Key result
Weekly supervised outpatient exercise plus home exercise maintained 6-minute walk distance similarly to unsupervised home exercise alone (change of -11 m vs -6 m) at 12 months in moderate COPD.
Why the study?
Does weekly supervised outpatient exercise plus home exercise improve functional exercise capacity and quality of life compared to unsupervised home exercise alone in patients with moderate COPD following pulmonary rehabilitation?
Population
59 subjects with moderate COPD who completed an 8-week pulmonary rehabilitation programme
Comparison
Weekly, supervised, outpatient-based exercise… vs Standard care of unsupervised home exercise…
Design
RCT, randomised
Follow-up
12 months
Authors
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Weekly supervised exercise adds no benefit over unsupervised home exercise alone for maintenance after pulmonary rehabilitation; confirms unsupervised programs suffice in moderate COPD.
RCT (n=59)
randomised
Does weekly supervised outpatient exercise plus home exercise improve functional exercise capacity and quality of life compared to unsupervised home exercise alone in patients with moderate COPD following pulmonary rehabilitation?
Absolute Event Rate: -11% vs -6%
In patients with moderate COPD who completed pulmonary rehabilitation, both supervised weekly exercise plus home exercise and unsupervised home exercise alone successfully maintained functional capacity and quality of life at 12 months.
Spencer et al. (2009) conducted an RCT in moderate COPD (n=59). Weekly, supervised, outpatient-based exercise plus unsupervised home exercise vs. Standard care of unsupervised home exercise was evaluated on Change from baseline in 6-min walk distance at 12 months. Weekly supervised outpatient exercise plus home exercise maintained 6-minute walk distance similarly to unsupervised home exercise alone (change of -11 m vs -6 m) at 12 months in moderate COPD.