2012 ©
             EN, publication_detail
EN, publication_article
EN, publication_article_article_name Does mild chronic obstructive pulmonary disease need a standard pulmonary rehabilitation program? Case Report 
EN, publication_article_accepted_date 9 January 2024 
EN, publication_article_journal
     EN, publication_article_journal_name Journal of Associated Medical Sciences 
     EN, publication_article_journal_standard SCOPUS 
     EN, publication_article_institute Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University 
     EN, publication_article_isbn  
     EN, publication_article_year 2024 
     EN, publication_article_issue 57 
     EN, publication_article_month May-August
     EN, publication_article_print_year 2024 
     EN, publication_article_page  
     EN, publication_article_abstract Background: Patients with mild chronic obstructive pulmonary disease (COPD) are usually not recommended for a standard pulmonary rehabilitation (PR) program based on the GOLD guideline in mild COPD GOLD A classification. Especially, the scientific evidences on exercise capacity that can be identified for recruitment in PR programs has been less reported. Thus, a preliminary case study to identify the exercise capacity under cardiopulmonary responses by aerobic exercise testing among patients in mild COPD GOLD A classification was the aim of this study. Objectives: To evaluate the cardiopulmonary responses from exercise capacity testing in individual COPD patients with mild COPD GOLD A Classification. Methods: Four participants with mild COPD GOLD A performed an exercise endurance capacity test at home using Spot Marching Exercise Test (SMT), marching on the spot with high hip and arm raising. The load of SMT was indicated by a controlled stepping rate at 70, 80, 90, 100, and 110 steps/min. Every participant performed Incremental SMT (ISMT) with every 3 min incremental load, and the Constant SMT(CSMT) at the peak load. Both exercise tests were terminated at symptom limit. Resting time between ISMT and CSMT was at least 30 minutes. Cardiopulmonary exercise responses, Borg perceived breathlessness (RPB) and exertion (RPE) were monitored every minute during the exercise test. The duration of exercises was recorded. Results: Peak exercise capacity using ISMT was low with the end exercise load at 70, 80, 80, and 90 steps/min which is equivalent to moderate to high intensity at 81%, 62%, 65% and 93 % of age-predicted maximum heart rate (HRmax). The exercise test was stopped by breathlessness at RPB 7, 8, 6, and 5. Respiratory rates (RR) were 36, 26, 38, and 38 breaths/min. With CSMT, the results showed very short exercise duration 1.78, 4.60, 2.15, and 2.47 mins with RPB 7, 8, 5, and 5 and RR of 33, 27, 34, and 41 breaths/min respectively. Conclusion: This preliminary report reveals that all four mild COPD GOLD A show low exercise capacity and very poor exercise endurance that should identify the appropriated standard PR program in the future.  
     EN, publication_article_keyword COPD, Pulmonary rehabilitation, Clinical practice guideline, Exercise test. 
EN, publication_article_writer
635090001-7 Mr. NIMIT KOSURA [EN, publication_article_main_writer]
Associated Medical Sciences Master's Degree
637090003-7 Mrs. AUNG AUNG NWE
Associated Medical Sciences Doctoral Degree

EN, publication_article_evaluation มีผู้ประเมินอิสระ 
EN, publication_article_status ได้รับการตอบรับให้ตีพิมพ์ 
EN, publication_article_level นานาชาติ 
EN, publication_article_citation EN, publication_article_citation_true 
EN, publication_article_part_of_thesis EN, publication_article_part_of_thesis_true 
EN, publication_article_part_of_graduate EN, publication_article_part_of_graduate_false 
EN, publication_attachment_file
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