S102 PRESENTATIONS

fitness in patients with heart failure (HF). Design: a cross-sectional study.Setting: Tertiary care cardiovascular hospital. Participants: 40 patientswith HF. Interventions: None. Main Outcome Measures: Bodymass index (BMI) was measured as an indicator of obesity and the risk wasclassified according to international benchmarks. We compared thecardiorespiratory fitness by 6-min walk test (6’WT), oxygen consumption byVO(2)max, distance and the number of steps such as indicators of fitness.Results: We performed a cross-sectional descriptive study in 40 patientswith HF (age 66.8 � 11.4 years, BMI 27.4 � 4.8 kg$m-1, LVEF 40.5 �8.3%). In subjects with BMI â&U 26 kg$m-1 negative correlationswere observed in the distance by 6’WT (rho Spearman ¼ -0.50), number ofsteps (rho Spearman ¼ -0.45), VO(2)max (rho ¼ -0.49) and LVEF (rho ¼-0.32). Conclusion: This study suggests that “obesity paradox” is notrelated to a higher standard cardiopulmonary by VO(2)max.

No. 23 Utility of Introducing a Pulmonary RehabilitationProgram in Pediatric Population With Chronic Pneumopathyin a Pediatric Hospital in Bogota, Colombia: Pilot Study.Edicson Ruiz Ospina; Doris Valencia Valencia.

Disclosure: None. Objective: To introduce the first structuredprogram of pulmonary rehabilitation tailored for pediatric population inBogota, Colombia, and to evaluate the utility of its introduction in chil-dren with chronic pneumopathy. Setting: 4th level pediatric hospital inBogota, Colombia. Participants: 10 children between 8 and 15 yearsold with chronic pneumopathy referred to our unit of pediatric rehabil-itation. Interventions: Ambulatory program of pulmonary rehabilita-tion which consisted of physical conditioning through aerobic exerciseand inspiratory muscle training through respiratory biofeedback. Addi-tionally we provided a document explaining an inspiratory muscle exer-cise house program to be practiced every day. Main OutcomeMeasures: Functional capacity measured with 6 minute walk test,quality of life measured with kid screen - 27 tool and requirements ofsupplementary oxygen. Results: After completing 25 sessions of ambu-latory pulmonary rehabilitation program there was an increasing infunctional capacity given by better compliance at 6 minute walk test,diminished requirements of use of supplementary oxygen, and betterperception of quality of life by the child him/herself and his/her family.Conclusions: Programs of pulmonary rehabilitation should beconsidered not only in adults but also as an important component ofintegral management of children with chronic pneumopathy in ourmedical environment. This program is the first of this kind in our country.

No. 26 Relationship Between Cardiopulmonary Responsesto Exercise Onset and Anaerobic Threshold in People WithHeart Failure.Yamamoto Sawako; Furukawa Yorimitsu; Nitta Osamu.

Disclosure: None. Objective: It has been demonstrated that higheraerobic capacity leads to decreased mortality. However little is knownabout cardiopulmonary responses to exercise onset under the influence ofaerobic capacity. Aim of this study was to investigate the relationshipbetween cardiopulmonary responses to exercise onset and aerobicthreshold in people with heart failure. Setting: General hospital.Participants: 28 male subjects (mean age: 63.9 years; SD: 11.3 years;range: 36-82 years) with heart failure participated in this study. Theyhad been admitted to hospital for cardiac rehabilitation due to their heartfailure. Interventions: In the study participants underwent a sub-maximal cardiopulmonary exercise test to determine oxygen uptake attheir anaerobic threshold (AT) level using cycle ergometry. MainOutcome: AT and their increases in integrated value of oxygen uptakein four minutes from exercise onset were calculated as cardiopulmonary

responses. The Pearson’s correlation analysis was used to assess the rela-tionship between cardiopulmonary responses to exercise onset and oxygenuptake at participants AT. All statistical tests with a p-value<0.05 wereconsidered statistically significant using IBM SPSS statistics (version 20).Results: The average increase in oxygen uptake on exercise onset was 9.1ml/kg (SD¼2.4) and the average oxygen uptake at AT was 9.1ml/kg/min(SD¼1.4). Oxygen uptake at AT was related to integrated value of oxygenuptake on exercise onset (r¼ 0.57 p<0.05). Conclusions: These resultssuggested that an easily and safely obtained measurement of physicalfitness is related to integrated value of oxygen uptake in four minutesfrom exercise onset. Therefore integrated value of oxygen uptake in fourminutes from exercise onset could be helpful to assess aerobic capacity inpeople with heart failure. Acknowledgement: Authors thank allsubjects.

EDUCATION AND ADMINISTRATION

No. 28 Pain Reduction in Inpatients With Low Back PainDisability.Elena Aidinoff; Sharona Yoseph, MD; Vadim Bluvshtein;Amiram Catz.

Disclosure: None. Objective: To assess pain reduction during reha-bilitation in patients with chronic low back pain disability (CLBPD).Design: Retrospective evaluation using inpatient records. Setting: TheLoewenstein Hospital Inpatient CLBPD program. Participants: Onehundred CLBPD inpatients admitted during 2000-2009. Patients after spinalsurgery during the six months before admission with a significant neuro-logical deficit or with non-spinal medical problems that may cause disabilitywere excluded. Intervention: A functional restoration program carried outby a multidisciplinary team that included task performance assessment, painreduction, cognitive behavioral, social and ergonomic interventions andexposure to functional and physical training of gradually increasing diffi-culty irrespective of pain perception. Main Outcome Measures: Painchange assessed using a 7-point scale 0 representing a worsening of pain and6 representing complete pain relief. Level of Evidence: Level 1.Results: At discharge from rehabilitation 60% of the inpatients reportedsome pain relief. Twenty two percent reported substantial or moderateimprovement in pain. Pain relief was smaller (p<0.05) in patients withneurological deficit and correlated weakly with use of narcotic drugs atdischarge from rehabilitation (r¼0.211, p<0.05). No significant correlationwas found between change in pain and admission age, gender, length of stayin rehabilitation, functional condition at admission, and the improvement infunction during rehabilitation. Conclusions: The inpatient rehabilitationprogram contributed to pain relief in many of the most difficult CLBPDpatients although the relief was prominent only in a relatively small portionof the patients. The improvement in pain was independent of most patientbackground data but pain relief was not a condition for successful functionalrestoration.

No. 30 Training Seminars for Disaster RehabilitationCoordinators to Prepare for Massive Disasters in Japan.Meigen Liu, MD PhD; Sawako Ohtaki, MS; Atsuko Horie;Masaki Kurihara.

Disclosure: None. Objective: The Japanese Disaster RehabilitationAssistance Team (JRAT) was organized after the 2011 great East Japanearthquake and disaster and has been engaged in multidisciplinarydisaster relief activities as well as training seminars targeted at enhancingpreparedness for future disasters. The purpose is to study preliminaryeffectiveness of the seminars. Design: Questionnaire survey. Partici-pants: 278 rehabilitation professionals who attended the 4 seminars asa multidisciplinary team representing each of the 47 prefectures in Japan(47 physiatrists, 45 nurses, 47 physical therapists, 47 occupationaltherapists, 46 speech therapists, 37 care managers, and 9 administrative