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Pulmonary Rehabilitation

  • Chapter
Chronic Obstructive Pulmonary Disease

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Abstract

Pulmonary rehabilitation has been defined [1] as the ‘art of medical practice where an individually tailored, multidisciplinary program is formulated which through accurate diagnosis, therapy, emotional support and education, stabilizes or reverses both the physio-and psychopathology of pulmonary diseases and attempts to return the patient to the highest possible functional capacity allowed by his pulmonary handicap and overall life situation.’ This global definition indicates the potential difficulties involved in the evaluation of the efficacy of rehabilitation treatment. There is tacit recognition that:

  1. 1.

    diagnosis is a component of pulmonary rehabilitation hopefully leading to improved patient characterization before treatment,

  2. 2.

    treatment requirements will vary between individuals,

  3. 3.

    the program is a process using existing treatments, and designed to integrate together the various components which have proven efficacy, and finally

  4. 4.

    at best the patient will remain handicapped by his illness.

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References

  1. Petty, T.L. (1977) Pulmonary rehabilitation. Respir. Care, 22, 68–77.

    PubMed  CAS  Google Scholar 

  2. McSweeny, J. (1988) Quality of life in COPD, in Chronic Obstructive Pulmonary Disease: A Behavioural Perspective. Lung Biology in Health and Disease, (eds J. McSweeny and I. Grant), Vol. 36, Marcel Dekker, New York.

    Google Scholar 

  3. World Health Organization (1977) Manual of the International Classification of Diseases, Injuries and Causes of Death, World Health Organization, Geneva.

    Google Scholar 

  4. Higgins, M. (1993) Epidemiology of obstructive pulmonary disease, in Principles and Practice of Pulmonary Rehabilitation, (eds R. Casaburi and T. Petty), Saunders, Philadelphia.

    Google Scholar 

  5. Petty, T.L. (1993) Pulmonary rehabilitation: a personal historical perspective, in Principles and Practice of Pulmonary Rehabilitation, (eds R. Casaburi and T. Petty), Saunders, Philadelphia.

    Google Scholar 

  6. Hodgkin, J.E., Balchum, O.J., Kass, I. et al. (1975) Chronic obstructive airways diseases. Current concepts in diagnosis and comprehensive care. JAMA, 232, 1243–60.

    PubMed  CAS  Google Scholar 

  7. Proceedings of the Conference on the Scientific Basis of Respiratory Therapy (1974) Am. Rev. Respir. Dis., 110, 51–202.

    Google Scholar 

  8. European Respiratory Society Rehabilitation and Chronic Care Scientific Group (1991). Pulmonary rehabilitation in chronic obstructive pulmonary disease (COPD) with recommendations for its use. Eur. Respir. Rev., Review No. 6, 1-568.

    Google Scholar 

  9. Make, B.J. (1986) Pulmonary Rehabilitation, in: Clin. Chest Med., 7, 4th ed., Saunders, Philadelphia.

    Google Scholar 

  10. Clark, C.J. (1994) Setting up a pulmonary rehabilitation programme. Thorax, 49, 270–78.

    PubMed  CAS  Google Scholar 

  11. Barcroft, J. (1934) Features in the Architecture of Physiological Function, Cambridge University Press, Cambridge, England.

    Google Scholar 

  12. American College of Sports Medicine (1980) Guidelines for Graded Exercise Testing and Exercise Prescription, 2nd edn, Lea & Febiger, Philadelphia.

    Google Scholar 

  13. Astrand, P.O. and Rodahl, K (1977) Textbook of Work Physiology, 2nd edn, McGraw-Hill, New York.

    Google Scholar 

  14. Belman, M.J. (1986) Exercise in chronic obstructive pulmonary disease. Clin. Chest Med., 7, 585–97.

    PubMed  CAS  Google Scholar 

  15. Wasserman, K., Hansen, J.E., Sue, D.Y. and Whipp, B.J. (1987) Principles of Exercise Testing and Interpretation, Lea & Febiger, Philadelphia, p. 52.

    Google Scholar 

  16. Casaburi, R., Patessio, A., Loli, F. et al. (1991) Reductions in exercise lactic acidosis and ventilation as a result of exercise training in patients with obstructive lung disease. Am. Rev. Respir. Dis., 143, 9–18.

    PubMed  CAS  Google Scholar 

  17. Casaburi, R. and Wasserman, K. (1986) Exercise training in pulmonary rehabilitation. N. Engl. J. Med., 314, 1509–11.

    PubMed  CAS  Google Scholar 

  18. Casaburi, R. and Petty, T. (eds) (1993) Exercise training in chronic obstructive lung disease, in Principles and Practice of Pulmonary Rehabilitation, Saunders, Philadelphia.

    Google Scholar 

  19. Clausen, J.P. (1976) Circulatory adjustments to dynamic exercise and effect of physical training in normal subjects and patients with coronary artery disease. Prog. Cardiovasc. Dis., 18, 459–95.

    PubMed  CAS  Google Scholar 

  20. Holloszy, J.O. (1976) Adaptations of muscular tissue to training. Prog. Cardiovasc. Dis., 18, 445–58.

    PubMed  CAS  Google Scholar 

  21. Jones, N.L. Kearon, M.C. and Leblanc, P. et al. (1989) Symptoms limiting activity in chronic airflow limitation. Am. Rev. Respir. Dis., 139, A319.

    Google Scholar 

  22. Guell, R., Gimenez, M. and Marchand, M. (1989) Dyspnoea, pain in the legs and quadriceps electro-myographic fatigue at maximal exercise in patients with chronic airway obstruction. Eur. Respir. J., Suppl. 2, 385s.

    Google Scholar 

  23. Allard, C., Jones, N.L. and Killian, K. J. (1989) Static peripheral skeletal muscle strength and exercise capacity in patients with chronic airflow limitation. Am. Rev. Respir. Dis. 138, A90.

    Google Scholar 

  24. Simpson, K., Killian, K., McCartney, N. et al. (1992) Randomised control trial of weight-lifting exercise in patients with chronic airflow limitation. Thorax, 47, 70–5.

    PubMed  CAS  Google Scholar 

  25. Mackay, E., Cochrane, L.M. and Clark, C.J. (1992) The effects of sequential isolated muscle training on peripheral muscle conditioning and exercise tolerance in patients with COPD. Eur. Respir. J., 5 (Suppl. 15): 30S.

    Google Scholar 

  26. Celli, B.R., Rassulo, J. and Make, B.J. (1986) Dyssynchronous breathing during arm but not leg exercise in patients with chronic airflow obstruction. N. Engl. J. Med., 314, 1485–90.

    PubMed  CAS  Google Scholar 

  27. Criner, G.J. and Celli, B.R. (1988) Effect of unsupported arm exercise on ventilatory muscle recruitment in patients with severe chronic airflow obstruction. Am. Rev. Respir. Dis. 138, 856–61.

    PubMed  CAS  Google Scholar 

  28. Ries, A.L., Ellis, B. and Hawkins, R.W. (1988) Upper extremity exercise training in chronic obstructive pulmonary disease. Chest, 93, 688–92.

    PubMed  CAS  Google Scholar 

  29. Lake, F.R., Henderson, K., Briffa, T. et al. (1990) Upper-limb and lower-limb exercise training in patients with chronic airflow obstruction. Chest, 97, 1077–82.

    PubMed  CAS  Google Scholar 

  30. Franklin, B.A. (1985) Exercise testing, training and arm ergometry. Sports Med., 2, 100–19.

    PubMed  CAS  Google Scholar 

  31. Franklin, B.A. (1989) Aerobic exercise training programs for the upper body. Med. Sci. Sports Exerc., 21, S141–S148.

    PubMed  CAS  Google Scholar 

  32. Sue, D.Y., Oren, A., Hansen, J.E. and Wasserman, K. (1987) Diffusing capacity for carbon monoxide as a predictor of gas exchange during exercise. N. Engl. J. Med., 316, 1301–6.

    PubMed  CAS  Google Scholar 

  33. Ries, A.L., Farrow, J.T. and Clausen, J.L. (1988) Pulmonary function tests cannot predict exercise-induced hypoxemia in chronic obstructive pulmonary disease. Chest, 93, 454–9.

    PubMed  CAS  Google Scholar 

  34. Zack, M.B. and Palange, A.V. (1985) Oxygen supplemented exercise of ventilatory and nonventilatory muscles in pulmonary rehabilitation. Chest, 88, 669–74.

    PubMed  CAS  Google Scholar 

  35. Cotes, J.E. and Gilson, J.C. (1956) Effect of oxygen on exercise ability in chronic respiratory insufficiency: Use of portable apparatus. Lancet, 1, 872–6.

    Google Scholar 

  36. Woodcock, A.A., Gross, E.R. and Geddes, D.M. (1981) Oxygen relieves breathlessness in ‘pink puffers’. Lancet, i, 907–9.

    Google Scholar 

  37. Stein, D.A., Bradley, B.L. and Miller, W.C. (1982) Mechanisms of oxygen effects on exercise in patients with chronic obstructive pulmonary disease. Chest, 81, 6–10.

    PubMed  CAS  Google Scholar 

  38. Foster, S., Lopez, D. and Thomas, H.M. (1988) Pulmonary rehabilitation in COPD patients with elevated PCO2. Am. Rev. Respir. Dis., 138, 1519–23.

    PubMed  CAS  Google Scholar 

  39. Pardy, R.L., Reid, D.W. and Belman, M.J. (1988) Respiratory muscle training. Clin. Chest Med., 9, 287–96.

    PubMed  CAS  Google Scholar 

  40. Rochester, D.F. (1988) Does respiratory muscle rest relieve fatigue or incipient failure? Am. Rev. Respir. Dis., 138, 516–7.

    PubMed  CAS  Google Scholar 

  41. Grassino, A. (1989) Inspiratory muscle training in COPD patients. Eur. Respir. J., Suppl. 2, 581s–586s.

    Google Scholar 

  42. Smith, K., Cook, D., Guyatt, G.H. et al. (1992) Respiratory muscle training in chronic airflow limitation: a meta-analysis. Am. Rev. Respir. Dis., 145, 533–9.

    PubMed  CAS  Google Scholar 

  43. Moxham, J. (1990) Respiratory muscle fatigue, mechanisms, evaluation and therapy. Br. J. Anaesth., 65, 43–53.

    PubMed  CAS  Google Scholar 

  44. Laroche, C.M., Moxham, J. and Green, M. (1989) Respiratory muscle weakness and fatigue. Q. J. Med., 71, 373–97.

    PubMed  CAS  Google Scholar 

  45. Dekhuijzen, P.N., Folgering, H.T. and van Herwaarden, C. L. (1991) Target-flow inspiratory muscle training during pulmonary rehabilitation in patients with COPD. Chest, 99, 128–33.

    PubMed  CAS  Google Scholar 

  46. Harver, A., Mahler, D.A. and Daubenspeck, J.A. (1989) Targeted inspiratory muscle training improves respiratory muscle function and reduces dyspnoea in patients with chronic obstructive disease. Ann. Intern. Med., 111, 117–24.

    PubMed  CAS  Google Scholar 

  47. Black, L.F. and Hyatt, R.E. (1969) Maximal respiratory pressures: Normal values and relationship to age and sex. Am. Rev. Respir. Dis., 99, 696–702.

    PubMed  CAS  Google Scholar 

  48. Grimby, G. and Stiksa, J. (1970) Flow-volume curves and breathing patterns during exercise in patients with obstructive lung disease. Scand. J. Clin. Lab. Invest., 25, 303–13.

    PubMed  CAS  Google Scholar 

  49. Potter, W.A., Olafsson, S. and Hyatt, R.E. (1971) Ventilatory mechanics and expiratory flow limitation during exercise in patients with obstructive lung disease. J. Clin. Invest., 50, 910–9.

    PubMed  CAS  Google Scholar 

  50. Stubbing, D.G., Pengelly, L.D., Morse, J.L.C. and Jones, N. (1980) Pulmonary mechanics during exercise in subjects with chronic airflow obstruction. J. Appl. Physiol., 49, 511–5.

    PubMed  CAS  Google Scholar 

  51. Younes, M. (1989) Load responses, dyspnoea and respiratory failure. Chest, 3, 595–685.

    Google Scholar 

  52. Fleury, B., Murciano, C., Talamo, C. et al. (1985) Work of breathing in patients with chronic obstructive pulmonary disease in acute respiratory failure. Am. Rev. Respir. Dis., 131, 822–7.

    PubMed  CAS  Google Scholar 

  53. Haluszka, J., Chartrand, D.A., Grassino, A.E. et al. (1990) Intrinsic PEEP and arterial PCO2 in stable patients with chronic obstructive pulmonary disease. Am. Rev. Respir. Dis., 141, 1194–7.

    PubMed  CAS  Google Scholar 

  54. Smith, T.C. and Marini, J.J. (1988) Impact of PEEP on lung mechanics and work of breathing in severe airflow obstruction. J. Appl. Physiol., 65, 1488–99.

    PubMed  CAS  Google Scholar 

  55. Petrof, B.J., Calderini, E. and Gottfried, S.B. (1990) Effect of CPAP on respiratory effort and dyspnoea during exercise in COPD. J. Appl. Physiol., 69, 179–88.

    PubMed  CAS  Google Scholar 

  56. O’Donnell, D.E., Sanii, R., Gresinecht, G. et al. (1988) Effect of continuous positive airway pressure on respiratory sensation in patients with chronic obstructive pulmonary disease during submaximal exercise. Am. Rev. Respir. Dis., 138, 1185–91.

    PubMed  Google Scholar 

  57. Barach, A.L. (1955) Breathing exercises in pulmonary emphysema and allied chronic respiratory disease. Arch. Phys. Med. Rehab., 36, 379–90.

    CAS  Google Scholar 

  58. Miller, W.F. (1954) A physiologic evaluation of the effects of diaphragmatic breathing training in patients with chronic pulmonary emphysema. Am. J. Med., 17, 471–7.

    PubMed  CAS  Google Scholar 

  59. Faling, J.L. (1993) Controlled breathing techniques and chest physical therapy in chronic obstructive pulmonary disease and allied conditions, in Principles and Practice of Pulmonary Rehabilitation, (eds R. Casaburi and T. Petty), Saunders, Philadelphia.

    Google Scholar 

  60. Mueller, R.E., Petty, T.L. and Filley, G.F. (1970) Ventilation and arterial blood gas changes induced by pursed lip breathing. J. Appl. Physiol., 28, 784–9.

    PubMed  CAS  Google Scholar 

  61. Thoman, R.L., Stoker, G.L. and Ross, J.C. (1966) The efficacy of pursed-lips breathing in patients with chronic obstructive pulmonary disease. Am. Rev. Respir. Dis., 93, 100–5.

    PubMed  CAS  Google Scholar 

  62. Ingram, R.H. Jr and Schilder, D.P. (1967) Effect of pursed lips expiration on the pulmonary pressure-flow relationship in obstructive lung disease. Am. Rev. Respir. Dis., 96, 381–7.

    PubMed  Google Scholar 

  63. Tiep, B.L., Burns, M., Kao, D. et al. (1986). Pursed lips breathing training using ear oximetry. Chest, 90, 218–21.

    PubMed  CAS  Google Scholar 

  64. Roa, J., Epstein, S., Breslin, E. et al. (1991) Work of breathing and ventilatory muscle recruitment during pursed lip breathing in patients with chronic airway obstruction. Am. Rev. Respir. Dis., 143, A77.

    Google Scholar 

  65. Sharp, J.T., Drutz, W.S., Moisan, T. et al. (1980) Postural relief of dyspnea in severe chronic obstructive pulmonary disease. Am. Rev. Respir. Dis., 122, 201–11.

    PubMed  CAS  Google Scholar 

  66. Delgado, H.R., Braun, SR., Skatrud, J. B. et al. (1982) Chest wall and abdominal motion during exercise in patients with chronic obstructive pulmonary disease. Am. Rev. Respir. Dis., 126, 200–5.

    PubMed  CAS  Google Scholar 

  67. Miller, W.F. (1958) Physical therapeutic measures in the treatment of chronic bronchopulmonary disorders: Methods for breathing training. Am. J. Med. 24, 929–40.

    PubMed  CAS  Google Scholar 

  68. Sinclair, J.D. (1955) The effect of breathing exercises in pulmonary emphysema. Thorax, 10, 246–9.

    PubMed  CAS  Google Scholar 

  69. McNeil, R.S. and McKenzie, J.M. (1955) An assessment of the value of breathing exercises in chronic bronchitis and asthma. Thorax, 10, 250–2.

    Google Scholar 

  70. Willeput, R., Vachaudez, J.P., Lenders, D. et al. (1983) Thoracoabdominal motion during chest physiotherapy in patients affected by chronic obstructive lung disease. Respiration, 44, 204–14.

    PubMed  CAS  Google Scholar 

  71. Brach, B.B., Chao, R.P., Sgroi, V.L. et al. (1977) Xenon washout patterns during diaphragmatic breathing. Studies in normal persons and patients with chronic obstructive pulmonary disease. Chest, 71, 735–9.

    PubMed  CAS  Google Scholar 

  72. Sackner, M.A., Gonzalez, H.F., Jenouri, G. and Rodriguez, M. (1984) Effects of abdominal and thoracic breathing on breathing pattern components in normal subjects and in patients with chronic obstructive pulmonary disease. Am. Rev. Respir. Dis., 130, 584–7.

    PubMed  CAS  Google Scholar 

  73. Wilson, D.O., Rogers, R.M., Hoffman, R.M. (1985) Nutrition and chronic lung disease. Am. Rev. Respir. Dis., 132, 1347–65.

    PubMed  CAS  Google Scholar 

  74. Burrows, B., Niden, A. H., Barclay, W. R. and Kasik, J.E. (1964) Chronic obstructive lung disease. II. Relationship of clinical and physiological findings to the severity of airways obstruction. Am. Rev. Respir. Dis., 91, 665–78.

    Google Scholar 

  75. Renzetti, A.D., McClement, J.H. and Litt, B.D. (1966) The veterans administration cooperative study of pulmonary function. III. Mortality in relation to respiratory function in chronic obstructive pulmonary disease. Am. J. Med., 41, 115–29.

    PubMed  Google Scholar 

  76. Wilson, D.O., Rogers, R.M., Wright, E.C. and Anthonisen, N. R. (1989) Body weight in chronic obstructive pulmonary disease. The National Institutes of Health intermittent positive-pressure breathing trial. Am. Rev. Respir. Dis., 139, 1435–8.

    PubMed  CAS  Google Scholar 

  77. Boushy, S.F., Adhikari, P.K., Sakamoto, A. and Lewis, B. M. (1964) Factors affecting prognosis in emphysema. Dis. Chest, 45, 402–11.

    PubMed  CAS  Google Scholar 

  78. Thurlbeck, M.M., (1978) Diaphragm and body weight in emphysema. Thorax, 33, 483–7.

    PubMed  CAS  Google Scholar 

  79. Rochester, D.F. and Braun, N.M.T. (1985) Determinants of maximal inspiratory pressure in chronic obstructive pulmonary disease. Am. Rev. Respir. Dis., 132, 42–7.

    PubMed  CAS  Google Scholar 

  80. Donahoe, M., Rogers, R.M., Wilson, D.O. and Pennock, B. E. (1989) Oxygen consumption of the respiratory muscles in normal and in malnourished patients with chronic obstructive pulmonary disease. Am. Rev. Respir. Dis., 140, 385–91.

    PubMed  CAS  Google Scholar 

  81. Sahebjami, H. (1986) Nutrition and the pulmonary parenchyma. Clin. Chest Med., 7, 111–26.

    PubMed  CAS  Google Scholar 

  82. Shennib, H., Chu-Jeng Chiu R., Mulder, D.S. and Lough, J.O. (1984) Depression and delayed recovery of alveolar macrophage function during starvation and refeeding. Surg. Gynecol. Obstet., 158, 535–40.

    PubMed  CAS  Google Scholar 

  83. Goldstein, S.A., Thomashow, B.M., Kvetan, V. et al. (1988) Nitrogen and energy relationships in malnourished patients with emphysema. Am. Rev. Respir. Dis., 138, 636–44.

    PubMed  CAS  Google Scholar 

  84. Fitting, J.W., Frascarolo, Ph., Jequier, E. and Leuenberger, Ph. (1989) Energy expenditure and rib cage-abdominal motion in chronic obstructive pulmonary disease. Eur. Respir. J., 2, 840–5.

    PubMed  CAS  Google Scholar 

  85. Wilson, D.O., Donahoe, M., Rogers, R.M. and Pennock, B.E. (1990) Metabolic rate and weight loss in chronic obstructive lung disease. J. Parenter. Enterai Nutr., 14L, 7–11.

    Google Scholar 

  86. Hugli, O., Schutz, Y., Leuenberger, Ph. and Fitting, J.W. (1991) The daily energy expenditure of COPD patients in confined and free-living conditions. Am. Rev. Respir. Dis., 143, A453.

    Google Scholar 

  87. Lewis, M.I., Belman, M.J. and Door-Uyemura, L. (1987) Nutritional supplementation in ambulatory patients with chronic obstructive pulmonary disease. Am. Rev. Respir. Dis., 135, 1062–8.

    PubMed  CAS  Google Scholar 

  88. Knowles, J.B., Fairbairn, M.S., Wiggs, B.J. et al. (1988) Dietary supplementation and respiratory muscle performance in patients with COPD. Chest, 93, 977–83.

    PubMed  CAS  Google Scholar 

  89. Efthimiou, J., Fleming, J., Gomes, C. and Spiro, S.G. (1988) The effect of supplementary oral nutrition in poorly nourished patients with chronic obstructive pulmonary disease. Am. Rev. Respir. Dis., 137, 1075–82.

    PubMed  CAS  Google Scholar 

  90. Otte, K.F., Ahlburg, P., D’Amore, F. and Stellfield, M. (1989) Nutritional repletion in malnourished patients with emphysema. J. Parenter. Enteral Nutr., 13, 152–6.

    CAS  Google Scholar 

  91. Whittaker, J.S., Ryan, C.F., Buckley, P.A. and Road, J.R. (1990) The effects of refeeding on peripheral and respiratory muscle function in malnourished chronic obstructive pulmonary disease patients. Am. Rev. Respir. Dis., 142, 283–8.

    PubMed  CAS  Google Scholar 

  92. Covelli, H.D., Waylon Black, J., Olsen, M.S. and Beekman, J.F. (1981) Respiratory failure precipitated by high carbohydrate loads. Ann. Intern. Med., 95, 579–81.

    PubMed  CAS  Google Scholar 

  93. Angelillo, V.A., Bedi, S., Durfee, D. et al. (1985) Effects of low and high carbohydrate feedings in ambulatory patients with chronic obstructive pulmonary disease and chronic hypercapnia. Ann. Intern. Med., 103, 883–5.

    PubMed  CAS  Google Scholar 

  94. Neish, C.M. and Hopp, J.W. (1988) The role of education in pulmonary rehabilitation. J. Cardiopulmonary Rehabil., 11, 439–41.

    Google Scholar 

  95. Howland, J., Nelson, E.C., Barlow, P.B. et al. (1986) Chronic obstructive airway disease: impact of health education. Chest, 90, 233–8.

    PubMed  CAS  Google Scholar 

  96. Askikaga, T., Vacek, P.M. and Lewis, S.O. (1980) Evaluation of a community-based education programme for individuals with chronic obstructive pulmonary disease. J. Rehabil. Res. Dev., 46, 23–7.

    Google Scholar 

  97. Kaplan, R.M., Eakin, E.G. and Ries, A.L. (1993) Psychosocial issues in the rehabilitation of patients with chronic obstructive pulmonary disease, in Principles and Practice of Pulmonary Rehabilitation, (eds. R. Casaburi and T. Petty), Saunders, Philadelphia.

    Google Scholar 

  98. Clark, C.J. (1993) Evaluating the results of pulmonary rehabilitation treatment, in Principles and Practice of Pulmonary Rehabilitation, (eds. R. Casaburi and T. Petty), Saunders, Philadelphia.

    Google Scholar 

  99. Jones, P.W., Baveystock, C.M. and Littlejohns, P. (1989) Relationships between general health measured with the sickness impact profile and respiratory symptoms, physiological measures and mood in patients with chronic airflow limitation. Am. Rev. Respir. Dis., 140, 1538–43.

    PubMed  CAS  Google Scholar 

  100. Cotes, J.E., Bishop, J.M., Capel, L.H. et al. (1981) Disabling chest disease; prevention and care: a report of the Royal College of Physicians by the College Committee on Thoracic Medicine. J. R. Coll. Physicians Lond., 15, 69–87.

    Google Scholar 

  101. Sackett, D.L. (1976) The magnitude of compliance and non-compliance, in Compliance with Therapeutic Regimens, (eds D.L. Sackett and R.B. Haynes). John Hopkins University Press, Baltimore.

    Google Scholar 

  102. Carmody, T., Senner, J., Malineau, M. and Matarazzo, G. (1980) Physical exercise rehabilitation: long term dropout rate in cardiac patients. J. Behav. Med., 3, 163–8.

    PubMed  CAS  Google Scholar 

  103. Larson, E.B. and Bruce, R.A. (1987) Health benefits of exercise in an aging society. Arch. Intern. Med., 147, 353–6.

    PubMed  CAS  Google Scholar 

  104. Singh, S.J., Morgan, M.D.L., Scott, S. et al. (1992) Development of a shuttle walking test of disability in patients with chronic airways obstructive. Thorax, 47, 1019–24.

    PubMed  CAS  Google Scholar 

  105. McGavin, C.R., Gupta, S.P., Lloyd, E.L. and McHardy, J.R. (1977) Physical rehabilitation of chronic bronchitis; Results of a controlled trial of exercises in the home. Thorax, 32, 307–11.

    PubMed  CAS  Google Scholar 

  106. Ambrosino, N., Paggiaro, P.L., Macchi, M. et al. (1981) A study of short-term effect of rehabilitative therapy in chronic obstructive pulmonary disease. Respiration, 41, 40–4.

    PubMed  CAS  Google Scholar 

  107. Booker, H.A. (1984) Exercise training and breathing control in patients with chronic airflow limitation. Physiotherapy, 70, 258–60.

    PubMed  CAS  Google Scholar 

  108. Sinclair, D.J.M. and Ingram, C.G. (1980) Controlled trial of supervised exercise training in chronic bronchitis. Br. Med. J., 280, 519–21.

    PubMed  CAS  Google Scholar 

  109. Cockroft, A., Bagnall, P., Heslop, A. et al. (1987) Controlled trial of respiratory health worker visiting patients with chronic respiratory disability. Br. Med. J., 294, 225–8.

    Google Scholar 

  110. Tydeman, D.E., Chandler, A.R., Graveling, B.M. et al. (1984) An investigation into the effects of exercise tolerance training on patients with chronic airways obstruction. Physiotherapy, 70, 261–4.

    PubMed  CAS  Google Scholar 

  111. Zack, M.B. and Palange, A.V. (1985) Oxygen supplemented exercise of ventilatory and nonventilatory muscles in pulmonary rehabilitation. Chest, 88, 669–75.

    PubMed  CAS  Google Scholar 

  112. Mohsenifar, Z., Horak, D., Brown, H.V. and Koerner, S. K. (1983) Sensitive indices of improvement in a pulmonary rehabilitation programme. Chest, 83, 189–92.

    PubMed  CAS  Google Scholar 

  113. Mall, R.W. and Medeiros, M. (1989) Objective evaluation of results of a pulmonary rehabilitation programme in a community hospital. Chest, 94, 1156–60.

    Google Scholar 

  114. Bebout, D.E., Hodgkin, J.E., Zorn, E.G. et al. (1983) Clinical and physiological outcomes of a university-hospital pulmonary rehabilitation programme. Respir. Care, 28, 1468–73.

    PubMed  CAS  Google Scholar 

  115. Atkins, C.J., Kaplan, R.M., Timms, R.M. et al. (1984) Behavioral exercise programmes in the management of chronic obstructive pulmonary disease. J. Consult. Clin. Psychol., 52, 591–603.

    PubMed  CAS  Google Scholar 

  116. Dudley, D.L., Glaser, E. M., Jorgenson, B.N. and Logan, D.L. (1980) Psychosocial concomitants to rehabilitation in chronic obstructive pulmonary disease. Part 2. Psychosocial treatment. Chest, 77, 544–684.

    PubMed  CAS  Google Scholar 

  117. Krop, H.D., Block, A.J. and Cohen, E. (1973) Neuropsychologic effects of continuous oxygen therapy in chronic obstructive pulmonary disease. Chest, 64, 317–22.

    PubMed  CAS  Google Scholar 

  118. Williams, S.J. (1989) Chronic respiratory illness and disability: a critical review of the psychosocial literature. Soc. Sci. Med., 28, 791–803.

    PubMed  CAS  Google Scholar 

  119. Renfroe, K.L. (1988) Effect of progressive relaxation on dypnoea and state anxiety patients with chronic obstructive pulmonary disease. Heart Lung, 17, 408–13.

    PubMed  CAS  Google Scholar 

  120. Tandon, M.K. (1978) Adjunct treament with yoga in chronic severe airways obstruction. Thorax, 33, 514–7.

    PubMed  CAS  Google Scholar 

  121. Haas, A. and Cardon, H. (1969) Rehabilitation in chronic obstructive pulmonary disease: a 5 year study of 252 patients. Med. Clin. North Am., 53, 593–606.

    PubMed  CAS  Google Scholar 

  122. Sahn, S.A., Nett, L.M. and Petty, T.L. (1980) Ten year follow-up of a comprehensive rehabilitation programme for severe COPD. Chest, 77, 311–4.

    PubMed  CAS  Google Scholar 

  123. Anthonisen, N.R., Wright, E.C. and Hodgkin, J.E. (1986) Prognosis in chronic obstructive pulmonary disease. Am. Rev. Respir. Dis., 133, 14–20.

    PubMed  CAS  Google Scholar 

  124. Nocturnal Oxygen Therapy Trial Group. (1980) Continuous or nocturnal oxygen therapy in hypoxaemic chronic obstructive lung disease. Ann. Intern. Med., 93, 391–8.

    Google Scholar 

  125. Toevs, C.D., Kaplan, R.M. and Atkins, C.J. (1984) The costs and effects of behavioral programs in chronic obstructive pulmonary disease. Med. Care, 22, 1088–1100.

    PubMed  CAS  Google Scholar 

  126. Petty, T.L., Neff, L.M., Finigan, M.M. et al. (1969) A comprehensive care programme for chronic airways obstruction: methods and preliminary evaluation of symptomatic and functional improvement. Ann. Intern. Med., 70, 1109–20.

    PubMed  CAS  Google Scholar 

  127. Johnson, H.R., Tanzi, F., Balchum, O.J. et al. (1980) Inpatient comprehensive pulmonary rehabilitation in severe COPD. Respir. Ther., May/June, 15–19.

    Google Scholar 

  128. Agle, D.P. Baum, G.L., Chester, E.H. and Wendt, M. (1973) Multidiscipline treatment of chronic pulmonary insufficiency: 1. Psychologic aspects of rehabilitation. Psychosom. Med., 35, 41–9.

    PubMed  CAS  Google Scholar 

  129. Alpert, J.S., Bass, H., Szucs, M.M. et al. (1975) Effects of physical training on hemodynamics and pulmonary function at rest and during exercise in patients with chronic obstructive pulmonary disease. Chest, 66, 647–51.

    Google Scholar 

  130. Hudson, L.D., Tyler, M.L. and Petty, T.L. (1976) Hospitalisation needs during an outpatient rehabilitation programme for severe chronic airway obstruction. Chest, 70, 606–10.

    PubMed  CAS  Google Scholar 

  131. Haas, A. and Cardon, H. (1969) Rehabilitation in chronic obstructive pulmonary disease: a 5 year study of 252 male patients. Med. Clin. North Am., 53, 593–606.

    PubMed  CAS  Google Scholar 

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Authors
  1. C. J. Clark
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Editors and Affiliations

  1. Aintree Chest Clinic, Regional Thoracic Unit, Fazakerley Hospital, Longmoor Lane, Liverpool, L9 7AL, UK

    P. M. A. Calverley (Consultant Physician, Senior Fellow) (Consultant Physician, Senior Fellow)

  2. Department of Medicine, University of Liverpool, UK

    P. M. A. Calverley (Consultant Physician, Senior Fellow) (Consultant Physician, Senior Fellow)

  3. Department of Medicine, (Respiratory Division), Hammersmith Hospital, Du Cane Road, London, W12 0NN, UK

    N. B. Pride (Consultant Physician, Professor of Respiratory Medicine) (Consultant Physician, Professor of Respiratory Medicine)

  4. Royal Postgraduate Medical School, London, UK

    N. B. Pride (Consultant Physician, Professor of Respiratory Medicine) (Consultant Physician, Professor of Respiratory Medicine)

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© 1995 Springer Science+Business Media Dordrecht

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Clark, C.J. (1995). Pulmonary Rehabilitation. In: Calverley, P.M.A., Pride, N.B. (eds) Chronic Obstructive Pulmonary Disease. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-4525-9_21

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  • DOI: https://doi.org/10.1007/978-1-4899-4525-9_21

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-412-46450-8

  • Online ISBN: 978-1-4899-4525-9

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