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慢性阻塞性肺疾病的肺康复运动处方:选定指南综述:美国心血管和肺康复协会官方声明

Pulmonary Rehabilitation Exercise Prescription in Chronic Obstructive Pulmonary Disease: Review of Selected Guidelines: AN OFFICIAL STATEMENT FROM THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION.

作者信息

Garvey Chris, Bayles Madeline Paternostro, Hamm Larry F, Hill Kylie, Holland Anne, Limberg Trina M, Spruit Martijn A

机构信息

Pulmonary Rehabilitation and Sleep Disorders, University of California San Francisco (Mr Garvey); Undergraduate/Graduate Exercise Science Program, Indiana University of Pennsylvania, Indiana (Dr Bayles); Department of Exercise and Nutrition Sciences, Milken Institute School of Public Health, The George Washington University, Washington, DC (Dr Hamm); School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, Bentley, Western Australia, Australia, Institute for Respiratory Health, University of Western Australia, Perth, Western Australia, Australia, and Royal Perth Hospital, Physiotherapy Department, Perth, Western Australia, Australia (Dr Hill); Discipline of Physiotherapy, La Trobe University, Bundoora, Victoria, Australia, Department of Physiotherapy, Alfred Health, Institute for Breathing and Sleep, Melbourne, Australia (Dr Holland); Preventative Pulmonary and Rehabilitative Services, University of California San Diego Health System (Ms Limberg); and Department of Research and Education, CIRO+, Center of Expertise for Chronic Organ Failure, Horn, The Netherlands, and REVAL-Rehabilitation Research Center, BIOMED-Biomedical Research Institute, Faculty of Medicine and Life Sciences, Hasselt University, Diepenbeek, Belgium (Dr Spruit).

出版信息

J Cardiopulm Rehabil Prev. 2016 Mar-Apr;36(2):75-83. doi: 10.1097/HCR.0000000000000171.

Abstract

Chronic obstructive pulmonary disease (COPD) is associated with disabling dyspnea, skeletal muscle dysfunction, and significant morbidity and mortality. Current guidelines recommend pulmonary rehabilitation (PR) to improve dyspnea, functional capacity, and quality of life. Translating exercise science into safe and effective exercise training requires interpretation and use of multiple guidelines and recommendations. The purpose of this statement is to summarize for clinicians 3 current chronic obstructive pulmonary disease guidelines for exercise that may be used to develop exercise prescriptions in the PR setting. The 3 guidelines have been published by the American College of Sports Medicine, the American Thoracic Society/European Respiratory Society, and the American Association of Cardiovascular and Pulmonary Rehabilitation. In addition to summarizing these 3 guidelines, this statement describes clinical applications, explores areas of uncertainty, and suggests strategies for providing effective exercise training, given the diversity of guidelines and patient complexity.

摘要

慢性阻塞性肺疾病(COPD)与致残性呼吸困难、骨骼肌功能障碍以及高发病率和死亡率相关。当前指南推荐进行肺康复(PR)以改善呼吸困难、功能能力和生活质量。将运动科学转化为安全有效的运动训练需要解读和运用多项指南及建议。本声明的目的是为临床医生总结3项当前关于慢性阻塞性肺疾病运动的指南,这些指南可用于制定肺康复环境下的运动处方。这3项指南分别由美国运动医学学院、美国胸科学会/欧洲呼吸学会以及美国心血管和肺康复协会发布。除了总结这3项指南外,本声明还描述了临床应用,探讨了存在不确定性的领域,并鉴于指南的多样性和患者的复杂性,提出了提供有效运动训练的策略。

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