Internet-mediated exercise program improves quality of life in COPD patients

A pedometer-based walking program supported by Internet-based instruction and support can improve health-related quality of life (HRQOL) in patients with chronic obstructive pulmonary disease (COPD), according to a new study presented at the 2014 American Thoracic Society International Conference.

“Low levels of physical activity among individuals with COPD can contribute to impaired quality of life and have been linked to higher risk of exacerbations, hospitalizations, and death. However, getting patients to change behavior and stick to an exercise program can be difficult,” said lead author Marilyn Moy, MD of the Department of Veterans Affairs, VA Boston Healthcare System and Assistant Professor of Medicine at Harvard Medical School. “In our study, supporting an exercise program with online resources that provided instruction, individualized goals and timely feedback, COPD-specific education, and support improved HRQOL and daily step count in COPD patients compared with those who were given a pedometer alone .”

The study involved 238 Veterans with COPD who were recruited nationally and 45% of whom lived in rural areas. Participants were randomized to either the pedometer-based exercise program with access to the support website or to the group using a pedometer alone. HRQOL at baseline and four-month follow-up was measured with the St. George’s Respiratory Questionnaire (SGRQ). Daily step count to assess engagement in physical activity was a secondary outcome.

A significantly greater proportion of persons in the intervention group than in the control group had at least a 4-unit improvement in SGRQ-TS (53% vs. 39% respectively, P=0.05), the minimum clinically important difference. There was no significant between-group difference in 4-month SGRQ-TS (2.3 units, P=0.14). For domain scores, the intervention group had a significantly lower (reflecting better HRQL) mean than control group by 4.6 units for Symptoms (P=0.046) and by 3.3 units for Impact (P=0.049). Compared to control group, participants in the intervention group walked 779 more steps per day at 4 months (P=0.005).

“This Internet-based intervention significantly improved HRQOL and daily step count in our patients with COPD,” said Dr. Moy. “The results are exciting because patients can walk more to make themselves feel better and potentially change the disease course. The potential for this safe and accessible home-based intervention to sustain exercise in persons with COPD, to complement existing pulmonary rehabilitation programs, and to be integrated into COPD self-management programs merits further study.”

Dr. Moy and her colleagues are launching a study funded by VA Rehabilitation R&D which will look at whether this intervention impacts 6 minute walk test distance and risk of exacerbations and hospitalizations in persons with COPD.

Story Source:

The above story is based on materials provided by American Thoracic Society. Note: Materials may be edited for content and length.

Original story here.
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http://www.boquetemassage.com McKenzie neck exercises No. 1.Here is the correct way to do a retraction neck exercises, more commonly known as a McKenzie Neck…
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<p>Question by lovable: how to enjoy exercise?
what kind of exercise should i do so that i sweat a lot?
which kind of exercise is good for skin?
how long should i exercise daily for general good health and fitness?

Best answer:

Answer by Amanda
Do cardio exercise for 30 minutes or more. It’ll help your skin, help you lose weight, and will make you sweat. To make it fun, listen to your favorite music while you’re exercising or have a tv nearby and exercise while watching your favorite show!

What do you think? Answer below!

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    • glen trs
    • May 19, 2014

    wow! it works!

    • Madam Butternut
    • May 19, 2014

    it works After a few times the pain is gone JUST AMAZING after suffering
    for 7 weeks.

    • Saraswati8882
    • May 19, 2014

    Hi Dr. Mckenzie. My name is Jai.

    I need you help so badly. In 2009 i hurt my neck and till now i am
    suffering terribly. Pain is constant on my shoulder and areaa around, neck
    nerves which goes to head. My life and work is disturbed. I have done MRI
    report and result is as below:

    Comment: Mild Cervical spondylosis with maximal involvement of C4/5 where
    there is a prominent posterior and left psterolateral discophytic bar
    mildly effacing the thecal sac and the root entry zone with a mild to
    moderate foraminal encroachment. C5 root may be impinged.

    Could be please advice me that is that a Disc bulge in a simple words. My
    GP are good enough to comment. So could you PLEASE PLEASE PLEASE do me huge
    favour of telling me if this can be fixed with chin excercise and tennis in
    the sky. My body is in terrible pain for since 2009. my whole life badly
    influenced with this. My movements are disturbed and the way i use my body
    is different. Both shoulders hurts. As soon i lift my arms to do something
    both shoulder starts to hurt and i cant hold it for even 5 seconds. Please
    reply Dr. I am dying here

    • Matthew Gustavson
    • May 20, 2014

    My wife has been in pain from a pinched nerve for 2 weeks and after one
    round of the exercises the pain in her arm is better. Thank you.

    • Robert Few
    • May 20, 2014

    After a sleepless night i got up at 5am with terrible pain in my neck,i
    came across you and your exercise on the internet after doing it twice in
    an hour i felt 50% better after another 2 or 3 times pain almost gone thank
    you so much.

    • maybeyoushoulddrive
    • May 20, 2014

    Mark, I was in quite a lot of pain this morning, I could hardly move my
    right arm. After finding your video on yt, I could move freely straight
    away and through the day it has been improving with each hour. Thank you

    • k2012
    • May 20, 2014

    This works for me thanks doc

    • mieleman9
    • May 20, 2014

    This exercise exacerbates the nerve pain I have. It causes the nerve to
    fire and increase the pain down the arm. Any suggestions? Thanks.

    • Jimmy Jackson
    • May 20, 2014

    Great video, man… really useful. Very kind of you to make and upload

    • satchmo001
    • May 20, 2014

    Gr8 Info!I have a large protrusion at C6/7 that occurred a while back.
    Initially, I was seeing one physiotherapist and found that I wasn’t getting
    a lot of relief but over time the pain seemed to move towards my left hand.
    The pain wasn’t all the way through my arm, but mostly located in my
    forearm (very little upper arm). Started seeing a new PT and have found
    that the pain appears to be moving back up my arm (predominantly in upper
    arm). Is this an appropriate symptom progression with PT??

    • barryg071
    • May 20, 2014

    Thanks a million Dr. McKenzie!! I was having severe pain from a bulging
    disc in my neck and not able to reach my chiropractor. In desperation, I
    searched, found this video and it made a HUGE difference. Thanks again.

    • May 20, 2014

    i was just diagnosed with a C5-6 C6-7 posterior 3mm disk spur complex
    causing moderate to severe spinal canal stenosis thru an MRI. I have a
    terrible pain throughout my right arm and right side of back/neck. Pain 10
    out 10, 10 being the worse pain. Any suggestion for the right exercises and

    • dustybum
    • May 20, 2014

    Thanks for the demonstration, it is much appreciated.

    • schellstar douglass
    • May 20, 2014

    This is totally WORKING! Thank you.

    • Egill Friðrik
    • May 20, 2014

    I feel pulse in the back of my head after doing few of these. Familiar with

    • Flightofth3Navigator
    • May 20, 2014

    Is it typical to have increased pain while doing this exercise? Not
    afterwards, but while performing it? Bulging disc on c5 verterbrae.

    • ellsta78
    • May 20, 2014

    i felt i slight pain too, but the guy said this is a good sign of
    stretching the ligament. good vid and thanks. yo ever in the north west
    i’ll get you a pint.

    • callcentrestooge
    • May 20, 2014

    For the last 5 months or so I have had a radiating ‘pinch’ from my neck
    down my left arm. I have been to massage therapists and physiotherapists,
    both of which had limited success. Since watching this video 1 week ago,
    the pinched feeling I had from neck to arm has all but gone. These simple
    exercises have not only greatly reduced my pain, but saved me heaps of
    money that I was spending on other treatments. A big thank-you and keep up
    the great work.

    • Mark Cheeseman
    • May 20, 2014

    What good would steroids do for possible disc herniation or bulging? I have
    pain from left center of neck across left shoulder. Then down arm. Numb
    tingling fingertips. Chiropractic offers some short relief.

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