | 2014 |
| Season: | Mar-Abr |
| Volumen: | 18 |
| Number: | 2 |
| Pages: | 165-173 |
| Country: | Brasil |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Experimental, caso clínico |
| English abstract | Objective: The current study evaluated the costs and benefits of a simple aerobic walking program for patients with chronic obstructive pulmonary disease (COPD). Method: This was a blinded randomized controlled clinical trial that recruited 72 patients diagnosed with COPD, 40 of whom were included in the study and divided into two groups [control group (CG) and pulmonary rehabilitation group (GPR)]. We assessed pulmonary function, distance covered during the 6-minute walk test (6MWT), respiratory and peripheral muscle strength, health-related quality of life (HRQOL), body composition, and level of activities of daily living (ADLs) before and after an 8-week walking program. The financial costs were calculated according to the pricing table of the Brazilian Unified Health System (SUS). Results: Only 34 of the 40 patients remained in the final sample; 16 in the CG and 18 in the GPR (FEV1 : 50.9±14% predicted and FEV1 : 56±0.5% predicted, respectively). The intervention group exhibited improvements in the 6MWT, sensation of dyspnea and fatigue, work performed, BODE index (p<0.01), HRQOL, ADL level (p<0.001), and lower limb strength (p<0.05). The final mean cost per patient for the GPR was R$ 148.75 (~US$ 75.00) and no patient significantly exceeded this value. However, 2 patients in the CG did exceed this value, incurring a cost of R$ 689.15 (~US$ 345.00). Conclusion: Aerobic walking demonstrated significant clinical benefits in a cost-efficient manner in patients with COPD |
| Disciplines: | Medicina |
| Keyword: | Neumología, Terapéutica y rehabilitación, Enfermedad pulmonar obstructiva crónica (EPOC), Ejercicio aeróbico, Costo-beneficio, Prueba de caminata de seis minutos |
| Keyword: | Medicine, Pneumology, Therapeutics and rehabilitation, Chronic obstructive pulmonary disease (COPD), Aerobic exercise, Cost-benefit, Six minutes walk test |
| Full text: | Texto completo (Ver PDF) |
