Open AccessExercise training and pulmonary rehabilitation: new insights and remaining challenges
Author(s) -
Thierry Troosters,
Rik Gosselink,
Wim Janssens,
Marc Decramer
Publication year - 2010
Publication title -
european respiratory review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.565
H-Index - 66
eISSN - 1600-0617
pISSN - 0905-9180
DOI - 10.1183/09059180.00007809
Subject(s) - medicine , pulmonary rehabilitation , rehabilitation , pulmonary disease , physical therapy , multidisciplinary approach , quality of life (healthcare) , disease , intensive care medicine , physical medicine and rehabilitation , nursing , social science , sociology
Pulmonary rehabilitation is now regarded as an evidence-based treatment for symptomatic patients with chronic obstructive pulmonary disease. It has been shown to enhance exercise tolerance, improve symptoms and health-related quality of life, and reduce exacerbations in patients with recurrent exacerbations. In this article we review the mechanisms through which exercise training results in beneficial effects. We also review three challenges that currently remain: 1) the fine tuning of exercise training and multidisciplinary programmes; 2) the timing of rehabilitation; and 3) efforts to enhance the accessibility and adherence to pulmonary rehabilitation programmes. Further research is needed in order to apply the now well-established principles of pulmonary rehabilitation to unusual patient populations, or patient populations that are unlikely to participate in conventional outpatient programmes.