Pulmonary rehab is an intervention based on a thorough patient assessment followed by a patient-tailored therapist that includes but is not limited to exercise training, education, and behavioral change
It is designed to improve the physical and psychological health of people with respiratory diseases and to promote long-term term adherence to health-enhancing behavior
A common condition for referral to PR
Respiratory diseases resulting in anxiety in outgoing activities
Breathlessness with activity
Limitations with social activities, indoor or outdoor activities lost ADL, and loss of independence
The condition required in PR
Obstructive lung diseases
Asthma, Bronchitis, COPD
Restrictive lung diseases
Collagen vascular lung diseases
Interstitial fibrosis
Sarcoidosis
Cystic fibrosis
Restrictive chest wall diseases
Severe anxiety, poliomyelitis
Kyphoscoliosis
Obesity
Contraindication
Uncontrolled hypertension
Unstable angina
Recent myocardial infarction
Inability to learn
Disruptive behavior
Goal of PR
Decrease symptoms
Increased exercise capacity
Increased ADL
Improve the quality of life
Behavioral change
Decision making
Benefits of PR
It improves exercise tolerance
Reduction in sensation of dyspnea
Improvement in health-related quality of life
Improvement in peripheral muscle strength and mass
Reduction in days spent in hospital
Improvement in anxiety and depression
Phases of PR/ programs
Assessment: it is important to determine the respiratory impairments
Patient history
Review of patient record
Education assessment
Other assessment: Measurement of respiratory and peripheral muscle strain, assessment of ADL, Health status, nutritional status, body composition
