Evaluate the impact of Pulmonary Rehabilitation (PR) on static knee extensor muscle strength through a Handheld Dynamometer (HHD) in respiratory patients

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Tortorella, M.
Grant, A.
Caneja, C.

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2025

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BACKGROUND PR is a comprehensive intervention based on a thorough patient assessment followed by patienttailored therapies that include, but are not limited to exercise training, education, and behavioural change, designed to improve the physical and psychological condition of people with chronic respiratory disease and to promote the long-term adherence to health-enhancing behaviours. A combination of aerobic and resistance exercises is usually prescribed, to increase overall exercise tolerance and lower limb strength, specifically knee extensors There are limited pieces of literature demonstrating the impact of PR on knee extensors, and the MCID of pre and post-intervention on those muscles AIM METHODS To evaluate the impact of PR on static knee extensor muscle strength through a HHD in patients referred to CRT within the period July – December 2024 An SOP was designed by PR team which was approved by the Trust Governance Committee.Patients were triaged and consent was gained via phone call. Suitable patients were enrolled on a 6-week programme of 12 sessions. Knee extensors strength was measured through a HHD test performed before and after completion of programme. Dyspnea outcome from CRQ-SR (Chronic respiratory questionnaire self-reported) was recorded before and after completion of programme. Other QoL measures from the CRQ-SR were observed too – Emotion, Fatigue, Mastery, CAT.

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Quality improvement poster winner 2025

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Croydon Health Services NHS Trust

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