Pulmonary rehabilitation and physical interventions
Pulmonary rehabilitation has established a status of evidence-based therapy for patients with symptomatic COPD in the stable phase and after acute exacerbations. Rehabilitation should have the possibility of including different disciplines and be offered in several formats and lines of healthcare. T...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Respiratory Society
2023-06-01
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| Series: | European Respiratory Review |
| Online Access: | http://err.ersjournals.com/content/32/168/220222.full |
| _version_ | 1827914581647818752 |
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| author | Thierry Troosters Wim Janssens Heleen Demeyer Roberto A. Rabinovich |
| author_facet | Thierry Troosters Wim Janssens Heleen Demeyer Roberto A. Rabinovich |
| author_sort | Thierry Troosters |
| collection | DOAJ |
| description | Pulmonary rehabilitation has established a status of evidence-based therapy for patients with symptomatic COPD in the stable phase and after acute exacerbations. Rehabilitation should have the possibility of including different disciplines and be offered in several formats and lines of healthcare. This review focusses on the cornerstone intervention, exercise training, and how training interventions can be adapted to the limitations of patients. These adaptations may lead to altered cardiovascular or muscular training effects and/or may improve movement efficiency. Optimising pharmacotherapy (not the focus of this review) and oxygen supplements, whole-body low- and high-intensity training or interval training, and resistance (or neuromuscular electrical stimulation) training are important training modalities for these patients in order to accommodate cardiovascular and ventilatory impairments. Inspiratory muscle training and whole-body vibration may also be worthwhile interventions in selected patients. Patients with stable but symptomatic COPD, those who have suffered exacerbations and patients waiting for or who have received lung volume reduction or lung transplantation are good candidates. The future surely holds promise to further personalise exercise training interventions and to tailor the format of rehabilitation to the individual patient's needs and preferences. |
| first_indexed | 2024-03-13T02:46:15Z |
| format | Article |
| id | doaj.art-3e6ca9a8c62e47cca25be7cafc747004 |
| institution | Directory Open Access Journal |
| issn | 0905-9180 1600-0617 |
| language | English |
| last_indexed | 2024-03-13T02:46:15Z |
| publishDate | 2023-06-01 |
| publisher | European Respiratory Society |
| record_format | Article |
| series | European Respiratory Review |
| spelling | doaj.art-3e6ca9a8c62e47cca25be7cafc7470042023-06-28T15:28:52ZengEuropean Respiratory SocietyEuropean Respiratory Review0905-91801600-06172023-06-013216810.1183/16000617.0222-20220222-2022Pulmonary rehabilitation and physical interventionsThierry Troosters0Wim Janssens1Heleen Demeyer2Roberto A. Rabinovich3 KU Leuven, Department of Rehabilitation Sciences, Leuven, Belgium Respiratory Division, University Hospitals Leuven, Leuven, Belgium KU Leuven, Department of Rehabilitation Sciences, Leuven, Belgium University of Edinburgh, MRC Centre for Information Research, Edinburgh, UK Pulmonary rehabilitation has established a status of evidence-based therapy for patients with symptomatic COPD in the stable phase and after acute exacerbations. Rehabilitation should have the possibility of including different disciplines and be offered in several formats and lines of healthcare. This review focusses on the cornerstone intervention, exercise training, and how training interventions can be adapted to the limitations of patients. These adaptations may lead to altered cardiovascular or muscular training effects and/or may improve movement efficiency. Optimising pharmacotherapy (not the focus of this review) and oxygen supplements, whole-body low- and high-intensity training or interval training, and resistance (or neuromuscular electrical stimulation) training are important training modalities for these patients in order to accommodate cardiovascular and ventilatory impairments. Inspiratory muscle training and whole-body vibration may also be worthwhile interventions in selected patients. Patients with stable but symptomatic COPD, those who have suffered exacerbations and patients waiting for or who have received lung volume reduction or lung transplantation are good candidates. The future surely holds promise to further personalise exercise training interventions and to tailor the format of rehabilitation to the individual patient's needs and preferences.http://err.ersjournals.com/content/32/168/220222.full |
| spellingShingle | Thierry Troosters Wim Janssens Heleen Demeyer Roberto A. Rabinovich Pulmonary rehabilitation and physical interventions European Respiratory Review |
| title | Pulmonary rehabilitation and physical interventions |
| title_full | Pulmonary rehabilitation and physical interventions |
| title_fullStr | Pulmonary rehabilitation and physical interventions |
| title_full_unstemmed | Pulmonary rehabilitation and physical interventions |
| title_short | Pulmonary rehabilitation and physical interventions |
| title_sort | pulmonary rehabilitation and physical interventions |
| url | http://err.ersjournals.com/content/32/168/220222.full |
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