EinleitungChronische Atemwegserkrankungen stellen lang verlaufende Krankheitsprozesse dar, die in der Regel eine lebenslange Thera− pie erfordern. Die fachgerechte Versorgung der Patienten wird ± neben einer qualifizierten medikamentösen Therapie ± durch eine darüber hinausgehende langfristige Unterstützung und Be− treuung verbessert, die speziell auf die Charakteristika der jewei− ligen Atemwegserkrankung abgestimmt ist. In den letzten Jahren wurden neben den klassischen Verfahren der stationären Reha−
AbstractIn Germany there is a long tradition of rehabilitation and exercise training programs to improve the clinical state and physical function of patients with chronic obstructive pulmonary dis− eases. This is particularly true regarding inpatient rehabilitation. Based on experiences gained in other countries, outpatient and home−based programs are currently getting more attention. One of the key components of pulmonary rehabilitation is exercise training which can be expected to exert direct and indirect bene− ficial effects on physical performance, health−related quality of life and even the progress of the disease. Most of the available ex− perience refers to patients with COPD ± besides those with bron− chial asthma. The data available so far suggest that exercise training programs can reduce exacerbation rates and that this ef− fect is achievable by minimal personal assistance. Thus the most important aim of future studies seems to be the development and evaluation of training programs which are efficient but also easy to implement and minimally expensive. Furthermore it needs to be studied whether such programs can be transferred to pulmonary disorders other than obstructive airway diseases.
Übersicht
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