Abstract:
OBJECTIVE:We hypothesized that early ambulation with a gutter frame (GF) in elderly patients hospitalized for acute exacerbation of chronic obstructive pulmonary disease (AECOPD) may reduce physical disability and allow earlier discharge. DESIGN:Blinded, randomized parallel groups trial. SUBJECTS:One hundred and ten consecutive AECOPD inpatients. INTERVENTIONS:Participants were recruited two days post admission and randomly allocated to four groups: GF with supplemental oxygen (GFSO), GF with supplemental air (GFSA), rollator with supplemental air (RSA) and rollator with supplemental oxygen (RSO) (air/oxygen was double-blinded to patients and investigators). Patients exercised three times daily (maximum of 15 minutes per session) with a physiotherapist or nurse. OUTCOME MEASURES:Physical disability measured by Barthel Index and perceived respiratory effort by Borg Scale. RESULTS:After intervention no significant difference was observed between the four groups in length of hospital stay (F= 0.78; p = 0.50), changes in mean Barthel score (F= 2.08; p = 0.11) and Borg score (F= 0.35; p = 0.79). However, improvement in Barthel score (mean 1.22 combined gutter frame group air/oxygen) was greater than the combined rollator group (mean 0.55; p = 0.003). Baseline Barthel score and nurses' assessment of compliance were associated with improvement in Barthel score (p < 0.0001 and p < 0.002). Barthel score was predicted by use of gutter frame (F = 6.17; p = 0.01), not by use of rollator. Use of air/oxygen group was not related to improvement in Barthel score. CONCLUSION:Short-term exercise therapy with gutter frame after AECOPD admission reduces physical disability in older patients but does not affect length of hospital stay. Use of supplemental oxygen during exercise has no additional benefits.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Yohannes AM,Connolly MJdoi
10.1191/0269215503cr637oasubject
Has Abstractpub_date
2003-08-01 00:00:00pages
465-71issue
5eissn
0269-2155issn
1477-0873journal_volume
17pub_type
临床试验,杂志文章,随机对照试验abstract:OBJECTIVE:To test the hypothesis that combined aerobic and resistance training and non-invasive ventilatory support result in additional benefits compared with combined aerobic and resistance training alone in heart failure patients. DESIGN:A randomized, single-blind, controlled study. SETTING:Cardiac rehabilitation ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2017-11-01 00:00:00
abstract::The total extent of sickness in the population has increased while disease has decreased. Being sick is a role that offers the patient many advantages both directly, in terms of being absolved from undertaking many daily activities if necessary, and indirectly, through additional financial and other resources that may...
journal_title:Clinical rehabilitation
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abstract:OBJECTIVE:The objective was to investigate the effect of increased intensity of rehabilitation therapy provided to brain-injured subjects on the rate at which independence was regained and the duration of hospital admission. DESIGN:A two-centre, prospective, controlled study with random allocation to groups. SETTING:...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1191/026921501680425225
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVE:To investigate the efficacy of intermittent cervical traction in the treatment of chronic neck pain over a 12-week follow-up. DESIGN:A randomized controlled trial. SETTING:Hospital-based outpatient practice. SUBJECTS:Seventy-nine patients with chronic neck pain. INTERVENTIONS:Subjects were randomly assign...
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pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:Clinical rehabilitation
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journal_title:Clinical rehabilitation
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2013-06-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析,评审
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更新日期:2014-10-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2012-04-01 00:00:00
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journal_title:Clinical rehabilitation
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更新日期:2010-07-01 00:00:00
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更新日期:2002-11-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215505cr783oa
更新日期:2005-06-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章
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更新日期:2001-04-01 00:00:00
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更新日期:2013-11-01 00:00:00
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journal_title:Clinical rehabilitation
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更新日期:2019-02-01 00:00:00
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更新日期:2017-01-01 00:00:00
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更新日期:2018-07-01 00:00:00
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更新日期:2014-03-01 00:00:00
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更新日期:2017-01-01 00:00:00
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journal_title:Clinical rehabilitation
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