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Title: How to adapt the pulmonary rehabilitation programme to patients with chronic respiratory disease other than COPD.
Austin Authors: Holland, Anne E ;Wadell, Karin;Spruit, Martijn A
Affiliation: Institute for Breathing and Sleep
CIRO+, Horn, The Netherlands
Dept of Physiotherapy, La Trobe University
Dept of Community Medicine and Rehabilitation
Physiotherapy, Umeå University, Umeå, Sweden
Center of Expertise for Chronic Organ Failure
CIRO+ Horn, The Netherlands
Dept of Physiotherapy, Alfred Health
Issue Date: 22-Dec-2013
Publication information: European Respiratory Review : an official journal of the European Respiratory Society 2013;130: 577-586
Abstract: Dyspnoea, fatigue, reduced exercise tolerance, peripheral muscle dysfunction and mood disorders are common features of many chronic respiratory disorders. Pulmonary rehabilitation successfully treats these manifestations in chronic obstructive pulmonary disease (COPD) and emerging evidence suggests that these benefits could be extended to other chronic respiratory conditions, although adaptations to the standard programme format may be required. Whilst the benefits of exercise training are well established in asthma, pulmonary rehabilitation can also provide evidence-based interventions including breathing techniques and self-management training. In interstitial lung disease, a small number of trials show improved exercise capacity, symptoms and quality of life following pulmonary rehabilitation, which is a positive development for patients who may have few treatment options. In pulmonary arterial hypertension, exercise training is safe and effective if patients are stable on medical therapy and close supervision is provided. Pulmonary rehabilitation for bronchiectasis, including exercise training and airway clearance techniques, improves exercise capacity and quality of life. In nonsmall cell lung cancer, a comprehensive interdisciplinary approach is required to ensure the success of pulmonary rehabilitation following surgery. Pulmonary rehabilitation programmes provide important and underutilised opportunities to improve the integrated care of people with chronic respiratory disorders other than COPD.
DOI: 10.1183/09059180.00005613
Journal: European Respiratory Review : an official journal of the European Respiratory Society
PubMed URL: 24293474
PubMed URL:
Type: Journal Article
Appears in Collections:Journal articles

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