Nakazawa Atsuhito, Cox Narelle S, Holland Anne E
Physiotherapy, School of Allied Health, La Trobe University, Melbourne, Victoria, Australia.
Physiotherapy, School of Allied Health, La Trobe University, Melbourne, Victoria, Australia Institute for Breathing and Sleep, Melbourne, Victoria, Australia.
Ther Adv Respir Dis. 2017 Feb;11(2):115-128. doi: 10.1177/1753465816676048. Epub 2016 Nov 15.
Interstitial lung disease (ILD) is a group of chronic respiratory diseases characterized by dyspnoea on exertion and decline in health-related quality of life (HRQL). People with ILD experience significant exercise limitation with contributors that include ventilatory limitation, impaired gas exchange, decreased cardiac function and skeletal muscle dysfunction. Pulmonary rehabilitation (PR) is well established in patients with chronic obstructive pulmonary disease (COPD) as a means to overcome exercise limitation and improve activity-related dyspnoea. There is increasing evidence for similar effects of PR in people with ILD. This review discusses the evidence for PR in ILD, outlines the essential components of PR in this population, and highlights special considerations for exercise training in people with ILD. Possible future directions for PR research in people with ILD are explored.
间质性肺疾病(ILD)是一组慢性呼吸系统疾病,其特征为劳力性呼吸困难和健康相关生活质量(HRQL)下降。ILD患者存在明显的运动受限,其原因包括通气受限、气体交换受损、心功能下降和骨骼肌功能障碍。肺康复(PR)在慢性阻塞性肺疾病(COPD)患者中已被广泛应用,作为克服运动受限和改善与活动相关的呼吸困难的一种手段。越来越多的证据表明PR对ILD患者也有类似效果。本综述讨论了PR在ILD中的证据,概述了该人群PR的基本组成部分,并强调了ILD患者运动训练的特殊注意事项。探讨了ILD患者PR研究未来可能的方向。