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Inicio Medicina Clínica (English Edition) Physical therapy intervention during hospitalization in patients with acute exac...
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Vol. 146. Issue 7.
Pages 301-304 (April 2016)
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Vol. 146. Issue 7.
Pages 301-304 (April 2016)
Brief report
Physical therapy intervention during hospitalization in patients with acute exacerbation of chronic obstructive pulmonary disease and pneumonia: A randomized clinical trial
Intervención fisioterápica durante la hospitalización en pacientes con exacerbación aguda de la enfermedad pulmonar obstructiva crónica y neumonía: un ensayo clínico aleatorizado
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Adelina Martín-Salvador, Gloria Colodro-Amores, Irene Torres-Sánchez, M. Paz Moreno-Ramírez, Irene Cabrera-Martos, Marie Carmen Valenza
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cvalenza@ugr.es

Corresponding author.
Departamento de Fisioterapia, Universidad de Granada, Granada, Spain
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Tables (2)
Table 1. Characteristics of subjects included in the study.
Table 2. Changes experienced by the intervention group during hospitalization.
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Abstract
Background and objective

Respiratory infections involve not only hospitalization due to pneumonia, but also acute exacerbations of COPD (AECOPD). The objective of the present study was to evaluate the effectiveness of a physical therapy intervention during hospitalization in patients admitted due to community-acquired pneumonia (CAP) and AECOPD.

Material and method

Randomized clinical trial, 44 patients were randomized into 2 groups: a control group which received standard medical therapy (oxygen therapy and pharmacotherapy) and an experimental group that received standard treatment and a physical therapy intervention (breathing exercises, electrostimulation, exercises with elastic bands and relaxation).

Results

Between-groups analysis showed that after the intervention (experimental vs. control) significant differences were found in perceived dyspnoea (p=0.041), and right and left quadriceps muscle strength (p=0.008 and p=0.010, respectively). In addition, the subscale of “domestic activities” of the functional ability related to respiratory symptoms questionnaire showed significant differences (p=0.036).

Conclusion

A physical therapy intervention during hospitalization in patients with AECOPD and CAP can generate skeletal muscle level gains that exceed the deterioration caused by immobilisation during hospitalization.

Keywords:
Pneumonia
Chronic obstructive pulmonary disease
Hospitalization
Physical therapy modalities
Resumen
Fundamento y objetivo

Las infecciones respiratorias suponen no solo los ingresos por neumonía, sino también la mayoría de las exacerbaciones agudas de EPOC (EAEPOC). El objetivo de este trabajo fue evaluar la efectividad de una intervención fisioterápica durante el período hospitalario en pacientes ingresados por EAEPOC y neumonía adquirida en la comunidad (NAC).

Material y método

Ensayo clínico aleatorizado, con 44 pacientes distribuidos en 2 grupos: un grupo control que recibió el tratamiento médico estándar (oxigenoterapia y farmacoterapia) y un grupo experimental que recibió el tratamiento estándar y una intervención fisioterápica (reeducación ventilatoria, electroestimulación, ejercicios con bandas elásticas y relajación).

Resultados

Al comparar ambos grupos tras las intervenciones (experimental frente a control) se encontraron diferencias significativas en la disnea percibida (p=0,041), así como en la fuerza muscular de los cuádriceps derecho e izquierdo (p=0,008 y p=0,010, respectivamente). Adicionalmente, la subescala «actividades domésticas» del cuestionario de capacidad funcional relacionada con sintomatología respiratoria mostró diferencias significativas (p=0,036).

Conclusión

Una intervención fisioterápica durante el período hospitalario en pacientes con EAEPOC y NAC puede generar mejoras a nivel musculoesquelético que superen el deterioro causado por la inmovilización durante la hospitalización.

Palabras clave:
Neumonía
Enfermedad pulmonar obstructiva crónica
Hospitalización
Modalidades de fisioterapia

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