Rutkowski Sebastian
Department of Physical Education and Physiotherapy, Opole University of Technology, 45-758 Opole, Poland.
J Clin Med. 2021 Mar 18;10(6):1261. doi: 10.3390/jcm10061261.
For the treatment of chronic obstructive pulmonary disease (COPD), early diagnosis and unconditionally correct management at the initial stage of the disease are very important when the symptoms are not yet too worrying. In this way, the progress of the disease can be slowed down, as can the occurrence of late, life-threatening symptoms. Pulmonary rehabilitation is an essential component of the management of COPD. The selection of appropriate exercises, which are determined during the classification of patients into a suitable improvement program, is of key importance in the process of rehabilitation. The coronavirus disease 2019 (COVID-19) pandemic has resulted in major limitations to public health care. Health systems were largely unprepared for an outbreak of this magnitude. Searching for new, attractive technologies that help patients with chronic diseases seems to be justified. This may be driven by telehealth platforms, likewise with the use of virtual reality (VR). Analysis of the available literature indicates promising effectiveness, high patient acceptance, and high motivations to undertake physical activity with the use of such a solution. Thus, the management of patients with COPD during the COVID-19 pandemic should include options for remote delivery of pulmonary rehabilitation, including home-based, telerehabilitation, and computer-based virtual programs.
对于慢性阻塞性肺疾病（COPD）的治疗，在疾病症状尚未过于令人担忧的初期进行早期诊断和无条件的正确管理非常重要。通过这种方式，可以减缓疾病的进展，也能减少晚期危及生命症状的发生。肺康复是COPD管理的重要组成部分。在将患者分类到合适的改善计划过程中确定的适当运动选择，在康复过程中至关重要。2019冠状病毒病（COVID-19）大流行给公共卫生保健带来了重大限制。卫生系统在很大程度上对如此大规模的疫情爆发毫无准备。寻找有助于慢性病患者的新的、有吸引力的技术似乎是合理的。这可能由远程医疗平台推动，同样也可借助虚拟现实（VR）。对现有文献的分析表明，使用这种解决方案进行体育活动具有可观的有效性、较高的患者接受度和积极性。因此，在COVID-19大流行期间，COPD患者的管理应包括远程提供肺康复的选项，包括居家康复、远程康复和基于计算机的虚拟程序。
