Effective Home-Based Pulmonary Rehabilitation in Patients with Restrictive Lung Diseases

Kagaya, Hitoshi; Takahashi, Hitomi; Sugawara, Keiyu; Kasai, Chikage; Kiyokawa, Noritaka; Shioya, Takanobu

doi:10.1620/tjem.218.215

Cited by 26 publications

(32 citation statements)

References 19 publications

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“…The effect of a counseling program with feedback from a pedometer during PR was shown to improve the patients' outcome and maintenance of rehabilitation [9]. A PR program we devised consists of homebased exercise at low intensity, nutrition counseling and weekly education sessions; we found that this program improves the participants' exercise capacity and other health status factors [10,11]. This program has been used for COPD patients who can come to our hospital.…”

Section: Introductionmentioning

confidence: 99%

Effects of low-intensity exercise and home-based pulmonary rehabilitation with pedometer feedback on physical activity in elderly patients with chronic obstructive pulmonary disease

Kawagoshi

Kiyokawa

Sugawara

et al. 2015

Respiratory Medicine

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182

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Section: Introductionmentioning

confidence: 99%

Effects of low-intensity exercise and home-based pulmonary rehabilitation with pedometer feedback on physical activity in elderly patients with chronic obstructive pulmonary disease

Kawagoshi

Kiyokawa

Sugawara

et al. 2015

Respiratory Medicine

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182

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“…One of the actual PR program is a multidisciplinary home-based program (Figure 3). 9,10 In this program, breathing retraining consists of pursed-lip breathing and diaphragmatic breathing performed in the supine or sitting positions. Exercise training includes upper-and lower-extremity exercise, respiratory muscle stretching calisthenics, level walking, and IMT (Figure 4, 5).…”

Section: Essential Components Of Pulmonary Rehabilitationmentioning

confidence: 99%

“…Exercise training includes upper-and lower-extremity exercise, respiratory muscle stretching calisthenics, level walking, and IMT (Figure 4, 5). 9,10 Patients with COPD takes education program including lectures about respiratory disease, control of dyspnea, medication, equipment use, nutrition, stress management, relaxation techniques, home exercise, and the concept and benefit of PR.A registered nurse practitioner periodically visits each patient at home and provides information on the role of PR. 9,10 This PR program differs from the recent home-based PR programs.…”

Section: Essential Components Of Pulmonary Rehabilitationmentioning

confidence: 99%

“…9,10 Patients with COPD takes education program including lectures about respiratory disease, control of dyspnea, medication, equipment use, nutrition, stress management, relaxation techniques, home exercise, and the concept and benefit of PR.A registered nurse practitioner periodically visits each patient at home and provides information on the role of PR. 9,10 This PR program differs from the recent home-based PR programs. 11,12 in the point of low-intensity exercise program including such as respiratory muscle stretching calisthenics and low intensity IMT.…”

Section: Essential Components Of Pulmonary Rehabilitationmentioning

confidence: 99%

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Recent Advances in Pulmonary Rehabilitation for Patients with COPD

Shioya¹,

Iwakura²,

Kawagoshi³

et al. 2017

Pulm Res Respir Med Open J

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Pulmonary rehabilitation (PR) is a non-pharmacologic therapy that has emerged as a standard of care for patients with chronic obstructive pulmonary disease (COPD). It is a comprehensive, multidisciplinary, patient-centered intervention that includes patient assessment, exercise training, self-management education, and psychosocial support. PR is usually given in inpatient, outpatient, community-based or home-based setting lasting 8-12 weeks. Positive outcomes from PR include increased exercise tolerance, reduced dyspnea and anxiety, increased selfefficacy, and improvement in health-related quality of life (QoL). Hospital admissions after exacerbations of COPD are also reduced with this intervention. The positive outcomes associated with PR are realized without demonstrable improvements in lung function. This paradox is explained by the fact that PR identifies and treats the systemic effects of the disease. This intervention should be considered in patients who remain symptomatic or have decreased functional status despite optimal medical management. Physical activity in patients with COPD is dependent on many factors, including physiologic, behavioral, social, environmental, and cultural factors. A strong inverse association between daily physical activity and dynamic hyperinflation, which correlates strongly with exertional dyspnea in COPD. Changing physical activity behavior inpatients with COPD needs an interdisciplinary approach, bringing together respiratory medicine, rehabilitation sciences, social sciences, and behavioral sciences. There is a need for more education and learning opportunities for primary care physicians, nurse practitioners, and all allied health care professionals about the process and benefits of PR. There is also a need for the sustainability and the safety of PR in the future study.

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“…,17 Pulmonary rehabilitation in interstitial lung disease also came into focus only recently. Most of them found positive effects, regarding 6-MWD, dyspnea, and quality of life, only immediately after intervention 7,[18][19][20][21][22][23]. Most of them found positive effects, regarding 6-MWD, dyspnea, and quality of life, only immediately after intervention 7,[18][19][20][21][22][23].…”

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confidence: 99%