Recent highlights in pulmonary rehabilitation research

IF 9.4 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy Pub Date : 2026-10-01 Epub Date: 2026-09-22 DOI:10.1016/j.jphys.2026.08.012

Tiffany J. Dwyer, Sonia WM. Cheng, Renae J. McNamara, Marita T. Dale, Sally L. Wootton, Angela T. Burge

{"title":"Recent highlights in pulmonary rehabilitation research","authors":"Tiffany J. Dwyer, Sonia WM. Cheng, Renae J. McNamara, Marita T. Dale, Sally L. Wootton, Angela T. Burge","doi":"10.1016/j.jphys.2026.08.012","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>This paper highlights research relating to pulmonary rehabilitation (PR) for adults with chronic respiratory diseases (CRD) published between January 2021 and May 2026.</div></div><div><h3>Methods</h3><div>To identify studies for inclusion, three electronic databases were searched: MEDLINE, the Cochrane Database of Systematic Reviews and CINAHL. Search results were screened and relevant studies were grouped according to their topic area. Studies perceived to be of high quality and of substantial clinical importance were selected for inclusion in the review.</div></div><div><h3>Findings</h3><div>This narrative review synthesised five key themes in PR research. Theme 1 (access, uptake and completion of PR): Workforce capacity-building, effective referral practices and culturally adapted programs are increasingly recognised as key strategies for improving PR participation. Theme 2 (PR beyond stable chronic obstructive pulmonary disease (COPD)): The evidence for PR now extends well beyond stable COPD, with growing evidence of benefit and safety for people after an acute exacerbation of COPD, interstitial lung disease, pulmonary hypertension, bronchiectasis, lung cancer, asthma and post-tuberculosis lung disease. Theme 3 (alternative PR models): A growing range of alternative PR models offers opportunities to improve access and support personalised care. Evidence-based alternative models should be offered when centre-based PR is not feasible. Theme 4 (maintenance of benefits after completion of PR): Ongoing exercise is essential after PR, although the optimal method remains unclear. Incorporating behaviour change techniques appears important for sustaining exercise beyond the initial PR program. Theme 5 (economic analyses of PR): There is mounting evidence for the economic benefits associated with different program delivery models for people with a range of CRD.</div></div><div><h3>Conclusion</h3><div>PR has significantly expanded its scope in recent years, with effectiveness beyond stable COPD and with new delivery modes beyond centre-based PR. There is also now evidence for the economic benefits of PR, although low access to PR and maintaining the benefits after PR completion remain ongoing challenges.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 4","pages":"Pages 262-270"},"PeriodicalIF":9.4000,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Physiotherapy","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1836955326000974","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/9/22 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

This paper highlights research relating to pulmonary rehabilitation (PR) for adults with chronic respiratory diseases (CRD) published between January 2021 and May 2026.

Methods

To identify studies for inclusion, three electronic databases were searched: MEDLINE, the Cochrane Database of Systematic Reviews and CINAHL. Search results were screened and relevant studies were grouped according to their topic area. Studies perceived to be of high quality and of substantial clinical importance were selected for inclusion in the review.

Findings

This narrative review synthesised five key themes in PR research. Theme 1 (access, uptake and completion of PR): Workforce capacity-building, effective referral practices and culturally adapted programs are increasingly recognised as key strategies for improving PR participation. Theme 2 (PR beyond stable chronic obstructive pulmonary disease (COPD)): The evidence for PR now extends well beyond stable COPD, with growing evidence of benefit and safety for people after an acute exacerbation of COPD, interstitial lung disease, pulmonary hypertension, bronchiectasis, lung cancer, asthma and post-tuberculosis lung disease. Theme 3 (alternative PR models): A growing range of alternative PR models offers opportunities to improve access and support personalised care. Evidence-based alternative models should be offered when centre-based PR is not feasible. Theme 4 (maintenance of benefits after completion of PR): Ongoing exercise is essential after PR, although the optimal method remains unclear. Incorporating behaviour change techniques appears important for sustaining exercise beyond the initial PR program. Theme 5 (economic analyses of PR): There is mounting evidence for the economic benefits associated with different program delivery models for people with a range of CRD.

Conclusion

PR has significantly expanded its scope in recent years, with effectiveness beyond stable COPD and with new delivery modes beyond centre-based PR. There is also now evidence for the economic benefits of PR, although low access to PR and maintaining the benefits after PR completion remain ongoing challenges.

查看原文本刊更多论文

肺康复研究的最新进展。

本文重点介绍了2021年1月至2026年5月期间发表的与慢性呼吸道疾病（CRD）成人肺康复（PR）相关的研究。方法：为了确定纳入的研究，检索了三个电子数据库：MEDLINE、Cochrane系统评价数据库和CINAHL。对搜索结果进行筛选，并根据其主题领域对相关研究进行分组。被认为具有高质量和临床重要性的研究被选择纳入本综述。研究发现：这篇叙述性综述综合了公关研究中的五个关键主题。主题1（公共关系的获取、吸收和完成）：劳动力能力建设、有效的推荐实践和适应文化的项目日益被认为是提高公共关系参与的关键战略。主题2（稳定型慢性阻塞性肺疾病（COPD）之外的PR）： PR的证据现在远远超出了稳定型COPD，越来越多的证据表明，在COPD急性加重、间质性肺病、肺动脉高压、支气管扩张、肺癌、哮喘和结核后肺病之后，PR对患者有益且安全。主题3（替代公关模式）：越来越多的替代公关模式为改善获得和支持个性化护理提供了机会。当以中心为基础的公共关系不可行时，应提供基于证据的替代模式。主题4 （PR后益处的维持）：PR后持续锻炼是必不可少的，尽管最佳方法尚不清楚。结合行为改变技巧对于在最初的公关计划之后保持锻炼很重要。主题5（公共关系的经济分析）：越来越多的证据表明，不同的项目交付模式对患有各种慢性疾病的人有经济效益。结论：近年来，PR的应用范围显著扩大，其有效性超越了稳定期COPD，新的递送模式也超越了以中心为基础的PR。现在也有证据表明PR的经济效益，尽管PR的低可及性和在PR完成后保持效益仍然是持续的挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Physiotherapy ORTHOPEDICS-REHABILITATION

CiteScore

11.40

自引率

7.40%

发文量

审稿时长

72 days

期刊介绍： The Journal of Physiotherapy is the official journal of the Australian Physiotherapy Association. It aims to publish high-quality research with a significant impact on global physiotherapy practice. The journal's vision is to lead the field in supporting clinicians to access, understand, and implement research evidence that will enhance person-centred care. In January 2008, the Journal of Physiotherapy became the first physiotherapy journal to adhere to the ICMJE requirement of registering randomized trials with a recognized Trial Registry. The journal prioritizes systematic reviews, clinical trials, economic analyses, experimental studies, qualitative studies, epidemiological studies, and observational studies. In January 2014, it also became the first core physiotherapy/physical therapy journal to provide free access to editorials and peer-reviewed original research. The Australian Physiotherapy Association extended their support for excellence in physiotherapy practice by sponsoring open access publication of all Journal of Physiotherapy content in 2016. As a result, all past, present, and future journal articles are freely accessible, and there are no author fees for publication.