Pulmonary rehabilitation: joint ACCP/AACVPR evidence-based clinical practice guidelines.Date of latest update: July 2007. Date of next update: 2009. Patient group: Adults with chronic obstructive pulmonary disease chronic obstructive pulmonary diseasen. Abbr. COPD A chronic lung disease, such as asthma or emphysema, in which breathing becomes slowed or forced. (COPD COPD chronic obstructive pulmonary disease. COPD abbr. chronic obstructive pulmonary disease Chronic obstructive pulmonary disease (COPD) ) and other chronic lung diseases. Intended audience: Clinicians working with people with chronic lung diseases. Additional versions: Nil. This guideline updates the recommendations from the previous 1997 document. Expert working group: Ten professionals from USA comprised the guideline development group. This included physicians, researchers, a public health expert, and a nurse. Funded by: The American College of Chest Physicians (ACCP) and American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR). Consultation with: Consultation processes were not outlined. Approved by: ACCP and AACVPR, American Thoracic Society, The European Respiratory Society, and the US COPD Coalition. Location: http://chestjournal.org/ggi/content/ abstract/131/5_suppl/4s Description: 40 page document. The guidelines provide evidence of the effectiveness of pulmonary rehabilitation as an intervention for people with COPD and other chronic lung conditions. Outcomes of pulmonary rehabilitation programs are presented in terms of physical performance (eg, dyspnea), psychosocial outcomes including quality of life, health care utilisation and economic analyses, and long term benefits including survival. Grading of the recommendations and strength of evidence for these outcomes are provided. The bulk of the guidelines may be useful for physiotherapists as they present evidence for issues related to the content of pulmonary rehabilitation programs. These include: duration of pulmonary rehabilitation programs, intensity of aerobic exercise training, strength training in programs, upper extremity training, inspiratory muscle training inspiratory muscle training (in·spīˑ·r , education, psychological and behavioural components, and oxygen supplementation during exercise. Evidence for post rehabilitation management strategies is also provided. The guidelines are supported by 211 references. Sandra Brauer The University of Queensland The University of Queensland (UQ) is the longest-established university in the state of Queensland, Australia, a member of Australia's Group of Eight, and the Sandstone Universities. It is also a founding member of the international Universitas 21 organisation. , Australia |
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