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Pulmonary rehabilitation and COPD: providing patients a good environment for optimizing therapy

Authors Corhay JL, Nguyen Dang D, Van Cauwenberge H, Louis R

Received 24 July 2013

Accepted for publication 16 October 2013

Published 16 December 2013 Volume 2014:9(1) Pages 27—39

DOI https://doi.org/10.2147/COPD.S52012

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Jean-Louis Corhay, Delphine Nguyen Dang, Hélène Van Cauwenberge, Renaud Louis

Department of Pneumology, Centre Hospitalier Universitaire du Sart-Tilman Liège, Liège, Belgium

Abstract: Chronic obstructive pulmonary disease (COPD) is an obstructive and progressive airway disease associated with an important reduction in daily physical activity and psychological problems that contribute to the patient's disability and poor health-related quality of life (HRQoL). Nowadays, pulmonary rehabilitation (PR) plays an essential role in the management of symptomatic patients with COPD, by breaking the vicious circle of dyspnea–decreased activity–deconditioning–isolation. Indeed the main benefits of comprehensive PR programs for patients with COPD include a decrease in symptoms (dyspnea and fatigue), improvements in exercise tolerance and HRQoL, reduction of health care utilization (particularly bed-days), as well as an increase in physical activity. Several randomized studies and meta-analyses greatly established the benefits of PR, which additionally, is recommended in a number of influential guidelines. This review aimed to highlight the impact of PR on COPD patients, focusing on the clinical usefulness of PR, which provides patients a good support for change.

Keywords: chronic obstructive pulmonary disease, exercise training, physical activity, quality of life

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