| Optimizing pulmonary rehabilitation in chronic obstructive pulmonary disease--practical issues: a Canadian Thoracic Society Clinical Practice Guideline. | |
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MedLine Citation:
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PMID: 20808973 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Pulmonary rehabilitation (PR) participation is the standard of care for patients with chronic obstructive pulmonary disease (COPD) who remain symptomatic despite bronchodilator therapies. However, there are questions about specific aspects of PR programming including optimal site of rehabilitation delivery, components of rehabilitation programming, duration of rehabilitation, target populations and timing of rehabilitation. The present document was compiled to specifically address these important clinical issues, using an evidence-based, systematic review process led by a representative interprofessional panel of experts. The evidence reveals there are no differences in major patient-related outcomes of PR between nonhospital- (community or home sites) or hospital-based sites. There is strong support to recommend that COPD patients initiate PR within one month following an acute exacerbation due to benefits of improved dyspnea, exercise tolerance and health-related quality of life relative to usual care. Moreover, the benefits of PR are evident in both men and women, and in patients with moderate, severe and very severe COPD. The current review also suggests that longer PR programs, beyond six to eight weeks duration, be provided for COPD patients, and that while aerobic training is the foundation of PR, endurance and functional ability may be further improved with both aerobic and resistance training. |
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Authors:
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Darcy D Marciniuk; Dina Brooks; Scott Butcher; Richard Debigare; Gail Dechman; Gordon Ford; Veronique Pepin; Darlene Reid; Andrew W Sheel; Micheal K Stickland; David C Todd; Shannon L Walker; Shawn D Aaron; Meyer Balter; Jean Bourbeau; Paul Hernandez; Francois Maltais; Denis E O'Donnell; Donna Bleakney; Brian Carlin; Roger Goldstein; Stella K Muthuri; |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Canadian respiratory journal : journal of the Canadian Thoracic Society Volume: 17 ISSN: 1916-7245 ISO Abbreviation: Can. Respir. J. Publication Date: 2010 Jul-Aug |
Date Detail:
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Created Date: 2010-09-02 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9433332 Medline TA: Can Respir J Country: Canada |
Other Details:
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Languages: eng Pagination: 159-68 Citation Subset: IM |
Affiliation:
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University of Saskatchewan, Saskatoon, Saskatchewan. ctsinfo@lung.ca |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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