Pulmonary Rehabilitation A Review of the Recent Literature

被引：37

作者：

Goldstein, Roger S. ^{[1
,3
,4
]}

Hill, Kylie ^{[5
,6
,7
,8
]}

Brooks, Dina ^{[1
,3
]}

Dolmage, Thomas E. ^{[1
,2
]}

机构：

[1] W Pk Healthcare Ctr, Dept Resp Med, Toronto, ON M6M 2J5, Canada

[2] W Pk Healthcare Ctr, Resp Diagnost & Evaluat Serv, Toronto, ON M6M 2J5, Canada

[3] Univ Toronto, Dept Phys Therapy, Toronto, ON, Canada

[4] Univ Toronto, Dept Med, Toronto, ON, Canada

[5] Curtin Univ Technol, Sch Physiotherapy, Bentley, WA 6102, Australia

[6] Curtin Univ Technol, Curtin Hlth Innovat Inst, Bentley, WA 6102, Australia

[7] Univ Western Australia, Ctr Asthma Allergy & Resp Res, Crawley, WA, Australia

[8] Univ Western Australia, Lung Inst Western Australia, Crawley, WA, Australia

来源：

CHEST | 2012年 / 142卷 / 03期

关键词：

QUALITY-OF-LIFE; NEUROMUSCULAR ELECTRICAL-STIMULATION; NOCTURNAL NONINVASIVE VENTILATION; FUNCTIONAL EXERCISE CAPACITY; RANDOMIZED CONTROLLED-TRIAL; CHRONIC AIRWAY-OBSTRUCTION; BODY-MASS INDEX; ACUTE EXACERBATIONS; PHYSICAL-ACTIVITY; PHYSIOLOGICAL-RESPONSES;

D O I：

10.1378/chest.12-0188

中图分类号：

R4 [临床医学];

学科分类号：

100218 [急诊医学];

摘要：

Pulmonary rehabilitation (PR) is an evidence-based, multidisciplinary, comprehensive intervention that can be integrated into the management of individuals with chronic lung disease. It aims to reduce symptoms, optimize function, increase participation in daily life, and reduce healthcare resource utilization. In this review, we summarize the new developments in PR over the past 5 years. Issues related to patient assessment include a comparison of cycle- and walking-based measures of exercise capacity, the emergence of multidimensional indices, the refinement of the minimal clinically important difference, and the importance of assessing physical activity. Issues related to exercise training focus on strategies to optimize the training load. We also comment on the acquisition of self-management skills, balance training, optimizing access, and maintaining gains following completion of PR. CHEST 2012; 142(3):738-749

引用

页码：738 / 749

页数：12

共 139 条

[1]

Skeletal muscle effects of electrostimulation after COPD exacerbation: a pilot study [J].