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Concept
Pulmonary rehabilitation
Summary
Pulmonary rehabilitation, also known as respiratory rehabilitation, is an important part of the management and health maintenance of people with chronic respiratory disease who remain symptomatic or continue to have decreased function despite standard medical treatment. It is a broad therapeutic concept. It is defined by the American Thoracic Society and the European Respiratory Society as an evidence-based, multidisciplinary, and comprehensive intervention for patients with chronic respiratory diseases who are symptomatic and often have decreased daily life activities. In general, pulmonary rehabilitation refers to a series of services that are administered to patients of respiratory disease and their families, typically to attempt to improve the quality of life for the patient. Pulmonary rehabilitation may be carried out in a variety of settings, depending on the patient's needs, and may or may not include pharmacologic intervention.
The NICE clinical guideline on chronic obstructive pulmonary disease states that “pulmonary rehabilitation should be offered to all patients who consider themselves functionally disabled by COPD (usually MRC [Medical Research Council] grade 3 and above)”. It is indicated not only in patients with COPD, but also for the following conditions:
Cystic fibrosis
Bronchitis
Sarcoidosis
Idiopathic pulmonary fibrosis
Before and after lung surgery
Interstitial lung disease: Pulmonary rehabilitation may be safe and may help improve functional exercise capacity, a person's short-term quality of life, and improve shortness of breath (dyspnoea).
To reduce symptoms
To improve knowledge of lung condition and promote self-management
To increase muscle strength and endurance (peripheral and respiratory)
To increase exercise tolerance
To reduce length of hospital stay
To help to function better in day-to-day life
To help in managing anxiety and depression
Reduction in number of days spent in hospital one year following pulmonary rehabilitation.
Official source
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