Effect Aerobic Exercise in Chronic Obstructive Pulmonary Disease to Quality of life using St George’s Respiratory Questionnaire

Pengaruh latihan erobik pada penyakit paru obstruksi kronik terhadap kualitas hidup dengan menggunakan St George’s Respiratory Questionnaire

Satryo Waspodo*, Tri Damiati Panji*, Nury Nusdwinuringtyas**, Hadyana Sukandar*

ABSTRACT

Objectives : The aim of this study was to find out an aerobic exercise program and its influence for the improvement of a quality of life and a maximum capacity of this exercise for COPD patients

Subjects : There were 60 COPD patients from the Pulmonology Department Hasan Sadikin Hospital who were eligible for this study. They were divided into two groups. The first group, called the exercised group, consisted of 30 people and the second group, called the controlled group, consisted of 30 people. During randomization process, they were only 55 people who joint the study because 5 people from the controlled group absent. Then, during the aerobic exercise, they were 3 people from the exercised group drop out. Therefore, they were only 25 people from the controlled group and 27 people from the exercised group who could accomplish until the final study (total 52 people)

Methods : This study was quasi experiment with pre and post intervention to the exercised and controlled groups. The study consist of preliminary examination for subject selection, subjects who were eligible for this study was divided into exercised and controlled groups. For the exercised group, there was SGRQ assessment with exercised test in order to assess an aerobic maximum capacity. Then, there was aerobic exercise program 3 times a week, 24 minutes duration, intensity 50-80% an aerobic maximum capacity for core exercise during 6 weeks. After 6 weeks, there was a SGRQ re-assessment and an aerobic maximum capacity. For the controlled group, there was a SGRQ re-assessment without treatment and after 6 weeks, there was a SGRA re-assessment

Setting : This study was carried out at Physical Medicine and Rehabilitation Medical Department Hasan Sadikin Hospital.

Results : For the exercised group; there was a significant decrease of SGRQ value at all components (symptoms, activity, impacts and total, P<0,001), p="0,648" p="0,055)," p="0,038)" p="0,022)." r="0,032" p ="0,873," style=""> r=-0,260 ; p =0,191, impacts r=-0,353 p =0,071 and total r=-0,303; p =0,124)

Conclusion : Aerobic exercise had an influence on the improvement of quality of life (a significant decrease of SGRQ value ) and aerobic maximum capacity for COPD patients. There was no significant correlation among the changes of quality of life (the changes of SGRQ value) with the improvement of aerobic maximum capacity

Key words : COPD, SGRQ value, Quality of Life, Aerobic Exercise.

*Dept. Physical medicine and Rehabilitation, Hasan Sadikin Hospital, Bandung - Indonesia

**Dept. Physical Medicine and Rehabilitation, Cipto Mangunkusumo Hospital, Jakarta –Indonesia