Physical Activity in Rehabilitation of Persons with Chronic Obstructive Pulmonary Disease
DOI:
https://doi.org/10.29038/2220-7481-2019-03-63-71Keywords:
physical therapy, COPD, pulmonary rehabilitation, quality of lifeAbstract
Topicality. According to the World Health Organization, by 2030, chronic obstructive pulmonary disease (COPD) will be the third leading cause of death in the world. The main measures to combat COPD are aimed at preventing the occurrence, slowdown of progression and reduction of probability of complications. A higher level of physical activity (PA) is associated with a lower risk of exacerbation, hospitalization and mortality in COPD patients and has the benefits of improving physical endurance, shortness of breath and quality of life. Therefore, PA is included in the program of pulmonary rehab as a necessary component. The purpose is to analyze the evidence of the effectiveness of physical activity in the rehabilitation of people with COPD and current recommendations on their physical activity. Research Methods. Analysis of literary sources of scientific-evidence bases. Results. Physical activity in patients with COPD is significantly reduced and the main symptoms that reduces the ability to withstand physical activity in patients with COPD is shortness of breath. Age-related changes and the presence of concomitant diseases (heart disease, diabetes, obesity, cognitive impairment, etc.) can also contribute to a decrease in physical activity. In the GOLD Global Initiative Report (2019), physical activity is recommended to all people with COPD, as there is clear evidence of the benefits of regular physical training for these patients. Conclusions. Physical activity is an important part of the complex treatment of COPD and plays an important role in improving the quality of life, reducing the risk of exacerbation, hospitalization and mortality. The guidelines for the level of PA for COPD patients do not differ from those for the healthy population. It is recommended to gradually achieve at least the minimum level of physical activity recommended by the World Health Organization.
References
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Global Initiative for Chronic Obstructive Lung Disease Global Initiative for Chronic Obstructive Lung Disease: pocket guide to copd diagnosis, management, and prevention (2019). A Guide for Health Care Professionals.
Hartman, J. E., ten Hacken N. H. T., Boezen H. M. & de Greef M. H. G. (2013). Self-efficacy for physical activity and insight into its benefits are modifiable factors associated with physical activity in people with COPD: A mixed-methods study. Journal of Physiotherapy, 59(2), 117–124. doi.org/10.1016/S1836- 9553(13)70164-4.
Jen, Thomas (2019). COPD: Facts, Statistics, and You. Retrieved June 1, 2019, Retrieved from https://www.healthline.com/health/copd/facts-statistics-infographic?fbclid=IwAR3VUrE- CDXpD8D6ucsDxwA1GL45dGQrxIEa67OVmLbnJV9XgiSxsNZT03w#1.
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McCabe, C., McCann, M. & Brady, A. M. (2017). Computer and mobile technology interventions for self- management in chronic obstructive pulmonary disease. The Cochrane Database of Systematic Reviews, 5(5), CD011425. doi.org/10.1002/14651858.CD011425.pub2.
McCarthy, B., Casey, D., Devane, D., Murphy, K., Murphy, E. & Lacasse, Y. (2015). Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, 188(8), e13–64. doi.org/10.1002/14651858.CD003793.pub3.
McNamara, R. J., McKeough, Z. J., McKenzie D. K. & Alison, J. A. (2014). Physical comorbidities affect physical activity in chronic obstructive pulmonary disease: A prospective cohort study. Respirology, 19(6), 866–872. doi.org/10.1111/resp.12325.
Meshe, O. F., Claydon, L. S., Bungay, H. & Andrew, S. (2017). The relationship between physical activity and health status in patients with chronic obstructive pulmonary disease following pulmonary rehabilitation. Disability and Rehabilitation, 39(8), 746–756. doi.org/10.3109/09638288.2016.1161842.
Rabinovich, R. A., Louvaris Z., Raste Y. Langer D., Van Remoortel H. & Giavedoni S. (2013). Validity of physical activity monitors during daily life in patients with COPD. The European Respiratory Journal, 42(5), 1205–1215. doi.org/10.1183/09031936.00134312.
McNamara, R. J., Spencer L., Dale M., Leung R. W. M. & Zoe J. McKeough. (2018). Alternative Exercise and Breathing Interventions in Chronic Obstructive Pulmonary Disease: A Critical Review – European Medical Journal. EMJ Respir., 6(1), 117–127.
Ries, A. L. (2005). Pulmonary Rehabilitation and COPD. Seminars in Respiratory and Critical Care Medicine, 26(02), 133–141. doi.org/10.1055/s-2005-869534.
Spruit, M. A., Singh, S. J., Garvey, C., ZuWallack, R., Nici, L. & Rochester, C. ATS/ERS Task Force on Pulmonary Rehabilitation. (2013). An Official American Thoracic Society/European Respiratory Society Statement: Key Concepts and Advances in Pulmonary Rehabilitation. American Journal of Respiratory and Critical Care Medicine, 43(5), 1326–1337. doi.org/10.1183/09031936.00145613.
Thorpe, O., Kumar, S. & Johnston, K. (2014). Barriers to and enablers of physical activity in patients with COPD following a hospital admission: a qualitative study. International Journal of Chronic Obstructive Pulmonary Disease, 9, 115–128. doi.org/10.2147/COPD.S54457.
Tsai, T.-Y., Livneh, H., Lu, M.-C., Tsai, P.-Y., Chen, P.-C. & Sung, F.-C. (2013). Increased risk and related factors of depression among patients with COPD: a population-based cohort study. BMC Public Health, 13(1), 976. doi.org/10.1186/1471-2458-13-976.
Tymruk-Skoropad, K., Tsizh, L., Vynogradskyi, B. & Pavlova, I. (2018). Physical therapy in chronic obstructive pulmonary disease (analysis of the evidence-based medicine). Physiotherapy Quarterly, 2018(2), 1–8. doi.org/10.5114/pq.2018.75993.
Vestbo, J., Hurd, S. S., Agustí, A. G., Jones, P. W., Vogelmeier, C., Anzueto, A. & Rodriguez-Roisin,
R. (2013). Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease. American Journal of Respiratory and Critical Care Medicine, 187(4), 347–365. doi.org/10.1164/ rccm.201204-0596PP.
Viniol, C. & Vogelmeier, C. F. (2018). Exacerbations of COPD. European Respiratory Review : An Official Journal of the European Respiratory Society, 27(147), 170, 103. doi.org/10.1183/16000617.0103-2017.
WHO chronic obstructive pulmonary disease (COPD) (2017). Retrieved from: https://www.who.int/ respiratory/copd/en/.
Tymruk-Skoropad, K. A. (2018). Metody doslidzhennja efektyvnosti fizychnoji terapiji ta leghenevoji reabilitaciji osib z khronichnym obstruktyvnym zakhvorjuvannjam leghenj (analiz systematych-nykh oghljadiv). [Methods of studying the effectiveness of physical therapy and pulmonary rehabilitation of COPD patients (systematic review)]. Health, Sport, Rehabilitation, 4(4), 148–157. doi.org/10.5281/zenodo.1468312.
Tymruk-Skoropad, K., Stupnycjka S. & Pavlova Ju. (2018). Misce fizychnoji terapiji v systemi leghenevoji reabilitaciji pry khronichnomu obstruktyvnomu zakhvorjuvanni leghenj (analiz klinichnykh nastanov). [The Role of Physical Therapy in the System of Pulmonary Rehabilitation in the Case of Chronic Obstructive Pulmonary Disease (the Analysis of Clinical Guidelines)]. Fizychne Vykhovannja, Sport i Kuljtura Zdorov'ja u Suchasnomu Suspiljstvi, 2(42), 126–134. doi.org/10.29038/2220-7481-2018-02-126-134.
Chuchalin, A. Gh., Onyshhenko Gh. Gh. & Kolosov V.Gh. (2015). Ocenka fizicheskoj aktivnosti u boljnykh khronicheskoj obstruktivnoj boleznjju leghkikh: rekomendacyi Jevropejskogho respiratornogho obshhestva. [Evaluation of physical activity in patients with chronic obstructive pulmonary disease: recommendations of European Respiratory Society]. Puljmonologhija, 25(3), 277–290. doi.org/10.18093/0869=0189= 2015=25=3=277=290.
Bairapareddy, K. C., Chandrasekaran B. & Agarwal U. (2018). Telerehabilitation for Chronic Obstructive Pulmonary Disease Patients: An Underrecognized Management in Tertiary Care. Indian Journal of Palliative Care, 24(4), 529–533. doi.org/10.4103/IJPC.IJPC_89_18.
Beeh, K. M., Glaab T., Stowasser S., Schmidt H., Fabbri L. M., Rabe K. F. & Vogelmeier C. F. (2013). Characterisation of exacerbation risk and exacerbator phenotypes in the POET-COPD trial. Respiratory Research, 14(1), 116. doi.org/10.1186/1465-9921-14-116.
Bernard, P., Hains-Monfette G., Atoui S., & Moullec G. (2018). Daily Objective Physical Activity and Sedentary Time in Adults with COPD Using Spirometry Data from Canadian Measures Health Survey. Canadian Respiratory Journal, 2018, 1–9. doi.org/10.1155/2018/9107435.
Donaire-Gonzalez, D., Gimeno-Santos E., Balcells E., de Batlle J., Ramon M. A. & Rodriguez E. PAC-COPD Study Group. (2015). Benefits of physical activity on COPD hospitalisation depend on intensity. European Respiratory Journal, 46(5), 1281–1289. doi.org/10.1183/13993003.01699-2014.
Furlanetto, K. C., Donária L., Schneider L. P., Lopes J. R., Ribeiro M., Fernandes K. B. & Pitta F. (2017). Sedentary Behavior Is an Independent Predictor of Mortality in Subjects With COPD. Respiratory Care, 62(5), 579–587. doi.org/10.4187/respcare.05306.
Garcia-Aymerich, J., Serra I., Gómez F. P., Farrero E., Balcells E. & Rodríguez D. A. Phenotype and Course of COPD (PAC-COPD) Study Group. (2009). Physical Activity and Clinical and Functional Status in COPD. Chest, 136(1), 62–70. doi.org/10.1378/chest.08-2532.
Garcia-Aymerich, J. (2017). Physical Activity in Chronic Obstructive Pulmonary Disease. An Update. Archivos de Bronconeumología (English Edition), 53(8), 413–414. doi.org/10.1016/j.arbr.2016.11.036.
Garcia-Aymerich, J., Lange P., Benet M., Schnohr P. & Antó J. M. (2006). Regular physical activity reduces hospital admission and mortality in chronic obstructive pulmonary disease: a population based cohort study. Thorax, 61(9), 772–778. doi.org/10.1136/thx.2006.060145.
Global Initiative for Chronic Obstructive Lung Disease Global Initiative for Chronic Obstructive Lung Disease: pocket guide to copd diagnosis, management, and prevention (2019). A Guide for Health Care Professionals.
Hartman, J. E., ten Hacken N. H. T., Boezen H. M. & de Greef M. H. G. (2013). Self-efficacy for physical activity and insight into its benefits are modifiable factors associated with physical activity in people with COPD: A mixed-methods study. Journal of Physiotherapy, 59(2), 117–124. doi.org/10.1016/S1836- 9553(13)70164-4.
Jen, Thomas (2019). COPD: Facts, Statistics, and You. Retrieved June 1, 2019, Retrieved from https://www.healthline.com/health/copd/facts-statistics-infographic?fbclid=IwAR3VUrE- CDXpD8D6ucsDxwA1GL45dGQrxIEa67OVmLbnJV9XgiSxsNZT03w#1.
Jordan, R. E., Majothi S., Heneghan N. R., Blissett D. B., Riley R. D., Sitch A. J. & Jolly K. (2015). Supported self-management for patients with moderate to severe chronic obstructive pulmonary disease (COPD): an evidence synthesis and economic analysis. Health Technology Assessment, 19(36), 1–516. doi.org/ 10.3310/hta19360.
McCabe, C., McCann, M. & Brady, A. M. (2017). Computer and mobile technology interventions for self- management in chronic obstructive pulmonary disease. The Cochrane Database of Systematic Reviews, 5(5), CD011425. doi.org/10.1002/14651858.CD011425.pub2.
McCarthy, B., Casey, D., Devane, D., Murphy, K., Murphy, E. & Lacasse, Y. (2015). Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, 188(8), e13–64. doi.org/10.1002/14651858.CD003793.pub3.
McNamara, R. J., McKeough, Z. J., McKenzie D. K. & Alison, J. A. (2014). Physical comorbidities affect physical activity in chronic obstructive pulmonary disease: A prospective cohort study. Respirology, 19(6), 866–872. doi.org/10.1111/resp.12325.
Meshe, O. F., Claydon, L. S., Bungay, H. & Andrew, S. (2017). The relationship between physical activity and health status in patients with chronic obstructive pulmonary disease following pulmonary rehabilitation. Disability and Rehabilitation, 39(8), 746–756. doi.org/10.3109/09638288.2016.1161842.
Rabinovich, R. A., Louvaris Z., Raste Y. Langer D., Van Remoortel H. & Giavedoni S. (2013). Validity of physical activity monitors during daily life in patients with COPD. The European Respiratory Journal, 42(5), 1205–1215. doi.org/10.1183/09031936.00134312.
McNamara, R. J., Spencer L., Dale M., Leung R. W. M. & Zoe J. McKeough. (2018). Alternative Exercise and Breathing Interventions in Chronic Obstructive Pulmonary Disease: A Critical Review – European Medical Journal. EMJ Respir., 6(1), 117–127.
Ries, A. L. (2005). Pulmonary Rehabilitation and COPD. Seminars in Respiratory and Critical Care Medicine, 26(02), 133–141. doi.org/10.1055/s-2005-869534.
Spruit, M. A., Singh, S. J., Garvey, C., ZuWallack, R., Nici, L. & Rochester, C. ATS/ERS Task Force on Pulmonary Rehabilitation. (2013). An Official American Thoracic Society/European Respiratory Society Statement: Key Concepts and Advances in Pulmonary Rehabilitation. American Journal of Respiratory and Critical Care Medicine, 43(5), 1326–1337. doi.org/10.1183/09031936.00145613.
Thorpe, O., Kumar, S. & Johnston, K. (2014). Barriers to and enablers of physical activity in patients with COPD following a hospital admission: a qualitative study. International Journal of Chronic Obstructive Pulmonary Disease, 9, 115–128. doi.org/10.2147/COPD.S54457.
Tsai, T.-Y., Livneh, H., Lu, M.-C., Tsai, P.-Y., Chen, P.-C. & Sung, F.-C. (2013). Increased risk and related factors of depression among patients with COPD: a population-based cohort study. BMC Public Health, 13(1), 976. doi.org/10.1186/1471-2458-13-976.
Tymruk-Skoropad, K., Tsizh, L., Vynogradskyi, B. & Pavlova, I. (2018). Physical therapy in chronic obstructive pulmonary disease (analysis of the evidence-based medicine). Physiotherapy Quarterly, 2018(2), 1–8. doi.org/10.5114/pq.2018.75993.
Vestbo, J., Hurd, S. S., Agustí, A. G., Jones, P. W., Vogelmeier, C., Anzueto, A. & Rodriguez-Roisin,
R. (2013). Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease. American Journal of Respiratory and Critical Care Medicine, 187(4), 347–365. doi.org/10.1164/ rccm.201204-0596PP.
Viniol, C. & Vogelmeier, C. F. (2018). Exacerbations of COPD. European Respiratory Review : An Official Journal of the European Respiratory Society, 27(147), 170, 103. doi.org/10.1183/16000617.0103-2017.
WHO chronic obstructive pulmonary disease (COPD) (2017). Retrieved from: https://www.who.int/ respiratory/copd/en/.
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2019-10-01
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Therapeutic physical training, sports medicine and physical rehabilitation
How to Cite
Physical Activity in Rehabilitation of Persons with Chronic Obstructive Pulmonary Disease. (2019). Physical Education, Sport and Health Culture in Modern Society, 3(47), 63-71. https://doi.org/10.29038/2220-7481-2019-03-63-71
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