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Nr 165, 6/2006

Jan Szczegielniak1(A,D), Jacek Łuniewski1(E,F), Katarzyna Bogacz1(B,C),
Zbigniew Śliwiński2(C,E)


1 Katedra Klinicznych Podstaw Fizjoterapii, Wydział Wychowania Fizycznego i Fizjoterapii, Politechnika Opolska, Opole
2 Ośrodek Rehabilitacji SP ZOZ, Zgorzelec


WSKAŹNIK BODE W KWALIFIKACJI DO ĆWICZEŃ CHORYCH NA PRZEWLEKŁĄ OBTURACYJNĄ CHOROBĘ PŁUC
BODE INDEX IN QUALIFYING PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE FOR EXERCISE

Słowa kluczowe: wskaźnik BODE, kwalifikacja do ćwiczeń, przewlekła obturacyjna choroba płuc
Key words: BODE index, qualifying patients, chronic obstructive pulmonary disease (COPD)

Summary

Background. The aim of the research was to use BODE index to qualify patients with COPD for exercise.
Material and methods. Prognostic BODE index was suggested to be used for assessment of effort capacity in patients with CPOD. It takes into account: body weight (BMI), obturation level (O) and dyspnea (D) as well as physical effort capacity. Before rehabilitation, all patients were given a cycle ergometer efficiency test and a full spirographic test with the use of Jaeger's Master-Lab Transfer machine. The body mass index (BMI) was established by dividing body mass by square value of height measured in metres. Obturation was described by the value of FEV1 index in percentage of the due value. A modified MMRC scale was used to assess dyspnoea. Effort was defined by the distance covered during a six-minute walk. Every variable of BODE index was given between 0-3 pts, except BMI which was given between 0-1 pts. BODE index value was 0-10 pts.
Results. To assess the correlation between the indexes describing workload during an efficiency test, measured in Watts, and the BODE index the Pearson correlation index was calculated. The result analysis showed a high correlation between workload measured in Watts and the results on BODE scale in both groups.
Conclusions. The high level of correlation between average value of indexes assessing effort tolerance in cycle ergometer test and BODE index proves BODE index useful for qualifying patients with COPD for exercise.



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