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Pulmonary Rehabilitation

  • Chapter
  • First Online:
Book cover COPD

Part of the book series: Respiratory Medicine ((RM))

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Key Points

Pulmonary Rehabilitation is an evidence-based, multidisciplinary, and comprehensive intervention for patients with chronic respiratory diseases.

Consequences of COPD include:

  • Respiratory limitation

  • Reripheral muscle dysfunction

  • Respiratory muscle dysfunction

  • Cardiac abnormality

  • Nutritional abnormality

  • Skeletal abnormality

  • Psychosocial issue

Recent studies have unraveled mechanistic reasons why pulmonary rehabilitation works.

The components of pulmonary rehabilitation include:

  • Assessment/re-assessment

  • Exercise training

  • Education and self-management strategies

  • Nutritional intervention

  • Psychological and social consideration

Pulmonary rehabilitation has emerged as an evidence-based science showing its effectiveness across multiple outcome areas. However, pulmonary rehabilitation does not improve forced expiratory volume at 1 s (FEV1).

Pulmonary rehabilitation has now become one of the standard therapies for chronic obstructive pulmonary disease.

The major goals of pulmonary rehabilitation are:

  • To reduce burden of symptoms such as dyspnoea and fatigue

  • To improve functional status

  • To increase participation in physical and social activities

  • To improve health related quality of life

  • To reduce health care utilization

The following are general criteria for pulmonary rehabilitation referral:

  • Severe dyspnoea and/or fatigue

  • Decreased exercise ability

  • Interference with performing physical activities of daily living

  • Impaired health status

  • Decreased occupational performance

  • Nutritional depletion

  • Frequent respiratory exacerbations

  • Increased medical resource consumption

Pulmonary rehabilitation should be administered throughout the course of COPD, be an integral part of COPD therapy, and complement pharmacological intervention for COPD.

Pulmonary rehabilitation is still under-utilized due to combination of ­under-awareness of its effectiveness by health care providers, unavailability of programs in some area, and insufficient third-party reimbursement.

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Author information

Authors and Affiliations

  1. Michael E. DeBakey VAMC, Baylor College of Medicine, Houston, TX, USA

    Charlie K. Lan

  2. Providence VAMC, Brown University, Providence, RI, USA

    Linda Nici

  3. St. Francis Hospital, University of Connecticut, Hartford, CT, USA

    Richard Zu Wallack

Authors
  1. Charlie K. Lan
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  2. Linda Nici
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  3. Richard Zu Wallack
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Correspondence to Linda Nici .

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Editors and Affiliations

  1. , Section of Pulmonary and Critical Care M, Baylor College of Medicine, 1504 Taub Loop, Houston, 77030, Texas, USA

    Nicola A. Hanania

  2. Michael E. DeBakey VA Medical Center, Baylor College of Medicine, 2002 Holcombe Blvd., Houston, 77030, Texas, USA

    Amir Sharafkhaneh

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Lan, C.K., Nici, L., Wallack, R.Z. (2011). Pulmonary Rehabilitation. In: Hanania, N., Sharafkhaneh, A. (eds) COPD. Respiratory Medicine. Humana Press. https://doi.org/10.1007/978-1-59745-357-8_10

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