Exercise training and pulmonary rehabilitation: new insights and remaining challenges
Pulmonary rehabilitation is now regarded as an evidence-based treatment for symptomatic patients with chronic obstructive pulmonary disease. It has been shown to enhance exercise tolerance, improve symptoms and health-related quality of life, and reduce exacerbations in patients with recurrent exace...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Respiratory Society
2010-03-01
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| Series: | European Respiratory Review |
| Subjects: | |
| Online Access: | http://err.ersjournals.com/cgi/content/full/19/115/24 |
| _version_ | 1818494371776954368 |
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| author | T. Troosters R. Gosselink W. Janssens M. Decramer |
| author_facet | T. Troosters R. Gosselink W. Janssens M. Decramer |
| author_sort | T. Troosters |
| collection | DOAJ |
| description | Pulmonary rehabilitation is now regarded as an evidence-based treatment for symptomatic patients with chronic obstructive pulmonary disease. It has been shown to enhance exercise tolerance, improve symptoms and health-related quality of life, and reduce exacerbations in patients with recurrent exacerbations. In this article we review the mechanisms through which exercise training results in beneficial effects. We also review three challenges that currently remain: 1) the fine tuning of exercise training and multidisciplinary programmes; 2) the timing of rehabilitation; and 3) efforts to enhance the accessibility and adherence to pulmonary rehabilitation programmes. Further research is needed in order to apply the now well-established principles of pulmonary rehabilitation to unusual patient populations, or patient populations that are unlikely to participate in conventional outpatient programmes. |
| first_indexed | 2024-12-10T18:05:16Z |
| format | Article |
| id | doaj.art-bd7ceb6b76ea49c08cb80b5cdb038d97 |
| institution | Directory Open Access Journal |
| issn | 0905-9180 1600-0617 |
| language | English |
| last_indexed | 2024-12-10T18:05:16Z |
| publishDate | 2010-03-01 |
| publisher | European Respiratory Society |
| record_format | Article |
| series | European Respiratory Review |
| spelling | doaj.art-bd7ceb6b76ea49c08cb80b5cdb038d972022-12-22T01:38:38ZengEuropean Respiratory SocietyEuropean Respiratory Review0905-91801600-06172010-03-01191152429Exercise training and pulmonary rehabilitation: new insights and remaining challengesT. TroostersR. GosselinkW. JanssensM. DecramerPulmonary rehabilitation is now regarded as an evidence-based treatment for symptomatic patients with chronic obstructive pulmonary disease. It has been shown to enhance exercise tolerance, improve symptoms and health-related quality of life, and reduce exacerbations in patients with recurrent exacerbations. In this article we review the mechanisms through which exercise training results in beneficial effects. We also review three challenges that currently remain: 1) the fine tuning of exercise training and multidisciplinary programmes; 2) the timing of rehabilitation; and 3) efforts to enhance the accessibility and adherence to pulmonary rehabilitation programmes. Further research is needed in order to apply the now well-established principles of pulmonary rehabilitation to unusual patient populations, or patient populations that are unlikely to participate in conventional outpatient programmes.http://err.ersjournals.com/cgi/content/full/19/115/24Chronic obstructive pulmonary diseasemusclephysical activityrehabilitation |
| spellingShingle | T. Troosters R. Gosselink W. Janssens M. Decramer Exercise training and pulmonary rehabilitation: new insights and remaining challenges European Respiratory Review Chronic obstructive pulmonary disease muscle physical activity rehabilitation |
| title | Exercise training and pulmonary rehabilitation: new insights and remaining challenges |
| title_full | Exercise training and pulmonary rehabilitation: new insights and remaining challenges |
| title_fullStr | Exercise training and pulmonary rehabilitation: new insights and remaining challenges |
| title_full_unstemmed | Exercise training and pulmonary rehabilitation: new insights and remaining challenges |
| title_short | Exercise training and pulmonary rehabilitation: new insights and remaining challenges |
| title_sort | exercise training and pulmonary rehabilitation new insights and remaining challenges |
| topic | Chronic obstructive pulmonary disease muscle physical activity rehabilitation |
| url | http://err.ersjournals.com/cgi/content/full/19/115/24 |
| work_keys_str_mv | AT ttroosters exercisetrainingandpulmonaryrehabilitationnewinsightsandremainingchallenges AT rgosselink exercisetrainingandpulmonaryrehabilitationnewinsightsandremainingchallenges AT wjanssens exercisetrainingandpulmonaryrehabilitationnewinsightsandremainingchallenges AT mdecramer exercisetrainingandpulmonaryrehabilitationnewinsightsandremainingchallenges |