Artykuły w czasopismach: „Pulmonary Rehabilitation Programs”

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Ambrosino, Nicolino. "Pulmonary Rehabilitation Programs". Disease Management & Health Outcomes 10, nr 9 (2002): 535–42. http://dx.doi.org/10.2165/00115677-200210090-00002.

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Leuppi, J??rg D., i Roland M. Bingisser. "Pulmonary Rehabilitation Programs". Disease Management & Health Outcomes 12, nr 5 (2004): 281–84. http://dx.doi.org/10.2165/00115677-200412050-00001.

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Connors, Gerilynn, i Lana Hilling. "Guidelines for Pulmonary Rehabilitation Programs". Clinical Neuropharmacology 20, nr 4 (sierpień 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, nr 5 (październik 1993): 335. http://dx.doi.org/10.1097/00002060-199310000-00018.

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Bott, Julia. "Guidelines for Pulmonary Rehabilitation Programs". Physiotherapy 85, nr 5 (maj 1999): 276–77. http://dx.doi.org/10.1016/s0031-9406(05)61446-0.

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Spruit, Martijn A., i Sally J. Singh. "Maintenance Programs After Pulmonary Rehabilitation". Chest 144, nr 4 (październik 2013): 1091–93. http://dx.doi.org/10.1378/chest.13-0775.

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Lewińska, Agnieszka, Włodzimierz Dolecki i Witold Rongies. "Pulmonary Rehabilitation – Historical Outline, Programs and Physiotherapeutic Treatment". Acta Balneologica 61, nr 1 (styczeń 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 i Pat G. Camp. "Exercise prescription practices in pulmonary rehabilitation programs". Canadian Journal of Respiratory, Critical Care, and Sleep Medicine 1, nr 2 (3.04.2017): 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, nr 8 (sierpień 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 i Jenny D. Paratz. "Performance-based criteria are used in participant selection for pulmonary rehabilitation programs". Australian Health Review 37, nr 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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Kołodziej, Magdalena, Justyna Wyszyńska i Monika Bal-Bocheńska. "COVID-19: A New Challenge for Pulmonary Rehabilitation?" Journal of Clinical Medicine 10, nr 15 (29.07.2021): 3361. http://dx.doi.org/10.3390/jcm10153361.

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Coronavirus disease 2019 (COVID-19), currently one of the immense burdens for global healthcare, is often characterized by rapid progression and the occurrence of symptoms particularly affecting the respiratory system. Continuous refinement of treatment protocols improves prognosis; however, COVID-19 survivors are often left with the symptomatic burden of dyspnea and fatigue. Therefore, it is necessary to continue comprehensive treatment including pulmonary rehabilitation. This study aimed to review the available literature on pulmonary rehabilitation in patients diagnosed with COVID-19. The pulmonary rehabilitation programs implemented various forms, i.e., aerobic exercise, breathing exercises, effective cough exercises, diaphragmatic breathing, and respiratory muscle training. Based on the literature review, it was found that pulmonary rehabilitation programs result in an improvement of respiratory function, reduction of fatigue and dyspnea, and improvement in exercise endurance and quality of life after completing both short-term and long-term programs, but depression and anxiety problems did not improve. Pulmonary rehabilitation combined with psychological therapy is crucial for COVID-19 survivors and plays a substantial role in patients’ recovery.

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Schoo, Adrian M. "A literature review of rehabilitative intervention for chronic obstructive pulmonary disease patients". Australian Health Review 20, nr 3 (1997): 120. http://dx.doi.org/10.1071/ah970120.

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Pulmonary rehabilitation programs contribute to physical and psychological well-being and improved quality of life. Pulmonary rehabilitation reduces fear and depression, and increases self-esteem; it improves feelings of well-being and lowers levels of mooddisturbance, but does not seem to change lung function and perfusion. Patients with chronic conditions are reported to have problems complying with rehabilitation programs, especially when these programs require lifestyle modification.Community-based programs are therefore attractive for reasons such as addressing thespecific needs of the population, cost-benefit and flexibility in delivery.

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Gáldiz Iturri, Juan Bautista, Amaia Gorostiza Manterola i Nuria Marina Malanda. "Telerehabilitation: An Effective Strategy in Pulmonary Rehabilitation Programs?" Archivos de Bronconeumología (English Edition) 54, nr 11 (listopad 2018): 547–48. http://dx.doi.org/10.1016/j.arbr.2018.05.016.

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Langer, Daniel. "Addressing the changing rehabilitation needs of patients undergoing thoracic surgery". Chronic Respiratory Disease 18 (1.01.2021): 147997312199478. http://dx.doi.org/10.1177/1479973121994783.

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The rehabilitation needs of individuals undergoing thoracic surgery are changing, especially as surgical management is increasingly being offered to patients who are at risk of developing functional limitations during and after hospital discharge. In the past rehabilitative management of these patients was frequently limited to specific respiratory physiotherapy interventions in the immediate postoperative setting with the aim to prevent postoperative pulmonary complications. In the past two decades, this focus has shifted toward pulmonary rehabilitation interventions that aim to improve functional status of individuals, both in the pre- and (longer-term) postoperative period. While there is increased interest in (p)rehabilitation interventions the majority of thoracic surgery patients are however currently on their own with respect to progression of their exercise and physical activity regimens after they have been discharged from hospital. There are also no formal guidelines supporting the referral of these patients to outpatient rehabilitation programs. The current evidence regarding rehabilitation interventions initiated before, during, and after the hospitalization period will be briefly reviewed with special focus on patients undergoing surgery for lung cancer treatment and patients undergoing lung transplantation. More research will be necessary in the coming years to modify or change clinical rehabilitation practice beyond the acute admission phase in patients undergoing thoracic surgery. Tele rehabilitation or web-based activity counseling programs might also be interesting emerging alternatives in the (long-term) postoperative rehabilitative treatment of these patients.

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Saleem, Saad. "PULMONARY REHABILITATION PROGRAM – AN IMMINENT NEED FOR COPD". Pakistan Journal of Rehabilitation 6, nr 1 (1.01.2017): 3. http://dx.doi.org/10.36283/pjr.zu.6.1/002.

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PR program is currently being offered in a number of hospitals in Pakistan but unfortunately, ATS/ERS defined PR programs, as structured in the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines are beyond the resources of health–care organizations and, consequently, are inaccessible or unavailable to the majority of the COPD patients. Moreover Pakistan has inadequate funds for patient care and is also deficient in the logistics for complex and multidisciplinary programs of PR according to the suggested guidelines. Hence, there is a need for more authenticated and basic programs that contain the essential components of pulmonary rehabilitation.

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Brooks, Dina, Rebecca Sottana, Barbara Bell, Mary Hanna, Lisanne Laframboise, Sugi Selvanayagarajah i Roger Goldstein. "Characterization of Pulmonary Rehabilitation Programs in Canada in 2005". Canadian Respiratory Journal 14, nr 2 (2007): 87–92. http://dx.doi.org/10.1155/2007/951498.

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BACKGROUND: Pulmonary rehabilitation (PR) is recognized as the prevailing standard of care for patients with chronic respiratory conditions. National surveys of PR programs provide important information regarding the structure, content and organization of these programs.OBJECTIVE: To conduct a national survey to characterize adult PR across Canada, in terms of program distribution, utilization, content and outcome measures.METHODS: A cross-sectional descriptive study in which questionnaires were mailed to PR programs connected with hospitals or identified through the Canadian Lung Association was performed.RESULTS: Of the 98 PR programs identified, over 90% of patients in the programs had chronic obstructive pulmonary disease (COPD) and 57% of the programs were outpatient. Inpatient programs accounted for only 10% of the total. The main program components included supervised lower extremity strength (77%), cycle (72%) and treadmill (70%) training, education (75%) and breathing retraining (68%). Over 80% of patients completed their programs and 90% of patients were enrolled in a follow-up component. Physical therapists, dieticians, respiratory therapists and respirologists were the most commonly identified health care providers. The most commonly used outcome measures were the 6 min walk test and disease-specific quality of life questionnaires.CONCLUSION: There were similarities in program format, content, staffing, follow-up and funding among Canadian PR programs. The marked shortfall between the national PR capacity and the prevalence of COPD meant that only 1.2% of the COPD population had access to PR.

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Pinto, Duarte, Lissa Spencer, Soraia Pereira, Paulo Machado, Paulino Sousa i Miguel Padilha. "Maintaining Effects of Pulmonary Rehabilitation at Home in Chronic Obstructive Pulmonary Disease: A Systematic Literature Review". Home Health Care Management & Practice 33, nr 3 (1.02.2021): 226–33. http://dx.doi.org/10.1177/1084822321990376.

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To systematize strategies that may support patients with Chronic Obstructive Pulmonary Disease to maintain the effects of pulmonary rehabilitation over time. This systematic literature review was conducted, and the evidence was electronically searched in the Web of Science, Scopus, and EBSCO databases. This review included randomized controlled clinical trials, published until September 2019, that addressed components of an unsupervised home-based pulmonary rehabilitation program, maintenance strategies following outpatient pulmonary rehabilitation programs, as well as data on outcomes for quality of life, exercise performance, and dyspnea. A final sample of 5 articles was obtained from a total of 1693 studies. Data for final synthesis were grouped into 2 categories: components of unsupervised home-based pulmonary rehabilitation programs and maintenance strategies. An unsupervised home-based pulmonary rehabilitation program should consist of an educational component, an endurance training component, and a strength training component. When patients are transferred to the home environment, it is important to include more functional exercises specifically adapted to the patient’s condition, goals, and needs.

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Moy, Marilyn L. "Not All Home-based Exercise Programs Are Home-based Pulmonary Rehabilitation Programs". American Journal of Respiratory and Critical Care Medicine 200, nr 11 (1.12.2019): 1442–43. http://dx.doi.org/10.1164/rccm.201906-1194le.

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Bełz, Aleksandra, Artur Mąka i Joanna Głogowska-Szeląg. "Pulmonary Rehabilitation in Elderly Patients". Acta Balneologica 61, nr 4 (2019): 274–77. http://dx.doi.org/10.36740/abal201904109.

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Pulmonary rehabilitation is a comprehensive, patient-tailored intervention, that can be started at any stage of a respiratory disorder. Patients with chronic obstructive pulmonary disease are the biggest referred group, but almost every patient with other chronic lung disorder will benefit from pulmonary rehabilitation program. Contraindications for rehabilitation are sparse: severe cognitive dysfunction, mental illness, unstable comorbidity and dyspnoea at rest. The multidisciplinary care consists of a team of specialists, including pulmonologist, physiotherapist, nurse, clinical psychologist and dietitian. Pulmonary rehabilitation programs include exercise training, education, dietary counselling and psychological support. The basis of respiratory rehabilitation is broadly defined physiotherapy, which increases muscle strength and improves aerobic fitness. Each patient requires an individualized treatment plan. Pulmonary rehabilitation consists of endurance exercises, strength training, interval training, exercises of the chest wall motion, inspiratory muscle training and, in case of neurological disorders, percutaneous neuromuscular electrostimulation (NSE). The effectiveness of rehabilitation should be assessed, which might be difficult in elderly patients. In summary, pulmonary rehabilitation is beneficial in many aspects, as it reduces clinical symptoms, improves physical performance, mental status and patients’ quality of life.

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Kokok, Andwi Setiawan, Selly Christina Anggoro i Siti Chandra Widjanantie. "Pulmonary Rehabilitation After Lobectomy On Pulmonary Aspergilloma: Case Report". Indonesian Journal of Physical Medicine & Rehabilitation 7, nr 02 (1.11.2019): 45. http://dx.doi.org/10.36803/ijpmr.v7i02.142.

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Introduction: Complete resection of aspergilloma in chronic pulmonary aspergillosis (CPA), may hasseveral health problem after surgery berupa sesak napas, batuk yang tidak efektif.Methods: A case presentation of 45 years old woman, after lobectomy on right upper of lung dueto aspergilloma, with history of cough and haemoptysis for 3 months. Pulmonary Rehabilitation werebreathing retraining exercise (BE), mobilization technique (MT), chest mobility exercise (CM), activecycle breathing technique (ACBT), postural correction exercise (PC) for three weeks.Results: There were dyspnea, peak flow rate (PFR:60-70-60), peak cough flow (PCF: 70-90-60 L/m),and abnormal chest expansion (CE: 2.5 – 3 – 2) cm. After three weeks of Pulmonary Rehabilitation,there were no dyspnea, increased the PCF: 193L/m, and CE: 2.5-4 -3.Conclusion: Pulmonary Rehabilitation programs for three weeks were relieved dyspnea, increasedcough capacity and CEKeywords: Aspergilloma, Lobectomy, Bell’s Palsy, Rehabilitation program, Cough capacity, Chestexpancy

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Candemir, Ipek, Dicle Kaymaz i Pinar Ergun. "The Reasons for Non-Adherence in Pulmonary Rehabilitation Programs". Eurasian Journal of Pulmonology 19, nr 1 (12.04.2017): 25–29. http://dx.doi.org/10.5152/ejp.2016.85547.

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de Sousa Pinto, Juliana Maria, Camila Kerley de Castro do Vale, Danyllo Lucas de Lima Rodrigues, Jady Barbosa de Freitas, João Maia Júnior, Amanda Souza Araújo i Maria Tereza Aguiar Pessoa Morano. "Pulmonary rehabilitation programs in lung transplant: a literature review". Revista Brasileira em promoção da Saúde 28, nr 3 (30.09.2015): 443–51. http://dx.doi.org/10.5020/18061230.2015.p443.

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Garvey, Chris, Richard Casaburi, Martijn A. Spruit i Jana De Brandt. "Survey of Exercise Prescription in US Pulmonary Rehabilitation Programs". Journal of Cardiopulmonary Rehabilitation and Prevention 40, nr 2 (marzec 2020): 116–19. http://dx.doi.org/10.1097/hcr.0000000000000467.

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Jangalee, Jenna, Pooneh Ghasvareh, Jordan Guenette i Jeremy Road. "Incorporating remote patient monitoring in virtual pulmonary rehabilitation programs". Canadian Journal of Respiratory Therapy 57 (22.07.2021): 83–89. http://dx.doi.org/10.29390/cjrt-2021-015.

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Hornikx, Miek, Hans Van Remoortel, Heleen Demeyer, Carlos Augusto Marcal Camillo, Marc Decramer, Wim Janssens i Thierry Troosters. "The Influence of Comorbidities on Outcomes of Pulmonary Rehabilitation Programs in Patients with COPD: A Systematic Review". BioMed Research International 2013 (2013): 1–8. http://dx.doi.org/10.1155/2013/146148.

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Introduction. Chronic obstructive pulmonary disease (COPD) is associated with comorbidities such as cardiovascular disease, metabolic disease, osteoporosis, and anxiety and/or depression. Although pulmonary rehabilitation programs are proven to be beneficial in patients with COPD, it is unclear whether comorbidities influence pulmonary rehabilitation outcomes. The aim of the present review was to investigate to what extent the presence of comorbidities can affect pulmonary rehabilitation outcomes.Methods. The systematic literature search (Pubmed, EMBASE, and PEDro) resulted in 4 articles meeting the inclusion criteria. The odds ratios (95% confidence intervals) of the logistic regression analyses, with comorbidities as independent variables and pulmonary rehabilitation outcomes (dyspnea, functional exercise capacity, and quality of life) as dependent variables, were used for data extraction.Results. Patients with anxiety and/or depression less likely improve in dyspnea. Osteoporosis is associated with less improvements in functional exercise capacity, while cardiovascular disease does not seem to negatively impact on this outcome. Patients with cardiovascular comorbidity will experience less positive changes in quality of life.Conclusion. Evidence from literature suggests that comorbidities can have a negative influence on pulmonary rehabilitation outcomes. Screening for comorbidities in pulmonary rehabilitation settings seems useful to readdress the right patients for individually tailored pulmonary rehabilitation.

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Almojaibel, Abdullah A., Niki Munk, Lynda T. Goodfellow, Thomas F. Fisher, Kristine K. Miller, Amber R. Comer, Tamilyn Bakas i Michael D. Justiss. "Health Care Practitioners’ Determinants of Telerehabilitation Acceptance". International Journal of Telerehabilitation 12, nr 1 (30.06.2020): 43–50. http://dx.doi.org/10.5195/ijt.2020.6308.

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Background: Pulmonary rehabilitation is a multidisciplinary patient-tailored intervention that aims to improve the physical and psychological condition of people with chronic respiratory diseases. Providing pulmonary rehabilitation (PR) services to the growing population of patients is challenging due to shortages in health care practitioners and pulmonary rehabilitation programs. Telerehabilitation has the potential to address this shortage in practitioners and PR programs as well as improve patients’ participation and adherence. This study’s purpose was to identify and evaluate the influences of intention of health care practitioners to use telerehabilitation. Methods: Data were collected through a self-administered Internet-based survey. Results: Surveys were completed by 222 health care practitioners working in pulmonary rehabilitation with 79% having a positive intention to use telerehabilitation. Specifically, perceived usefulness was a significant individual predictor of positive intentions to use telerehabilitation. Conclusion: Perceived usefulness may be an important factor associated with health care providers’ intent to use telerehabilitation for pulmonary rehabilitation.

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TUDORACHE, Emanuela, Nicoleta Stefania MOTOC, Camelia PESCARU, Alexandru CRISAN i Lorena CIUMARNEAN. "Impact of pulmonary rehabilitation programs in improving health status in COPD patients". Balneo Research Journal 10, Vol 10 No. 4 (10.12.2019): 472–77. http://dx.doi.org/10.12680/balneo.2019.284.

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Pulmonary rehabilitation programme (PRP) have a positive impact on multiple outcomes of COPD, such as decreasing symptoms, increasing exercise tolerance and improving general health status. The aim of this study is to evaluate exercise tolerance impairment and to assess the impact of PRP in improving health status in patients diagnosed with COPD. It was conducted a prospective parallel group study in the Pulmonary Rehabilitation Department of the Clinical Hospital "V. Babes”, Timisoara, from 2007 to 2010. The subjects included in the study were patients diagnosed with COPD stages I-IV GOLD, initially evaluated and started a PRP, then re-evaluated after 3 weeks and 6 months. The study group included 168 patients, 158 men, mean age 61.73 years. The initial evaluation revealed higher values of dyspnea scores using mMRC scale in advanced COPD stages (3.69±0.77 in patients with COPD stage IV, vs 0.88±0.5 in patients with COPD stage, p<0.05), decreased Forced expiratory volume in 1 second (FEV1), PImax and PEmax, and 6 minutes walking distance values corresponding with COPD severity stages. Re-evaluation at 3 weeks and 6 months after the pulmonary rehabilitation programme was applied showed significant improved dyspnea scores and exercise tolerance. The results of this study reconfirmed the positive and persistent impact of pulmonary rehabilitation programme on muscle dysfunction, dyspnea, and quality of life in COPD patients, regardless of severity. Key words: COPD, pulmonary rehabilitation programme, 6 minutes walking test, pedometry,

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Wageck, Bruna, Narelle S. Cox, Joanna Y. T. Lee, Lorena Romero i Anne E. Holland. "Characteristics of Pulmonary Rehabilitation Programs Following an Exacerbation of Chronic Obstructive Pulmonary Disease". Journal of Cardiopulmonary Rehabilitation and Prevention 41, nr 2 (25.01.2021): 78–87. http://dx.doi.org/10.1097/hcr.0000000000000570.

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Shen, Q., N. Upreti i MV Sikirica. "Understanding Pulmonary Rehabilitation Guidelines and Programs from an International Perspective". Value in Health 21 (maj 2018): S238. http://dx.doi.org/10.1016/j.jval.2018.04.1608.

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Fatima, Zunaira, Areeba Iftikhar i Muhammad Imran Yousaf. "Effectiveness of Pulmonary Rehabilitation in Patients with COPD". International Journal of Frontier Sciences 4, nr 1 (1.01.2020): 13–19. http://dx.doi.org/10.37978/tijfs.v4i1.62.

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Background: Pulmonary rehabilitation (PR) is beneficial for patients with COPD, with improvement in exercise capacity and health-related quality of life. Despite these overall benefits, the responses to PR vary significantly among different individuals. It is not clear if PR is beneficial for patients with COPD and normal exercise capacity. Although it is believed that longer pulmonary rehabilitation programs can provide better results, most of the evidence comes from short-term programs. Objective: The objective of this analysis was to determine the effectiveness of respiratory services provided in the hospital or community by respiratory therapists (RTs) in reducing health care utilization and improving patient outcomes. The aim was to evaluate the outcomes of a comprehensive pulmonary rehabilitation (PR) in chronic obstructive pulmonary disease. Methodology: All 65 Pakistani patients who met the inclusion criteria with ages between 40 to 65 years, including both male and female, with mild to severe COPD were enrolled in the study on the basis of convenient sampling. Informed consent was taken from each patient starting about the study and their rights to withdraw from study. A demographics detail (name, age, sex) was noted along with the necessary medical history. A questionnaire was made to see the effects of pulmonary rehabilitation in patients with COPD. All necessary tests were performed to evaluate the patient betterment completely. Results: The mean FEV1 in the subjects was 1.29 ± 0.47 L/min, 64.8 ± 23.0% of predicted. Clinically there is a little effect on CXR pattern, FEV1 and FEV1/FVC after pulmonary rehabilitation. But overall quality of life improved after pulmonary rehabilitation. Mainly improvement occurs in peak expiratory flow rate, BORG dyspnea scale, 6 mint walk test distance (meters) and Oxygen saturation after rehabilitation. Conclusion: These results showed that patients with COPD had benefited from a comprehensive PR program in an out-patient setting regardless of disease severity. Exercise training can result in significant improvement in health-related quality of life, exercise capacity, respiratory muscle strength, and exertional dyspnea in subjects with COPD and normal exercise capacity.

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Hill, Kylie, Vishal Bansal, Dina Brooks i Roger S. Goldstein. "Repeat Pulmonary Rehabilitation Programs Confer Similar Increases in Functional Exercise Capacity to Initial Programs". Journal of Cardiopulmonary Rehabilitation and Prevention 28, nr 6 (listopad 2008): 410–14. http://dx.doi.org/10.1097/hcr.0b013e31818c3c8d.

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Tselebis, Athanasios, Epaminondas Kosmas, Dionisios Bratis, Argiro Pachi, Ioannis Ilias, Maria Harikiopoulou, Elpida Theodorakopoulou i in. "Contribution of Psychological Factors in Dropping out from Chronic Obstructive Pulmonary Disease Rehabilitation Programs". BioMed Research International 2014 (2014): 1–6. http://dx.doi.org/10.1155/2014/401326.

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Significant positive effects, particularly on psychological state in patients who completed the follow-up pulmonary rehabilitation programs, are indicated by a large number of studies. Yet, a remarkable proportion of selected patients drop out from these programs. In this study, we investigated existing differences on psychological variables among COPD patients who complete and those who drop out from pulmonary rehabilitation programs. The study included 144 patients, 43 (29.9%) of whom did not complete the program. SCL-90 was used for the assessment of psychological symptoms. On the SCL-90-R scale 55.6% of patients had abnormal findings. Patients who discontinued the program had higher rates of depression and somatization compared to those who completed it. Regarding the psychopathology scales of SCL-90R, we found that patients who discontinued the program showed higher levels of psychopathology on the scales of somatization, depression, paranoid ideation, and psychotism compared to those who completed the program. The final regression model showed that patients with low educational status and psychotism were more likely to leave the program. In conclusion, psychopathology contributes to patients dropping out from a COPD rehabilitation program; thus, psychological assessment prior to inclusion in rehabilitation programs may reduce dropouts.

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Santus, Pierachille, Linda Bassi, Dejan Radovanovic, Andrea Airoldi, Rita Raccanelli, Francesco Triscari, Francesca Giovannelli i Antonio Spanevello. "Pulmonary Rehabilitation in COPD: A Reappraisal (2008–2012)". Pulmonary Medicine 2013 (2013): 1–8. http://dx.doi.org/10.1155/2013/374283.

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Chronic Obstructive Pulmonary Disease (COPD) is a complex pathological condition associated with an important reduction in physical activity and psychological problems that contribute to the patient's disability and poor health-related quality of life. Pulmonary rehabilitation is aimed to eliminate or at least attenuate these difficulties, mainly by promoting muscular reconditioning. The scope of this paper has been the analysis of the literature on pulmonary rehabilitation in COPD patients has appeared in the last five years, focusing on the principal outcomes obtained. The results demonstrate that pulmonary rehabilitation has a beneficial effect on dyspnoea relief, improving muscle strength and endurance. Moreover, pulmonary rehabilitation appears to be a highly effective and safe treatment for reducing hospital admissions mortality and improving health-related quality of life in COPD patients. It represents, therefore, a very important therapeutic option that, along with standard pharmachological therapy, can be used to obtain the best patient management. The favourable results obtained with pulmonary rehabilitation programs should stimulate researchers to improve our understanding of the mechanisms that form the basis of the beneficial effects of this therapeutic intervention. This would in turn increase the effectiveness of pulmonary rehabilitation in COPD patients.

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Janssens, Wim, Jean-Louis Corhay, Peter Bogaerts, Eric Derom, Nicolas Frusch, Delphine Nguyen Dang, Jesabelle Kibanda i in. "How resources determine pulmonary rehabilitation programs: A survey among Belgian chest physicians". Chronic Respiratory Disease 16 (9.04.2018): 147997231876773. http://dx.doi.org/10.1177/1479972318767732.

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Despite overwhelming evidence of its benefits, a widespread implementation of pulmonary rehabilitation (PR) is lacking and the landscape of multidisciplinary programs remains very scattered. The objective of this study is to assess how PR is organized in specialized care centres in Belgium and to identify which barriers may exist according to respiratory physicians. A telephone and online survey was developed by a Belgian expert panel and distributed among all active Belgian chest physicians ( n = 492). Data were obtained from 200 respondents (40%). Seventy-five percentage of the chest physicians had direct access to an ambulatory rehabilitation program in their hospital. Most of these programs are organized bi or triweekly for an average period of 3–6 months. Programs focus strongly on chronic obstructive pulmonary disease patients from secondary care, have a multidisciplinary approach and provide exercise capacity and quality of life measures as main outcomes. Yet large differences were observed in process and outcome indicators between the programs of centres with standard funding and those of specialized centres with a larger allocated budget. We conclude that multidisciplinary PR programs are available in the majority of Belgian hospitals. Differences in funding determine the quality of the team, the diversity of the interventions and the monitoring of outcomes. More resources for rehabilitation will directly improve the utilization and quality of this essential treatment option in respiratory diseases.

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Ovcharenko, S. I., B. A. Volel i Ya K. Galetskaite. "A personalized approach to the pulmonary rehabilitation of patients with chronic obstructive pulmonary disease". Terapevticheskii arkhiv 89, nr 3 (15.03.2017): 18–23. http://dx.doi.org/10.17116/terarkh201789318-23.

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Aim. To elaborate and introduce personalized pulmonary rehabilitation (PR) programs adapted in terms of the types of disease response in patients with chronic obstructive pulmonary disease (COPD) and to evaluate the effectiveness of the programs. Subjects and methods. A total of 85 patients with COPD of more than 2 years’ duration (the shortest time frame that was valid to assess the type of disease response) were examined. All the patients underwent adequate physical, instrumental, laboratory, and psychiatric examinations, during which the type of COPD response was determined. Before a rehabilitation cycle, after its termination, and 1, 3, and 6 months later, each patient underwent evaluation of the symptoms of COPD, the frequency of its exacerbations, the level of basic knowledge about COPD according to the author’s questionnaire, assessment of the quality of life and the symptoms of anxiety and depression, and functional tests. Results. The final sample included 30 patients who met the inclusion criteria and agreed to voluntarily participate in the PR programs. According to the type of a response to the underlying disease, the patients were divided into 2 polar groups: A) those who were anxious about their illness (excessive apprehension, fears that were associated with the perception of lung disease and that led to distress) and depression (despondency, an agonizing understanding of a possible poor outcome and consequences of the impact of COPD on their lives) and B) those who had a newly diagnosed type of COPD response — hyponosognosia (underestimation of disease severity, perception of the symptoms of COPD as age-related changes, and preservation of the old way of life to the detriment of their health). Effective personalized PR programs were elaborated and applied to both groups. Conclusion. Group measures focused on learning how to cope with the disease and its symptoms and on the ability to distinguish its manifestations from the signs of psychological distress and to combat them are effective in patients who are anxious about the disease and depressed (Group A). Individual inpatient activities aimed at the formation and maintenance of motivation, the formation of an image of the disease and its manifestations, and early specialized care for smoking cessation are indicated for patients with hyponosognosia (Group B).

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Hoberty, P. D. "Quality Assurance and the Service Domain in Cardiac and Pulmonary Rehabilitation". Clinical & Investigative Medicine 30, nr 3 (1.06.2007): 40. http://dx.doi.org/10.25011/cim.v30i3.1743.

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Background: Little is known about the quality assurance methods used on cardiac and pulmonary rehabilitation. Also, little is known as to what extent the service domain is evaluated and what methods are employed. Knowledge of what is being done in these regards may facilitate programs effectively and efficiently measuring these outcomes. Methods: A survey was mailed to 1/3 of the programs (approximately 400) in both cardiac and pulmonary rehabilitation listed in the AACVPR Program Guide 2004. The survey included questions that would add to the knowledge of what is the extent of practice and methods. 12 components of quality assurance were listed and 14 components of patient satisfaction were assessed as to the frequency of use. It was pilot tested and revised. Results: The usable return rate was 48%. Program directors of both types of programs claimed daily formal assessment of most of the 12 areas listed for quality assurance. The three highest being assessment of adverse events, safety, and patient satisfaction. The three lowest use was in the area of efficiency, timeliness and continuity of care. The service domain was assessed as comparable to the other three: health, clinical and behavioral domains. Patient satisfaction was the most commonly assessed component of the service domain with more than 90% of both types of programs measuring program effectiveness, overall program quality and friendliness of the staff. Managers most commonly cited the acquisition of new equipment as the endpoint as the end results of patient satisfaction assessment. Conclusions: There was surprising similarity in results from programs in cardiac and pulmonary rehabilitation. Quality assurance is very frequently assessed in both. Concern for adverse events, safety, and patient satisfaction predominate.

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Shmonin, A. A., M. N. Maltseva, E. V. Melnikova, I. E. Mishina i G. E. Ivanova. "Medical rehabilitation for coronavirus infection: new challenges for physical and rehabilitation medicine in Russia". Bulletin of Restorative Medicine 97, nr 3 (czerwiec 2020): 14–21. http://dx.doi.org/10.38025/2078-1962-2020-97-3-14-21.

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Coronavirus infection causes lung damage and leads to the development of disabling conditions. The development of the Covid-19 pandemic leads to a one-stage increase in the number of patients who need assistance not only from infectious disease specialists and intensive care specialists, but also from rehabilitation specialists. However, patients suffering from other non-infectious conditions need rehabilitation despite the pandemic. Thus, rehabilitation specialists are faced with new tasks to organize rehabilitation in the epidemic for both patients with Covid-19 and patients at high risk of infection, but without coronavirus infection, to develop specific programs for pulmonary rehabilitation, data collection on the nature of disability, organization of outpatient programs and telerehabilitation.

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Van Ryn-Bolland, H., H. Tulloch i C. Lorello. "ANALYSIS OF TWO CARDIAC REHABILITATION PROGRAMS". Journal of Cardiopulmonary Rehabilitation and Prevention 29, nr 5 (wrzesień 2009): 337. http://dx.doi.org/10.1097/01.hcr.0000361206.87008.27.

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Bhatt, Surya P., i Mark T. Dransfield. "Reply to Moy: Not All Home-based Exercise Programs Are Home-based Pulmonary Rehabilitation Programs". American Journal of Respiratory and Critical Care Medicine 200, nr 11 (1.12.2019): 1443–44. http://dx.doi.org/10.1164/rccm.201907-1287le.

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Elpern, Ellen H., Damien Stevens i Steven Kesten. "Variability in Performance of Timed Walk Tests in Pulmonary Rehabilitation Programs". Chest 118, nr 1 (lipiec 2000): 98–105. http://dx.doi.org/10.1378/chest.118.1.98.

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Chau, Collin, Aaron Clarke, Gowshigan Bhuvanendrarajah, Alexandra Chen, Julia Hochstein, Denise Helm, Sunita Mathur i Lisa Wickerson. "Oxygen administration practices during exercise training in Ontario pulmonary rehabilitation programs". Canadian Journal of Respiratory, Critical Care, and Sleep Medicine 4, nr 2 (1.07.2019): 91–98. http://dx.doi.org/10.1080/24745332.2019.1625086.

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Bilichenko, T. N. "Pulmonary Rehabilitation of Chronic Obstructive Pulmonary Diseases (Review of Clinical Trials, National and International Recommendations)". Bulletin of Restorative Medicine 99, nr 5 (29.10.2020): 26–37. http://dx.doi.org/10.38025/2078-1962-2020-99-5-26-37.

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Aim. The review of data from randomized clinical trials, results of systematic reviews, international and national clinical recommendations on the problem of pulmonary rehabilitation (PR) in chronic obstructive pulmonary disease (COPD) was carried out. This analysis of the studies included the databases e-library, MEDLINE, PubMed and Cochrane libraries on the problem of pathophysiology and methods of physical rehabilitation of COPD. The analysis took into account the opinions of expert groups of clinical recommendations developers of the Russian respiratory society, the European respiratory society, and the American thoracic society, presented inthis review. The data of studies confirm the clinical effectiveness of physical rehabilitation methods for COPD that take into account the unique needs of a complex patient. Pulmonary rehabilitation improves the quality of life associated with health, reduces the incidence of exacerbations and mortality of patients with COPD. Increasing the availability and improving PR programs based on individual assessment of the patient’s physical capabilities will increase the use of this method of treatment.

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TRĂILĂ, Daniel, Camelia PESCARU, Noemi SUPPINI POROJAN, Camil MIHUTA, Patricia HOGEA, Alexandru CRIŞAN, Lorena CIUMARNEAN i MARC Monica. "Neuromuscular electrostimulation as an adjuvant therapy to pulmonary rehabilitation programs in chronic obstructive pulmonary disease". Balneo Research Journal, Vol.11, No1 (20.02.2020): 80–84. http://dx.doi.org/10.12680/balneo.2020.320.

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Introduction. Chronic obstructive pulmonary disease (COPD) is commonly associated with a vicious circle of sedentary lifestyle - deconditioning - muscular dysfunction. High-frequency neuromuscular electrostimulation has demonstrated beneficial effects among subjects with muscle weakness. This study aimed to evaluate the benefits of merging pulmonary rehabilitation program (PRP) with neuromuscular electrostimulation in patients with very severe COPD. Material and methods. The study included 38 males with clinically stable COPD, who were divided in 2 groups: group A-19 patients that underwent a PRP of 5 sessions/week for 4 weeks and group B-19 patients that underwent intercostal and lower extremity muscle electrostimulation (5 sessions/week for 4 weeks, 60 min /session) in association with the same type of PRP. Saint Georges’s Respiratory Questionnaire (SGRQ), Modified Medical Research Council (mMRC) dyspnea scale, spirometry, maximal inspiratory pressure (PImax) and maximal expiratory pressure (PEmax), six minutes walking test (6MWT) and bio-electrical impedance were examined before and after the intervention. Results. Electrostimulation applied in group B increased muscle mass (50.15 ± 0.61kg vs 53.97 ± 0.87kg, p<0.001)., PEmax (5.41 ± 0.25 vs post 6.79 ± 0.22, p<0.0003) and improved mMRC score (2.68 ± 0.15 vs 2.10 ± 0.15, p<0.0109), 6MWT (369.6 ± 10.77m vs post: 445.6 ± 6.03 m) and SGRQ (61.32 ± 1.83 vs. 44.95 ± 1.94, p<0.0001). In group B only SGRQ score (55.05 ± 1.32 vs. 50.05 ± 1.51, p=0.018) was improved after PRP. Conclusion. A protocol which combines PRP with neuromuscular electrical stimulation in patients with very severe forms of COPD, has grater beneficial effect on dyspnoea, exercise tolerance, muscle mass toning and quality of life, compared with PRP alone.

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Camp, Pat G., Paul Hernandez, Jean Bourbeau, Ashley Kirkham, Richard Debigare, Michael K. Stickland, Donna Goodridge i in. "Pulmonary Rehabilitation in Canada: A Report from the Canadian Thoracic Society COPD Clinical Assembly". Canadian Respiratory Journal 22, nr 3 (2015): 147–52. http://dx.doi.org/10.1155/2015/369851.

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BACKGROUND: Pulmonary rehabilitation (PR) is a recommended intervention in the management of individuals with chronic lung disease. It is important to study the characteristics and capacity of programs in Canada to confirm best practices and identify future areas of program improvement and research.OBJECTIVE: To identify all Canadian PR programs, regardless of setting, and to comprehensively describe all aspects of PR program delivery. The present article reports the results of the survey related to type of program, capacity and program characteristics.METHODS: All hospitals in Canada were contacted to identify PR programs. A representative from each program completed a 175-item online survey encompassing 16 domains, 10 of which are reported in the present article.RESULTS: A total of 155 facilities in Canada offered PR, of which 129 returned surveys (83% response rate). PR programs were located in all provinces, but none in the three territories. Most (60%) programs were located in hospital settings, 24% were in public health units and 8% in recreation centres. The national capacity of programs was estimated to be 10,280 patients per year, resulting in 0.4% of all Canadians with chronic obstructive pulmonary disease (COPD) and 0.8% of Canadians with moderate to severe COPD having access to PR. COPD, interstitial lung disease, and asthma were the most common diagnoses of patients. The majority of programs had at least four health care professionals involved; 9% had only one health care professional involved.CONCLUSION: The present comprehensive survey of PR in Canada reports an increase in the number of programs and the total number of patients enrolled since the previous survey in 2005. However, PR capacity has not kept pace with demand, with only 0.4% of Canadians with COPD having access.

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Snyder, Natalie, Ria Wilson, Lian Finch, Brooklyn Gallant, Chris Landa, Daniel Frankel, Dina Brooks, Tara Packham i Ana Oliveira. "The Role of Occupational Therapy in Pulmonary Rehabilitation Programs: Protocol for a Scoping Review". JMIR Research Protocols 10, nr 7 (26.07.2021): e30244. http://dx.doi.org/10.2196/30244.

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Background Chronic respiratory diseases are highly prevalent and compromise an individual’s ability to perform activities of daily living (ADLs) and participate in meaningful life roles. Pulmonary rehabilitation (PR) is a well-established intervention aimed at restoring an individual’s exercise capacity and improving their ability to complete their ADLs. Occupational therapists help individuals engage in meaningful “occupations,” improving their health and well-being. Given the concordance in the aims of PR and the occupational therapy (OT) scope of practice, occupational therapists appear to be well suited as key players in PR programs. However, the benefits of adding OT to PR programs have been sparsely reported in the literature and the role of OT in PR has never been synthesized or reported in national and international guidelines. Objective The aim of this review is to explore the role of OT in PR programs, the current guideline recommendations for the inclusion of OT in PR programs, the estimated prevalence of OT in PR programs, and the reported or anticipated effects of OT interventions in PR programs. Methods The review will be conducted following the Joanna Briggs Institute (JBI) methodology for scoping reviews. A comprehensive search will be undertaken in the Cochrane Database of Systematic Reviews, EMBASE, MEDLINE, and CINAHL (EBSCO) to identify and retrieve relevant literature published in English, French, or Portuguese. Gray literature on international OT association websites will also be identified, including position statements and guidelines relevant to PR programs. All literature published since the establishment of the effectiveness of PR for chronic respiratory disease in 1994 that explores OT in PR programs for these patients will be included. Search results will be exported to Covidence for title, abstract, and full-text screening by two independent reviewers. Data will be extracted by two independent reviewers using a pilot-tested template including the following: the number of PR programs including OT (specifically from surveys), the purpose of the study, the study design, patient characteristics, respiratory conditions included, PR components, OT role, outcomes, and results. Findings will be presented using a narrative summary, supplemented by figures and/or tables. Key themes will be displayed in an infographic or schematic. Results The study was initiated in January 2021 and registered with the Open Science Framework (OSF) in February 2021, prior to title and abstract screening. Data collection and analysis and drafting of the manuscript will occur throughout 2021, with expected publication in 2022. Conclusions The results of this scoping review will help health care professionals improve patient care by broadening their understanding and awareness of the role of OT in PR programs. This role clarification may help to inform program development and clinical decision making and will serve to optimize the delivery of multidisciplinary care for patients in PR programs, ultimately improving patient outcomes. Trial Registration OSF Registries ZH63W; https://osf.io/zh63w International Registered Report Identifier (IRRID) DERR1-10.2196/30244

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Stickland, Michael K., Tina Jourdain, Eric YL Wong, Wendy M. Rodgers, Nicholas G. Jendzjowsky i G. Fred MacDonald. "Using Telehealth Technology to Deliver Pulmonary Rehabilitation to Patients with Chronic Obstructive Pulmonary Disease". Canadian Respiratory Journal 18, nr 4 (2011): 216–20. http://dx.doi.org/10.1155/2011/640865.

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BACKGROUND: Pulmonary rehabilitation (PR) is an effective therapeutic strategy to improve health outcomes in patients with chronic obstructive pulmonary disease (COPD); however, there is insufficient PR capacity to service all COPD patients, thus necessitating creative solutions to increase the availability of PR.OBJECTIVE: To examine the efficacy of PR delivered via Telehealth (Telehealth-PR) compared with PR delivered in person through a standard outpatient hospital-based program (Standard-PR).METHODS: One hundred forty-seven COPD patients participated in an eight-week rural PR program delivered via Telehealth-PR. Data were compared with a parallel group of 262 COPD patients who attended Standard-PR. Education sessions were administered two days per week via Telehealth, and patients exercised at their satellite centre under direct supervision. Standard-PR patients viewed the same education sessions in person and exercised at the main PR site. The primary outcome measure was change in quality of life as evaluated by the St George’s Respiratory Questionnaire (SGRQ). A noninferiority analysis was performed using both intention-to-treat and per-protocol approaches.RESULTS: Both Telehealth-PR and Standard-PR resulted in clinically and statistically significant improvements in SGRQ scores (4.5±0.8% versus 4.1±0.6%; P<0.05 versus baseline for both groups), and the improvement in SGRQ was not different between the two programs. Similarly, exercise capacity, as assessed by 12 min walk test, improved equally in both Telehealth-PR and Standard-PR programs (81±10 m versus 82±10 m; P<0.05 versus baseline for both groups).CONCLUSION: Telehealth-PR was an effective tool for increasing COPD PR services, and demonstrated improvements in quality of life and exercise capacity comparable with Standard-PR.

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CROITORU, Alina, Nicoleta Ștefania MOTOC, Edith Simona IANOSI, Doina TODEA, Ionut STANCIU, Teodora-Gabriela ALEXESCU, Lorena CIUMĂRNEAN, Gabriela DOGARU i Oana Cristina ARGHIR. "Does Respiratory Rehabilitation improve the outcome of pleural effusion in pulmonology department? Case report series and short literature review." Balneo Research Journal 10, Vol 10 No. 4 (10.12.2019): 466–71. http://dx.doi.org/10.12680/balneo.2019.283.

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Introduction. Pulmonary rehabilitation is recognized as a complementary, non-pharmacological therapy for patients with COPD and pulmonary fibrosis. For pleural effusion, however there are not current recommendations in the existing literature. The aim of this study was to evaluate the beneficial role of respiratory rehabilitation (RR) in patients with pleural effusion and to review the main physiotherapy (kinetic therapeutic) techniques, as part of RR programs. Material and method. The article exemplifies three cases of acute pleural effusion or pachypleuritis, describing the diagnostic and treatment procedures as well as the pulmonary rehabilitation technique used. Results and discussions. Treatment goals, intervention, types of exercises were explained for each type of pleural disease. The diaphragmatic breathing, relaxation and/or antalgic postures, early mobilization, and a daily walking are recommended. Conclusions. Pulmonary rehabilitation should be applied in every patient with acute pleural effusion or pachypleuritis considering the potential benefits of physical therapy in the management of the patient`s illness. Key words: pleural effusion, respiratory rehabilitation, pachypleuritis,

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Pirfo, A. Marlene, i Edward S. Chen. "PH Professional Network: “Just Do It”: Practical Aspects of Pulmonary Rehabilitation Programs". Advances in Pulmonary Hypertension 18, nr 2 (1.07.2019): 74–77. http://dx.doi.org/10.21693/1933-088x-18.2.74.

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Karloh, Manuela, Thiago Sousa Matias i Anamaria Fleig Mayer. "The COVID-19 Pandemic Confronts the Motivation Fallacy within Pulmonary Rehabilitation Programs". COPD: Journal of Chronic Obstructive Pulmonary Disease 17, nr 4 (3.07.2020): 343–45. http://dx.doi.org/10.1080/15412555.2020.1790511.

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Carlin, Brian W., Gerene S. Bauldoff, Eileen Collins, Chris Garvey, Darcy Marciniuk, Andrew Ries, Trina Limberg i Richard ZuWallack. "Medical Director Responsibilities for Outpatient Pulmonary Rehabilitation Programs in the United States". Journal of Cardiopulmonary Rehabilitation and Prevention 40, nr 3 (maj 2020): 144–51. http://dx.doi.org/10.1097/hcr.0000000000000515.

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