PMID: 24340520Dec 18, 2013Paper

Pulmonary rehabilitation--from guidelines to practice

Revista medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti din Iaş̧i
Paraschiva Postolache, Doina-Clementina Cojocaru

Abstract

Pulmonary rehabilitation is an integral part of clinical management and health maintenance of patients with chronic respiratory disease who remain symptomatic or continue to have decreased function despite standard medical therapy. It is a spectrum of evidence-based, multidisciplinary, and comprehensive intervention for patients with chronic respiratory problems. Most evidence for the efficacy of respiratory rehabilitation is for patients with chronic obstructive pulmonary disease but there are encouraging results for extending its indications. Current programs of pulmonary rehabilitation are based on guidelines which formally grade the level of scientific evidence and on practical recommendations developed by several prestigious societies. The main components of a pulmonary rehabilitation program are patient selection and assessment, exercise training, education and self-management of the disease, psychosocial and behavioral intervention, nutritional support, outcome assessment and enhancement of long-term adherence to the rehabilitation recommendations. Exercise training is the central component of respiratory rehabilitation, aiming at physical reconditioning, and upper and lower limb muscle training, using several strategies...Continue Reading

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