The Role of Physical Therapy in the System of Pulmonary Rehabilitation in the Case of Chronic Obstructive Pulmonary Disease (the Analysis of Clinical Guidelines)
DOI:
https://doi.org/10.29038/2220-7481-2018-02-126-134Keywords:
physical therapy, pulmonary rehabilitation, chronic obstructive pulmonary disease, clinical guidelinesAbstract
Topicality. Currently, pulmonary rehabilitation is an intervention recommended to all chronic obstructive pulmonary disease patients, regardless of the disease severity, and physical therapy is an integral part of effective pulmonary rehabilitation programs. Although there is a sheer number of studies on the impact of pulmonary rehabilitation programs (both in its general context and individual components), as well as on the physical, functional and psycho-emotional state of patients, the number of the detailed clinical guidelines on PR inthe case of chronic obstructive pulmonary disease is limited. The purpose of the study is to analyse clinical guidelines for management and pulmonary rehabilitation and to evaluate the role of physical therapy in the system of pulmonary rehabilitation in the case of chronic obstructive pulmonary disease. Clinical guidelines selected on the basis of the research conducted on databases of PubMed (data over the past 5 years), PEDro, Cochrane (January, 2018), dedicated to clinical guidelines on treatment, management, pulmonary rehabilitation and physical therapy of chronic obstructive pulmonary disease patients, were chosen as the subject of the analysis. It has been established that physical therapy is an integral part of pulmonary rehabilitation programs for COPD patients. The main means of physical therapy recommended by the clinical guidelines for COPD patients are the following: physical training, respiratory exercises, training of respiratory muscles, chest physical therapy and electrostimulation of peripheral muscles. Methods of the use of physical training for chronic obstructive pulmonary disease patients are the most extensively described. Recommendations regarding special features of physical therapy in the case of exacerbation and under conditions of inpatient treatment are either absent or insufficient; the amount of information on the role and specifics of the use of respiratory exercises and chest physical therapy for COPD patients at different stages of treatment is inadequate.
References
Anderson B. et al. (2018 January). Health Care Guideline: Diagnosis and Management of Chronic Obstructive Pulmonary Disease (COPD) Website: https://www.healthquality.va.gov/guidelines/cd/copd/
Barreiro E, Bustamante V, Cejudo P, Gáldiz JB, Gea J, de Lucas P, Martínez-Llorens J, Ortega F, Puente-Maestu L, Roca J, Rodríguez-González Moro J (2015 August). SEPAR. Guidelines for the evaluation and treatment of muscle dysfunction in patients with chronic obstructive pulmonary disease. Arch Bronconeumol, 51(8), 384–395.
Bolton CE, Bevan-Smith EF, Blakey JD, Crowe P, Elkin SL, Garrod R, Greening NJ, Heslop K, Hull JH, Man WD, Morgan MD, Proud D, Roberts CM, Sewell L, Singh SJ, Walker PP, Walmsley S (2013 September). British Thoracic Society Pulmonary Rehabilitation Guideline Development Group; British Thoracic Society Standards of Care Committee. British Thoracic Society guideline on pulmonary rehabilitation in adults. Thorax.68 Suppl 2:ii1-30.
Chick D. A. (2010 May). Chronic Obstructive Pulmonary Disease. UMHS COPD Guideline, 17.
Chronic obstructive pulmonary disease: management of chronic obstructive pulmonary disease in adults in primary and secondary care. Royal College of Physicians of London. 2010. 673.
Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global Strategy for the Diagnosis, Management and Prevention of COPD. http://goldcopd.org/gold-2017-global-strategy-diagnosis-management-prevention-copd/
Güell Rous MR, Díaz Lobato S, Rodríguez Trigo G, Morante Vélez F, San Miguel M, Cejudo P, Ortega Ruiz F, Muñoz A, Galdiz Iturri JB, García A, Servera E (2014 August). Sociedad Española de Neumología y Cirugía Torácica (SEPAR). Pulmonary rehabilitation. Sociedad Española de Neumología y Cirugía Torácica (SEPAR). Arch Bronconeumol.50(8): 332–44.
Kankaanranta H, Harju T, Kilpeläinen M, Mazur W, Lehto JT, Katajisto M, Peisa T, Meinander T, Lehtimäki L. (2015 April). Diagnosis and pharmacotherapy of stable chronic obstructive pulmonary disease: the finnish guidelines. Basic Clin Pharmacol Toxicol. 116(4): 291–307.
Management of Chronic Obstructive Pulmonary Disease (COPD). VA/DoD clinical practice guideline. December 2014, 94.
Qaseem A. et al. (2011August). Diagnosis and Management of Stable Chronic Obstructive Pulmonary Disease: A Clinical Practice Guideline Update from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society // Annals of Internal Medicine, 2, Vol. 155, Number 3, 179–192.
Ries A.L. et al. (2007). Pulmonary Rehabilitation: Joint ACCP/AACVPR Evidence-Based Clinical Practice Guidelines, Chest; 131:4S–42S.
Russi EW, Karrer W, Brutsche M, Eich C, Fitting JW, Frey M, Geiser T, Kuhn M, Nicod L, Quadri F, Rochat T, Steurer-Stey C, Stolz D (2013). Swiss Respiratory Society. Diagnosis and management of chronic obstructive pulmonary disease: the Swiss guidelines. Official guidelines of the Swiss Respiratory Society. Respiration.85(2):160–174.
Sliwiński P, Górecka D, Jassem E, Pierzchała W. (2014). Polish respiratory society guidelines for chronic obstructive pulmonary disease. Pneumonol Alergol Pol.82(3):227-63.
Spruit A. Martijn et al. An Official American Thoracic Society/European Respiratory Society Statement: Key Concepts and Advances in Pulmonary Rehabilitation /Am J Respir Crit Care Med Vol 188, Iss. 8, pp e13–e64.
Wedzicha JA et al.(2017 March). Ats Co-Chair. Management of COPD exacerbations: a European Respiratory Society/American Thoracic Society guideline. Eur Respir J. 15;49(3). pii: 1600791
Yang IA et al. (2017 September). Non behalf of Lung Foundation Australia and the Thoracic Society of Australia and New Zealand. The COPD-X Plan: Australian and New Zealand Guidelines for the management of Chronic Obstructive Pulmonary Disease. Version 2.51.
Yoon HK, Park YB, Rhee CK, Lee JH, Oh YM (2017 July). Committee of the Korean COPD Guideline 2014. Summary of the Chronic Obstructive Pulmonary Disease Clinical Practice Guideline Revised in 2014 by the Korean Academy of Tuberculosis and Respiratory Disease. Tuberc Respir Dis (Seoul).80(3):230–240.
1.jpg)
