You are here

Effects of Exercise in Pulmonary Rehabilitation on a Patient with Uncontrolled Symptomatic Asthma

Download pdf | Full Screen View

Date Issued:
2019-04-30
Summary:
Background and Purpose: This case report describes the efficacy of 5 weeks of pulmonary rehabilitation intervention for a seventy-one-year-old subject with uncontrolled symptomatic asthma. This case reported aimed to investigate functional improvements seen in the individual after completing graded, supervised exercise as a component of pulmonary rehabilitation. Case Description: The patient was referred to pulmonary rehabilitation due to shortness of breath, general deconditioning, and fear of activity. A Six Minute Walk Test was administered before 5 weeks of pulmonary rehabilitation, during which there was a drop of O2 saturation from 98% to 91% on room air, a Rate of Perceived Exertion of 2 and a distance traveled of 336.8 m with no rest breaks at the end of the test. The patient participated in twice weekly pulmonary rehabilitation sessions for a total of 10 sessions in 5 weeks. Each 100-minute session consisted of graded exercise on aerobic exercise equipment along with 10 minutes of light general strengthening and prescheduled mixed-diagnosis patient education class that consisted of a variety of topics. Additionally, patient education on use of a respiratory muscle trainer for 20 minutes a day at home was administered. Outcome: At the post intervention Six Minute Walk Test the patient’s O2 saturation maintained between 98-99% throughout the test, Rate of Perceived Exertion was 0, and distance traveled was 412. 1 m. The patient’s aerobic exercise tolerance improved from 18 minutes to 40 minutes with increased resistance across all modalities and the patient reported a large decrease in the degree that her symptoms affected her quality of life as assessed via outcome questionnaires. The patient had post intervention scores of a 4 out of 120 on the SOBQ, a 4 out of 40 on the CAT, a 1 out of 4 on the MMRC and a 1 out of 27 on the PHQ-9. Discussion: The findings of this case report suggest that graded aerobic exercise is efficacious for severely asthmatic patients and should be considered in conjunction with pharmacotherapy in managing the disease.
Title: Effects of Exercise in Pulmonary Rehabilitation on a Patient with Uncontrolled Symptomatic Asthma.
17 views
2 downloads
Name(s): Hernandez, Charles Joseph Farley, Author
Marieb College of Health & Human Services, Degree granting institution
Type of Resource: text
Genre: Case Report
Issuance: single unit
Date Issued: 2019-04-30
Extent: 24 pgs.
Language(s): English
Summary: Background and Purpose: This case report describes the efficacy of 5 weeks of pulmonary rehabilitation intervention for a seventy-one-year-old subject with uncontrolled symptomatic asthma. This case reported aimed to investigate functional improvements seen in the individual after completing graded, supervised exercise as a component of pulmonary rehabilitation. Case Description: The patient was referred to pulmonary rehabilitation due to shortness of breath, general deconditioning, and fear of activity. A Six Minute Walk Test was administered before 5 weeks of pulmonary rehabilitation, during which there was a drop of O2 saturation from 98% to 91% on room air, a Rate of Perceived Exertion of 2 and a distance traveled of 336.8 m with no rest breaks at the end of the test. The patient participated in twice weekly pulmonary rehabilitation sessions for a total of 10 sessions in 5 weeks. Each 100-minute session consisted of graded exercise on aerobic exercise equipment along with 10 minutes of light general strengthening and prescheduled mixed-diagnosis patient education class that consisted of a variety of topics. Additionally, patient education on use of a respiratory muscle trainer for 20 minutes a day at home was administered. Outcome: At the post intervention Six Minute Walk Test the patient’s O2 saturation maintained between 98-99% throughout the test, Rate of Perceived Exertion was 0, and distance traveled was 412. 1 m. The patient’s aerobic exercise tolerance improved from 18 minutes to 40 minutes with increased resistance across all modalities and the patient reported a large decrease in the degree that her symptoms affected her quality of life as assessed via outcome questionnaires. The patient had post intervention scores of a 4 out of 120 on the SOBQ, a 4 out of 40 on the CAT, a 1 out of 4 on the MMRC and a 1 out of 27 on the PHQ-9. Discussion: The findings of this case report suggest that graded aerobic exercise is efficacious for severely asthmatic patients and should be considered in conjunction with pharmacotherapy in managing the disease.
Identifier: fgcu_ETD_0284 (IID)
Degree Awarded: Doctorate in Physical Therapy
Department: Rehabilitation Sciences
Committee Chair/Advisor: Ahmed Elokda, Ph.D., PT, FAAVCPR
Committee Member: Arie van Duijn, EdD, PT, OCS
Subject(s): Physical therapy
Exercise
Asthma
Persistent Link to This Record: http://purl.flvc.org/fgcu/fd/fgcu_ETD_0284
Use and Reproduction: Creator holds copyright.
Use and Reproduction: http://rightsstatements.org/vocab/InC/1.0/
Host Institution: FGCU