The Goals of Pulmonary Rehabilitation

  • H. Folgering
  • R. Dekhuijzen
  • N. Cox
  • C. van Herwaarden
Part of the Current Topics in Rehabilitation book series (CURRENT REHAB)

Abstract

Patients with pulmonary diseases tend to get caught in a vicious circle. The disease causes dyspnea, especially during physical activities. Consequently these activities will be negatively rewarded, and the patient may eventually be conditioned not to undertake any activities at all. This will lead to inactivity, frustrations and social isolation.2

Keywords

Burning Fatigue Furnace Dioxide Depression 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    American Thoracic Society: Standards for the diagnosis and care of patients with chronic obstructive pulmonary disease (COPD) and asthma. Am. Rev. Respir. Dis. 1987; 136: 225–244CrossRefGoogle Scholar
  2. 2.
    Sandhu H.S.: Psychosocial issues in chronic obstructive pulmonary disease. Clinics in Chest Medicine 1986; 7: 629–642PubMedGoogle Scholar
  3. 3.
    Belman M.J.: Exercise in chronic obstructive pulmonary disease. Clinics in Chest Medicine 1986; 7: 585–597PubMedGoogle Scholar
  4. 4.
    American Thoracic Society.: Pulmonary rehabilitation Am. Rev. Respir. Dis. 1981; 124: 663–666Google Scholar
  5. 5.
    Wassermann K., Hansen J.E., Sue D.Y., Whipp B.J.: Principles of Exercise Testing and Interpretation. Philadelphia, Lea & Febiger 1987Google Scholar
  6. 6.
    Astrand P.O., Rodahl K.: Textbook of work physiolgy. New York, McGraw-Hill 1977Google Scholar
  7. 7.
    Altose M.D., Chonan T.,Cherniak N.S.: Respiratory sensations during exercise, hypercapnia and voluntary hyperventilation. In: C.v.Euler & M.KatzSalomon (eds.) Respiratory Psychophysiology. London, MacMillan Press 1988; 79–86Google Scholar
  8. 8.
    Wasserman K., Sue D.Y., Casaburi R., Moricca R.B.: Selection criteria for exercise training in pulmonary rehabilitation. Eur. Respir. J. 1989; 2: suppl 7, 604S - 610SGoogle Scholar
  9. 9.
    Scherer D., Kaltenbach M.: Häufigkeit lebensberohlicher Komplikationen beider ergometrischen Belastungsuntersuchungen. Dtsch. Med. Wschr. 1979; 104: 1161–1166PubMedCrossRefGoogle Scholar
  10. 10.
    Jones N.L., Campbell E.L.M.: Clinical Exercise Testing. Philadelphia, WB Saunders, 1982Google Scholar
  11. 11.
    Yeh M.P., Gardner R.M., Adams T.D., Yanowitz F.G., Crapo R.O.: “Anaerobic threshold”: problems of determination and validation. J. Appl. Physiol. 1983, 55, 1178–1186PubMedGoogle Scholar
  12. 12.
    Hagberg J.M., Coyle J.E., Carroll J.M., Miller W., Martin H., Brooke M.H.: Exercise hyperventilation in patients with McArdlé s disease. J. Appl. Physiol. 1982; 52: 991–994PubMedGoogle Scholar
  13. 13.
    Casaburi R., Wasserman K., Patessio A., Loli F., Zanaboni S., Donner CF.: A new perspective in pulmonary rehabilitation: an anaerobic threshold as a discriminant in training. Eur. Respir. J. 1989; 2: suppl 2, 6185–6235Google Scholar
  14. 14.
    Dekhuizen P., Folgering H., Herwaarden C. van.: Target-flow inspiratory muscle training and pulmonary rehabilitation in ventilatory limited patients. Eur. Respir. J. 1989; 2: suppl 8, 791SGoogle Scholar
  15. 15.
    Clark C.J., Cochrame L.M.: Assessment of work performance in asthma for determination of cardiorespiratory fitness and training capacity. Thorax 1988; 43: 745–749PubMedCrossRefGoogle Scholar
  16. 16.
    Cox N.J.M.: Effects of a pulmonary rehabilitation programme in patients with obstructive lung diseases. Thesis, University of Nijmegen (The Netherlands ), 1990Google Scholar
  17. 17.
    Cox N.J.M., Herwaarden C.L.A. van, Folgering H., Binkhorst R.A.: Exercise and training in patients with chronic obstructive lung disease. Sports Medicine 1988; 6: 180–192PubMedCrossRefGoogle Scholar
  18. 18.
    Thews G., Meyer D.: Der pulmonale Gasaustausch bei körperlicher Belastung. Atemwege Lungenkrankh. 1987; 13: 271–277Google Scholar
  19. 19.
    Bye P.T.P., Farkas G.A., Roussos Ch.: Respiratory factors limiting exercise. Ann. Rev. Physiol. 1983; 45: 439–451CrossRefGoogle Scholar
  20. 20.
    Koulouris N., Mulvey D.A., Laroche C.M., Sawicka E.H., Green M., Moxham J.:The measurement of inspiratory muscle strength by sniff esophageal, nasopharyngeal, and mouth pressures. Am. Rev. Respir. Dis. 1989; 139: 641–646PubMedCrossRefGoogle Scholar
  21. 21.
    Bellamare F., Grassino A.: Effect of pressure and timing of contraction on human diaphragmatic fatigue. J. Appl. Physiol. 1982; 53: 1190–1195CrossRefGoogle Scholar
  22. 22.
    Freedman S., Cooke N.T., Moxham J.: Production of lactic acid by respiratory muscles. Thorax 1983; 38: 50–54PubMedCrossRefGoogle Scholar
  23. 23.
    Gimenez M.: Exercise training in patients with chronic airways obstruction. Eur. Respir. J. 1989; 2: suppl7,611S–617SGoogle Scholar
  24. 24.
    Meerhaeghe A. van, Sergysels R.: Control of breathing during exercise in patients with chronic airflow limitation with or without hypercapnia. Chest 1983; 84: 565–570PubMedCrossRefGoogle Scholar
  25. 25.
    Dekhuijzen P.N.R.: Target flow inspiratory muscle training and pulmonary rehabilitation in patients with chronic obstructive pulmonary disease. Thesis University of Nijmegen (The Netherlands), 1989Google Scholar
  26. 26.
    Grassino A.: Inspiratory muscle training in COPD patients. Eur. Respir. J. 1989; 2: suppl 7, 581S–586SGoogle Scholar
  27. 27.
    Levine S., Weiser P., Gillen J.: Evaluation of a ventilatory muscle endurance training program in the rehabilitation of patients with chronic obstructive pulmonary disease. Am. Rev. Respir. Dis. 1986; 133: 400–406PubMedGoogle Scholar
  28. 28.
    Green M.: Respiratory muscle rest. Eur. Respir. J. 1989; 2: suppl 7, 5785–580SGoogle Scholar
  29. 29.
    Jones N.L., Jones G., Edwards R.H.T.: Exercise tolerance in chronic airway obstruction Am.Rev.Respir. Dis. 1971; 103: 477–491Google Scholar
  30. 30.
    Light R.W., Mahutte C.K., Stansbury D.W., Fisher C.E., Brown S.E.: Relationship between improvement in exercise performance with supplemental oxygen and hypoxic ventilatory drive in patients with chronic airflow obstruction. Chest 1989; 95: 751–756PubMedCrossRefGoogle Scholar
  31. 31.
    Davidson A.C., Leach R., George R.J.D., Geddes D.M.: Supplemental oxygen and exercise ability in chronic obstructive airway disease. Thorax 1988; 43: 965–971PubMedCrossRefGoogle Scholar
  32. 32.
    Stein D.A., Bradley B.L., Miller W.C.: Mechanisms of oxygen effects on exercise in patients with chronic obstructive pulmonary disease. Chest 1982; 81: 6–10PubMedCrossRefGoogle Scholar
  33. 33.
    Jones P.W., Baveystok C.M., Littlejohns P.: Anxiety, depression, walking speed and spirometry in chronic airways obstruction. Thorax 1988; 43: 858 PCrossRefGoogle Scholar
  34. 34.
    Eldridge F.L., Gill-Kumar P.: Central neural respiratory drive and afterdischarge. Respir. Physiol. 1980; 40: 49–63PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London 1993

Authors and Affiliations

  • H. Folgering
    • 1
  • R. Dekhuijzen
    • 1
  • N. Cox
    • 1
  • C. van Herwaarden
    • 1
  1. 1.Department of Pulmonary Diseases, Dekkerswald Medical CenterUniversity of NijmegenThe Netherlands

Personalised recommendations