title: Swimming pool-based exercise as pulmonary rehabilitation for COPD patients in primary care: feasibility and acceptability.
abstract: OBJECTIVE
  To assess the feasibility and acceptability of swimming pool-based exercise as pulmonary rehabilitation (PR) for COPD sufferers.
  
  
  METHODS
  101 patients with mild or moderate COPD registered with a South London general practice were invited to a swimming pool-based PR programme. Participants completed spirometry, the Chronic Respiratory Questionnaire (CRQ-SR), and the Incremental Shuttle Walk Test (ISWT) before and after the programme. A qualitative interview was used to assess participants' views.
  
  
  RESULTS
  24 patients (24%) expressed interest; 18 were recruited and 16 (16%) completed the PR programme. Their mean age was 69 yrs, seven were female, and mean % predicted FEV1 was 59%. The mean number of sessions attended was 10.6 out of 12. Significant improvements in dyspnoea score (difference 4.9; 95% CI -8.27 to -1.48) and walking distance (difference 32 metres; 95% CI -52.63 to -11.36) were observed, and all other findings were in the direction of improvement. Most patients enjoyed being in the water, were happy to expose themselves in swimsuits, overcame their fears, valued learning about COPD and socializing with fellow sufferers, and were positive about their physical improvement.
  
  
  CONCLUSIONS
  The swimming pool is a feasible and positive alternative venue for PR for COPD patients in primary care.
authors.affiliation: Sydenham Green Group Practice, Sydenham, London, UK. sneeda@hotmail.com
authors.forename: Susan
authors.initials: S
authors.lastname: Rae
authors.forename: Patrick
authors.initials: P
authors.lastname: White
mesh_terms: D000368:Aged; D005081:Exercise Therapy / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D005541:Forced Expiratory Volume; D006801:Humans; D008297:Male; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000628:therapy*; D011788:Quality of Life; D013550:Swimming