title: [New argentine consensus of respiratory rehabilitation 2008].
abstract: Respiratory rehabilitation (RR) is a multidisciplinary program of care for patients with chronic respiratory impairment, individually tailored, designed to optimize physical and social performance and patient autonomy. It is particularly indicated in chronic obstructive pulmonary disease (COPD) patients with exercise intolerance. The objectives of respiratory rehabilitation are: reduction in symptoms and exercise intolerance, improvement of health-related quality of life, and reduction of health costs. A group of neumonologists, nutritionists and physical therapists performed a systematic review of the evidence in RR to update previous local guidelines. Inclusion and exclusion criteria, guidelines for initial evaluation and follow up and resources needed are defined. Training characteristics are recommended regarding frequency of the visits, intensity, progression and duration of the exercise training. Aerobic training was recommended for lower limb (1A), upper limb (1B). Strength training must be added (1B). Respiratory muscle training and other physiotherapy techniques were recommended only for specific patients (1C). In addition recommendations have been made for educational objectives of the program including smoking cessation, nutritional and psychological support. The positive impact of RR on reductions of health care costs and reductions on hospitalizations (Evidence A) and mortality (Evidence B) were analized. Respiratory rehabilitation is a key component in the modern treatment of COPD patients. This consensus statement was prepared based on the most recent scientific evidence and adjusted to the local environment with the aim of being implemented nationally.
authors.affiliation: Asociación Argentina de Medicina Respiratoria. Sección Rehabilitación Respiratoria. sivorimartin@yahoo.com
authors.forename: Martín
authors.initials: M
authors.lastname: Sívori
authors.forename: Marta
authors.initials: M
authors.lastname: Almeida
authors.forename: Roberto
authors.initials: R
authors.lastname: Benzo
authors.forename: Clarisa
authors.initials: C
authors.lastname: Boim
authors.forename: Marisa
authors.initials: M
authors.lastname: Brassesco
authors.forename: Osvaldo
authors.initials: O
authors.lastname: Callejas
authors.forename: Ignacio
authors.initials: I
authors.lastname: Capparelli
authors.forename: Ernesto
authors.initials: E
authors.lastname: Conti
authors.forename: Mariano
authors.initials: M
authors.lastname: Díaz
authors.forename: Jorge
authors.initials: J
authors.lastname: Draghi
authors.forename: Javier
authors.initials: J
authors.lastname: Franco
authors.forename: Sebastián
authors.initials: S
authors.lastname: Gando
authors.forename: Germán
authors.initials: G
authors.lastname: Giuliano
authors.forename: Roxana
authors.initials: R
authors.lastname: Guida
authors.forename: Enrique
authors.initials: E
authors.lastname: Jolly
authors.forename: Fernando
authors.initials: F
authors.lastname: Pessolano
authors.forename: Roberto
authors.initials: R
authors.lastname: Rabinovich
authors.forename: Patricia
authors.initials: P
authors.lastname: Ratto
authors.forename: Edgardo
authors.initials: E
authors.lastname: Rhodius
authors.forename: Marcela
authors.initials: M
authors.lastname: Saadia
authors.forename: Alejandro
authors.initials: A
authors.lastname: Salvado
authors.forename: Edgardo
authors.initials: E
authors.lastname: Sobrino
authors.forename: Carlos
authors.initials: C
authors.lastname: Victorio
mesh_terms: D001118:Argentina; D004185:Disability Evaluation; D005081:Exercise Therapy / Q000592:standards*; D017079:Exercise Tolerance / Q000502:physiology*; D005568:Forms and Records Control; D006801:Humans; D010353:Patient Education as Topic; D029424:Pulmonary Disease, Chronic Obstructive / Q000534:rehabilitation*; D011788:Quality of Life