Recent Advances in Pulmonary Rehabilitation for Patients with COPD
Journal Title: Pulmonary Research and Respiratory Medicine – Open Journal - Year 2017, Vol 0, Issue 2
Abstract
Pulmonary rehabilitation (PR) is a non-pharmacologic therapy that has emerged as a standard of care for patients with chronic obstructive pulmonary disease (COPD). It is a comprehensive, multidisciplinary, patient-centered intervention that includes patient assessment, exercise training, self-management education, and psychosocial support. PR is usually given in inpatient, outpatient, community-based or home-based setting lasting 8-12 weeks. Positive outcomes from PR include increased exercise tolerance, reduced dyspnea and anxiety, increased selfefficacy, and improvement in health-related quality of life (QoL). Hospital admissions after exacerbations of COPD are also reduced with this intervention. The positive outcomes associated with PR are realized without demonstrable improvements in lung function. This paradox is explained by the fact that PR identifies and treats the systemic effects of the disease. This intervention should be considered in patients who remain symptomatic or have decreased functional status despite optimal medical management. Physical activity in patients with COPD is dependent on many factors, including physiologic, behavioral, social, environmental, and cultural factors. A strong inverse association between daily physical activity and dynamic hyperinflation, which correlates strongly with exertional dyspnea in COPD. Changing physical activity behavior inpatients with COPD needs an interdisciplinary approach, bringing together respiratory medicine, rehabilitation sciences, social sciences, and behavioral sciences. There is a need for more education and learning opportunities for primary care physicians, nurse practitioners, and all allied health care professionals about the process and benefits of PR. There is also a need for the sustainability and the safety of PR in the future study.
Authors and Affiliations
Takanobu Shioya
Keywords
Related Articles
- EP ID EP560187
- DOI 10.17140/PRRMOJ-SE-2-102
- Views 114
- Downloads 0
Recent Advances in Pulmonary Rehabilitation for Patients in the Intensive Care Unit (ICU)
Pulmonary rehabilitation is important to prevent complications in critically ill patients in the intensive care unit (ICU) who are on mechanical ventilation. However, the effectiveness and adverse events related to pulmo...
Misdiagnosis Murder: Disguised TB or Lung Cancer?
Medical misdiagnosis dilemma of Tuberculosis (TB) versus Lung Cancer (LC) and their pre-judged unsuitable grueling treatment leading to numerous unnecessary deaths worldwide.1 Globally, numerous patients with incurable L...
The Role of Vital Signs in Predicting Cardiac Tamponade in Asymptomatic Patients with Malignancy: Associated Pericardial Effusion
Background: Cardiac tamponade is a potentially life-threatening complication in patients with advanced lung cancer or other metastatic malignant diseases. However, few reports described how to assess the risk for develop...
Recent Advances in Pulmonary Rehabilitation for Patients with COPD
Pulmonary rehabilitation (PR) is a non-pharmacologic therapy that has emerged as a standard of care for patients with chronic obstructive pulmonary disease (COPD). It is a comprehensive, multidisciplinary, patient-center...
The Relationship between Peripheral Arterial Disease and Chronic Obstructive Pulmonary Disease
Chronic obstructive pulmonary disease (COPD) is a representative chronic pulmonary disease and is predicted to become the third leading cause of death in middle-income countries by 2030.1 COPD has been recognized not on...