Abstract des Autors

Aim. In a outpatients Pulmonary Rehabilitation Programme (PRP) we studied the efficacy of the upper and lower limbs muscles aerobic training on patients with different pulmonary diseases. Methods. In a group of 14 patients (4 females, 10 males) we evaluated: the distance in metres during 6 minutes walking distance test (6MWD), the maximum inspiratory pressure (MIP), the maximum expiratory pressure (MEP), the dyspnoea and the self efficacy and independent daily living scale (SEIDL). The physical training consists in a 30 minutes performing movement with arms and legs at heart rate (HR) of 80% of the maximum theoretical HR (male=220-age; female=200-age). The exercise trial took place 3 times per week for 6 weeks. Results. 6MWD before PRP (m 366,1±25,2) vs after PRP (m 438,6±19,9) ; p<0.0001. Dyspnoea at Time 0 of the 6MWD before PRP (score 0,5±0,1 ) vs after PRP (score 0,1±0,05) ; p<0.005. Dyspnoea at the End of the 6MWD before PRP (score 2,1±0,3 ) vs after PRP (score 0,6±0,2) ; p<0.001. Dyspnoea at the 5° minute of Rest after the 6MWD before PRP (score 1,0±0,3) vs after PRP (score 0,1±0,07); p<0.01. MIP before PRP (cm H2O 47,5±6,0) vs after PRP (cm H2O 54,3±4,8); p<0.03. MEP before PRP (cm H2O 58,2±7,1) vs after PRP (cm H2O 65±7,3); p<0.01. SEIDL before PRP (score 127±5,7) vs after PRP (score 133,6±5,7); p<0.01. Conclusions. The endurance training improved all the items studied. It seems that either physiologic adaptations induced by training or a less subjective breathlessness perception can influence all the scores. Hence it follows a real psychophysical benefit. Exercise training is basic for a pulmonary rehabilitation programme to improve cardio respiratory and muscular fitness and quality of life.