Document Detail


Pulmonary rehabilitation: an underutilized resource in primary COPD care.
MedLine Citation:
PMID:  21150142     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Pulmonary rehabilitation (PR) is an important component of chronic obstructive pulmonary disease (COPD) management. Physician use of PR for patients with COPD lags behind national and international guideline recommendations. In this article, we discuss the important components of PR, including exercise training, self-management education, and psychosocial and nutritional interventions, as based on the American Thoracic Society/European Respiratory Society and Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines. We also discuss the potential benefits of PR, including reduction of respiratory symptoms, decreased disability, and increased participation in physical and social activities. Increased activity promotes independence, improves quality of life, and reduces the number of COPD exacerbations and hospitalizations. In all stages of COPD, PR has been shown to result in improved exercise tolerance, with reduced dyspnea and fatigue, although the greatest improvement has been seen in patients with GOLD stages II to IV. Pulmonary rehabilitation is now a well-recognized therapy that should be available to all patients with symptomatic COPD. To facilitate inclusion of PR in COPD management, primary care physicians need to recognize and diagnose COPD, and regularly decide when PR best fits in an individual's COPD treatment program.
Authors:
Christine Garvey; Len Fromer; Dennis F Saver; Barbara P Yawn
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Physician and sportsmedicine     Volume:  38     ISSN:  0091-3847     ISO Abbreviation:  Phys Sportsmed     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0427461     Medline TA:  Phys Sportsmed     Country:  United States    
Other Details:
Languages:  eng     Pagination:  54-60     Citation Subset:  IM    
Affiliation:
Seton Pulmonary and Cardiac Rehabilitation, Daly City, CA, USA. chrisgarvey@dochs.org
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