The impact of COVID-19 shielding on levels of physical activity and health-related quality of life in COPD patients following pulmonary rehabilitation

Conclusions: Shielding caused a significant deterioration in physical activity, which persisted when shielding instructions were relaxed. This could potentially reverse some of the benefits gained during PR and worsen long term disease-related outcomes. Pre-PRPost-PRShieldingPost-ShieldingDaily Steps 3681±20584129±22442508±1640**,*2540±1596**,*C-PPAC Total Score61±1170±13##59±13#60±12# HADs: Anxiety Depression 6±4 5±4 6±5 5±4 6±4 6±5 6±4 6±5 CCQ: Total Symptom Functional State Mental State 2.3±0.8 2.2±0.8 2.4±0.9 2.0±1.2 2.1±1.0 2.1±0.9 2.2±1.0 1.6±1.2# 2.4±1.4 2.1±1.3 2.7±1.5# 2.3±1.9# 2.4±1.3 2.4±1.3 2.5±1.4 2.6±1.7##,# CAT25±623±722±723±8**Significant and minimal clinically important difference (MCID) from Pre-PR; p<0.05* Significant and MCID from Post-PR; p<0.05##MCID from Pre-PR#MCID from Post-PR

Source: European Respiratory Journal - November 25, 2021 Category: Respiratory Medicine Authors: Hume, E., Armstrong, M., Manifield, J., Mcneillie, L., Chambers, F., Wakenshaw, L., Burns, G., Marshall, K. H., Vogiatzis, I. Tags: Rehabilitation and chronic care Source Type: research