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Factors influencing activities of daily living in subjects with COPD

Respiratory Care · Şubat 2019

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YÖKSİS Kayıtları
Factors Influencing Activities of Daily Living in Subjects With COPD
Respiratory Care · 2019 SCI-Expanded
DOÇENT İSMAİL ÖZSOY →

Makale Bilgileri

DergiRespiratory Care
Yayın TarihiŞubat 2019
Cilt / Sayfa64 · 189-195
Erişim🔓 Açık Erişim
Özet BACKGROUND: Activities of daily living (ADL) are important for an independent life. As COPD progresses, the ability to complete ADL is usually reduced. Knowing the possible factors that influence the ability to perform ADL may allow better targeting of appropriate rehabilitation programs to increase the independence levels and/or to prevent further decreases in patients with COPD. Therefore, the aim of this study was to investigate ADL performance as measured by the London Chest Activity of Daily Living scale, which is a commonly used measure in patients with COPD. METHODS: This cross-sectional study included 44 clinically stable subjects who were not taking antibiotics and had not made any changes in their medications for at least three weeks with a COPD diagnosis based on Global Initiative for Chronic Obstructive Lung Disease. Demographic characteristics, pulmonary function, ADL measured by the London Chest Activity of Daily Living scale, functional exercise capacity via the 6-min walk distance, disease-related symptoms measured by the COPD Assessment Test, and peripheral and respiratory muscle strength were evaluated. A multiple linear regression (stepwise) analysis was used to determine the variables that have the greatest influence on ADL (ie, the London Chest Activity of Daily Living scale score). RESULTS: The London Chest Activity of Daily Living scale score had moderate correlations with the COPD Assessment Test score (r + 0.31, P + .041), maximum expiratory pressure value (r + =0.37, P + .01), 6-min walk distance (r + =0.48, P + .001), knee extensor muscle strength (r + =0.47, P + .001), handgrip strength (r + =0.44, P + .003). The 6-min walk distance, COPD Assessment Test score and maximal expiratory pressure values were significant and independent determinants of the London Chest Activity of Daily Living scale, with 40.1% of the variance in subjects with COPD. CONCLUSIONS: Functional exercise capacity, disease-related symptoms, and expiratory muscle strength have the greatest influence on ADL in the subjects with COPD. The level of independence to perform ADL can be increased by improving functional exercise capacity, reduc-ing symptoms, and increasing expiratory muscle strength in subjects with COPD.

Yazarlar (6)

1
İsmail Özsoy
2
Buse Ozcan Kahraman
3
Serap Acar
4
Sevgi Ozalevli
5
Atila Akkoclu
6
Sema Savci

Anahtar Kelimeler

Activities of daily living ADL COPD Disease-related symptoms Functional exercise capacity Muscle strength

Kurumlar

Dokuz Eylül Üniversitesi
Izmir Turkey
Kırşehir Ahi Evran Üniversitesi
Kirsehir Turkey

Metrikler

22
Atıf
6
Yazar
6
Anahtar Kelime

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