Printer Friendly

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 (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: 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, 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, Australia
COPYRIGHT 2008 Australian Physiotherapy Association
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2008 Gale, Cengage Learning. All rights reserved.

Article Details
Printer friendly Cite/link Email Feedback
Title Annotation:Appraisal: Clinical Practice Guidelines; American College of Chest Physicians; American Association of Cardiovascular and Pulmonary Rehabilitation
Author:Brauer, Sandra
Publication:Australian Journal of Physiotherapy
Geographic Code:8AUST
Date:Mar 1, 2008
Previous Article:The Impact of Event Scale (IES).
Next Article:Stroke: clinical guidelines for acute stroke management.

Related Articles
Acute COPD exacerbations: an evidenced-based approach.
Current Australian and New Zealand physiotherapy practice in the management of patients with bronchiectasis and chronic obstructive pulmonary disease.
Lack of relationship between functional and perceived Quality of life outcomes following pulmonary rehabilitation.
Physical therapists as providers of care: exercise prescriptions and resultant outcomes in cardiac and pulmonary rehabilitation programs in New York...
Improved health-related quality of life after lung volume reduction surgery and pulmonary rehabilitation.
Nonpharmacologic airway clearance therapies.
Emergence of e-learning.
A predominantly home-based progressive resistance exercise program increases knee extensor strength in the short-term in people with chronic...

Terms of use | Copyright © 2016 Farlex, Inc. | Feedback | For webmasters