[PDF] Defining Modern Pulmonary Rehabilitation. An Official American Thoracic Society Workshop Report | Semantic Scholar (2024)

The key finding is that improvements are observed when lower limb aerobic training is delivered at moderate intensity, with greatest benefit seen at high intensity exercise and little additional benefit from other components.

The growing interest in alternative models of delivering PR (eg, home based, remote supervision, use of technology), accelerated by the restrictions placed on facetoface PR delivery during the global COVID19 pandemic, is highlighted.

The pressing need to address the issue of the low accessibility of pulmonary rehabilitation is discussed and the distinctive challenges to pulmonary rehabilitation delivery in rural and remote regions, as well as low-income countries are highlighted.

Current evidence strongly supports the inclusion of pulmonary rehabilitation in the standard holistic care of IPF, with early participation encouraged and further research is needed to establish the optimal exercise strategies, modalities and adjunct therapies that enhance outcomes of pulmonary rehabilitation and promote longer lasting effects.

The objective of this study is to explore the acceptability of concentrated, interdisciplinary group pulmonary rehabilitation for patients with COPD, and to expand knowledge on the concentrated treatment format as a rehabilitation model for people with COPd.

These guidelines provide the basis for evidence-based delivery of PR for people with chronic respiratory disease.

Pulmonary rehabilitation that includes individualised exercise training is effective in patients with stable COPD and those who have suffered an exacerbation, and remaining challenges are to increase uptake and access to and personalisation of programmes.

The aims of this American Thoracic Society workshop were to outline key definitions and concepts around rehabilitation for people with respiratory disease and frailty, synthesize available evidence, and explore how programs may be adapted to align to the needs and experiences of this population.

Pulmonary rehabilitation is currently an important component of the management of COPD patients, with a positive impact on symptoms, frequency of exacerbations, severity and mortality rates.

This study looks at similar evidence-based strategies in rehabilitation guidelines that aim to help patients with COPD and CVD feel less short of breath and better able to function physically and mentally.

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The present comprehensive survey of PR in Canada reports an increase in the number of programs and the total number of patients enrolled since the previous survey in 2005, however, PR capacity has not kept pace with demand, with only 0.4% of Canadians with COPD having access.

From the limited number of clinical studies that have evaluated pulmonary rehabilitation outside of traditional settings, it appears that home-based interventions may produce equivalent patient-centered outcomes as center-based care.

This document articulates policy recommendations for advancing healthcare professional, payer, and patient awareness and knowledge of PR, increasing patient access to PR, and ensuring quality of PR programs.

Self-monitored, home-based pulmonary rehabilitation would be as effective as outpatient, hospital-based rehabilitation for improving dyspnea at 1 year, according to a parallel-group, randomized, noninferiority, multicenter clinical trial in Canada.

A survey was developed to better understand patients' perspectives on pulmonary rehabilitation, and to identify challenges faced both by patients who have taken part in PR and those who might be eligible but have not had the opportunity.

With ongoing interest in improving quality through individualized patient assessment, educational design innovations, and scientific scrutiny comparable to that given to exercise training, the educational component of PR may achieve effective self‐management, leading to successful behavior change and enhancement in health.

A home-based self-monitoring pulmonary rehabilitation program is as effective as outpatient pulmonary rehabilitation and is a valid alternative for the management of patients with COPD.

The Task Force providedRecommendations related to corticosteroid therapy, antibiotic therapy, noninvasive mechanical ventilation, home-based management, and early pulmonary rehabilitation in patients having a COPD exacerbation should be reconsidered as new evidence becomes available.

PTR was not superior to conventional PR on the 6MWD and the authors found no differences between groups and supervised PTR would be relevant to compare with conventional PR in a non-inferiority design.

A home-based pulmonary rehabilitation program for patients with very severe COPD under long-term oxygen treatment is safe and useful, as it achieves an improvement in exercise tolerance, reduces dyspnea after effort, and improves quality of life without causing any complication arising from the performance of the exercises.

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