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Title:	A study on functional independence and quality of life among chronic obstructive pulmonary disease patients undergoing pulmonary rehabilitation with either follow - on conventional maintenance versus Feldenkrais method
Authors:	Ayiesah Ramli (P36797)
Supervisor:	Norhaini Mohideen , Prof Dr
Keywords:	Pulmonary rehabilitation
Issue Date:	28-Feb-2012
Description:	The Feldenkrais Method (FM) is an unusual modality used among chronic obstructive pulmonary disease (COPD) patients to alleviate symptoms and optimize function. Most commonly, a pulmonary rehabilitation programme (PRP) is widely carried out among COPD, though none have been reported in Malaysia. It is the novelty of this study to explore the effectiveness of the FM in improving functional capacity and quality of life (QoL) of COPD patients compared to the usual PRP. Phase 1 was a quasi-experimental study, 8 weeks duration carried out at the Physiotherapy Department, University Kebangsaan Malaysia Medical Centre. There were 123 subjects, 56 (49 %) who underwent pulmonary intervention (IG) and another 57 (51%) were controls (CG). Altogether, there were 61 (49.6 %) females and 62 (50.4 %) males, with a mean age of 61.14 (±11.23) years. According to the GOLD classification, 9(7%) subjects had mild COPD, 43(35%) moderate COPD, 53(43 %) severe COPD and 18(15%) very severe COPD. This study demonstrated that IG improved QoL using the health index questionnaire, SF-36 and St George Respiratory Questionnaire (SGRQ). The 6 minute walk test (6MWT) demonstrated further distance walked in the IG (356.58±93.55m) than the CG (282.93±72.97m). Phase 2 included only subjects who completed phase 1, with 19(52.7%) of them randomized to the conventional maintenance pulmonary group (PG) and 17(47%) to the Feldenkrias group (FG) for another 8 weeks. There were 21(58.3%) males and 15(41.7 %) females, with a mean age of 65.63(±9.8) years. Findings on HRQoL using SF-36 showed improved mean (±SD) in the PG compared to the FG. In terms of functional capacity, both groups improved, with further distance walked (379+129m) in the FG than the PG (374+80m). Electromyography feedback also demonstrated a positive response in the FG. Similarly, flexibility testing using the Zipper as well as Sit and Reach test demonstrated improvement only in the FG. In conclusion, the FM which was never explored as a modality of rehabilitation in COPD patients should be considered to complement the existing PRPs to facilitate activities of daily living. This study also confirmed previous evidence of PRPs in improving HRQoL and functional capacity as observed among Malaysian COPD patients.,Master / Sarjana
Pages:	212
Call Number:	WF600.A976s 2012
Publisher:	UKM, Kuala Lumpur
Appears in Collections:	Faculty of Medicine / Fakulti Perubatan

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