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- Title
EFFECT OF RESPIRATORY REHABILITATION FOR FRAIL OLDER PATIENTS WITH MUSCULOSKELETAL DISORDERS: A RANDOMIZED CONTROLLED TRIAL.
- Authors
Naoki MAKI; Harumi SAKAMOTO; Yu TAKATA; Naohiro KOBAYASHI; Shinji KIKUCHI; Yukinobu GOTO; Hideo ICHIMURA; Yukio SATO; Hisako YANAGI
- Abstract
Objective: To investigate the effects of respiratory rehabilitation on respiratory function, swallowing in community-dwelling frail older patients with musculoskeletal disorders. Design: Randomized open-label controlled trial. Setting: Day-care facility in a rehabilitation hospital in Japan. Subjects: A total of 63 participants with musculoskeletal disorders (intervention group: n = 31; control group: n = 32) completed the randomized controlled trial. Interventions: All participants received 12 20-min sessions twice a week for 6 weeks of either typical rehabilitation (control) or typical rehabilitation with respiratory rehabilitation (intervention). Main measures: Outcome measures were assessed prior to rehabilitation and after 12 sessions. The measures included: respiratory function, swallowing function, exercise tolerance, 6-min walk distance, thorax flexibility, muscle strength (grip and abdominal), activities of daily living, and quality of life. Results: Participants in the intervention group showed significantly greater improvement in respiratory function (95% confidence interval (CI), 3.8-6.6; p = 0.01), swallowing function (95% CI -1.8-0.6; p = 0.01), and quality of life (SF8 Physical Summary Score) (95% CI 2.4-7.1; p = 0.01) compared with those in the control group. Conclusion: Addition of respiratory rehabilitation to a typical rehabilitation programme could improve not only respiratory and swallowing function, but also quality of life, in frail older patients.
- Subjects
JAPAN; CONFIDENCE intervals; DEGLUTITION; FISHER exact test; FRAIL elderly; LUNG diseases; MEDICAL rehabilitation; MUSCLE strength; MUSCULOSKELETAL system diseases; QUALITY of life; QUESTIONNAIRES; REHABILITATION centers; RESPIRATION; PULMONARY function tests; STATISTICAL sampling; STATISTICS; T-test (Statistics); DATA analysis; ACTIVITIES of daily living; RANDOMIZED controlled trials; INDEPENDENT living; DATA analysis software; EXERCISE tolerance; MANN Whitney U Test
- Publication
Journal of Rehabilitation Medicine (Stiftelsen Rehabiliteringsinformation), 2018, Vol 50, Issue 10, p908
- ISSN
1650-1977
- Publication type
Article
- DOI
10.2340/16501977-2490