| Title: |
Minimal vs Specialized Exercise Equipment for Pulmonary Rehabilitation: A Randomized Clinical Trial |
| Authors: |
Nolan, CM; Glen, C; Walsh, JA; Patel, S; Barker, RE; Polgar, O; Spain, N; Littlemore, H; Jung, P; Edwards, GD; Jenkins, T; Harvey, J; Ingram, K; Newby, C; Steiner, MC; Wilson, RL; Gao, W; Fiorentino, F; Chukwusa, E; May, P; Maddocks, M; Man, WDC |
| Source: |
https://kclpure.kcl.ac.uk/portal/en/publications/minimal-vs-specialized-exercise-equipment-for-pulmonary-rehabilit. |
| Publisher Information: |
American Medical Association |
| Publication Year: |
2025 |
| Collection: |
Brunel University London: Brunel University Research Archive (BURA) |
| Description: |
Data Sharing Statement: See Supplement 4, available online at: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2837445#note-ZOI250748-1 . Access to data: WDCM had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. ; Additional Contributions: The Harefield Pulmonary Rehabilitation Team provided the intervention. Nannette Spain, BSc, and Jennifer Merton, members of the patient and public involvement team and trial management group, had input into the study design and monitoring. ; Importance: Pulmonary rehabilitation (PR) improves exercise tolerance, symptom burden, and health-related quality of life for people with chronic respiratory conditions. However, demand for PR outstrips supply. Traditionally, PR has been delivered using specialist, gym-based exercise equipment. Objective: To investigate whether PR using minimal equipment (PR-min) is noninferior to PR using specialist gym exercise equipment (PR-gym). Design: Settings, and Participants This parallel, 2-group, assessor- and statistician-blinded, noninferiority randomized clinical trial compared PR-min with PR-gym. Eligible participants were people with chronic respiratory disease referred for PR to the Regional Pulmonary Rehabilitation Unit in northwest London, UK. Recruitment occurred from October 15, 2018, to December 21, 2021, with a final follow-up to December 14, 2022. Randomization was by an independent web-based system using minimization with 1:1 allocation. Data analysis was performed from May 2023 to January 2025. Interventions: Both PR programs comprised 2 in-person, outpatient supervised sessions per week for 8 weeks. PR-min used minimal equipment (eg, walking circuit and body weight exercises), whereas PR-gym used specialist exercise equipment (eg, treadmills and weights machines). Main Outcomes and Measures: The primary outcome was change in incremental shuttle walk (ISW) distance after PR (ie, at 8 weeks; with a predefined noninferiority margin of ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
1 - 13; Electronic |
| Language: |
English |
| Relation: |
JAMA Network Open; Article number: e2526616; https://bura.brunel.ac.uk/handle/2438/31697; https://doi.org/10.1001/jamanetworkopen.2025.26616 |
| DOI: |
10.1001/jamanetworkopen.2025.26616 |
| Availability: |
https://bura.brunel.ac.uk/handle/2438/31697; https://doi.org/10.1001/jamanetworkopen.2025.26616 |
| Rights: |
Creative Commons Attribution 4.0 International ; https://creativecommons.org/licenses/by/4.0/ ; https://creativecommons.org/licenses/by/4.0/legalcode.en ; Nolan CM et al. |
| Accession Number: |
edsbas.30AA4396 |
| Database: |
BASE |