Sunday, August 26, 2007

The Impact of Walking Exercise on Moderate Chronic Obstructive Pulmonary Disease Patients Towards Walking Distance and St. George’s Respiratory Questi

ABSTRACT

The Impact of Walking Exercise on Moderate Chronic Obstructive Pulmonary Disease Patients Towards Walking Distance and St. George’s Respiratory Questionnaire

Sari Dewi Saraswati, Nury Nusdwinuringtyas,

Tri Damiati Pandji, Hadyana Sukandar

Objective: The aim of this study was to assess the effect of walking exercise on the change of lapse distance and SGRQ in patients with moderate COPD

Subjects: Twenty-six subjects that met inclusion criteria were the patients with COPD from the Pulmonology Clinic of dr. Hasan Sadikin Hospital, and assigned into an exercise group of 13 patients and a control group of 13 subjects. During the study period, 3 subjects of the exercise group were lost to attend the exercise, consequently, 23 subjects completed the study.

Methods: The study was an experimental study with complete randomized design using repeated observation, i.e., before and after treatment. In this study, there were two types of treatment, that is, one group of walking in the hospital and the other was a control group. In week 0, 6MWD I and SGRQ I were conducted. In the exercise group, the exercise was walking in the hospital with effort intensity scale Borg12 (milder), duration of 30 minutes, and 3 times per week, for 8 weeks. In week 4 and week 8 6MWD II and III were done, respectively;while SGRQ II was done in week 8.

Settings: This study was performed at Department of Physical Medicine and Rehabilitation of dr. Hasan Sadikin Hospital, Bandung

Results: Exercise group was found increased in lapse distance of 6MWD with value of (329.6 ± 72.2 m) in week 4;whereas the increased lapse distance of 6MWD with value of (352.2 ± 58.8 m) in week 8 at p<0.05.>

Conclusion: Walking exercise has effect on increased lapse distance and decreased SGRQ score.

Key words: COPD, Walking Distance, SGRQ value, Aerobic Exercise