Pulmonary rehabilitation. Sociedad Española de Neumología y Cirugía Torácica (SEPAR).
Pulmonary rehabilitation (PR) has been shown to improve dyspnea, exercise capacity and health-related quality of life in patients with chronic obstructive pulmonary disease (COPD). PR has also shown benefits in diseases other than COPD but the level of evidence is lower. The fundamental components of PR programs are muscle training, education and chest physiotherapy. Occupational therapy, psychosocial support and nutritional intervention should also be considered. Home programs have been shown to be as effective as hospital therapy. The duration of rehabilitation programs should not be less than 8 weeks or 20 sessions. Early initiation of PR, even during exacerbations, has proven safe and effective. The use of oxygen or noninvasive ventilation during training is controversial and dependent on the patient's situation. At present, the best strategy for maintaining the benefits of PR in the long term is unknown. Longer PR programs or telemedicine could play a key role in extending the results obtained.
Servicio de Neumología, Hospital de la Santa Creu i Sant Pau, Barcelona, España. Electronic address: mguellr@santpau.cat.
María Rosa
MR
Güell Rous
Servicio de Neumología, Hospital Universitario Ramón y Cajal, Madrid, España.
Salvador
S
Díaz Lobato
Servicio de Neumología, Hospital Clínico San Carlos, Facultad de Medicina, Universidad Complutense, Madrid, España.
Gema
G
Rodríguez Trigo
Servicio de Neumología, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
Fátima
F
Morante Vélez
Facultad de Ciencias de la Salud, Universidad San Jorge, Villanueva de Gállego, Zaragoza, España.
Marta
M
San Miguel
Servicio de Neumología, Hospital Virgen del Rocío, CIBERES, IBIS, Sevilla, España.
Pilar
P
Cejudo
Servicio de Neumología, Hospital Virgen del Rocío, CIBERES, IBIS, Sevilla, España.
Francisco
F
Ortega Ruiz
Servicio de Neumología, Hospital General Universitario de Elda, Elda, Alicante, España.
Alejandro
A
Muñoz
Servicio de Neumología, Hospital de Cruces, Ciberes UPV/EHU, Barakaldo, Bizkaia, España.
Juan Bautista
JB
Galdiz Iturri
Servicio de Neumología, Hospital Universitario Central de Asturias, Oviedo, España.
Almudena
A
García
Servicio de Neumología, Hospital Clínico de Valencia, Valencia, España.
Emilio
E
Servera
D001945:Breathing Exercises; D003131:Combined Modality Therapy; D019468:Disease Management; D015444:Exercise; D006699:Home Care Services; D006801:Humans; D008171:Lung Diseases / Q000534:rehabilitation; D008175:Lung Neoplasms / Q000534:rehabilitation / Q000601:surgery; D018529:Nutritional Support; D009765:Obesity / Q000150:complications / Q000178:diet therapy; D009788:Occupational Therapy; D010102:Oxygen Inhalation Therapy; D010348:Patient Care Team; D010353:Patient Education as Topic; D026741:Physical Therapy Modalities; D011175:Positive-Pressure Respiration; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications / Q000534:rehabilitation*; D012064:Relaxation Therapy; D055070:Resistance Training; D012138:Respiratory Therapy; D012944:Social Support
Chronic obstructive pulmonary disease; Diseases other than chronic obstructive pulmonary disease; Enfermedad pulmonar obstructiva crónica; Enfermedades distintas de la enfermedad pulmonar obstructiva crónica; Entrenamiento muscular; Exacerbaciones; Exacerbations; Location and duration of the programs; Maintenance; Mantenimiento; Muscle training; Rehabilitación respiratoria; Respiratory therapy; Ubicación y duración de los programas