ERS Respiratory Channel

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Abstract

Dyspnoea is a disabling symptom in patients with systemic sclerosis (SSc) that significantly decreased quality of life (QoL).

Aim is to evaluate the role of high intensity pulmonary rehabilitation (H-PR) in hospitalized patients versus 3 times week supervised programme based (S-PR) in patients with SSc and pulmonary fibrosis. The H-PR program included stretching, peripheral muscle strength training , alternating walking with cycling for 60 minutes in the morning and 60 minutes in the afternoon, for 6 times a week for 3 weeks. The S-PR program included similar sessions for an hour a day for 3 days a week for 4 weeks.

We recruited 65 consecutive subjects, 32 were submitted to H-PR. All subjects performed pulmonary function tests, blood-gas analysis, 6MWT, dyspnoea rating and health-related quality of life questionnaire (SGRQ) on admission and discharge.

A significant improvement was observed in dyspnoea (P=0.008) in the H-PR group.

The H-PR gain a 8.3 point reduction in their SGRQ score versus S-PR (P < 0.0001).

Current study suggest that H-PR intervention improves QoL in SSc.

Abstract

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