The importance of components of pulmonary rehabilitation, other than exercise training, in COPD

Eur Respir Rev. 2013 Sep 1;22(129):405-13. doi: 10.1183/09059180.00002913.

Abstract

Comprehensive pulmonary rehabilitation is an important component in the clinical management of people with chronic obstructive pulmonary disease (COPD). Although supervised exercise training is considered the cornerstone of effective pulmonary rehabilitation, there are many other components that should be considered to manage the impairments and symptom burden, as well as the psychosocial and lifestyle changes imposed by COPD. These include approaches designed to: 1) facilitate smoking cessation; 2) optimise pharmacotherapy; 3) assist with early identification and treatment of acute exacerbations; 4) manage acute dyspnoea; 5) increase physical activity; 6) improve body composition; 7) promote mental health; 8) facilitate advance care planning; and 9) establish social support networks. This article will describe these approaches, which may be incorporated within pulmonary rehabilitation, to optimise effective chronic disease self-management.

Publication types

  • Review

MeSH terms

  • Advance Care Planning
  • Body Composition
  • Combined Modality Therapy
  • Exercise Therapy*
  • Humans
  • Lung / physiopathology*
  • Mental Health
  • Patient Care Team
  • Pulmonary Disease, Chronic Obstructive / complications
  • Pulmonary Disease, Chronic Obstructive / diagnosis
  • Pulmonary Disease, Chronic Obstructive / physiopathology
  • Pulmonary Disease, Chronic Obstructive / psychology
  • Pulmonary Disease, Chronic Obstructive / rehabilitation*
  • Recovery of Function
  • Respiratory System Agents / therapeutic use
  • Respiratory Therapy / methods*
  • Risk Reduction Behavior
  • Smoking Cessation
  • Treatment Outcome

Substances

  • Respiratory System Agents