Evidence map›Paper›PMID 34321095›Full record

ArticleBMC sports science, medicine & rehabilitation2021

Effectiveness and safety of a simple home-based rehabilitation program in pulmonary arterial hypertension: an interventional pilot study.

Mariusz Wojciuk, Mariusz Ciolkiewicz, Anna Kuryliszyn-Moskal, Sylwia Chwiesko-Minarowska, Emilia Sawicka, Katarzyna Ptaszynska-Kopczynska, Karol Kaminski

Registry-linked trialAbstract read
In one paragraph

Article in BMC sports science, medicine & rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03780803 (Evaluation of Influence of Home Physical Training Program and Respiratory Rehabilitation on Quality of Life, Body Composition, and Function of Respiratory Muscles in Patients With Primary PAH, HFREF and IHD), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03780803 nacompletednot on this map

Evaluation of Influence of Home Physical Training Program and Respiratory Rehabilitation on Quality of Life, Body Composition, and Function of Respiratory Muscles in Patients With Primary PAH, HFREF and IHD

TypeinterventionalSponsorMedical University of BialystokRan2016 to 2021Enrolled93ConditionsPulmonary Hypertension, Heart Failure With Reduced Ejection Fraction, Ischemic Heart DiseaseArmshome cardiac rehabilitation and respiratory rehabilitation
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Effectiveness and safety of home-basedEuropean respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  2. Exercise-based rehabilitation programmes for pulmonary hypertension.The Cochrane database of systematic reviews · 2023
    Pooled it
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  7. Article
  8. Physical exercise for pulmonary arterial hypertension diagnosis and therapy.International journal of cardiology. Congenital heart disease · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mariusz WojciukDepartment of Rehabilitation, Medical University of Bialystok, ul. Sklodowska-Curie 24A, 15-089, Bialystok, Poland. mariusz.wojciuk@umb.edu.pl.ORCID http://orcid.org/0000-0003-2313-7125
Mariusz CiolkiewiczDepartment of Rehabilitation, Medical University of Bialystok, ul. Sklodowska-Curie 24A, 15-089, Bialystok, Poland.
Anna Kuryliszyn-MoskalDepartment of Rehabilitation, Medical University of Bialystok, ul. Sklodowska-Curie 24A, 15-089, Bialystok, Poland.
Sylwia Chwiesko-MinarowskaDepartment of Rehabilitation, Medical University of Bialystok, ul. Sklodowska-Curie 24A, 15-089, Bialystok, Poland.
Emilia SawickaDepartment of Population Medicine and Lifestyle Diseases Prevention, Medical University of Bialystok, Bialystok, Poland.
Katarzyna Ptaszynska-KopczynskaDepartment of Cardiology, Medical University of Bialystok, Bialystok, Poland.
Karol KaminskiDepartment of Population Medicine and Lifestyle Diseases Prevention, Medical University of Bialystok, Bialystok, Poland.

Funding

Medical University of Bialystok N/ST/MN/16/002/1153
6 · The paper itself

Abstract

backgroundRehabilitation plays an important role in the management of patients with pulmonary arterial hypertension (PAH) and current guidelines recommend implementation of a monitored individualized exercise training program as adjuvant therapy for stable PAH patients on optimal medical treatment. An optimal rehabilitation model for this group of patients has not yet been established. This randomized prospective study assessed the effectiveness and safety of a 6-month home-based caregiver-supervised rehabilitation program among patients with pulmonary arterial hypertension.

methodsA total of 39 patients with PAH were divided into two groups: intervention group (16 patients), subjected to a 6-month home-based physical training and respiratory rehabilitation program adapted to the clinical status of participants, and control group (23 patients) who did not perform physical training. The 6-min walk test (6MWT), measurement of respiratory muscle strength, quality of life assessment (SF-36, Fatigue Severity Scale - FSS) were performed before study commencement, and after 6 and 12 months. Adherence to exercise protocol and occurrence of adverse events were also assessed.

resultsPhysical training significantly improved 6MWT distance (by 71.38 ± 83.4 m after 6 months (p = 0.004), which remained increased after 12 months (p = 0.043), and respiratory muscle strength after 6 and 12 months (p < 0.01). Significant improvement in quality of life was observed after the training period with the use of the SF-36 questionnaire (Physical Functioning, p < 0.001; Role Physical, p = 0.015; Vitality, p = 0.022; Role Emotional, p = 0.029; Physical Component Summary, p = 0.005), but it did not persist after study completion. Adherence to exercise protocol was on average 91.88 ± 14.1%. No serious adverse events were noted.

conclusionAccording to study results, the home-based rehabilitation program dedicated to PAH patients is safe and effective. It improves functional parameters and quality of life. Strength of respiratory muscles and 6MWD remain increased 6 months after training cessation.

trial registrationClinicalTrials.gov , NCT03780803 . Registered 12 December 2018.

Indexed as

Cardiac rehabilitationExercise trainingHome-based exercise programPAHRespiratory training

Identifiers

PMID34321095
PMCPMC8316895

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.