[Efficacy of pulmonary rehabilitation and clinical practice].
Pulmonary rehabilitation(PR) is comprehensive care for patients with chronic pulmonary disorder, especially chronic obstructive pulmonary disease. PR is done by team approach and individualized according to the patient's goal. The important components of PR are assessment, patient education, exercise, psychosocial support and follow-up. Patient education includes understanding of pathophysiology of patient's own lung disease, breathing retraining, bronchial hygiene, smoking cessation, medications, nutrition and prevention of acute exacerbation. The role of exercise training is most important and its efficacy has been strongly supported. Exercise training program should include both lower and upper extremity training, and in selected patients ventilatory muscle training is recommended. PR improves exercise tolerance, dyspnea, health-related QOL. Follow-up care is needed for long-term benefits.
Machida
Kazuko
K
Tokyo National Chest Hospital.
D000208:Acute Disease; D001945:Breathing Exercises; D005081:Exercise Therapy; D005500:Follow-Up Studies; D006801:Humans; D010353:Patient Education as Topic; D029424:Pulmonary Disease, Chronic Obstructive / Q000534:rehabilitation*; D011788:Quality of Life; D012132:Respiratory Muscles / Q000502:physiology; D016540:Smoking Cessation; D012944:Social Support