Exercise training for adult lung transplant recipients

Gutiérrez-Arias, Ruvistay; Gaete‐Mahn, Monica C; Osorio, Dimelza; Bustos, Luís; Tanner, Joel Melo; Serón, Pamela

doi:10.1002/14651858.cd012307

Cited by 3 publications

(3 citation statements)

References 42 publications

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“…Therefore, it is not necessarily reflective of the population with a complex pre-or post-LTx course, and less is known of the functional trajectory and optimal rehabilitation needs and modes of delivery in this subgroup. 12,[30][31][32]…”

Section: Discussionmentioning

confidence: 99%

“…This study included participants listed for LTx as an outpatient, attended structured pre-habilitation and who lived in the community by 3 mo post-transplant. Therefore, it is not necessarily reflective of the population with a complex pre- or post-LTx course, and less is known of the functional trajectory and optimal rehabilitation needs and modes of delivery in this subgroup 12,30–32…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Early Change in Lower Limb Strength and Function in Lung Transplant Patients After Center-Based and Telerehabilitation

Wickerson

Rozenberg²,

Singer³

et al. 2022

Journal of Cardiopulmonary Rehabilitation and Prevention

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Early Change in Lower Limb Strength and Function in Lung Transplant Patients After Center-Based and Telerehabilitation

Wickerson

Rozenberg²,

Singer³

et al. 2022

Journal of Cardiopulmonary Rehabilitation and Prevention

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“…Consistent with previous reports, we found that COPD LTx recipients, who had poor performance in memory and executive skills, significantly improved the cognitive domains of learning, memory and psychomotor speed through their participation in PR (figure 2a). Indeed, the mechanism by which a PR programme benefits COPD LTx recipients is multifactorial and difficult to define; however, some favourable alterations to cognitive function have been noted on the effects of exercise [62, 63]. Exercise training may mitigate COPD-related adverse effects on cognitive function both by improving low arterial oxygen levels, elevated carbon dioxide tension and systemic inflammation [64, 65], and by increasing cerebral neural activation through body activity [66–68].…”

Section: Discussionmentioning

confidence: 99%

Improvements in functional and cognitive status following short-term pulmonary rehabilitation in COPD lung transplant recipients: a pilot study

et al. 2019

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BackgroundPulmonary rehabilitation (PR) following lung transplantation (LTx) is considered part of the optimal treatment in chronic obstructive pulmonary disease (COPD) for favourable post-operative outcomes. We investigated the effects of a PR intervention in the post-transplant phase with regard to lung function, exercise responses and cognitive function in COPD LTx recipients.Methods24 COPD LTx recipients (mean±sd forced expiratory volume in 1 s 75±22% predicted) were assigned to a comprehensive 3-week inpatient PR programme. Changes from PR admission to discharge in lung function variables, 6-min walk test-derived outcomes and cognitive function were assessed and examined for several factors. The magnitude of changes was interpreted by effect size (ES).ResultsIn response to the PR intervention, LTx recipients had improved lung function with regard to diffusing capacity of the lung for carbon monoxide (+4.3%; p=0.012) and static hyperinflation (residual volume/total lung capacity −2.3%; p=0.017), increased exercise capacity (6-min walk test +86 m; p<0.001), and had small to large improvements (ES range 0.23–1.00; all p≤0.34) in 50% of the administered cognitive tests. Learning skills and memory ability presented the greatest benefits (ES composite scores 0.62 and 0.31, respectively), which remained similar after stratification by single or bilateral LTx and sex.ConclusionsPR is an effective treatment for LTx recipients in the post-transplant phase, improving lung function, exercise responses, and domains of cognitive function of learning, memory and psychomotor speed. PR may facilitate the course of post-operative treatment and should be recommended in LTx.

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