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Aktuelles zur ambulanten Trainings- und Bewegungstherapie bei COPD

Current view on outpatient exercise training and movement therapy in COPD

  • Leitthema
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Der Pneumologe Aims and scope

Zusammenfassung

Körperliches Training ist der Eckpfeiler der nichtmedikamentösen Therapie der chronischen obstruktiven Lungenerkrankung (COPD). In diesem Artikel soll ein Überblick über die aktuellen Ergebnisse, Trends und Problemstellungen beim Training mit COPD-Patienten gegeben werden. Mit dem Ganzkörpervibrationstraining ist eine neue Trainingsart auf dem Vormarsch. Auch ein sensomotorisches Krafttraining scheint gerade für COPD-Patienten Vorteile zu bieten. Der umfassende Ansatz der ambulanten pneumologischen Rehabilitation hat nicht nur Auswirkungen auf Lungenfunktionsparameter, sondern auch auf die Wiederaufnahmefrequenz bei COPD-Patienten nach akuter Exazerbation. Internetbasierte Trainingsmodule oder -ergänzungen sind interessante Trends, ebenso wie die Erfassung von körperlicher Aktivität mittels spezieller Monitorsysteme. Letztere geben dem betreuenden Therapeuten die Möglichkeit, die Auswirkungen von sportlichen Interventionen, medikamentösen Therapien oder Verschlechterungen der pulmonalen Situation auf die körperliche Aktivität zu überwachen.

Abstract

Physical training is the cornerstone of the non-pharmacological treatment of chronic obstructive pulmonary disease (COPD). This article provides an overview of the current outcomes, trends and problems associated with training of COPD patients. Whole body vibration training seems to be a new training approach with several advantages for COPD patients as well as sensorimotor strength training. Comprehensive outpatient pulmonary rehabilitation has shown to be not only effective in improving lung function parameters but also the rehospitalization rate in COPD patients after acute exacerbation. Internet-based training modalities and additions to pulmonary rehabilitation programs are interesting trends. The measurement of physical activity by means of special monitor systems also seems to have advantages and provides the possibility for the clinician to monitor the effects of training interventions, drug therapies or deterioration of the pulmonary situation on physical activity in COPD patients.

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  1. Zürcher RehaZentren Wald, Faltigbergstrasse 7, CH-8636, Wald ZH, Schweiz

    M. Spielmanns

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M. Spielmanns: Beratertätigkeit für Böhringer Ingelheim, Berlin Chemie; Referentenhonorare von Böhringer Ingelheim, Berlin Chemie, Chiesi; Studienunterstützung von Novartis, Vital-Aire.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren. Alle Patienten, die über Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts zu identifizieren sind, haben hierzu ihre schriftliche Einwilligung gegeben.

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Spielmanns, M. Aktuelles zur ambulanten Trainings- und Bewegungstherapie bei COPD. Pneumologe 14, 362–370 (2017). https://doi.org/10.1007/s10405-017-0141-y

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