The Effects Of A Home Based Aerobic Exercise Intervention On Exercise Tolerance And Quality Of Life Outcome Measures In COPD Patients: A Systematic Review
(2013) The Effects Of A Home Based Aerobic Exercise Intervention On Exercise Tolerance And Quality Of Life Outcome Measures In COPD Patients: A Systematic Review, no. 99.
1.1 Objectives The objective of this systematic review is to establish the effect of home based aerobic exercise interventions on exercise tolerance and quality of life (QoL) in patients with chronic obstructive pulmonary disease (COPD). 1.2 Search strategies To identify studies the electronic databases CINAHL, SPORTDiscus, PEDro, PubMed, MEDLINE and EMBASE were searched using defined keywords, published between January 2000 and February 2013. Reference lists of all included studies and relevant systematic reviews were searched by hand. 1.3 Selection criteria Inclusion criteria included clinically stable adults, male and female, over the age of 18 with a confirmed diagnosis COPD. Randomised controlled studies published in English with full text available were included. The primary outcomes included were exercise tolerance and QoL. 1.4 Results Eight studies in total met the inclusion criteria required to be included in this systematic review. Home based aerobic exercise has been found to be effective in improving exercise tolerance and quality of life in COPD patients. Study PEDro scores ranged from 4 to 7 out of 11. Studies were homogenous at baseline in regards to age, FEV1 and severity however, participants were predominantly male. All studies found statistically significant improvements in quality of life with five finding statistically significant improvements in exercise tolerance. 1.5 Conclusion From the findings it appears that home based aerobic exercise interventions may improve exercise tolerance and quality of life in patients with COPD. However, further research using higher quality, more homogeneous research with larger sample sizes is required to validate the present findings. No conclusions were able to be made in respect to aerobic exercise training duration, frequency, intensity or mode necessitating future research