Efficacy of remote home-monitored Baduanjin in patients with chronic obstructive pulmonary disease
Objective:To observe the effects of remote home monitoring Baduanjin exercises on exercise capacity,lower limb muscle strength,quality of life and clinical symptoms in stable moderate-to-severe chronic obstructive pul-monary disease(COPD)patients.Method:Seventy-six patients with moderate to severe chronic obstructive pulmonary disease in the stable stage were selected and randomly divided into a treatment group(n=38)and a control group(n=38).The con-trol group was given routine medication and health education,while the treatment group was given baduanjin training under remote monitoring via APP and equipment for 12 weeks on the basis of the control group.Func-tional outcomes were assessed before and 12 weeks after the intervention in both groups,including:exercise capacity(6 minutes walking distance,6MWD),lower limb muscle strength(time of Isometric squatting test),quality of life(the MOS 36-item Short Form Health Survey,SF36)and clinical symptoms scores(St.George's Respiratory Questionnaire,SGRQ).Result:After 12-week intervention,the difference of 6WMD between pre-treatment and post-treatment was sig-nificantly better in the treatment group than that in the control group(P=0.001);the time spent squatting against the wall was significantly better(P=0.019)and statistically significant(P=0.034)compared to the con-trol group.In terms of SF-36,the items of role physical,(RP)(P＜0.001),vitality,(VT)(P=0.001),mental health,(MH)(P=0.008)and general health,(GH)(P=0.001)were significantly improved in the treatment group after treatment when compared with the pre-treatment period,and all of them were significantly better than the control group.On the SGRQ,there was a significant improvement in the treatment group compared to the control group for Symptoms(P=0.011),Activity(P=0.047),Impacts(P=0.002),and Total score(P=0.001).Conclusion:Remote home monitoring Baduanjin exercises significantly improved the COPD patients'exercise capacity,lower limb muscle strength,quality of life and clinical symptoms.
chronic obstructive pulmonary diseaseremote home exercise trainingBaduanjinrespiratory rehabilitation
NETL
NSTL
万方数据
