ABSTRACT
Pulmonary rehabilitation has been well established and increasingly recommended in
disease management plans for patients with chronic obstructive pulmonary disease.
Key elements include a multidisciplinary approach to care, focus on the individual
patient, and attention to emotional and social as well as physical aspects of health.
Appropriate candidates are symptomatic patients with chronic lung disease who are
aware of their disability and motivated to participate actively in their own health
care. Pulmonary rehabilitation has also been useful for patients with other types
of chronic lung diseases. Program components include a careful patient evaluation,
education, instruction in respiratory and chest physiotherapy techniques, exercise
training, and psychosocial support. Benefits demonstrated in a growing body of evidence
include improvement in symptoms, exercise tolerance, and quality of life and reduction
in utilization of health care resources. Pulmonary rehabilitation has also been included
as an adjunct to surgical programs such as lung transplantation and lung volume reduction
surgery.
KEYWORDS
Pulmonary rehabilitation - exercise training - chronic lung disease - quality of life
- dyspnea
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Andrew L RiesM.D. M.P.H.
UCSD Medical Center #8377, 200 W. Arbor Dr.
San Diego, CA 92103-8377
Email: aries@ucsd.edu
