Pulmonary rehabilitation in interstitial lung diseases: A review of the literature

Abstract

There are more than 200 different diseases classed as interstitial lung diseases (ILDs). For epidemiological and practical purposes, ILDs are classified into diseases of known and unknown etiology. The aim of this review is to evaluate our current knowledge about the efficacy and safety of pulmonary rehabilitation (PR) in patients with ILDs. Other issues, such as ILD pathogenesis, prevalence and comorbidity, are also elaborated in the review. Pulmonary rehabilitation is an important part of comprehensive care for patients with ILDs. In comparison to PR for patients with chronic pulmonary obstructive disease (COPD), the number of clinical studies concerning PR for patients with ILDs is small. The majority of trials have been performed in relatively small groups of patients. The principles of PR in this group of patients are the same as for patients with COPD. Exercise-induced desaturation is frequently observed during PR, which is the main source of complications in patients with ILDs. Major differences between ILD and COPD patients include poorer exercise tolerance and faster development of respiratory failure in patients with ILDs.

Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study

“…In our study, QoL was assessed using the SF-36, and there was an improvement in QoL after 6 weeks of respiratory rehabilitation, which was statistically significant with the control group. Studies have found that: respiratory rehabilitation can improve the QoL of patients with COPD [6], asthma [13], lung cancer after surgery [14]. Additionally, we found that 6 weeks of respiratory rehabilitation significantly improved anxiety in elderly patients with COVID-19, which is consistent with the effect of respiratory rehabilitation in COPD with Rebelo [15].…”

Comparison of heart rates at fixed percentages and the ventilatory thresholds in patients with interstitial lung disease

“…It has been suggested that people with ILD may need more careful planning and modification of their exercise prescription than healthy subjects or even patients with COPD 24 . Compared with the number of studies including COPD patients, clinical studies dealing with pulmonary rehabilitation in ILD are relatively small 33 . Principles of pulmonary rehabilitation are similar for both groups of diseases.…”

“…Principles of pulmonary rehabilitation are similar for both groups of diseases. However, exercise‐induced desaturation and related complications occur more frequently in ILD patients, emphasizing the importance of proper training intensity selections 33 …”

The application of high intensity and low intensity magnetotherapy in rehabilitation of patients with COVID-19 - a randomized controlled pilot study.

“…На любом из этапов реабилитационных мероприятий важнейшую роль играет выполнение специальных дыхательных упражнений [3][4][5]. Кроме того, большое значение имеет применение физических методов лечения, в том числе различных видов электромагнитной стимуляции или магнитотерапии [6].…”