Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Artículo Open Access |
| Published: |
Wiley
2025
|
| Subjects: | |
| Online Access: | https://onlinelibrary.wiley.com/doi/10.1111/ctr.70185 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Table of Contents:
- Participation and Progression of Hybrid Rehabilitation following Lung Transplantation Rachel Carson Carina Cordi Emma Campisi Skyler Moss Alyssa Trask Kevin Zhu Chaya Gottesman Manoela Ferreira Tamires Mori Lisa Wickerson Clinical Transplantation ABSTRACTBackgroundExercise training is recommended to improve physical recovery following lung transplantation (LTx). Since the COVID‐19 pandemic, hybrid rehabilitation has emerged utilizing both in‐person and home‐based exercise. Little is known about exercise participation, progression and intensity with this delivery model.MethodsA single center retrospective chart review of adult LTx recipients who undertook outpatient rehabilitation within the first 3 months after LTx between December 1, 2022 and February 29, 2024, was conducted. High participation was defined as ≥3 exercise sessions/week for at least 50% of the rehabilitation period. Progression of exercise volumes was examined and walking intensity (Borg leg fatigue scale) was compared between in‐person and home rehabilitation.ResultsA total of 166 LTx recipients were included (70% male, 64 [14] years, 71% interstitial lung disease). High rehabilitation participation was observed in 48% of participants over a mean of 8 ± 2 weeks. The median walking distance, biceps and quadriceps resistance training volumes increased between the first and last recorded rehabilitation sessions during both in‐person (536 [538] vs. 1073 [650] m, 40 [20] vs. 60 [55] repxlbs, and 20 [10] vs. 40 [30] repxlbs) and home rehabilitation (968 [991] vs. 1556 [1019] m, 50 [70] vs. 100 [70] repxlbs, and 30 [32] vs. 40 [70] repxlbs), all p < 0.05. Leg fatigue was higher during in‐person walking compared to home (3 [3–4] vs. 3 [2–3]), p < 0.001.ConclusionsHalf of LTx recipients had low participation in outpatient and home rehabilitation early after transplantation. Understanding barriers to home exercise participation and reporting will enhance hybrid rehabilitation delivery. 10.1111/ctr.70185 http://onlinelibrary.wiley.com/termsAndConditions#vor