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Academic literature on the topic 'Pulmonary Rehabilitation Programs'

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Published: 4 June 2021
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Journal articles on the topic "Pulmonary Rehabilitation Programs"

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Ambrosino, Nicolino. "Pulmonary Rehabilitation Programs." Disease Management & Health Outcomes 10, no. 9 (2002): 535–42. http://dx.doi.org/10.2165/00115677-200210090-00002.

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Leuppi, J??rg D., and Roland M. Bingisser. "Pulmonary Rehabilitation Programs." Disease Management & Health Outcomes 12, no. 5 (2004): 281–84. http://dx.doi.org/10.2165/00115677-200412050-00001.

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Connors, Gerilynn, and Lana Hilling. "Guidelines for Pulmonary Rehabilitation Programs." Clinical Neuropharmacology 20, no. 4 (August 1997): 140???141. http://dx.doi.org/10.1097/00002826-199708000-00019.

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Tilton, Margaret C. "Guidelines for Pulmonary Rehabilitation Programs." American Journal of Physical Medicine & Rehabilitation 72, no. 5 (October 1993): 335. http://dx.doi.org/10.1097/00002060-199310000-00018.

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Bott, Julia. "Guidelines for Pulmonary Rehabilitation Programs." Physiotherapy 85, no. 5 (May 1999): 276–77. http://dx.doi.org/10.1016/s0031-9406(05)61446-0.

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Spruit, Martijn A., and Sally J. Singh. "Maintenance Programs After Pulmonary Rehabilitation." Chest 144, no. 4 (October 2013): 1091–93. http://dx.doi.org/10.1378/chest.13-0775.

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Lewińska, Agnieszka, Włodzimierz Dolecki, and Witold Rongies. "Pulmonary Rehabilitation – Historical Outline, Programs and Physiotherapeutic Treatment." Acta Balneologica 61, no. 1 (January 2019): 61–66. http://dx.doi.org/10.36740/abal201901111.

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Pulmonary rehabilitation (PR) is the basis of an integrated treatment program for patients suffering from chronic respiratory diseases. Contributing to the reduction of dyspnoea and fatigue, increase in exercise tolerance and improvement in functional capabilities and emotional state, PR growths participation in social life, and reduces utilization of health care. Despite the scientifically proven benefits of its use, it is very often, for a variety of reasons, insufficiently exploited or even unavailable. The article presents a brief history of pulmonary rehabilitation and emphasizes the importance of developing PR programs. The aim of the paper is to increase interest in issues related to pulmonary rehabilitation, including its key element - physiotherapy and to persuade professionals dealing with the treatment of respiratory diseases, to implement this form of therapy and become familiar with the current international guidelines, that create foundation of pulmonary rehabilitation programs.
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Dechman, Gail, Paul Hernandez, and Pat G. Camp. "Exercise prescription practices in pulmonary rehabilitation programs." Canadian Journal of Respiratory, Critical Care, and Sleep Medicine 1, no. 2 (April 3, 2017): 77–83. http://dx.doi.org/10.1080/24745332.2017.1328935.

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Hamick, Steven K. "Guidelines for Pulmonary Rehabilitation Programs, 3rd Edition." Medicine & Science in Sports & Exercise 37, no. 8 (August 2005): 1447. http://dx.doi.org/10.1249/01.mss.0000175160.01479.6d.

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Walsh, James R., Zoe J. McKeough, Norman R. Morris, and Jenny D. Paratz. "Performance-based criteria are used in participant selection for pulmonary rehabilitation programs." Australian Health Review 37, no. 3 (2013): 331. http://dx.doi.org/10.1071/ah12192.

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Objective To determine the participant entry criteria used by Australian-based pulmonary rehabilitation programs and the factors that influence selection. Methods This cross-sectional observational study invited all program coordinators listed on the Australian Lung Foundation’s pulmonary rehabilitation database in November 2009. Results The response rate was 40.5% (79/195), with 58% of respondents reporting a waiting list. Forty respondents reported prioritising referrals due to: disease severity (75%), requirement for medical procedure (70%), upon medical request (60%) or participant’s likelihood to benefit (55%). Fifty-eight respondents reported using entry criteria to select participants, which was mainly for safety reasons and performance-based expectations. All 58 respondents used at least one exclusion criterion in selecting their participants, compared with only 25 programs using inclusion criteria. Increased demand on individual programs was related to prioritising referrals (P < 0.001) and was reported by 12 programs as a reason for using participant entry criteria. Conclusions Program coordinators commonly prioritise referrals and use participant entry criteria to manage clinical demand with performance-based expectations an important consideration. The inclusion criteria that identify participants more likely to benefit from pulmonary rehabilitation are less commonly used in the performance-based selections. What is known about the topic? Pulmonary rehabilitation is an essential component of chronic lung disease management due to the high-quality evidence demonstrating that these programs can improve participants’ exercise capacity, dyspnea and quality of life. However, access to pulmonary rehabilitation is severely limited in Australia with <1% of individuals with moderate to severe chronic obstructive pulmonary disease able to participate in these programs each year. Prior to the present study it was unknown how Australian pulmonary rehabilitation coordinators manage this demand on their programs. What does this paper add? Program coordinators commonly prioritise referrals and use participant entry criteria to select participants, with performance-based expectations an important consideration. Although higher demand and waiting list pressure appear to influence these performance-based considerations, programs do not report using the existing evidence identifying responders to pulmonary rehabilitation in selecting participants for program inclusion. This finding is a reflection of the inadequate evidence identifying which individuals are more likely to benefit from pulmonary rehabilitation. What are the implications for practitioners? With the current healthcare resources in Australia, pulmonary rehabilitation programs cannot meet the burden of all people with chronic obstructive pulmonary disease. Therefore the selection of participants considered most likely to benefit from pulmonary rehabilitation programs will continue to occur. Better criteria are needed to improve participant selection to ensure timely access to individuals that are most likely to benefit from pulmonary rehabilitation.
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Dissertations / Theses on the topic "Pulmonary Rehabilitation Programs"

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McCarroll, Michele L. "Exercise and airway clearing devices in pulmonary rehabilitation programs for patients with chronic obstructive pulmonary disease." Connect to this title online, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1115832526.

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Thesis (Ph. D.)--Ohio State University, 2005.
Title from first page of PDF file. Document formatted into pages; contains x, 86 p.; also includes graphics (some col.). Includes bibliographical references (p. 78-86). Available online via OhioLINK's ETD Center.
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Cheung, Walden A. "Selecting quality indicators for pulmonary rehabilitation programs in Canada : a modified RAND Appropriateness Method study." Thesis, University of British Columbia, 2017. http://hdl.handle.net/2429/62807.

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Pulmonary rehabilitation (PR) is a comprehensive intervention of self-management education and exercise training that improves quality of life, exercise tolerance, symptoms of dyspnea, and reduces the risk of hospitalization in patients living with chronic respiratory diseases such as chronic obstructive pulmonary disease, asthma, lung cancer, and interstitial lung disease. Despite the proven benefit of pulmonary rehabilitation, recent studies have found notable inconsistencies in its organization and delivery. Inconsistencies within clinical practice are likely to affect the quality in the delivery of pulmonary rehabilitation. Quality indicators (QIs) are tools similar to a checklist that can potentially remediate these concerns. While other jurisdictions have created quality indicators for pulmonary rehabilitation programs, their methodological approach to developing these quality indicators is questionable. This study developed 56 quality indicators with a rigorous approach using a modified RAND Appropriateness Method. A panel comprising twelve PR healthcare professionals and stakeholders was created to create a list of QIs. The panel rated each indicator based on four criteria (importance, scientific soundness, reliability, and feasibility) and listed which indicator they believed could determine a quality pulmonary rehabilitation program. This study recommends that the 56 QIs, based upon consensus, be used for operationalizing the evaluation and auditing of PR programs as well as for establishing clinical benchmarks.
Medicine, Faculty of
Graduate
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Murphy, Maria Clare, and res cand@acu edu au. "A Comparison of the Stanford Model Chronic Disease Self Management Program with Pulmonary Rehabilitation on Health Outcomes for People with Chronic Obstructive Pulmonary Disease in the Northern and Western Suburbs of Melbourne." Australian Catholic University. School of Nursing, 2007. http://dlibrary.acu.edu.au/digitaltheses/public/adt-acuvp165.22072008.

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Previous researchers have identified that participation in a pulmonary rehabilitation program improves health outcomes yet, continuation in a weekly maintenance program yielded mixed results. Self-management programs have had reported use in chronic obstructive pulmonary disease (COPD). A meta analysis has identified that no self-management program had evaluated the effect of this type of intervention on the functional status of the participant with COPD. Reduced functional status is well reported as an indicator of disease progression in COPD. Adjuvant therapies for people with COPD need to demonstrate an effect in this domain. The Stanford model chronic disease self-management program (CDSMP) had been reported as a program that may optimise the health of people with chronic health conditions. However, its utility has not been formally evaluated for people with COPD. There have not been any reports of a comparison of the Stanford model CDSMP with pulmonary rehabilitation via a randomised controlled study in COPD. Aim: To compare and evaluate the health outcomes from participation in nurse ledwellness-promoting interventions conducted in the ambulatory care setting of a metropolitan hospital. Participants were randomised to either a six-week behavioural intervention: the Stanford model CDSMP or, a six-week pulmonary rehabilitation program and results compared to usual care (a historical control group). The efficacy of the interventions was measured at week seven and repeated at week 26 and 52. Following the week seven evaluation, the pulmonary rehabilitation program participants were rerandomised to usual care or, weekly maintenance pulmonary rehabilitation for 18 weeks and, followed up until the study completion at week 52.Little is reported about the costs of care for people with COPD in Australia. This study prospectively evaluated the costs of the interventions and health resource for the 52 weeks and undertook a cost utility analysis. Methods: Walking tests (The Incremental Shuttle Walking Test) and questionnaires asking participants about their health related quality of life, mood status, dyspnoea and self efficacy were assessed prior to randomisation to either six week intervention and repeated at weeks 7, 26 and 52. The implementation of these adjuvant therapies enabled all costs associated with the interventions to be prospectively examined and compared. Results: During the two years of recruitment 252 people (54% males) with a mean age 71 years (SD 11, range 39-93 years) were referred to the study. Student’s ttests identified that there were no statistically significant differences (P=0.16) between all those referred by age and gender as compared to all those admitted to Hospital A with an exacerbation of COPD. Ninety-seven people (51% male) with a mean age of 68 years (SD 9, range 39-87 years) agreed to participate in the study. Follow up in the study continued for 12 months following enrolment with only a modest level of attrition by week seven (3%) and week 52 (25%). Following the six-week interventions, both the pulmonary rehabilitation and CDSMP groups recorded statistically significant increases in functional capacity, self-efficacy and health related quality of life.Functional performance was additionally evaluated in the intervention arms with participants wearing pedometers for the six-week period of the interventions. There were no statistically significant differences between steps per week (P=0.15) and kilometres per week (P=0.17) walked between these two groups in functional performance. The Spearman rho statistic identified no statistically significant relationship between functional performance and the severity of COPD (rs (33) = 0.19, P = 0.26). No significant correlation between functional capacity and functional performance was identified (rs (32) = 0.19, P = 0.29). This suggests that other factors contribute to daily functional performance. The largest cost of care for people with COPD has been reported to be unplanned admissions due to an exacerbation of COPD.In this study there were no statistically significant differences between the three intervention groups in the prospective measurement of ambulatory care visits, Emergency Department presentations and admissions to hospital. The calculation of costs illuminated the costs of care in COPD are greater than the population norm. In addition, maintenance pulmonary rehabilitation generated a greater quality adjusted life year (QALY) than a six-week program. Despite the strength of the participants preferences (as measured by the QALY) for maintenance PRP, there were no significant differences in use of hospital resources throughout the study period by the three intervention groups, which suggests some degree of equivalence.
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Lemons, Paul M. "Development of a pulmonary rehabilitation program : a biopsychosocial approach /." Master's thesis, This resource online, 1990. http://scholar.lib.vt.edu/theses/available/etd-01202010-020100/.

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Vettorazzi, Suzana de Fatima. "Implantação e resultados de um programa de reabilitação pulmonar em uma instituição de ensino superior." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2006. http://hdl.handle.net/10183/10740.

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A Doença Pulmonar Obstrutiva Crônica (DPOC) é uma doença caracterizada pela limitação ao fluxo aéreo, não totalmente reversível. Dentre as terapêuticas indicadas, a reabilitação pulmonar é uma estratégia de tratamento multidisciplinar, que tem por objetivo melhorar a qualidade de vida do paciente, reintegrando-o à sociedade. Objetivos: Descrever o processo e os custos de implantação na forma de um projeto de extensão universitária, os motivos da evasão e os resultados obtidos com um programa de reabilitação pulmonar. Material e Métodos: Após formar um grupo multidisciplinar no Centro Universitário Feevale e estabelecer uma parceria com a Secretaria Municipal da Saúde de Novo Hamburgo, os pacientes portadores de DPOC são encaminhados ao programa de reabilitação pulmonar (PRP). São avaliados pelo médico pneumologista, fisioterapeuta, nutricionista, psicólogo e educador físico. Após estas avaliações são formados grupos de até 16 pacientes que permanecem por um período de 4 meses, com três sessões semanais de treinamento físico, orientações nutricionais, encontros educativos e grupos de apoio psicológico. Foram avaliados o perfil destes pacientes, os custos para a implantação, as causas de evasão após o início do programa, bem como os resultados obtidos após o período de tratamento, medidos através do teste de caminhada dos seis minutos, do trabalho de caminhada através do produto distância-peso corporal e do questionário Saint George de qualidade de vida. Para a análise dos resultados foi utilizada a estatística descritiva, para comparação das médias o Teste t de Student. Resultados: O PRP foi implantado na forma de um projeto de extensão universitária, com um custo total de R$ 64 224,60. Foram avaliados 134 pacientes encaminhados dos postos de saúde do município de Novo Hamburgo e dos municípios vizinhos. Do total, 38 (28,4%) pacientes foram excluídos e 7(5,2%) foram a óbito antes de completar a avaliação. Desses, 89 (66,5%) portadores de DPOC de moderado a grave foram incluídos no PRP. A média de idade dos pacientes foi de 63,5±9,9 anos, predominou o sexo masculino 62(69%), com índice de massa corporal (IMC) médio de 23,5±5,3 Kg/m2, com média de Volume expiratório forçado no primeiro segundo (VEF1) de 1,16L(42,8±23,4% do previsto). Dos incluídos no PRP, 40 (44,9%) abandonaram, principalmente por problemas sócio-econômicos e 49 (55,1%) concluíram a reabilitação. Os dados para análise antes e depois do PRP estavam disponíveis para 37 pacientes que formaramo grupo para analisar os resultados do PRP. No teste de caminhada dos seis minutos, ocorreu uma variação significativa de 34,12m na média distância (367,15±101,93m vs. 401,27±95,55m; p <0,001). Ocorreu melhora significativa de 2,65 Km.Kg-1 (24,36±9,62 Km.Kg-1 vs. 27,01±10,0 Km.Kg-1) no trabalho de caminhada medido pelo produto distância-peso e uma melhora significativa com redução de 11% (46 vs. 35; p<0,001) no total do questionário Saint George de qualidade de vida. Conclusões: O PRP pode ser implantado na forma de um projeto de extensão universitária, com custo relativamente baixo pela sua abrangência e benefícios. A condição social dos pacientes foi o maior determinante da evasão, mas os pacientes que concluíram o PRP apresentaram uma melhora significativa na sua capacidade de exercício e na qualidade de vida.
Chronic obstructive pulmonary disease (COPD) is characterized by partially reversible airway obstruction. Pulmonary rehabilitation is one of the therapeutic interventions indicated for the treatment of COPD, and consists of a multidisciplinary treatment strategy whose purpose is to improve quality of life and to reintegrate patients into society. Objective: To describe the process and cost of implementing a university extension program for pulmonary rehabilitation, as well as the causes of patient dropout and the results achieved. Material and methods: After a multidisciplinary group was formed at Centro Universitário Feevale and a partnership was established with the Municipal Department of Health of Novo Hamburgo, patients with COPD were referred to the pulmonary rehabilitation program (PRP). They were examined by a pulmonologist, a physical therapist, a nutritionist, a psychologist and a physical education specialist. After evaluations, groups of up to 16 patients were formed and had 3 weekly meetings for 4 months. During meetings, patients participated in physical exercise training, nutritional counseling, educational meetings and psychological support groups. We evaluated patient data, costs of program implementation and causes of patient dropout. Also, the results obtained after PRP were measured by the 6-minute walk test, work calculated as the product of distance x body weight, and the St George respiratory questionnaire to assess quality of life. Descriptive statistics was used to analyze results, and the Student t test, to compare means. Results: PRP was implemented as a university extension program at a total cost of R$ 64,224.60. One hundred thirty-four patients referred by health stations in Novo Hamburgo and neighboring cities were evaluated; 38 (28.4%) of these patients were excluded and 7 (5.2%) died before they completed the initial evaluation. The other 89 (66.5%) patients with moderate to severe COPD were included in PRP. Mean patient age was 63.5±9.9, 62 (69%) were men, mean body mass index (BMI) was 23.5±5.3 kg/m2, and mean forced expiratory volume in one second (FEV1) was 1.16 L (42.8±23.4% of predict value). Forty (44.9%) patients dropped out, most of them due to socioeconomic problems, and 49 (55.1%) completed the rehabilitation program. Data for the analysis before and after PRP were available for 37 patients, who formed the group for analysis of PRP results. The 6-minute walk test showed a significant increase of 34.12 m in distance(367.15±101.93 m vs. 401.27±95.55 m; p <0.001). A significant improvement of 2.65 km.kg-1 (24.36±9.62 km.kg-1 vs. 27.01±10.0 km.kg-1) was observed in distance x body weight product, and total scores of the St. George questionnaire showed a reduction of 11% (46 vs. 35; p<0.001), which indicated a significant improvement in quality of life. Conclusion: PRP was implemented as a university extension program at a relatively low cost when considering its extent and benefits. Social condition was the main cause of patient dropout, but those that completed PRP had a significant improvement in their capacity for physical exercise and in quality of life.
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Cross, Jane. "Participant narratives on the impact of a pulmonary rehabilitation programme." Thesis, University of East Anglia, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.426262.

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Moussalle, Luciane Dalcanale. "Análise do dano de DNA em sangue periférico como medida de desfecho de um programa de reabilitação pulmonar." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2007. http://hdl.handle.net/10183/13557.

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O aumento no número de células inflamatórias, a produção anormal de citocinas pró-inflamatórias e o desequilíbrio entre a formação de radicais livres e a capacidade antioxidante geram alterações locais e sistêmicas na doença pulmonar obstrutiva crônica (DPOC), associada com disfunção e perda da massa muscular. A reabilitação pulmonar é uma modalidade de tratamento com evidência A, cujos desfechos são medidos através da melhora da capacidade de exercício físico e qualidade de vida, mas estudos recentes demonstram uma redução no estresse oxidativo induzido pelo exercício, o que potencialmente também reduziria o dano tecidual. A análise do dano de DNA em linfócitos de sangue periférico foi utilizada como possível medida de desfecho em 13 de 39 portadores de DPOC submetidos a um programa de reabilitação pulmonar (PRP) com duração de 4 meses. Todos os pacientes foram submetidos ao teste da caminhada dos seis minutos (TC6) e ao questionário de qualidade de vida Saint George (QQVSG), sendo que 13 pacientes coletaram sangue antes e depois do PRP para análise do dano de DNA pela técnica de micronúcleos. Do total de 39 portadores de DPOC, 69,23% eram do sexo masculino com idades de 63,33 ± 8,60 anos e média de VEF1 de 1,06 ± 0,55L. Após o PRP, ocorreu aumento significativo na distância percorrida no TC6 (366,84±108,42 [pré PRP] vs. 400,76±94,55 [pós PRP], p=0,001) e melhora em todos os domínios do QQVSG (Sintomas: 47,05±21,28 [pré PRP] vs. 35,28±16,92 [pós PRP], p=0,005; Atividades: 62,84±27,07 [pré PRP] vs. 56,02±24,09 [pós PRP], p=0,038; Impacto: 33,30±18,71 [pré PRP] vs. 19,97±12,11 [pós PRP], p<0,001; Total: 49,41±21,99 [pré PRP] vs. 37,61±18,96 [pós PRP], p<0,001). Quanto à avaliação do dano genético, obteve-se uma diminuição estatisticamente significativa (p=0,014) na freqüência de micronúcleos (5,53±2,14 [pré PRP] vs. 3,07±2,13 [pós PRP] ), o que não ocorreu na análise das pontes nucleoplasmáticas e buds nucleares (1,15±0,89 [pré PRP] vs. 0,76±1,01 [pós PRP], p=0,244 e 1,69±1,43 [pré PRP] vs. 1,69±2,13 [pós PRP], p=0,804, respectivamente). A redução na freqüência de micronúcleos demonstrou que o PRP não somente melhorou a qualidade de vida e o desempenho na capacidade de exercício, mas também foi capaz de reduzir o dano de DNA.
Pulmonary rehabilitation is a treatment supported by level A evidence, and its outcomes are measured by the improvement in physical exercise capacity and quality of life. The objective of this study is to investigate if pulmonary rehabilitation reduces DNA damage in peripheral blood of patients with chronic obstructive pulmonary disease. DNA damage in peripheral blood lymphocytes was used as an outcome measure in 13 of 39 patients with chronic obstructive pulmonary disease who underwent a 4-month pulmonary rehabilitation program. All patients underwent the 6- minute walk test and answered the Saint George’s respiratory questionnaire to assess quality of life. Blood was collected from 13 patients before and after pulmonary rehabilitation program to analyze DNA damage using the micronucleus technique. After pulmonary rehabilitation program, there was a significant increase in 6- minute walk distance and improvement in all the Saint George’s respiratory questionnaire domains. The evaluation of genetic damage revealed a statistically significant decrease (p = 0.014) of micronucleus frequency. No significant differences were found in the analysis of nucleoplasmic bridges or nuclear buds. The decrease of micronucleus frequency demonstrated that PRP not only improved quality of life and performance in work capacity exercises, but also reduced DNA damage.
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Earley, Denise. "Education in pulmonary rehabilitation : the development snd evaluation of the Understanding COPD questionnaire and the Living Well with COPD programme for pulmonary rehabilitation." Thesis, University of Ulster, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.535152.

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Jacoby, Barry Matthew. "A comprehensive pulmonary rehabilitation program: Its effect on the psychological and social concomitants of chronic obstructive pulmonary disease." Diss., The University of Arizona, 1992. http://hdl.handle.net/10150/185879.

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The study, using a quasi-experimental design, examined the relationship between participation in a comprehensive pulmonary rehabilitation program, locus of control, and the psychological and social concomitants of chronic obstructive pulmonary disease. The study investigated the following questions. To what degree participation in a comprehensive pulmonary rehabilitation program emphasizing a psychosocial component would: (1) generally produce a shift in persons from an external locus of control toward an internal locus of control, (2) specifically decrease the perception of chance, fate, or powerful others to influence and determine personal health; and (3) will result in the lessening of perceived negative effects of the psychological and social concomitants of chronic obstructive pulmonary disease. Two sample groups were evaluated in the study: (1) a group of 35 moderate to severe chronic obstructive pulmonary disease patients enrolled in a 96-hour comprehensive pulmonary rehabilitation program with a 32-hour psychosocial instructional component, and (2) a group of 35 moderate to severe chronic obstructive pulmonary disease patients receiving standard medical care at a Veterans Administration Hospital. Research instruments used for the study were the Multidimensional Health Locus of Control Scale and the Sickness Impact Profile. The research instruments were administered to each study group at approximately 16-week intervals. Results of the study indicated that participation in a comprehensive pulmonary rehabilitation program emphasizing a psychosocial component did not produce a significant shift in program participants from an external locus of control toward an internal locus of control, nor did it produce a significant decrease in the perception of chance, fate, or powerful others to influence and determine personal health. However, the study results indicated that participation in a comprehensive pulmonary rehabilitation program did produce a significant (P < .05) lessening of perceived negative physical and psychosocial effects of chronic obstructive pulmonary disease as measured by the physical scale, psychosocial scale, and total score of the Sickness Impact Profile.
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Canterle, Dáversom Bordin. "Efeitos do treinamento de força para os membros inferiores em pacientes com DPOC que participaram de um programa de reabilitação pulmonar." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2007. http://hdl.handle.net/10183/14703.

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A Doença Pulmonar Obstrutiva Crônica (DPOC) é uma doença sistêmica prevenível e tratável que se caracteriza pela diminuição do fluxo aéreo não totalmente reversível, levando a intolerância ao exercício, interferindo na execução das atividades de vida diária e reduzindo a qualidade de vida dos pacientes. A reabilitação pulmonar é uma forma multidisciplinar de tratamento que tem como objetivo melhorar a qualidade de vida, aumentar a tolerância ao exercício, reduzindo os sintomas de fadiga e dispnéia. Já está bem demonstrado através de estudos controlados e randomizados a eficácia do treinamento da resistência para membros inferiores, porém existem dúvidas se trabalhar força e resistência de maneira combinada pode modificar os resultados. Objetivo: Comparar os treinamentos para os membros inferiores, de força e resistência com o de resistência, em pacientes portadores de DPOC que realizaram um programa de reabilitação pulmonar. Pacientes e métodos: Após a avaliação médica para confirmação do diagnóstico da doença, 27 pacientes, que participaram de um programa de reabilitação pulmonar, foram randomizados para um de dois grupos: o Grupo 1 (G1) (n=13) realizou apenas o treinamento de resistência dos membros inferiores, enquanto os pacientes do Grupo 2 (G2) (n=14), treinaram resistência e força combinadas para membros inferiores. As variáveis analisadas antes e após o treinamento foram obtidas através dos seguintes testes: teste de caminhada de seis minutos, teste de carga máxima, trabalho de caminhada, questionário Saint George de qualidade de vida, percepção de esforço pela escala de Borg, e circunferência de coxa e perna. Resultados: No teste de caminhada houve aumento da distância percorrida após o programa intragrupos [G1(distância pré: 343,38±136,11m vs. distância pós: 396,81±96,46; p=0,048)], e [G2 (distância pré: 367,28±125,11 vs. distância pós: 392,84±118,16, p=0,160)]. Nos testes de carga máxima obteve-se os seguintes resultados: G1 (extensão de joelhos pré: 32±13kg vs. peso pós: 38±14kg; p=0,016); (flexão de joelhos pré: 5,85±2,0kg vs. pós: 7,7±3,1kg; p=0,007); (flexão plantar direito pré: 20,75±4,78 repetições vs. pós:21,58±7,22 repetições; p=0,73), (flexão plantar esquerda pré:21,67±5,48 repetições vs. pós:20,92±7,36 repetições; p=0,74) e G2 (peso em extensão de joelhos pré: 33,43±16kg vs. peso pós: 44±16,40kg; p=0,0001); (flexão de joelhos pré: 5,23±3,19kg vs. pós: 7,92±3,75kg; p=0,0001); (flexão plantar direito pré: 20,17±5,82 repetições vs. pós: 29,33±11,59 repetições; p=0,001); (flexão plantar esquerda pré: 20,45±6,34 repetições vs. pós: 30,91±10,48 repetições; p=0,0001). Não foram observadas diferenças estatisticamente significativas no trabalho de caminhada tanto intragrupos quanto entre os grupos G1 e G2. Observou-se uma melhora com relação à qualidade de vida representada pela redução total de 21,77 pontos percentuais no G1 e 22,54 pontos percentuais no G2, sem diferença estatisticamente significativa entre os grupos. A percepção de dispnéia através da escala de Borg não mostra redução significativa tanto intragrupos quanto entre os grupos [ G1 (Borg pré: 4,27±2,71 vs. pós: 2,88±1,98; p=0,091)] e [G2 (Borg pré: 4,86±3,30 vs. pós: 3,79±2,63; p=0,24)]. Quando comparados os resultados após o programa entre os grupos (G1 e G2), houve diferença estatística no teste de carga máxima apenas no movimento de flexão plantar direita e esquerda, sendo na esquerda significativamente maior (G1 Δ: -0,75 repetições vs. G2 Δ: 10,46 repetições, p=0,001), nas demais variáveis estudadas não houve diferença estatística significativa. Conclusão: Nesta população estudada os dois grupos melhoraram a qualidade de vida e a força nos movimentos de flexão e extensão dos joelhos. No entanto, o treinamento combinado de força e resistência não se mostrou superior ao treinamento isolado da resistência para membros inferiores.
“Chronic Obstructive Pulmonary Diseases” is a systemic, preventable and treatable disease characterized by the decrease of the aerial flow not totally reversible, leading to exercise intolerance, interfering in daily activities and reducing the patients’ quality of life. Pulmonary rehabilitation is a multidisciplinary approach of treatment that aims to improve the patients’ quality of life, increasing exercise tolerance, decreasing the symptoms of tiredness and breathing difficulties. Controlled and randomized studies have already proved the effectiveness of leg resistance training. However, there are still doubts as to whether concomitant strength and resistance efforts can change the results. Objective: To establish whether resistance and strength training is superior to leg resistance training, in a pulmonary rehabilitation program. Patients and methods: After the medical evaluation in order to confirm the diagnosis of the disease, 27 patients were randomly divided into two groups: group 1 patients (G1) (13) were submitted only to leg resistance while, group 2 patients (G2) (14) trained concomitant resistance and strength tests. The variations analyzed before and after the training were achieved through the following tests: 6-min walk test, maximum load test, work walking, Saint George quality of life questionnaire, effort perception by the Borg scale, and thigh and calf measurement. Results: In the walking test there was increase in the distance covered after the grouping program [G1 (pre-distance: 343,38±136,11m vs. post-distance: 396,81±96,46; p=0,048)], and [G2 (pre-distance: 367,28±125,11 vs. post-distance: 392,84±118,16, p=0,160)]. The following results were obtained in the maximum load test: (knee pre-stretching: 32±13kg vs. post7 weight: 38±14kg; p=0,016); (knee pre-bending: 5,85±2,0kg vs. post: 7,7±3,1kg; p=0,007); (right sole pre-bending: 20,75±4,78 repetitions vs. post:21,58±7,22 repetitions; p=0,73), (left sole pre-bending:21,67±5,48 repetition vs. post:20,92±7,36 repetitions; p=0,74) and G2 (knee pre-stretching: 33,43±16kg vs. post-weight: 44±16,40kg; p=0,0001); (knee pre-bending: 5,23±3,19kg vs. post: 7,92±3,75kg; p=0,0001); (right sole pre-bending: 20,17±5,82 repetitions vs. post: 29,33±11,59 repetitions; p=0,001); (left sole pre-bending: 20,45±6,34 repetitions vs. post: 30,91±10,48 repetitions; p=0,0001). No statistically significant differences were observed in the walking exercise in both groups. Although an improvement was observed in the quality of life represented by the total decrease of 21,77% in G1 and 22,54% in G2, it does not demonstrate any statistically significant difference between the two groups. The breathing difficulty perception through the Borg scale does not show significant reduction in both groups [G1 (pre-Borg: 4,27±2,71 vs. post: 2,88±1,98; p=0,091)] e [G2 (pre-Borg: 4,86±3,30 vs. post: 3,79±2,63; p=0,24)]. When the results between the groups (G1 and G2) were compared after the program, statistically significant difference in the maximum load test was observed only in the right and left sole bending movement, expressively greater in the left one. (G1 Δ: - 0,75 repetitions vs. G2 Δ: 10,46 repetitions, p=0,001). In the other variations studied, no statistically significant difference was observed. Conclusion: Both groups studied had an improved their quality of life and their strength in the stretching and bending knee movements after the pulmonary rehabilitation program. Nevertheless, concomitant strength and resistance training did not seem superior to the isolated leg resistance training.
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Books on the topic "Pulmonary Rehabilitation Programs"

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Guidelines for pulmonary rehabilitation programs. 4th ed. Champaign, IL: Human Kinetics, 2011.

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Guidelines for pulmonary rehabilitation programs. 2nd ed. Champaign, IL: Human Kinetics, 1998.

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AACVPR. Guidelines for Pulmonary Rehabilitation Programs. Human Kinetics, 2019.

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Long, Connors Gerilynn, Hilling Lana, and American Association of Cardiovascular & Pulmonary Rehabilitation., eds. Guidelines for pulmonary rehabilitation programs. Champaign, IL: Human Kinetics Press, 1993.

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Guidelines For Pulmonary Rehabilitation Programs. 3rd ed. Human Kinetics Publishers, 2004.

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AACVPR. Guidelines for Pulmonary Rehabilitation Programs. Human Kinetics, 2019.

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Connors, Gerilynn. Guidelines for Pulmonary Rehabilitation Programs. Human Kinetics Publishers, 1992.

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American Association of Cardiovascular &, Aacpr American Assn of Cardiovascular &, and Rehabilitation. Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs: American Association of Cardiovascular & Pulmonary Rehabilitation Rehabilitation ... Health & Preventing Disease (Aacvpr). 3rd ed. Human Kinetics Publishers, 1998.

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Riley, Carol Patricia. EFFECTS OF A PULMONARY REHABILITATION PROGRAM ON DYSPNEA, SELF CARE, AND PULMONARY FUNCTION OF PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. 1988.

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United States. Employment Standards Administration. Office of Workers' Compensation Programs, ed. Federal Black Lung Program provider manual: Durable medical equipment/pulmonary rehabilitation/home nursing services. [Lanham, MD]: U.S. Dept. of Labor, Employment Standards Administration, Office of Workers' Compensation Programs, 1990.

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Book chapters on the topic "Pulmonary Rehabilitation Programs"

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Donner, C. F. "Vocational rehabilitation and pulmonary programs." In Collection de L’Académie Européenne de Médecine de Réadaptation, 185–94. Paris: Springer Paris, 2006. http://dx.doi.org/10.1007/2-287-29745-6_12.

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Rochester, Carolyn L., and Enrico Clini. "Conventional Programs: Settings, Cost, Staffing, and Maintenance." In Textbook of Pulmonary Rehabilitation, 285–96. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-65888-9_21.

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Calvillo-Arbizu, Jorge, Laura M. Roa-Romero, and Javier Reina-Tosina. "Encouraging Adherence of Chronic Obstructive Pulmonary Disease Patients to Physical Rehabilitation Programs Through Technology." In IFMBE Proceedings, 1187–94. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-31635-8_144.

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Morgan, Michael D. L., and Sally J. Singh. "Establishing a pulmonary rehabilitation programme." In Pulmonary Rehabilitation, 173–81. Second edition. | Boca Raton : CRC Press, [2020] | Preceded by Pulmonary rehabilitation / Claudio F. Donner, Nicolino Ambrosino, Roger Goldstein. 2005.: CRC Press, 2020. http://dx.doi.org/10.1201/9781351015592-17.

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van ’t Hul, Alex J., and Sally L. Wootton. "How to establish a pulmonary rehabilitation programme." In Pulmonary Rehabilitation, 231–45. Sheffield, United Kingdom: European Respiratory Society, 2021. http://dx.doi.org/10.1183/2312508x.10018820.

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Hill, Kylie, and Jana de Brandt. "Exercise prescription for people with stable COPD as part of a pulmonary rehabilitation programme." In Pulmonary Rehabilitation, 53–66. Sheffield, United Kingdom: European Respiratory Society, 2021. http://dx.doi.org/10.1183/2312508x.10017620.

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Williams, Sharon J., and Lynne Caley. "Case Study: Improving a Pulmonary Rehabilitation Programme – A Co-produced Approach." In Improving Healthcare Services, 69–79. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-36498-4_6.

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Sahin, Hulya. "Long-Term Adherence and Maintenance of Benefits in Pulmonary Rehabilitation." In Update in Respiratory Diseases. IntechOpen, 2020. http://dx.doi.org/10.5772/intechopen.90565.

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Pulmonary rehabilitation (PR) is a comprehensive intervention in chronic lung diseases, including personalized special therapies, exercise training, education and behavioral changes to improve the physical and psychological status of the patients, and aims to promote behavior that helps improve health status in the long term. A personalized PR program administered by a multidisciplinary team is recently considered a standard and complementary treatment method in chronic lung diseases. After the PR program, dyspnea of COPD patients decreases and their exercise capacities increase. Their daily life activities and physical activities increase. Their functional dependence decreases and quality of life increases. It presents a perfect opportunity to provide self-management and independence for the patients and improve their quality of life. Studies have shown that, unless there is a structured maintenance program, after an average of 6–12 months following PR programs, the gains that are realized start to decrease. Decrease of gains due to causes like a decrease in compliance to exercises, disease progress, attacks and co-morbidities. Causes such as decreased compliance to exercise, progression of the disease, attacks and comorbidities play a role in reducing gains. Especially in advanced age and in the presence of severe disease, the gain in exercise tolerance is lost more rapidly. The methods used and the results obtained to ensure the continuation of the gains differ.
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Morgan, M., S. Singh, S. Lareau, B. Fahy, and K. Foglio. "Establishing a pulmonary rehabilitation programme." In Pulmonary Rehabilitation, 175–85. CRC Press, 2005. http://dx.doi.org/10.1201/b13288-22.

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Chapman, Stephen J., Grace V. Robinson, Rahul Shrimanker, Chris D. Turnbull, and John M. Wrightson. "Pulmonary rehabilitation." In Oxford Handbook of Respiratory Medicine, edited by Stephen J. Chapman, Grace V. Robinson, Rahul Shrimanker, Chris D. Turnbull, and John M. Wrightson, 811–16. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198837114.003.0060.

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Pulmonary rehabilitation (PR) is a well-established evidence-based multidisciplinary programme of care for patients with symptomatic chronic respiratory impairment, targeting the extrapulmonary manifestations of the disease. The programme is individually tailored and should contain high-intensity progressive aerobic training, strength training, and self-management education. PR is probably the most cost-effective intervention for COPD. It interrupts the vicious cycle of dyspnoea leading to inactivity, subsequent deconditioning, and further worsening dyspnoea on more minimal exertion.
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Conference papers on the topic "Pulmonary Rehabilitation Programs"

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Visca, Dina, Elisabetta Zampogna, Enrico Heffler, Francesca Puggioni, Patrizia Pignatti, Francesca Racca, Giovanni Sotgiu, Stefano Negri, Giorgio Walter Canonica, and Antonio Spanevello. "Effectiveness of pulmonary rehabilitation programs on persistent asthma." In ERS International Congress 2018 abstracts. European Respiratory Society, 2018. http://dx.doi.org/10.1183/13993003.congress-2018.pa1093.

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Galetskayte, Yanina, Svetlana Ovcharenko, and Beatrice Volel. "Role of illness behavior in pulmonary rehabilitation programs." In Annual Congress 2015. European Respiratory Society, 2015. http://dx.doi.org/10.1183/13993003.congress-2015.pa717.

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Dechman, Gail, Paul Hernandez, and Pat Camp. "Exercise prescription and progression in Canadian pulmonary rehabilitation programs." In ERS International Congress 2016 abstracts. European Respiratory Society, 2016. http://dx.doi.org/10.1183/13993003.congress-2016.pa682.

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Donesky, DorAnne M., Christine Tacklind, Steve Paul, and Virginia Carrieri-Kohlman. "Collaborative Long-Term Follow-Up Of Pulmonary Rehabilitation Programs." In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a2381.

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Balbi, Bruno, Davide Vallese, and Michele Vitacca. "Organization and content of pulmonary rehabilitation programs (PRP) in Italy: A national survey." In ERS International Congress 2016 abstracts. European Respiratory Society, 2016. http://dx.doi.org/10.1183/13993003.congress-2016.pa683.

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Tudorache, Emanuela, Daniel Traila, Monica Marc, Camelia Pescaru, Patricia Hogea, Noemi Porojan Suppini, Ariadna Petronela Fildan, Ovidiu Fira Mladinescu, and Cristian Oancea. "The role of neuromuscular electrostimulation in patients with advanced COPD included in pulmonary rehabilitation programs." In ERS International Congress 2020 abstracts. European Respiratory Society, 2020. http://dx.doi.org/10.1183/13993003.congress-2020.83.

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Malátová, Renáta, Petr Bahenský, Martin Mareš, and David Marko. "Influence of the intervention program according to Pulmonary Rehabilitation principles on breathing functions of healthy individuals." In 12th International Conference on Kinanthropology. Brno: Masaryk University Press, 2020. http://dx.doi.org/10.5817/cz.muni.p210-9631-2020-12.

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Purpose: The aim of the study is to develop and verify an intervention program based on find-ings of the subject field Pulmonary Rehabilitation and the application of such programme to a daily program of healthy probands over a six-week period. The authors were concerned with determining whether an intervention program, based on a combination of aerobic load and resistance training, might affect the breathing stereotype and breathing functions in healthy individuals. Methods: Muscle dynamometer MD03 was used to examine the extent of engagement of in-dividual breathing regions. Breathing functions, or more specifically, the forced vital capacity (FVC) and one-second vital capacity (FEV1), were measured by means of Spirometer Ot-thon, and the evaluation was conducted using program ThorSoft. The intervention included 6 probands at the age of 21.3 ± 0.8 who exercise regularly. The probands underwent initial and final tests. The data obtained were evaluated and substantial significance was deter-mined using Cohen’s d, and the Student’s paired t test for dependent selection. Significance value was determined at significance value α = 0.05. Data were processed in programs Mi-crosoft Excel 2016 and Statistica 12. Results: The tested set of probands showed a substantially significant change of value FVC (Cohen’s d = −0.13, i.e. a small effect). This change was also statistically significant. As regards value FEV , a substantially significant change incurred (Cohen’s d = −0.23, i.e. a small effect). Likewise, this change was statistically significant. The analysis of breathing movements of the observed group of probands revealed improvement especially in the lower thoracic region (abdominal) following the completion of the intervention program. In resting breathing, a substantially significant (Cohen’s d = 2.83, a large effect) as well as statistically significant change was effectuated in this region. In the middle thoracic region, a substantial-ly significant change (Cohen’s d = 0.01, i.e. a small effect) incurred; however, there was no statistical change. No substantially or statistically significant changes were obtained for the upper thoracic (subclavian) region. Conclusion: Our results imply that the aforementioned intervention applied in healthy individ-uals who exercise regularly hasn’t had a positive influence on breathing functions. Though there was a small improvement in the breathing stereotype, the optimum engagement of the abdominal breathing region within the breathing wave as described in specialized literature was not accomplished.
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Botvinikova, Larisa, Lyudmyla Konopkina, Olena Myronenko, and Alina Babenko. "The new opportunities of the personalised pulmonary rehabilitation programs in management of COPD patients: Targets and goals." In ERS International Congress 2019 abstracts. European Respiratory Society, 2019. http://dx.doi.org/10.1183/13993003.congress-2019.pa655.

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Barbier, Veronica, Charususin Noppawan, Matthias Loeckx, Carlos A. Camillo, Iris Coosemans, Ilse Muylaert, Fernanda Rodrigues, Heleen Demeyer, Wim Janssens, and Thierry Troosters. "Effects of exercise training (ET) in pulmonary rehabilitation programs on balance status and falls in patients with COPD." In ERS International Congress 2016 abstracts. European Respiratory Society, 2016. http://dx.doi.org/10.1183/13993003.congress-2016.pa1346.

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Bitton, C. M., J. Simmons, K. Mahoney, J. Pierce, L. Stabile, C. Breault, M. Buckley, K. Guthrie, and A. Adami. "A Retrospective Analysis of the Effects of Pulmonary Rehabilitation in Non-COPD Patients Enrolled in Two Rhode Island Programs." In American Thoracic Society 2021 International Conference, May 14-19, 2021 - San Diego, CA. American Thoracic Society, 2021. http://dx.doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4130.

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