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The impact of home-based pulmonary rehabilitation on health related quality of life in patients with COPD: A systematic review and meta-analysis
2nd International Conference and Expo on Novel Physiotherapies
Lorna Johnson, Josh Coles, Jacqui Horsley and Claire White
King�s College London, UK
Posters & Accepted Abstracts: J Nov Physiother
Abstract
Participation in a pulmonary rehabilitation (PR) programme confers improvements in exercise capacity, health related quality of life (HRQoL) and breathlessness in people with chronic obstructive pulmonary disease (COPD). However, uptake to PR is poor and home-based exercise programmes may be one method of overcoming some of the barriers to participation in out-patient PR. There is, however, limited evidence regarding the effectiveness of home-based PR (HB PR). We conducted a systematic review and meta-analysis to examine the effects of HB PR on HRQoL in people with COPD compared with usual care or an education programme. Nine studies met the inclusion criteria for the meta-analysis. Meta-analyses showed significant improvements in HRQoL with a standardized mean difference of -0.64 (95% CI: -0.99, -0.30) in favour of HBPR. Sub group analysis of people with severe COPD showed a SMD of -0.62 (95% CI: -1.06, -0.18) in favour of HBPR. These results were not maintained in the long-term. Supervised or unsupervised HBPR is effective in improving HRQoL for people with COPD in the short-term. Offering HBPR may alleviate some of the barriers to accessing PR in a healthcare setting. Further research to explore the maintenance of these benefits in the long-term as well as the optimum method of delivery is required.Biography
Email: lorna.johnson@kcl.ac.uk
