A Comparison of Physical Activity Between Home-Based and Centre-Based Pulmonary Rehabilitation: A Randomised Controlled Secondary Analysis.
Elizabeth J Horton, Justina Ruksenaite, Katy Mitchell and 3 others
PMID 36188808WHAT IT FOUND
Home-based pulmonary rehab using a manual led to more daily steps and moderate activity than centre-based rehab at 7 weeks, but both groups returned to baseline activity by 6 months.
Key findings
01At 7 weeks, the home-based group took 1,463 more steps per day and spent 32 more minutes in moderate activity bouts than the centre-based group.
02The home-based group significantly increased their own step count and moderate activity time from baseline, while the centre-based group showed no significant change.
03By 6 months, there was no significant difference between the groups, and step counts in both groups had returned to baseline levels.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The sample size was very small, with only 51 participants analysed out of 154 who provided baseline data, which limits the certainty of the findings. The groups were not perfectly matched at the start; the home-based group had significantly worse lung function (lower FEV1 % predicted) than the centre-based group. Participants only wore the activity monitors for 12 hours a day, which may have missed periods of activity. This was a secondary analysis of a subgroup from a larger trial, rather than a study designed specifically to test physical activity outcomes.
Declared interests
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
The easy way to misread this
Do not assume home-based rehabilitation is superior for long-term activity maintenance. While it outperformed centre-based care at seven weeks, both groups returned to their baseline activity levels by six months.