Authors: (including presenting author): :
TAM CY(1) ,YEUNG YY(1), MAK MP(1) LIU YM(2), YUEN PM(2), LEUNG YY(3) YEUNG YC (4)
Affiliation: :
Physiotherapist I (1), Senior Physiotherapist (2), Department Manager (3)
Physiotherapy Department, Princess Margaret Hospital (PMH)
Consultant (4) Medicine and Geriatric Department, Princess Margaret Hospital (PMH)
Introduction: :
COPD is a well-known disease burden and 4 th leading cause of death in the world. Pulmonary rehabilitation had shown to be the most effective non-pharma logical method to improve the shortness of breath, health status and exercise tolerance in the international guideline.
Physiotherapist is one of the key members in providing pulmonary rehabilitation. Structured program was started when suitable patient was admitted in PMH. It was continued in day patient setting when the patient was stabilized and discharged. Individualized treatment including education, dyspnea management, sputum clearance technique, self-management and rehabilitation were emphasized in different stages by physiotherapist.
Objectives: :
to retrospective review the demographic data of the patients underwent pulmonary rehabilitation and their exercise capacity.
Methodology: :
Data (from 1/4/2018- 31/3/2019) were retrieved from clinical management system (CMS) for demographic data, exercise capacity and symptom score.
Result & Outcome: :
37 patients recruited for the OPPR, 35 attended and 27 of them completed the re-assessment. There were 25 males and 2 females. They were aged from 58 to 85 with median of 74.
Lung function test was performed and 2 of them (7 %) failed.
Majority of them were class 3 (45 %) and class 2 (37 %), while the remaining was class 4 (11 %).
For exercise capacity (6 minute walking test), 23 of them got improvement and 4 had negative change. There was statistically significant change in 6 MWT (Z= -3.364, p=0.001) by Wilcoxon signed rank test. The difference in median distance was 50 m.
For symptom assessment (COPD Assessment score (CAT)), 25 patients had completed and 16 of them got improvement. 8 of them showed worsen in CAT score and 1 of them showed no change. There was no statistically significant change (Z= -2.120, p=0.034) after the training. The difference in median score was 4.
For the KAP questionnaire, 21 patients had completed the assessment. 12 of them had improvement. 2 of them showed negative result. Rest (7) of them showed no change. There was no statistically significant change (Z= -1.869, p=0.062). The difference in median score was 1.
Conclusion: There are improvements in the measured domains although only physical domain (6MWT) reached statistically difference. Both 6MWT and CAT scores had reached the MCID as stated in the previous literature. It is worth to continue the program and carry out in a larger scale for review the result in difference aspects.
