[Rehabilitation of patients with chronic obstructive lung disease].
BACKGROUND
Pulmonary rehabilitation is well established and is increasingly prescribed as part of the treatment for chronic obstructive pulmonary disease (COPD).


METHODS
Relevant scientific literature and our own clinical experience is presented.


CONCLUSIONS
The essential elements of rehabilitation include a multidisciplinary approach; focus on the individual patient; and emphasis on emotional, social, and physical health aspects. The selected patients have COPD symptoms; are fully aware of their physical limitations and motivated to take an active part in the treatment. Pulmonary rehabilitation is also beneficial for patients with other chronic lung diseases A systematic programme includes a detailed clinical examination of the patient, teaching, training in mucus mobilization and breathing techniques, exercise training and psychosocial support. Evidence-based effects of rehabilitation include symptom relief, increased exercise performance, improved quality of life and reduced use of health services. Pulmonary rehabilitation is also necessary before and after lung transplants and in connection with volume reducing surgery for emphysema.
Hjalmarsen
Audhild
A
Institutt for klinisk medisin, Medisinsk avdeling, lungeseksjonen, Universitetssykehuset Nord Norge, 9037 Tromsø. audhild.hjalmarsen@unn.no
D001945:Breathing Exercises; D019317:Evidence-Based Medicine; D005081:Exercise Therapy; D006801:Humans; D010347:Patient Care Planning; D018579:Patient Selection; D026741:Physical Therapy Modalities; D029424:Pulmonary Disease, Chronic Obstructive / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D011788:Quality of Life; D012046:Rehabilitation / Q000458:organization & administration; D012944:Social Support