Abstract
A Hunt, P Roberts, A Harvey, A K Simonds Sleep and Ventilation Unit, Royal Brompton and Harefield Trust, London Anxiety, depression and reduced quality of life are well documented in chronic obstructive pulmonary disease (COPD). Comprehensive pulmonary rehabilitation (PR) programmes include intervention strategies to address these issues. Patients with conditions other than COPD are participating in PR, and quality of life in some patient groups is not documented. As part of an ongoing study investigating the effects of PR in patients with restrictive ventilatory disorders, baseline quality of life and functional assessments were performed in 20 patients with restrictive and 20 with obstructive ventilatory disorders. All subjects were > 65 years, with FEV1 or FVC < 50% predicted (FEV1/FVC; obstructive 0.75/2.33, restrictive 0.78/1.146). Restrictive ventilatory disorders included early onset scoliosis and thoracoplasty. Shuttle walking distance did not differ between groups (obstructive = 198.5 m (92.9 m), restrictive = 223 m (134.6 m)). Assessment tools used were the Chronic Respiratory Disease Questionnaire (CRDQ), MOS 36-item short-form health survey (SF-36), Hospital Anxiety and Depression scale (HAD) and Functional Limitation Profile (FLP). Patients with long-term restrictive ventilatory disorders do not have the same quality of life and functional profiles as those with more recently acquired disorders such as COPD, and appear to have a better command of their disease. Completion of the current study will demonstrate whether restrictive patients gain similar improvements in quality of life following pulmonary rehabilitation compared with obstructive patients. However, these initial findings should be considered when planning the content and assessing the outcome of PR programmes for patients with restrictive ventilatory disease.
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