Abstract:
OBJECTIVE:To investigate the effects of respiratory rehabilitation on respiratory function, swallowing in community-dwelling frail older patients with musculoskeletal disorders. DESIGN:Randomized open-label controlled trial. SETTING:Day-care facility in a rehabilitation hospital in Japan. SUBJECTS:A total of 63 participants with musculoskeletal disorders (intervention group: n = 31; control group: n = 32) completed the randomized controlled trial. INTERVENTIONS:All participants received 12 20-min sessions twice a week for 6 weeks of either typical rehabilitation (control) or typical rehabilitation with respiratory rehabilitation (intervention). MAIN MEASURES:Outcome measures were assessed prior to rehabilitation and after 12 sessions. The measures included: respiratory function, swallowing function, exercise tolerance, 6-min walk distance, thorax flexibility, muscle strength (grip and abdominal), activities of daily living, and quality of life. RESULTS:Participants in the intervention group showed significantly greater improvement in respiratory function (95% confidence interval (CI), 3.8-6.6; p = 0.01), swallowing function (95% CI -1.8-0.6; p = 0.01), and quality of life (SF8 Physical Summary Score) (95% CI 2.4-7.1; p = 0.01) compared with those in the control group. CONCLUSION:Addition of respiratory rehabilitation to a typical rehabilitation programme could improve not only respiratory and swallowing function, but also quality of life, in frail older patients.
journal_name
J Rehabil Medjournal_title
Journal of rehabilitation medicineauthors
Maki N,Sakamoto H,Takata Y,Kobayashi N,Kikuchi S,Goto Y,Ichimura H,Sato Y,Yanagi Hdoi
10.2340/16501977-2490subject
Has Abstractpub_date
2018-11-07 00:00:00pages
908-913issue
10eissn
1650-1977issn
1651-2081journal_volume
50pub_type
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