[New argentine consensus of respiratory rehabilitation 2008].
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.
Sívori
Martín
M
Asociación Argentina de Medicina Respiratoria. Sección Rehabilitación Respiratoria. sivorimartin@yahoo.com
Almeida
Marta
M
Benzo
Roberto
R
Boim
Clarisa
C
Brassesco
Marisa
M
Callejas
Osvaldo
O
Capparelli
Ignacio
I
Conti
Ernesto
E
Díaz
Mariano
M
Draghi
Jorge
J
Franco
Javier
J
Gando
Sebastián
S
Giuliano
Germán
G
Guida
Roxana
R
Jolly
Enrique
E
Pessolano
Fernando
F
Rabinovich
Roberto
R
Ratto
Patricia
P
Rhodius
Edgardo
E
Saadia
Marcela
M
Salvado
Alejandro
A
Sobrino
Edgardo
E
Victorio
Carlos
C
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