Effectiveness of a training program for a patient with non-cardiac chest pain that combines intervention to improve quality of life, psychological state, and functional capacity: a case report

Yıldız Özer A., Hüzmeli İ.

BIOPSYCHOSOCIAL MEDICINE, cilt.17, sa.27, ss.1-7, 2023 (SSCI)

  • Yayın Türü: Makale / Vaka Takdimi
  • Cilt numarası: 17 Sayı: 27
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1186/s13030-023-00283-4
  • Dergi Adı: BIOPSYCHOSOCIAL MEDICINE
  • Derginin Tarandığı İndeksler: Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, Psycinfo, Directory of Open Access Journals
  • Sayfa Sayıları: ss.1-7
  • Marmara Üniversitesi Adresli: Evet

Özet

Background Noncardiac chest pain (NCCP) is persistent angina-like chest pain without cardiac origin that affects

the patient’s health related quality of life (HrQoL), although it does not affect mortality. The effect of a comprehensive

training program for NCCP focused on quality of life, psychological state, peripheral muscle strength, physical

activity, and quality of life has not been previously established or published. Therefore, this study aimed to show the

effectiveness of our combined training program that focuses on functional capacity, physical activity, pulmonary

function, respiratory and peripheral muscle strength, dyspnea, fatigue, anxiety, and depression perception in NCCP

patients with dyspnea.

Case presentation A 38-year-old man with shortness of breath and NCCP was referred to to us for cardiopulmonary

rehabilitation. Respiratory muscle strength (mouth pressure device), functional capacity (6 min walking test,

6-MWT), peripheral muscle strength (dynamometer), pulmonary function (spirometry), fatigue (fatigue severity

scale), shortness of breath (MMRC, Modified Medical Council Research, Modified Borg Scale-MBS), physical activity

(International Physical Activity Questionnaire, IPAQ), health related quality of life (SF-36, Short Form-36), and

depression and anxiety (Hospital Depression and Anxiety scale, HADs) were assessed. Aerobic training combined with

inspiratory muscle training (loading 30% maximal inspiratory pressure (MIP)) was administered at least 5 days/week

for 6 weeks. Functional capacity, physical activity, pulmonary function, and respiratory and peripheral muscle strength

improved, and dyspnea, fatigue, anxiety, and depression perception were decreased after the management.

Conclusions This combined training program was effective for patients with NCCP and shortness of breath. Future

studies should be conducted to find the most effective biopsychosocial training protocol for NCCP patients.