Journal of Cardiopulmonary Rehabilitation and Prevention最新文献

Pulmonary Rehabilitation for Diseases Other Than COPD. 慢性阻塞性肺病以外疾病的肺康复治疗。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2024-11-01 Epub Date: 2024-10-10 DOI: 10.1097/HCR.0000000000000915

Katherine E Menson, Leona Dowman

{"title":"Pulmonary Rehabilitation for Diseases Other Than COPD.","authors":"Katherine E Menson, Leona Dowman","doi":"10.1097/HCR.0000000000000915","DOIUrl":"10.1097/HCR.0000000000000915","url":null,"abstract":"Review the current literature regarding pulmonary rehabilitation (PR) for non-chronic obstructive pulmonary disease (COPD) diagnoses and what the evidence is regarding expected outcomes based on disease manifestations. Literature search was performed using PubMed database from March 2024 to June 2024. Terms included \"pulmonary rehabilitation\" and \"exercise training\" in conjunction with key words \"interstitial lung disease (ILD),\" \"idiopathic pulmonary fibrosis,\" \"asthma,\" \"bronchiectasis,\" \"post-acute sequalae of SARS-CoV-2 (PASC),\" \"long COVID,\" \"pulmonary hypertension (PH),\" and \"lung cancer.\" Results were filtered for English language, randomized controlled trial, clinical trial, observational trial, meta-analysis, and guidelines. Emphasis was placed on more recent publications since prior reviews, where applicable. The abundance of literature involved ILD, where studies have demonstrated significant improvements in exercise capacity, health-related quality of life (HRQoL), and dyspnea, despite heterogeneity of diseases; benefits are similar to those seen with COPD. Those with milder disease have more sustained benefits longer term. Patients with asthma benefit in severe disease, lower exercise activity, elevated body mass index, or when comorbid conditions are present, and breathing exercises can improve symptoms of breathlessness. Patients with PASC have a multitude of symptoms and lack benefits in HRQoL measurements; PR improves performance on post-COVID-19 functional status scale, a more comprehensive measurement of symptoms. Those with bronchiectasis benefit from PR when airflow limitation or exacerbations are impacting symptoms and HRQoL. Those with stable PH can improve their exertional capacity without change in disease severity. PR reduces perioperative complications in those with lung cancer and preserve fitness during treatment.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142466289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long-Term Physical Activity Behavior Change in Pulmonary Rehabilitation: Promoting Motivation. 肺康复中的长期体育锻炼行为改变：促进动机。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2024-11-01 Epub Date: 2024-10-31 DOI: 10.1097/HCR.0000000000000888

Rachel S Tappan, Margaret K Danilovich, David E Conroy

引用次数: 0

An Introduction to the Journal of Cardiopulmonary Rehabilitation and Prevention's Special Issue on Pulmonary Rehabilitation. 心肺康复与预防》杂志肺康复特刊简介。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2024-11-01 Epub Date: 2024-10-31 DOI: 10.1097/HCR.0000000000000920

Daniel Stevens, Abraham Samuel Babu, Gerene Bauldoff

引用次数: 0

Contemporary Performance Measurement in Pulmonary Rehabilitation. 肺康复的当代绩效衡量。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2024-11-01 Epub Date: 2024-10-31 DOI: 10.1097/HCR.0000000000000908

Dianne V Jewell, Anne Gavic-Ott

引用次数: 0

The Obesity Paradox in Pulmonary Rehabilitation: Relevance and Implications to Clinical Practice. 肺康复中的肥胖悖论：临床实践的相关性和意义。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2024-11-01 Epub Date: 2024-10-31 DOI: 10.1097/HCR.0000000000000913

Abebaw M Yohannes, Mark T Dransfield, Peter E Morris

{"title":"The Obesity Paradox in Pulmonary Rehabilitation: Relevance and Implications to Clinical Practice.","authors":"Abebaw M Yohannes, Mark T Dransfield, Peter E Morris","doi":"10.1097/HCR.0000000000000913","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000913","url":null,"abstract":"Pulmonary rehabilitation (PR) increases exercise capacity, reduces dyspnea, and improves quality of life (QoL) in patients with chronic obstructive pulmonary disease (COPD). Patients requiring PR can present with multiple comorbidities. One of the most common comorbidities is obesity. The prevalence of obesity in patients with COPD is increasing at an alarming rate. To date the efficacy of PR to ameliorate obesity in patients with COPD is unclear. Obesity in patients with COPD is associated with increased morbidity and mortality compared to patients without obesity. However, the benefits of obesity paradox in lower mortality rate health-related QoL and health care utilization remain unclear. This review discusses the challenges of prescribing PR to patients with obesity and COPD. In addition, the definition of and the potential challenges and benefits of the obesity paradox in patients with COPD will be discussed. Treatment strategies that include combining PR with lifestyle management, individually tailored nutritional advice, pharmacotherapy, and surgery need to be tested in prospective, randomized controlled trials. The challenges of providing complex care, prioritizing patient needs, and future directions will also be discussed for patients with obesity and COPD.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142562450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Alternative Modes of Delivery in Pulmonary Rehabilitation: A Critical Appraisal of the Literature. 肺康复中的替代治疗模式：文献批判性评估》。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2024-11-01 Epub Date: 2024-10-10 DOI: 10.1097/HCR.0000000000000910

Ana Machado, Chris Burtin, Martijn A Spruit

{"title":"Alternative Modes of Delivery in Pulmonary Rehabilitation: A Critical Appraisal of the Literature.","authors":"Ana Machado, Chris Burtin, Martijn A Spruit","doi":"10.1097/HCR.0000000000000910","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000910","url":null,"abstract":"Purpose: This review presents an overview of the safety and efficacy of alternative modes of pulmonary rehabilitation (PR) in people with chronic obstructive pulmonary disease (COPD).Review methods: We identified recently published systematic reviews, meta-analyses, and guidelines, as well as relevant studies, exploring the safety and effectiveness of community-based PR, home-based PR, telerehabilitation, and web-based rehabilitation in people with COPD. A narrative summary of the main findings is presented.Summary: Although evidence suggests that community-based PR, home-based PR, telerehabilitation, and web-based rehabilitation are effective alternatives to center-based PR, it requires a careful interpretation as several of these programs do not comply with PR definition and have been compared with center-based PR programs that do not reach the minimal clinically important differences. Moreover, there is a huge heterogeneity among programs, and the confidence and quality of the evidence is mostly low. Hence, these novel modes of PR and center-based PR are not interchangeable. Instead, these are alternative modes aiming to increase access to PR. Questions remain regarding the most efficient way of implementing each PR mode, level of access, reimbursement policies, and data privacy in the use of technology. Standard protocols on how to set up each alternative PR mode need to be developed. Future research needs to explore how to use the treatable traits approach in combination with individual preferences and needs, program availability, safety, social support network, digital literacy, and health system context to identify the optimal PR program for each patient.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142562419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of COVID-19 on Exercise-Based Pulmonary Rehabilitation: What Lessons Have We Learned? COVID-19 对以运动为基础的肺康复的影响：我们汲取了哪些经验教训？

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2024-11-01 Epub Date: 2024-10-31 DOI: 10.1097/HCR.0000000000000916

Audrey Borghi-Silva, Cássia da Luz Goulart, Rebeca Nunes Silva, Guilherme Dionir Back, Patrícia Faria Camargo, Renata Trimer, Stephanny Nascimento Teles, Luciana Maria Malosa Sampaio

{"title":"Impact of COVID-19 on Exercise-Based Pulmonary Rehabilitation: What Lessons Have We Learned?","authors":"Audrey Borghi-Silva, Cássia da Luz Goulart, Rebeca Nunes Silva, Guilherme Dionir Back, Patrícia Faria Camargo, Renata Trimer, Stephanny Nascimento Teles, Luciana Maria Malosa Sampaio","doi":"10.1097/HCR.0000000000000916","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000916","url":null,"abstract":"The Coronavirus Disease 2019 (COVID-19) pandemic had a major global impact on health care, including the delivery, modality, and importance of outcomes in pulmonary rehabilitation (PR). This review discusses the impact of the pandemic on PR and the changes that were required to maintain its delivery. This article reviews the current evidence on PR during the COVID-19 pandemic period, focusing on delivery models, modalities, outcomes, perspectives, and barriers. A search of the MEDLINE, Embase, and SciELO databases and the Cochrane Library on this topic was conducted between December 1, 2019 and August 1, 2023. Studies were reviewed and relevant topics were included in this narrative. Rehabilitation of patients with severe acute COVID-19 and symptoms of long COVID has been challenging. The number of rehabilitation programs worldwide is still low, and community-based programs are still rare. Integrated programs with a multidisciplinary approach and exercise therapy with individualized prescription based on symptoms have been an interesting strategy. Telerehabilitation and outpatient rehabilitation are both effective in the treatment of patients with chronic obstructive pulmonary disease. However, the uptake of PR remains considerably low, and technological barriers for patients and lack of technological resources in low-income countries affect the delivery of these services in much of the world.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142562443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

History of Pulmonary Rehabilitation: An International Perspective. 肺康复的历史：国际视角。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2024-11-01 Epub Date: 2024-09-19 DOI: 10.1097/HCR.0000000000000897

Anup Bhat, Annemarie L Lee, Brian W Carlin

引用次数: 0

2024 JCRP Year in Review. 2024 JCRP 年度回顾。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2024-11-01 Epub Date: 2024-10-31 DOI: 10.1097/HCR.0000000000000925

Todd M Brown

引用次数: 0

Research Priorities in Pulmonary Rehabilitation: The Urgent Need to Increase the Portfolio of Rehabilitation Options for Chronic Lung Disease. 肺康复的研究重点：亟需增加慢性肺病的康复方案组合。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2024-11-01 Epub Date: 2024-10-31 DOI: 10.1097/HCR.0000000000000914

Roberto Benzo, Maria Benzo

{"title":"Research Priorities in Pulmonary Rehabilitation: The Urgent Need to Increase the Portfolio of Rehabilitation Options for Chronic Lung Disease.","authors":"Roberto Benzo, Maria Benzo","doi":"10.1097/HCR.0000000000000914","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000914","url":null,"abstract":"Pulmonary rehabilitation (PR) plays a crucial role in improving outcomes for individuals with chronic respiratory diseases. The most outstanding challenge in PR is the low referral, uptake, and adherence that is dramatically low in the post-hospitalization period in rural, minority, and low-income populations. Research efforts to increase the portfolio of PR through the testing and implementation of new and effective options for home-based and community-based programs are potential research targets. Other potential foci of research efforts are the pursuit of behavior-change techniques to achieve a lifestyle change during PR and the referral process to increase uptake and adherence rates. Creating new rehabilitation options for chronic lung disease that can reach more people may require expanding the definition of PR for chronic lung disease to one more flexible and perhaps concordant with the World Health Organization's definition of rehabilitation as \"a set of interventions designed to optimize functioning and reduce disability in individuals with health conditions in interaction with their environment.\" While efforts to augment access to conventional PR are warranted, it is time to devote research efforts to reach many more individuals with chronic lung disease, particularly minorities, rural, and low-income individuals that currently have no access to any rehabilitation, a social injustice that requires action. This manuscript outlines suggested future directions in rehabilitation research with the pursuit of evidence to support feasible and effective programs that may increase the rehabilitation portfolio to accommodate most individuals with chronic lung disease.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142562448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0