Modern approaches of rehabilitation in COPD patients

Authors

  • Shivanshu Sharma Charisma University, Kursk State Medical University
  • Dr.Ghassan Salibi Charisma University
  • Nikolaos Tzenios c

DOI:

https://doi.org/10.58676/sjmas.v1i6.39

Keywords:

COPD

Abstract

Chronic Obstructive Pulmonary Disease (COPD) presents a significant challenge to public health, impairing the quality of life for affected individuals. Traditionally, the management of COPD primarily involved pharmacological interventions and symptom management, but a shift towards comprehensive rehabilitation programs has been observed in recent times. This study focuses on exploring these modern approaches to COPD rehabilitation, including exercise training, education, psychosocial support, and self-management strategies. By emphasizing patient-centered and multidisciplinary methodologies, modern rehabilitation approaches aim to address the individual needs of COPD patients. Previous studies affirm the positive impacts of these comprehensive programs, including improved exercise capacity, reduced symptoms, and enhanced overall well-being. This current investigation aims to further analyze the effects of various pulmonary rehabilitation methods on COPD management within a modern medical context. By critically evaluating literature and research databases like SCOPUS, PubMed, SciELO, Google Scholar, and Cochrane Library, this study seeks to provide unique insights into the efficacy and benefits of pulmonary rehabilitation for COPD patients. The implications of this research could contribute significantly to evidence-based practices, assisting healthcare professionals in optimizing the selection and implementation of pulmonary rehabilitation interventions for improved patient outcomes.

References

Rochester et al. An official ATS/ERS policy statement: Enhancing implementation, use and delivery of pulmonary rehabilitation. American Journal of Respiratory and Critical Care Medicine. 2015;192:1373-1386

Vogelmeier CF et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease 2017 report. GOLD executive summary. American Journal of Respiratory and Critical Care Medicine. 2017;195(5):557-582

Wüst RC, Degens H. Factors contributing to muscle wasting and dysfunction in COPD patients. International Journal of Chronic Obstructive Pulmonary Disease. 2013;2:289-300

American Thoracic Society. European Respiratory Society. Skeletal muscle dysfunction in chronic obstructive pulmonary disease. A statement of the American Thoracic Society and European Respiratory Society. American Journal of Respiratory and Critical Care Medicine. 2012;159:S1-S40

Casaburi R. Exercise training in chronic obstructive lung disease. In: Casaburi R, Petty TL, editors. Principles and Practice of Pulmonary Rehabilitation. Philadelphia: W.B. Saunders; 2011. pp. 204-224

Nici L, Donner C, Wouters E, et al. American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation. American Journal of Respiratory and Critical Care Medicine. 2016;173:1390-1413

Casaburi R, Patessio A, Ioli F, Zanaboni S, Donner CF, Wasserman K. Reductions in exercise lactic acidosis and ventilation as a result of exercise training in patients with obstructive lung disease. The American Review of Respiratory Disease. 2013;143:9-18

Casaburi R et al. Pulmonary rehabilitation for management of COPD. The New England Journal of Medicine. 2015;360:1329-1335

Casaburi R. Exercise training in chronic obstructive lung disease. In: Casaburi R, Petty TL, editors. Principles and Practice of Pulmonary Rehabilitation. Philadelphia: W.B. Saunders; 2011. pp. 204-224

Rochester CL et al. An official American Thoracic Society/European Respiratory Society policy statement: Enhancing implementation, use, and delivery of pulmonary rehabilitation. American Journal of Respiratory and Critical Care Medicine. 2015;192:1373-1386

Lacasse Y, Goldstein R, Lasserson Toby J, et al. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews. 2016;4:CD0037993. DOI: 10.1002/14651858.CD003793.pub2

Garcia-Aymerich J, Lange P, Benet M, et al. Regular physical activity reduces hospital admission and mortality in chronic obstructive pulmonary disease: A population based cohort study. Thorax. 2013;61:772-778

Griffiths TL, Burr ML, Campbell IA, et al. Results at 1 year of outpatient multidisciplinary pulmonary rehabilitation: A randomised controlled trial. Lancet. 2010;355:362-368

Singh SJ, Jones PW, Evans R, et al. Minimum clinically important improvement for the incremental shuttle walking test. Thorax. 2018;63:775-777

Cecins N et al. Reduction in hospitalisation following pulmonary rehabilitation in patients with COPD. Australian Health Review. 2018;32:415-422

Rubi M et al. Effectiveness of pulmonary rehabilitation in reducing health resources use in chronic obstructive pulmonary disease. Archives of Physical Medicine and Rehabilitation. 2010;91:364-368. DOI: 10.1016/j.apmr.2019.09.025

Tselebis A et al. A pulmonary rehabilitation program reduces levels of anxiety and depression in COPD patients. Multidisciplinary Respiratory Medicine. 2013;8:41

Coventry PA, Hind D. Comprehensive pulmonary rehabilitation for anxiety and depression in adults with chronic obstructive pulmonary disease: Systematic review and meta-analysis. Journal of Psychosomatic Research. 2017;63:551-565

Jenkins S, Hill K, Cecins NM. State of the art: How to set up a pulmonary rehabilitation program. Respirology. 2010;15:1157-1173

Spruit MA et al. An official American Thoracic Society/European Respiratory Society statement: Key concepts and advances in pulmonary rehabilitation. American Journal of Respiratory and Critical Care Medicine. 2013;188:e13-e64

Bolton CE et al. British Thoracic Society guideline on pulmonary rehabilitation in adults. Thorax. 2013;68:ii1-ii30

Evans RA et al. Pulmonary rehabilitation is successful for COPD irrespective of MRC dyspnoea grade. Respiratory Medicine. 2013;103:1070-1075

Trappenburg JC et al. Psychosocial conditions do not affect short-term outcome of multidisciplinary rehabilitation in chronic obstructive pulmonary disease. Archives of Physical Medicine and Rehabilitation. 2015;86:1788-1792

Bolton CE et al. British Thoracic Society guideline on pulmonary rehabilitation in adults. Thorax. 2013;58:ii1-ii31

Killian KJ, Campbell EJM. Dyspnea. In Roussos C, ed. The Thorax,2nd edition. New York: Marcel Dekker, 2013

Gorman RB, McKenzie DK, Pride NB, Tolman JF, Gandevia, SC.Diaphragm length during tidal breathing in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2012; 166:1461-69.

Kleinman BS, Frey K, VanDrunen M, Sheikh T, DiPinto D, Mason R,Smith T Motion of the diaphragm in patients with chronic obstructive pulmonary disease while spontaneously breathing versus during positive pressure breathing after anesthesia and neuromuscular blockade. Anesthesiology 2012; 97: 298-305.

Montes DO, Rassulo J, Celli BR. Respiratory muscle and cardiopulmonary function during exercise in very severe COPD. Am J Respir Crit Care Med 2013; 154: 1284-89.

https://www.webmd.com/lung/copd/pulmonary-rehabilitation-for-copd

Bolton C, Bevan-Smith E, Blakey J, Crowe P, Elkin S, Garrod R, Greening N, Heslop K, Hull J, Man W et al.; British Thoracic Society Pulmonary Rehabilitation Guideline Thorax 2013; 68(Suppl. 2): ii1–30.

Spruit M, Pitta F, Garvey C, ZuWallack R, Roberts C, Collins E, Goldstein R, McNamara R, Surpas P, Atsuyoshi K et al. Differences in content and organizational aspects of pulmonary rehabilitation programs. Eur. Respir. J. 2014; 43: 1326–37.

Camp PG, Hernandez P, Bourbeau J, Kirkham A, Debigare R, Stickland MK, Good ridge D, Marciniuk DD, Road JD, Bhutani M et al. Pulmonary rehabilitation in Canada: a report from the Canadian Thoracic Society COPD Clinical Assembly. Can. Respir. J. 2015; 22: 147–52.

Stoilkova A, Janssen D, Wouters E. Educational programmes in COPD management interventions: a systematic review. Respir. Med. 2013; 107: 1637–50

British Thoracic Society Standards of Care Subcommittee on Pulmonary Rehabilitation. Pulmonary rehabilitation. Thorax 2011; 56: 827–34

British Thoracic Society Workshop Report. Ann. Am. Thorac. Soc. 2018; 15: 769–84.

Spruit M, Singh S, Garvey C, Zuwallack R, Nici L, Rochester C, Hill K, Holland A, Lareau S, Man WDC et al.; ATS/ERS Task Force on Pulmonary Rehabilitation. An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. Am. J. Respir. Crit. Care Med. 2013; 188: e13–64.

Wilson JS, O'Neill B, Reilly J, MacMahon J, Bradley JM. Education in pulmonary rehabilitation: the patient's perspective. Arch. Phys. Med. Rehabil. 2017; 88: 1704–9.

Lung Foundation Australia. Pulmonary Rehabilitation and Education Topics. [Accessed 12 May 2019.] Available from URL: https://pulmonaryrehab.com.au/importance-of-education/education-topics/

Roberts NJ, Kidd L, Kirkwood K, Cross J, Partridge MR. A systematic review of the content and delivery of education in pulmonary rehabilitation programs. Respir. Med. 2018; 145: 161–81.

https://www.google.com/search?q=exercise+training+in+pulmonary+rehabilitation&rlz=1C1CHBF_enRU982RU982&oq=exercise&aqs=chrome.0.69i59j69i57j0i67i650j0i512l7.5341j0j15&sourceid=chrome&ie=UTF-8

GloecklRMarinovBPittaFPractical recommendations for exercise training in patients with COPDEur Respir Rev20132212817818623728873[Crossref], [Google Scholar]

RiesALBauldoffGSCarlinBWPulmonary Rehabilitation: Joint ACCP/AACVPR Evidence-Based Clinical Practice GuidelinesChest2007131Suppl 54S42S17494825 [Crossref], [Web of Science ®], [Google Scholar]

NiciLDonnerCWoutersEATS/ERS Pulmonary Rehabilitation Writing CommitteeAmerican Thoracic Society/European Respiratory Society statement on pulmonary rehabilitationAm J Respir Crit Care Med2006173121390141316760357 [Crossref], [Web of Science ®], [Google Scholar]

MahlerDAWardJMejia-AlfaroRStability of dyspnea ratings after exercise training in patients with COPDMed Sci Sports Exerc20033571083108712840626 [Crossref], [Web of Science ®], [Google Scholar]

VestboJHurdSSAgustíAGGlobal strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summaryAm J Respir Crit Care Med2013187434736522878278[Crossref], [Web of Science ®], [Google Scholar]

RingbaekTJBroendumEHemmingsenLRehabilitation of patients with chronic obstructive pulmonary disease. Exercise twice a week is not sufficient!Respir Med200094215015410714421[Crossref], [Web of Science ®], [Google Scholar]

de BlasioFPolverinoMCurrent best practice in pulmonary rehabilitation for chronic obstructive pulmonary diseaseTher Adv Respir Dis20126422123722563010 [Crossref], [Web of Science ®], [Google Scholar]

BeauchampMKNonoyamaMGoldsteinRSInterval versus continuous training in individuals with chronic obstructive pulmonary disease – a systematic reviewThorax201065215716419996334[Crossref], [Web of Science ®], [Google Scholar]

GloecklRMarinovBPittaFPractical recommendations for exercise training in patients with COPDEur Respir Rev20132212817818623728873[Crossref], [Google Scholar]

LacasseYMartinSLassersonTJGoldsteinRSMeta-analysis of respiratory rehabilitation in chronic obstructive pulmonary disease. A Cochrane systematic reviewEura Medicophys200743447548518084170 [Google Scholar]

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019390/

Deutz NE, Bauer JM, Barazzoni R, et al. Protein intake and exercise for optimal muscle function with aging: recommendations from the ESPEN Expert Group. Clinical Nutrition 2014; 33: 929–936. [PMC free article] [PubMed] [Google Scholar] [Ref list]

Collins PF, Elia M, Stratton RJ. Nutritional support and functional capacity in chronic obstructive pulmonary disease: a systematic review and meta-analysis. Respirology 2013; 18: 616–629. [PubMed] [Google Scholar] [Ref list]

Schols A. Nutritional modulation as part of the integrated management of chronic obstructive pulmonary disease. Proc Nutr Soc 2013; 62: 783–791. Review. [PubMed] [Google Scholar] [Ref list]

figure 1. https://err.ersjournals.com/content/22/129/405#ref-7

figure 2. https://www.frontiersin.org/articles/10.3389/fphys.2021.766346/full#F1

figure3.https://www.verywellmind.com/psychosocial-rehabilitation 4589796#:~:text=Psychosocial%20rehabilitation%20is%20a%20treatment,communities%20as%20independently%20as%20possible.

Figure 4 https://www.researchgate.net/figure/Types-of-exercise-in-chronic-obstructive-pulmonary-disease-COPD_fig1_261565726

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Published

2023-07-24

How to Cite

Sharma, S., Salibi, D., & Tzenios, N. (2023). Modern approaches of rehabilitation in COPD patients. Special Journal of the Medical Academy and Other Life Sciences., 1(6). https://doi.org/10.58676/sjmas.v1i6.39

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