Developing concepts in the pulmonary rehabilitation of COPD
- PMID: 18582793
- DOI: 10.1016/S0954-6111(08)70004-0
Developing concepts in the pulmonary rehabilitation of COPD
Abstract
Randomised trials have demonstrated that pulmonary rehabilitation (PR) can improve dyspnoea, exercise tolerance and health related quality of life. Rehabilitation has traditionally been provided in secondary care to patients with moderate to severe disease. Current concepts are however recommending that it should be delivered in a primary and community care setting for patients with milder disease. There are several opportunities for spreading the word for PR in primary care. One of these is to improve access to PR for all those disabled by their disease by the increase of community schemes and one such scheme being utilised in Canada is reviewed. The essential components of PR include behavior change, patient self-management and prescriptive exercise. In the last decade new strategies have been developed to enhance the effects of exercise training. An overview of these new approaches being an adjunct to exercise training is reviewed. Although the role of exercise training is well established, we are only just beginning to appreciate the importance of behavior change and patient self-management in contributing to improved health and diminished healthcare resource utilisation.
Similar articles
-
Pulmonary rehabilitation: an underutilized resource in primary COPD care.Phys Sportsmed. 2010 Dec;38(4):54-60. doi: 10.3810/psm.2010.12.1825. Phys Sportsmed. 2010. PMID: 21150142 Review.
-
Efficacy of pulmonary rehabilitation in chronic respiratory failure (CRF) due to chronic obstructive pulmonary disease (COPD): The Maugeri Study.Respir Med. 2007 Dec;101(12):2447-53. doi: 10.1016/j.rmed.2007.07.016. Epub 2007 Aug 28. Respir Med. 2007. PMID: 17728121
-
Pulmonary rehabilitation for COPD.Respir Med. 2005 Dec;99 Suppl B:S19-27. doi: 10.1016/j.rmed.2005.09.012. Epub 2005 Oct 25. Respir Med. 2005. PMID: 16253495 Review.
-
[Movement rehabilitation, psychotherapy and respiratory rehabilitation in patients with chronic obstructive pulmonary disease].Wiad Lek. 2002;55 Suppl 1:603-8. Wiad Lek. 2002. PMID: 15002310 Review. Polish.
-
Exercise training during rehabilitation of patients with COPD: a current perspective.Patient Educ Couns. 2004 Mar;52(3):243-8. doi: 10.1016/S0738-3991(03)00098-3. Patient Educ Couns. 2004. PMID: 14998593 Review.
Cited by
-
Neuromuscular electrical stimulation for muscle weakness in adults with advanced disease.Cochrane Database Syst Rev. 2016 Oct 17;10(10):CD009419. doi: 10.1002/14651858.CD009419.pub3. Cochrane Database Syst Rev. 2016. PMID: 27748503 Free PMC article. Review.
-
Inspiratory high frequency airway oscillation attenuates resistive loaded dyspnea and modulates respiratory function in young healthy individuals.PLoS One. 2014 Mar 20;9(3):e91291. doi: 10.1371/journal.pone.0091291. eCollection 2014. PLoS One. 2014. PMID: 24651392 Free PMC article. Clinical Trial.
-
Does pulmonary rehabilitation work in clinical practice? A review on selection and dropout in randomized controlled trials on pulmonary rehabilitation.Clin Epidemiol. 2010 Aug 9;2:73-83. doi: 10.2147/clep.s9483. Clin Epidemiol. 2010. PMID: 20865106 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Research Materials
