Research progress of pulmonary rehabilitation for chronic obstructive pulmonary disease_West China Medical Journal

Authors：

GUO Cancan ^1,2 ,  LIU Dandan ^1,2

1. Graduate School of Bengbu Medical University, Bengbu, Anhui 233030, P. R. China;
2. Respiratory Medicine Wards 2, Anhui No.2 Provincial People’s Hospital, Hefei, Anhui 230041, P. R. China;

Corresponding author：

LIU Dandan, Email: woisliu@163.com

Keywords：

Chronic obstructive pulmonary disease; pulmonary rehabilitation; remote rehabilitation; pulmonary function

DOI：

10.7507/1002-0179.202405094

Video：

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The pulmonary rehabilitation treatment of patients with chronic obstructive pulmonary disease (COPD) has become a current research hotspot. Pulmonary rehabilitation can effectively improve the lung function, quality of life, and physical and mental health, reduce the risk of death, but there are still certain limitations in the implementation of pulmonary rehabilitation for COPD. Based on existing research, this article introduces the benefits of pulmonary rehabilitation for COPD, and elaborates on the timing, location selection, and course of pulmonary rehabilitation, aiming to provide a basis for developing personalized pulmonary rehabilitation plans for COPD.

Citation： GUO Cancan, LIU Dandan. Research progress of pulmonary rehabilitation for chronic obstructive pulmonary disease. West China Medical Journal, 2024, 39(6): 965-969. doi: 10.7507/1002-0179.202405094 Copy

1.	Venkatesan P. GOLD COPD report: 2024 update. Lancet Respir Med, 2024, 12(1): 15-16.
2.	Boers E, Barrett M, Su JG, et al. Global burden of chronic obstructive pulmonary disease through 2050. JAMA Netw Open, 2023, 6(12): e2346598.
3.	Agustí A, Bafadhel M, Beasley R, et al. Precision medicine in airway diseases: moving to clinical practice. Eur Respir J, 2017, 50(4): 1701655.
4.	Spruit MA, Singh SJ, Garvey C, et al. An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med, 2013, 188(8): e13-64.
5.	于婷婷, 孙晖, 张书春, 等. 呼吸肌康复锻炼对 COPD 患者肺功能的影响研究. 国际医药卫生导报, 2020, 26(9): 1198-1200.
6.	陈瑞英, 马小花, 孙婷, 等. 短期强化肺康复训练对 OSA-COPD 共存患者呼吸、运动功能及生活质量的影响. 中华物理医学与康复杂志, 2019, 41(5): 353-358.
7.	Thapamagar SB, Ellstrom K, Anholm JD, et al. Impact of pulmonary rehabilitation in sleep in COPD patients measured by actigraphy. PLoS One, 2021, 16(3): e0248466.
8.	Mosher CL, Nanna MG, Jawitz OK, et al. Cost-effectiveness of pulmonary rehabilitation among US adults with chronic obstructive pulmonary disease. JAMA Netw Open, 2022, 5(6): e2218189.
9.	GBD 2019 Chronic Respiratory Diseases Collaborators. Global burden of chronic respiratory diseases and risk factors, 1990-2019: an update from the Global Burden of Disease Study 2019. EClinicalMedicine, 2023, 59: 101936.
10.	Lindenauer PK, Stefan MS, Pekow PS, et al. Association between initiation of pulmonary rehabilitation after hospitalization for COPD and 1-year survival among medicare beneficiaries. JAMA, 2020, 323(18): 1813-1823.
11.	何权瀛, 周新, 谢灿茂, 等. 慢性阻塞性肺疾病对中国部分城市患者生命质量和经济负担的影响. 中华结核和呼吸杂志, 2009, 32(4): 253-257.
12.	Ryrsø CK, Godtfredsen NS, Kofod LM, et al. Lower mortality after early supervised pulmonary rehabilitation following COPD-exacerbations: a systematic review and meta-analysis. BMC Pulm Med, 2018, 18(1): 154.
13.	France G, Orme MW, Greening NJ, et al. Cognitive function following pulmonary rehabilitation and post-discharge recovery from exacerbation in people with COPD. Respir Med, 2021, 176: 106249.
14.	Yohannes AM, Baldwin RC, Connolly MJ. Depression and anxiety in elderly outpatients with chronic obstructive pulmonary disease: prevalence, and validation of the BASDEC screening questionnaire. Int J Geriatr Psychiatry, 2000, 15(12): 1090-1096.
15.	de Godoy DV, de Godoy RF. A randomized controlled trial of the effect of psychotherapy on anxiety and depression in chronic obstructive pulmonary disease. Arch Phys Med Rehabil, 2003, 84(8): 1154-1157.
16.	Lan CC, Huang HC, Yang MC, et al. Pulmonary rehabilitation improves subjective sleep quality in COPD. Respir Care, 2014, 59(10): 1569-1576.
17.	Jin L, An W, Li Z, et al. Pulmonary rehabilitation training for improving pulmonary function and exercise tolerance in patients with stable chronic obstructive pulmonary disease. Am J Transl Res, 2021, 13(7): 8330-8336.
18.	王正, 左玉强, 王晓彤, 等. 不同频次康复锻炼对稳定期慢性阻塞性肺疾病患者影响分析. 临床肺科杂志, 2021, 26(9): 1371-1375.
19.	姚剑坤, 陈钢, 何伟玲, 等. 小程序全程跟踪式综合康复对慢阻肺稳定期患者肺康复价值. 黑龙江医药, 2021, 34(2): 297-300.
20.	Kjærgaard JL, Juhl CB, Lange P, et al. Early pulmonary rehabilitation after acute exacerbation of COPD: a randomised controlled trial. ERJ Open Res, 2020, 6(1): 00173-2019.
21.	Deepak TH, Mohapatra PR, Janmeja AK, et al. Outcome of pulmonary rehabilitation in patients after acute exacerbation of chronic obstructive pulmonary disease. Indian J Chest Dis Allied Sci, 2014, 56(1): 7-12.
22.	Lu HY, Chen CF, Lee DL, et al. Effects of early pulmonary rehabilitation on hospitalized patients with acute exacerbation of chronic obstructive pulmonary disease: a systematic review and meta-analysis. Int J Chron Obstruct Pulmon Dis, 2023, 18: 881-893.
23.	中华医学会呼吸病学分会慢性阻塞性肺疾病学组, 中国医师协会呼吸医师分会慢性阻塞性肺疾病工作委员会. 慢性阻塞性肺疾病诊治指南(2021 年修订版). 中华结核和呼吸杂志, 2021, 44(3): 170-205.
24.	Tsutsui M, Gerayeli F, Sin DD. Pulmonary rehabilitation in a post-COVID-19 world: telerehabilitation as a new standard in patients with COPD. Int J Chron Obstruct Pulmon Dis, 2021, 16: 379-391.
25.	Lai Y, Cavalheri V, Sawyer A, et al. Exercise training initiated early during hospitalisation in individuals with chronic obstructive pulmonary disease is safe and improves exercise capacity and physical function at hospital discharge: a systematic review and meta-analysis. Respir Med, 2024, 223: 107554.
26.	Fan H, Zhao G, Sun L, et al. Influence of community health management on self-management ability and pulmonary function in patients with stable chronic obstructive pulmonary disease. Altern Ther Health Med, 2023, 10: AT9669.
27.	Machado A, Matos Silva P, Afreixo V, et al. Design of pulmonary rehabilitation programmes during acute exacerbations of COPD: a systematic review and network meta-analysis. Eur Respir Rev, 2020, 29(158): 200039.
28.	刘桂霞, 佟铁刚. 医院-社区-家庭一体化肺康复管理模式对稳定期慢性阻塞性肺疾病患者康复的影响. 慢性病学杂志, 2023, 24(7): 1022-1025.
29.	Hansen H, Bieler T, Beyer N, et al. Supervised pulmonary tele-rehabilitation versus pulmonary rehabilitation in severe COPD: a randomised multicentre trial. Thorax, 2020, 75(5): 413-421.
30.	张林, 刘芳, 赵静, 等. 远程康复在慢性阻塞性肺疾病患者肺康复中的研究进展. 中华肺部疾病杂志(电子版), 2023, 16(4): 601-604.
31.	Lewis A, Knight E, Bland M, et al. Feasibility of an online platform delivery of pulmonary rehabilitation for individuals with chronic respiratory disease. BMJ Open Respir Res, 2021, 8(1): e000880.
32.	Zanaboni P, Dinesen B, Hoaas H, et al. Long-term telerehabilitation or unsupervised training at home for patients with chronic obstructive pulmonary disease: a randomized controlled trial. Am J Respir Crit Care Med, 2023, 207(7): 865-875.
33.	Benzo RP, Ridgeway J, Hoult JP, et al. Feasibility of a health coaching and home-based rehabilitation intervention with remote monitoring for COPD. Respir Care, 2021, 66(6): 960-971.
34.	Benzo R, Hoult J, McEvoy C, et al. Promoting chronic obstructive pulmonary disease wellness through remote monitoring and health coaching: a clinical trial. Ann Am Thorac Soc, 2022, 19(11): 1808-1817.
35.	刘礼银, 胡系伟, 杨然. 远程医疗在慢性阻塞性肺疾病患者肺康复中的应用价值. 内科理论与实践, 2022, 17(1): 97-101.
36.	卿小玲. 影响肺康复疗效的相关因素. 临床与病理杂志, 2018, 38(4): 886-891.

1. Venkatesan P. GOLD COPD report: 2024 update. Lancet Respir Med, 2024, 12(1): 15-16.
2. Boers E, Barrett M, Su JG, et al. Global burden of chronic obstructive pulmonary disease through 2050. JAMA Netw Open, 2023, 6(12): e2346598.
3. Agustí A, Bafadhel M, Beasley R, et al. Precision medicine in airway diseases: moving to clinical practice. Eur Respir J, 2017, 50(4): 1701655.
4. Spruit MA, Singh SJ, Garvey C, et al. An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med, 2013, 188(8): e13-64.
5. 于婷婷, 孙晖, 张书春, 等. 呼吸肌康复锻炼对 COPD 患者肺功能的影响研究. 国际医药卫生导报, 2020, 26(9): 1198-1200.
6. 陈瑞英, 马小花, 孙婷, 等. 短期强化肺康复训练对 OSA-COPD 共存患者呼吸、运动功能及生活质量的影响. 中华物理医学与康复杂志, 2019, 41(5): 353-358.
7. Thapamagar SB, Ellstrom K, Anholm JD, et al. Impact of pulmonary rehabilitation in sleep in COPD patients measured by actigraphy. PLoS One, 2021, 16(3): e0248466.
8. Mosher CL, Nanna MG, Jawitz OK, et al. Cost-effectiveness of pulmonary rehabilitation among US adults with chronic obstructive pulmonary disease. JAMA Netw Open, 2022, 5(6): e2218189.
9. GBD 2019 Chronic Respiratory Diseases Collaborators. Global burden of chronic respiratory diseases and risk factors, 1990-2019: an update from the Global Burden of Disease Study 2019. EClinicalMedicine, 2023, 59: 101936.
10. Lindenauer PK, Stefan MS, Pekow PS, et al. Association between initiation of pulmonary rehabilitation after hospitalization for COPD and 1-year survival among medicare beneficiaries. JAMA, 2020, 323(18): 1813-1823.
11. 何权瀛, 周新, 谢灿茂, 等. 慢性阻塞性肺疾病对中国部分城市患者生命质量和经济负担的影响. 中华结核和呼吸杂志, 2009, 32(4): 253-257.
12. Ryrsø CK, Godtfredsen NS, Kofod LM, et al. Lower mortality after early supervised pulmonary rehabilitation following COPD-exacerbations: a systematic review and meta-analysis. BMC Pulm Med, 2018, 18(1): 154.
13. France G, Orme MW, Greening NJ, et al. Cognitive function following pulmonary rehabilitation and post-discharge recovery from exacerbation in people with COPD. Respir Med, 2021, 176: 106249.
14. Yohannes AM, Baldwin RC, Connolly MJ. Depression and anxiety in elderly outpatients with chronic obstructive pulmonary disease: prevalence, and validation of the BASDEC screening questionnaire. Int J Geriatr Psychiatry, 2000, 15(12): 1090-1096.
15. de Godoy DV, de Godoy RF. A randomized controlled trial of the effect of psychotherapy on anxiety and depression in chronic obstructive pulmonary disease. Arch Phys Med Rehabil, 2003, 84(8): 1154-1157.
16. Lan CC, Huang HC, Yang MC, et al. Pulmonary rehabilitation improves subjective sleep quality in COPD. Respir Care, 2014, 59(10): 1569-1576.
17. Jin L, An W, Li Z, et al. Pulmonary rehabilitation training for improving pulmonary function and exercise tolerance in patients with stable chronic obstructive pulmonary disease. Am J Transl Res, 2021, 13(7): 8330-8336.
18. 王正, 左玉强, 王晓彤, 等. 不同频次康复锻炼对稳定期慢性阻塞性肺疾病患者影响分析. 临床肺科杂志, 2021, 26(9): 1371-1375.
19. 姚剑坤, 陈钢, 何伟玲, 等. 小程序全程跟踪式综合康复对慢阻肺稳定期患者肺康复价值. 黑龙江医药, 2021, 34(2): 297-300.
20. Kjærgaard JL, Juhl CB, Lange P, et al. Early pulmonary rehabilitation after acute exacerbation of COPD: a randomised controlled trial. ERJ Open Res, 2020, 6(1): 00173-2019.
21. Deepak TH, Mohapatra PR, Janmeja AK, et al. Outcome of pulmonary rehabilitation in patients after acute exacerbation of chronic obstructive pulmonary disease. Indian J Chest Dis Allied Sci, 2014, 56(1): 7-12.
22. Lu HY, Chen CF, Lee DL, et al. Effects of early pulmonary rehabilitation on hospitalized patients with acute exacerbation of chronic obstructive pulmonary disease: a systematic review and meta-analysis. Int J Chron Obstruct Pulmon Dis, 2023, 18: 881-893.
23. 中华医学会呼吸病学分会慢性阻塞性肺疾病学组, 中国医师协会呼吸医师分会慢性阻塞性肺疾病工作委员会. 慢性阻塞性肺疾病诊治指南(2021 年修订版). 中华结核和呼吸杂志, 2021, 44(3): 170-205.
24. Tsutsui M, Gerayeli F, Sin DD. Pulmonary rehabilitation in a post-COVID-19 world: telerehabilitation as a new standard in patients with COPD. Int J Chron Obstruct Pulmon Dis, 2021, 16: 379-391.
25. Lai Y, Cavalheri V, Sawyer A, et al. Exercise training initiated early during hospitalisation in individuals with chronic obstructive pulmonary disease is safe and improves exercise capacity and physical function at hospital discharge: a systematic review and meta-analysis. Respir Med, 2024, 223: 107554.
26. Fan H, Zhao G, Sun L, et al. Influence of community health management on self-management ability and pulmonary function in patients with stable chronic obstructive pulmonary disease. Altern Ther Health Med, 2023, 10: AT9669.
27. Machado A, Matos Silva P, Afreixo V, et al. Design of pulmonary rehabilitation programmes during acute exacerbations of COPD: a systematic review and network meta-analysis. Eur Respir Rev, 2020, 29(158): 200039.
28. 刘桂霞, 佟铁刚. 医院-社区-家庭一体化肺康复管理模式对稳定期慢性阻塞性肺疾病患者康复的影响. 慢性病学杂志, 2023, 24(7): 1022-1025.
29. Hansen H, Bieler T, Beyer N, et al. Supervised pulmonary tele-rehabilitation versus pulmonary rehabilitation in severe COPD: a randomised multicentre trial. Thorax, 2020, 75(5): 413-421.
30. 张林, 刘芳, 赵静, 等. 远程康复在慢性阻塞性肺疾病患者肺康复中的研究进展. 中华肺部疾病杂志(电子版), 2023, 16(4): 601-604.
31. Lewis A, Knight E, Bland M, et al. Feasibility of an online platform delivery of pulmonary rehabilitation for individuals with chronic respiratory disease. BMJ Open Respir Res, 2021, 8(1): e000880.
32. Zanaboni P, Dinesen B, Hoaas H, et al. Long-term telerehabilitation or unsupervised training at home for patients with chronic obstructive pulmonary disease: a randomized controlled trial. Am J Respir Crit Care Med, 2023, 207(7): 865-875.
33. Benzo RP, Ridgeway J, Hoult JP, et al. Feasibility of a health coaching and home-based rehabilitation intervention with remote monitoring for COPD. Respir Care, 2021, 66(6): 960-971.
34. Benzo R, Hoult J, McEvoy C, et al. Promoting chronic obstructive pulmonary disease wellness through remote monitoring and health coaching: a clinical trial. Ann Am Thorac Soc, 2022, 19(11): 1808-1817.
35. 刘礼银, 胡系伟, 杨然. 远程医疗在慢性阻塞性肺疾病患者肺康复中的应用价值. 内科理论与实践, 2022, 17(1): 97-101.
36. 卿小玲. 影响肺康复疗效的相关因素. 临床与病理杂志, 2018, 38(4): 886-891.

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