Introduction: Prevalence of chronic lung diseases such as COPD and ILD is increasing at a very alarming rate in India. The most challenging aspect in their management; is the maintenance of optimal saturation levels with minimal oxygen. Home-Based pulmonary rehabilitation (PR) program may play a promising role in not only preventing oxygen dependency but also alleviating the risk of frequent hospitalization. Objective: To understand the impact of home-based PR program in patients with ILD and COPD who are on Long-Term Oxygen Therapy (LTOT). Materials and Methods: We selected 27 COPD and 18 ILD stable patients who are on LTOT; for an 8-week home based PR program. Baseline assessment of Exercise capacity, Lung function and dypsnea levels were measured every week. At the end of the 8th week, we analyzed the duration and flow of 02 required to maintain an acceptable saturation >88% and compared it to the baseline levels. Results and Discussion: Following the PR program, we found that the duration and amount of supplemental 02 requirement gradually dropped from 3(± 0.9)l/min and 17(±4.5)hours to 1( ±0.4)l/min and 7(1.7) hours. Also, 6-MWT test results showed improvement (p=0.05). Both the disease groups were comparable anthropometrically and showed a similar pattern of improvement with PR. Application: Adherence to PR will bring about a positive impact on day to day functional capacity. Conclusion: PR therefore should be considered as a modality for management of chronic lung diseases.
Pulmonary rehabilitation, LTOT, Respiratory diseases
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