[Effects of pulmonary rehabilitation on dysfunctional respiratory patterns in patients with uncontrolled asthma].

IF 1.4 4区 医学 Q3 REHABILITATION
Rehabilitation Pub Date : 2024-04-01 Epub Date: 2024-01-20 DOI:10.1055/a-2192-3377
Franziska Ebert, Nikolaus Ballenberger, Markus C Hayden, Dirk Möller, Matthias Limbach, Michael Schuler, Dennis Nowak, Konrad Schultz
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引用次数: 0

Abstract

Purpose: Dysfunctional breathing patterns (DAM) are deviations from physiologic breathing patterns. DAM seem to be associated with lower asthma control. To date, it is unclear what effect inpatient rehabilitation can have on this problem. The aim of this work is to investigate the effect of pulmonary rehabilitation (PR) on DAM.

Methods: The data are based on a randomized controlled trial with a waiting control group. The intervention group (IG) received PR 4 weeks after application approval and the control group (KG) after 5 months. Dysfunctional breathing was assessed by Nijmegen-Questionnaire (NQ). Values ≥ 23 points indicate an existing DAM. Values at the end of rehabilitation (T2) and after three months (T3) were compared (analysis of covariance). Supplemental moderator analysis was performed to examine whether the effect of PR was related to baseline NQ scores.

Results: Significant differences in NQ score are found between IG (n=202) and KG (n=210) at T2 (AMD=10.5; 95%CI [9; 12]; d=1.4; p<0.001) and at T3 (AMD=5.8; 95%CI [4.3; 7.3]; d=0.8; p<0.001). There is an interaction effect between the difference in NQ score between the groups at T2 and baseline at T0 (b=5.6; 95%CI [2.2; 11.9]; p<0.001). At T3, this interaction effect was no longer detectable (b=4.5; 95%CI [-3.1; 14.1]; p=807).

Conclusion: Inpatient, multimodality, and interdisciplinary PR is associated with significant and clinically relevant improvement in DAM both at discharge and 3 months later. In the short term, patients with existing DAM benefit more from PR than patients without DAM.

[肺康复对未受控哮喘患者呼吸功能紊乱模式的影响]。
目的:功能紊乱呼吸模式(DAM)是指偏离生理呼吸模式。DAM 似乎与哮喘控制率较低有关。迄今为止,还不清楚住院康复治疗对这一问题有什么影响。这项工作旨在研究肺康复(PR)对 DAM 的影响:数据基于一项随机对照试验,试验中设有等待对照组。干预组(IG)在申请批准后 4 周接受肺康复治疗,对照组(KG)在 5 个月后接受肺康复治疗。呼吸功能障碍通过奈梅亨问卷(NQ)进行评估。数值≥23点表示存在DAM。比较了康复结束时(T2)和三个月后(T3)的数值(协方差分析)。还进行了补充调节分析,以研究 PR 的效果是否与基线 NQ 分数有关:结果:IG(n=202)和KG(n=210)在T2时的NQ评分存在显著差异(AMD=10.5;95%CI [9;12];d=1.4;p结论:住院、多模式和跨学科 PR 与出院时和 3 个月后 DAM 的显著临床改善相关。在短期内,已有 DAM 的患者比没有 DAM 的患者从 PR 中获益更多。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Rehabilitation
Rehabilitation REHABILITATION-
CiteScore
0.90
自引率
11.10%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Die Zeitschrift Die Rehabilitation richtet sich an Mitarbeiterinnen und Mitarbeiter in Einrichtungen, Forschungsinstitutionen und Trägern der Rehabilitation. Sie berichtet über die medizinischen, gesetzlichen, politischen und gesellschaftlichen Grundlagen und Rahmenbedingungen der Rehabilitation und über internationale Entwicklungen auf diesem Gebiet. Schwerpunkte sind dabei Beiträge zu Rehabilitationspraxis (medizinische, berufliche und soziale Rehabilitation, Qualitätsmanagement, neue Konzepte und Versorgungsmodelle zur Anwendung der ICF, Bewegungstherapie etc.), Rehabilitationsforschung (praxisrelevante Ergebnisse, Methoden und Assessments, Leitlinienentwicklung, sozialmedizinische Fragen), Public Health, Sozialmedizin Gesundheits-System-Forschung sowie die daraus resultierenden Probleme.
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