The efficiency of pulmonary re-rehabilitation

Introduction: It was shown that exercise capacity improved after repeated PR program in selected patients. In this study, it was aimed to evaluate whether repeated PR efficacy is more effective in exercise capacity, quality of life, body composition in patients with chronic respiratory diseases. Method: The total of twenty-one patients with 16 COPD, 2 asthma, 2 kyphoscoliosis and 1 interstitial lung disease underwent re-rehabilitaion between 2007-2017. The patients’ datas abouth pulmonary function tests, mMRC dyspnea scales, ISWT distances, BMI, FFM, FFMI, SGRQ scores both before and after PR program about were analyzed retrospectively. The results after the first and the second PR program were compared. Results: While, dyspnea sensation, exercise capacity, quality of life were improved after the first and the second PR program, gainings were found statistically similiar. ( p>0,01) Median of the duration between programmes was 27 months (9-91m). There were no significant differences between first initial FEV1 , FVC measurements and the second PRP.( p>0,01) In order to evaluate the effect of disease severity and the the duration between the programmes ∆ FEV1 and ∆FVC predicted % and the duration between PRPs were compared with the improvements of second PRP. No significant differences were found. (p>0,01) Conclusion: In this study after the directly observed comprehensive outpatient pulmonary re-rehabilitation program improvements were seen in dyspnea sensetion, exercise capacity, quality of life and body composition. (p