title: [Physical therapy intervention during hospitalization in patients with acute exacerbation of chronic obstructive pulmonary disease and pneumonia: A randomized clinical trial].
abstract: OBJECTIVE
  Respiratory infections involve not only hospitalization due to pneumonia, but also acute exacerbations of COPD (AECOPD). The objective of the present study was to evaluate the effectiveness of a physical therapy intervention during hospitalization in patients admitted due to community-acquired pneumonia (CAP) and AECOPD.
  
  
  METHODS
  Randomized clinical trial, 44 patients were randomized into 2 groups: a control group which received standard medical therapy (oxygen therapy and pharmacotherapy) and an experimental group that received standard treatment and a physical therapy intervention (breathing exercises, electrostimulation, exercises with elastic bands and relaxation).
  
  
  RESULTS
  Between-groups analysis showed that after the intervention (experimental vs. control) significant differences were found in perceived dyspnoea (P=.041), and right and left quadriceps muscle strength (P=.008 and P=.010, respectively). In addition, the subscale of "domestic activities" of the functional ability related to respiratory symptoms questionnaire showed significant differences (P=.036).
  
  
  CONCLUSIONS
  A physical therapy intervention during hospitalization in patients with AECOPD and CAP can generate skeletal muscle level gains that exceed the deterioration caused by immobilization during hospitalization.
authors.affiliation: Departamento de Fisioterapia, Universidad de Granada, Granada, España.
authors.forename: Adelina
authors.initials: A
authors.lastname: Martín-Salvador
authors.affiliation: Departamento de Fisioterapia, Universidad de Granada, Granada, España.
authors.forename: Gloria
authors.initials: G
authors.lastname: Colodro-Amores
authors.affiliation: Departamento de Fisioterapia, Universidad de Granada, Granada, España.
authors.forename: Irene
authors.initials: I
authors.lastname: Torres-Sánchez
authors.affiliation: Departamento de Fisioterapia, Universidad de Granada, Granada, España.
authors.forename: M Paz
authors.initials: MP
authors.lastname: Moreno-Ramírez
authors.affiliation: Departamento de Fisioterapia, Universidad de Granada, Granada, España.
authors.forename: Irene
authors.initials: I
authors.lastname: Cabrera-Martos
authors.affiliation: Departamento de Fisioterapia, Universidad de Granada, Granada, España. Electronic address: cvalenza@ugr.es.
authors.forename: Marie Carmen
authors.initials: MC
authors.lastname: Valenza
mesh_terms: D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D017714:Community-Acquired Infections / Q000150:complications / Q000534:rehabilitation; D018450:Disease Progression; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D026741:Physical Therapy Modalities; D011014:Pneumonia / Q000150:complications / Q000534:rehabilitation*; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications / Q000534:rehabilitation*; D016896:Treatment Outcome
keywords: Chronic obstructive pulmonary disease; Enfermedad pulmonar obstructiva crónica; Hospitalización; Hospitalization; Modalidades de fisioterapia; Neumonía; Physical therapy modalities; Pneumonia