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Results of an exercise intervention in frail older patients with acute exacerbation of COPD




Lev Grinberg1
1Pathological Anatomy, Ural State Medical University, Yekaterinburg, Russian Federation

Introduction: Frailty is an emerging concept in clinical medicine and it has been demonstrated that frail patients are predisposed to falls, hospitalization, institutionalization and mortality. Over half of patients with COPD are frail. Main objective was to determine whether an exercise intervention can reduce disability in frail older patients with COPD during hospitalization due to AECOPD.

Methods: Randomized clinical trial. Frail older patients admitted to hospital due to an AECOPD were included. All patients received standard medical and pharmacological care. Patients assigned to the intervention group also received an exercise intervention using a pedal exerciser. Main outcome were balance with the one leg stance test, quadriceps muscle strength and exercise capacity ( 30-seconds sit to stand test). The measurements were evaluated at admission and discharge.

Results: 58 patients were finally included in this study. No significant differences were observed between the groups at baseline. Between groups at discharge shows improvement in all the outcomes, being significant in cuadriceps strength and balance.

Conclusions: An exercise intervention using a pedal exerciser during the hospitalization of frail elderly patients with AECOPD improves muscle strength, balance and exercise capacity.


http://erj.ersjournals.com/content/48/suppl_60/PA4425



PDPI Lampung & Bengkulu. 08/03/17.



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