Citation Information :
Manu MK, Alex J. Multidisciplinary approach to pulmonary rehabilitation – an overview. Indian J Respir Care 2014; 3 (1):388-395.
Chronic respiratory diseases cause significant morbidity and lead to poor quality of life. Along with regular medications, pulmonary rehabilitation is an integral part in the management of such conditions to alleviate the suffering. This paper is an attempt to give an overview of the programme and its benefits. There is description about various components, staffing, setting, details about preprogramme evaluation, the programme per se and postprogramme follow up. This review is oriented largely towards how to run the programme in a resource poor setting.
Ries AL, Bauldoff GS, Carlin BW, et al. Pulmonary Rehabilitation Executive Summary Joint American College of Chest Physicians/ American Association of Cardiovascular and Pulmonary Rehabilitation Evidence-Based Clinical Practice Guidelines. Chest 2007; 131:1S–3S.
Singh S, Singh V. Pulmonary rehabilitation in COPD. J Assoc Physicians India 2012; 60 Suppl:48–52.
Singh V, Khandelwal DC, Khandelwal R, et al. Pulmonary rehabilitation in patients with chronic obstructive pulmonary disease. Indian J Chest Dis Allied Sci 2003; 45:13–7.
Sharma BB, Singh V. Pulmonary rehabilitation: An overview. Lung India 2011; 28:276–84.
Gothi D, Joshi JM. Pulmonary rehabilitation in resource poor settings. Indian J Chest Dis Allied Sci 2011; 53:163–72.
Casaburi R. A brief history of pulmonary rehabilitation. Respir Care 2008; 53:1185–9.
Nici L, Donner C, Wouters E, et al. American Thoracic Society/European Respiratory Society Statement on Pulmonary Rehabilitation. Am J Respir Crit Care Med 2006; 173:1390–413.
Cote CG. Pulmonary rehabilitation and the BODE index in COPD. Eur Respir J 2005; 26:630–6.
Strijbos JH, Postma DS, van Altena R, et al. A comparison between an outpatient hospitalbased pulmonary rehabilitation programme and a home-care pulmonary rehabilitation programme in patients with COPD. A followup of 18 months. Chest 1996; 109:366–72.
Babu AS, Noone MS, Haneef M, et al. The effects of “on-call/out of hours” physical therapy in acute exacerbations of chronic obstructive pulmonary disease: a randomized controlled trial. Clin Rehabil 2010; 24:802–9.
Fernández AM, Pascual J, Ferrando C, et al. Home-based pulmonary rehabilitation in very severe COPD: is it safe and useful? J Cardiopulm Rehabil 2009; 29:325–31.
Pande A, Singhal P, Kumar R, et al. Effect of home-based pulmonary rehabilitation programme on disability in patients with chronic obstructive pulmonary disease. Indian J Chest Dis Allied Sci 2005; 47:217–9.
Sindhwani G, Verma A, Biswas D, et al. A pilot study on domiciliary pulmonary rehabilitation programme in the management of severe chronic obstructive pulmonary disease. Singapore Med J 2011; 52:689–93.
Ghanem M, ELaal EA, Mehany M, et al. Homebased pulmonary rehabilitation programme: Effect on exercise tolerance and quality of life in chronic obstructive pulmonary disease patients. Ann Thorac Med 2010; 5:18–25.
Troosters T, Gosselink R, Decramer M. Shortand long-term effects of outpatient rehabilitation in patients with chronic obstructive pulmonary disease: a randomized trial. Am J Med 2000; 109:207–12.
Cambach W, Chadwick-Straver RVM, Wagenaar RC, et al. The effects of a communitybased pulmonary rehabilitation programme on exercise tolerance and quality of life: a randomized controlled trial. Eur Respir J 1997; 10:104–13.
Nici L, Limberg T, Hilling L, et al. Clinical competency guidelines for pulmonary rehabilitation professionals: American association of cardiovascular and pulmonary rehabilitation position statement. J Cardiopulm Rehabil 2007; 27:355–8.
Gosselink R, De Vos J, van den Heuvel SP, et al. Impact of inspiratory muscle training in patients with COPD: what is the evidence? Eur Respir J 2011; 37:416–25.
Lotters F, van Tol B, Kwakkel G, et al. Effects of controlled inspiratory muscle training in patients with COPD: a meta-analysis. Eur Respir J 2002; 20:570–7.
Kant S, Singh G. Breathing exercises as adjuvant in the management of COPD : An overview. Lung India 2006; 23:165.
Bonilha AG, Onofre F, Vieira ML, et al. Effects of singing classes on pulmonary function and quality of life of COPD patients. Int J Chron Obstruct Pulmon Dis 2009; 4:1–8.
Puhan MA. How should COPD patients exercise during respiratory rehabilitation? Comparison of exercise modalities and intensities to treat skeletal muscle dysfunction. Thorax 2005; 60:367–75.
Andrew LR, Gerene SB, Richard C, et al. Pulmonary rehabilitation. Chest 2007; 131:4S-42S
Paz-Díaz H, Montes de Oca M, López JM, et al. Pulmonary rehabilitation improves depression, anxiety, dyspnea and health status in patients with COPD. Am J Phys Med Rehabil 2007; 86:30–6.
Karadag F, Ozcan H, Karul AB, et al. Correlates of erectile dysfunction in moderate-to-severe chronic obstructive pulmonary disease patients. Respirology 2007; 12:248–53.
Bandura A. Self-efficacy: The exercise of control. New York: WH Freeman; 1997.
Lahmann C, Nickel M, Schuster T, et al. Functional relaxation and guided imagery as complementary therapy in asthma: a randomized controlled clinical trial. Psychother Psychosom 2009; 78:233–9.
Pbert L, Madison JM, Druker S, et al. Effect of mindfulness training on asthma quality of life and lung function: a randomised controlled trial. Thorax 2012; 67:769–76.
Clark NM, Dodge JA, Partridge MR, et al. Focusing on outcomes: making the most of COPD interventions. Int J Chron Obstruct Pulmon Dis 2009; 4:61–77.
Puhan MA, Scharplatz M, Troosters T, et al. Respiratory rehabilitation after acute exacerbation of COPD may reduce risk for readmission and mortality–a systematic review. Respir Res 2005; 6:54.
Lacasse Y, Wong E, Guyatt GH, et al. Metaanalysis of respiratory rehabilitation in chronic obstructive pulmonary disease. The Lancet 1996; 348:1115–9.
Puhan MA, Schunemann HJ, Frey M, et al. Value of supplemental interventions to enhance the effectiveness of physical exercise during respiratory rehabilitation in COPD patients. A systematic review. Respir Res 2004; 5:25.
Ries AL, Kaplan RM, Limberg TM, et al. Effects of pulmonary rehabilitation on physiologic and psychosocial outcomes in patients with chronic obstructive pulmonary disease. Ann Intern Med 1995; 122:823–32.
Salman GF, Mosier MC, Beasley BW, et al. Rehabilitation for patients with chronic obstructive pulmonary disease. J Gen Intern Med 2003; 18:213–21.
Lacasse Y, Martin S, Lasserson TJ, Goldstein RS. Meta-analysis of respiratory rehabilitation in chronic obstructive pulmonary disease. A Cochrane systematic review. Eura Medicophys 2007; 43:475–85.
Riario-Sforza GG, Incorvaia C, Paterniti F, Pessina L, Caligiuri R, Pravettoni C, et al. Effects of pulmonary rehabilitation on exercise capacity in patients with COPD: a number needed to treat study. Int J Chron Obstruct Pulmon Dis 2009; 4:315.
Jingar A, Alaparthi GK, Vaishali K, et al. Clinical management practices adopted by physiotherapists in India for chronic obstructive pulmonary disease: A national survey. Lung India 2013; 30:131–8.
