The effects of reducing the frequency of long-term physiotherapy on patiënts with severe COPD: a Dutch multicenter study

06-07-2022

The Physical Therapy & Science Association (F&W) performed a study on the consequences of reducing the frequency of longterm physiotherapeutic rehabilitation in patients with COPD. 

ABSTRACT Purpose: To investigate if a reduction in the frequency of long term physiotherapy leads to an increase in exacerbations, prescriptions of medication and hospital admissions leads to an increase ofexacerbations, prescriptions of medication and hospital admissions in patients with chronic obstructivepulmonary disease (COPD). Intervention: 296 adults with severe COPD (GOLD III & IV) followed a weekly physiotherapy program with a focus on endurance capacity, muscle function and education. In this study, participants were divided into two groups: a High-Frequency Group (HFG) and a Low Frequency Group (LFG). Results: The HFG had consistent lower rates of exacerbations (LFG x̄ 4.14; HFG x̄ 2.71), prescriptions antibiotics LFG x̄ 28.63; HFG x̄ 12.64), number of hospital admissions (LFG x̄ 1.22; HFG x̄ 0.36) and days in hospital (LFG x̄ 8.85; HFG x̄ 1.36) compared to LFG. Differences between both groups (Independent samples T-test, p < 0.05) were significant for exacerbations (p = 0.001), antibiotic prescriptions (p = 0.009), hospital admissions (p = 0.000) and days in hospital (p = 0.000). Conclusion: Reducing the frequency of long-term physiotherapy leads to significantly higher rates of exacerbations, medication use, hospital admissions and days in hospital in patients with severe COPD.

 
This study has been published in peer reviewed European Journal of Physiotherapy.
D. Postel MSc, M. Willekens MSc, S. Werner MSc, N. Hutting Phd, DM Keesenberg MSc, 

• 19-09-2024
• 07-03-2022

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