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ABS TRACT Ob jec ti ve: To in ves ti ga te the ef fects of wa ter-ba sed pul mo nary re ha bi li ta ti on prog ram on pul mo nary func ti ons, exer ci se ca pa city, an xi ety and dep res si on le vel and qu a lity of li fe (QoL) in pa ti ents with chro nic obs truc ti ve pul mo nary di se a se (COPD). Ma te ri al and Met hods: Fifty mo de ra te or se ve re COPD pa ti ents wit ho ut res pi ra tory fa i lu re we re inc lu ded. They we re ran do mi zed eit her to wa ter-ba sed exer ci se (WE) gro up (n= 25) or to con trol gro up (n= 25). Spi ro metry and 6mi nu te walk test (6-MWT) we re per for med. QoL was as ses sed by the Chro nic Res pi ra tory Di se a se Qu es ti on na i re (CRDQ). Le vel of an xi ety and dep res si on was as ses sed using the Hos pi tal An xi ety and Dep res si on (HAD) Sca le. WE gro up re ce i ved 4-we ek wa ter-ba sed pul mo nary re ha bi li ta ti on prog ram inc lu ding sho ul der gird le and up per ex tre mity streng the ning exer ci ses for 35 mi nu tes, thre e ti mes a we ek (to tally 12 ses si ons) in ad di ti on to me di cal the rapy. Con trol gro up re ce i ved only me di cal the rapy. All the as sess ments we re re pe a ted one month af ter in ter ven ti on in both gro ups. Re sults: The me an ages of the pa ti ents in WE and con trol gro ups we re sta tis ti cally not dif fe rent (res pec ti vely 60.9 ± 8.8, 64.1 ± 8.9, p= 0.207). All the pa ti ents in both gro ups we re ma les. No sig ni fi cant im pro ve ments in pul mo nary func ti ons and 6-MWT dis tan ce we re ob ser ved at one month com pa red to ba se li ne in both gro ups. We ob ser ved sta tis ti cally sig ni fi cant dec re a se in an xi ety sco res and sig ni fi cant in cre a ses in dyspno e a, emo ti o nal func ti on and pa ti ents’ fe e ling of con trol over the di se a se sco res of CRDQ at one month com pa red to ba se li ne in WE gro up. In con trol gro up, no sig ni fi cant dif fe ren ces in an xi ety and CRDQ sco res we re ob ser ved at one month com pa red to ba se li ne. Conc lu si on: Pul mo nary re ha bi li ta ti on is known to be cost-ef fec ti ve in pa ti ents with COPD. Wa ter-ba sed exer ci ses are ef fec ti ve in im pro ving QoL and an xi ety le vel in COPD pa ti ents, thus it can be sup po sed as an al ter na ti ve to land ba sed pul mo nary re ha bi li ta ti on prog rams.

The Effect of Water-Based Pulmonary Rehabilitation on Anxiety and Quality of Life in Chronic Pulmonary Obstructive Disease Patients