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Pulmonary rehabilitation

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https://www.readbyqxmd.com/read/28227787/support-and-rehabilitation-of-patients-with-pulmonary-expansion-deficit-by-using-game-therapy
#1
P F S Chacon, C F Schon, V H L A Furtado, G L A M Signoretti, J P P Oliveira, A G Ribeiro, C D V Wanderley, A A R Diniz, H B Soares, P F S Chacon, C F Schon, V H L A Furtado, G L A M Signoretti, J P P Oliveira, A G Ribeiro, C D V Wanderley, A A R Diniz, H B Soares, H B Soares, P F S Chacon, C F Schon, V H L A Furtado, G L A M Signoretti, A G Ribeiro, C D V Wanderley, J P P Oliveira, A A R Diniz
Patients suffering from hypoventilation and pulmonary expansion deficit are at increased risk of developing pulmonary complications such as atelectasis, pneumonia or pleural effusion. These complications can increase the length of stay and spending on health, and generate long-term functional impairment. This study aims to produce a therapeutic alternative to the traditional method of lung re-expansion through incentive spirometry (IS) using the game therapy to build an innovative system. This system makes use of infrared and Bluetooth communication technology to associate the game therapy to EI...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28223398/exertional-dyspnoea-in-interstitial-lung-diseases-the-clinical-utility-of-cardiopulmonary-exercise-testing
#2
Matteo Bonini, Giuseppe Fiorenzano
Interstitial lung diseases (ILDs) represent a heterogeneous group of pathologies characterised by alveolar and interstitial damage, pulmonary inflammation (usually associated with fibrosis), decreased lung function and impaired gas exchange, which can be attributed to either a known or an unknown aetiology. Dyspnoea is one of the most common and disabling symptoms in patients with ILD, significantly impacting quality of life. The mechanisms causing dyspnoea are complex and not yet fully understood. However, it is recognised that dyspnoea occurs when there is an imbalance between the central respiratory efferent drive and the response of the respiratory musculature...
January 2017: European Respiratory Review: An Official Journal of the European Respiratory Society
https://www.readbyqxmd.com/read/28221172/interventional-pulmonology-in-chronic-obstructive-pulmonary-disease
#3
Daniela Gompelmann, Nilab Sarmand, Felix J F Herth
PURPOSE OF REVIEW: Chronic obstructive pulmonary disease (COPD) and emphysema are widespread diseases associated with progressive dyspnea because of airflow limitation and hyperinflation. Fundamental therapeutic strategies consist of pulmonary rehabilitation, pharmacotherapy, long-term oxygen therapy, noninvasive ventilation, and surgical therapeutic approaches. RECENT FINDINGS: In the last 14 years, endoscopic therapeutic modalities emerged as a substantial part of severe COPD and emphysema treatment...
February 17, 2017: Current Opinion in Pulmonary Medicine
https://www.readbyqxmd.com/read/28220381/pharmacological-management-of-people-living-with-end-stage-chronic-obstructive-pulmonary-disease
#4
Victoria Dalgliesh, Hilary Pinnock
Supportive care and pharmacological treatment can improve the quality of life of people with end-stage chronic obstructive pulmonary disease (COPD) who cope on a daily basis with substantial physical, psychological, social and spiritual morbidity. Smoking cessation is the only intervention that reduces the rate of progression of COPD, but evidence-based drug treatments and non-pharmacological strategies can relieve symptoms and reduce the impact of exacerbations. People with severe COPD live with increasingly troublesome breathlessness and other symptoms such as fatigue, pain, sputum production and weight loss...
February 21, 2017: Drugs & Aging
https://www.readbyqxmd.com/read/28196900/turning-a-challenge-into-an-opportunity-pulmonary-rehabilitation-and-socioeconomic-deprivation
#5
EDITORIAL
Kylie N Johnston, Marie T Williams
No abstract text is available yet for this article.
February 14, 2017: Thorax
https://www.readbyqxmd.com/read/28176465/self-determined-motivation-and-exercise-behavior-in-copd-patients
#6
Hui-Ling Cho, Heng-Hsin Tung, Ming-Shian Lin, Wan-Chun Hsu, Chi-Pin Lee
The purpose of this study was to evaluate the self-determined motivation predictors of exercise behavior following pulmonary rehabilitation in COPD recipients. This cross-sectional study was conducted with 135 COPD patients. A demographic questionnaire, clinical factors, behavioral regulations in exercise questionnaire, and leisure time exercise questionnaire were used to collect data. A logistic regression model was used to identify the predictors associated with demographics and self-determined motivation types regarding physical activity...
February 8, 2017: International Journal of Nursing Practice
https://www.readbyqxmd.com/read/28174451/the-effects-a-respiration-rehabilitation-program-on-iadl-satisfaction-with-leisure-and-quality-of-sleep-of-patients-with-chronic-obstructive-pulmonary-disease
#7
Hye-Won Oh, Soo-Han Kim, Ko-Un Kim
[Purpose] This study was designed to determine the effect of a respiration rehabilitation program on daily activities, satisfaction with leisure, and quality of sleep of patients with chronic obstructive pulmonary disease. [Subjects and Methods] The program was conducted three times a week for 12 weeks (a total of 36 times) with 20 patients aged between 50 and 70 years old. The Frenchay Activity Index was used to determine the instrumental activities of daily living before and after the intervention. The Korean scale of satisfaction with leisure was employed to determine the satisfaction with leisure, and the Korean version of the Pittsburgh Sleep Quality Index was used to measure the quality of sleep...
December 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28169985/stair-climbing-capacity-as-a-marker-of-improvement-following-pulmonary-rehabilitation
#8
Bruno-Pierre Dubé, Marilyn Houle-Péloquin, Benoit Sauvageau, Mélina Lalande-Gauthier, Claude Poirier
PURPOSE: The aim of this study was to explore the potential and safety of a stair-climbing test as a tool to monitor improvement following pulmonary rehabilitation (PR) in patients with chronic obstructive pulmonary disease (COPD). METHODS: Stair-climbing capacity was assessed in 139 patients with COPD before and after a comprehensive 8-week PR program, which included stair-climbing training. Stair-climbing capacity was assessed as the total number of flights of stairs climbed without stopping...
February 6, 2017: Journal of Cardiopulmonary Rehabilitation and Prevention
https://www.readbyqxmd.com/read/28167746/randomised-controlled-trial-examining-the-effect-of-an-outpatient-exercise-training-programme-on-haemodynamics-and-cardiac-mr-parameters-of-right-ventricular-function-in-patients-with-pulmonary-arterial-hypertension-the-expah-study-protocol
#9
Karen S W Chia, Steven G Faux, Peter K K Wong, Cameron Holloway, Hassan Assareh, Craig S McLachlan, Eugene Kotlyar
INTRODUCTION: Pulmonary hypertension (PH) is a potentially life-threatening condition characterised by elevated pulmonary artery pressure. Early stage PH patients are often asymptomatic. Disease progression is associated with impairment of right ventricular function and progressive dyspnoea. Current guidelines recommend exercise training (grade IIa, level B). However, many questions remain regarding the mechanisms of improvement, intensity of supervision and optimal frequency, duration and intensity of exercise...
February 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28166828/a-psychological-intervention-to-promote-acceptance-and-adherence-to-non-invasive-ventilation-in-people-with-chronic-obstructive-pulmonary-disease-study-protocol-of-a-randomised-controlled-trial
#10
Eleonora Volpato, Paolo Banfi, Francesco Pagnini
BACKGROUND: People with chronic obstructive pulmonary disease (COPD) sometimes experience anxiety, depression and comorbid cognitive deficits. Rather than being merely a consequence of symptom-related physical impairments these additional problems may be part of the clinical course of the condition. The relationship between the physical and psychological aspects of the condition is illustrated by the patterns of use of non-invasive ventilation (NIV); NIV is often rejected or used inappropriately, resulting in clinical deterioration and an increase in health care costs...
February 6, 2017: Trials
https://www.readbyqxmd.com/read/28165443/video-assisted-thoracoscopic-lobectomy-for-congenital-cystic-adenomatoid-malformations
#11
Amina Selimović, Edo Hasanbegović, Ermina Mujičić, Selma Milišić, Emir Haxhija, Kenan Karavdić, Alen Pilav
Aim The aim was to show rare cases of congenital cystic adenomatoid malformation (CCAM) and the manner of its surgical treatment with video-assisted thoracoscopic surgery (VATS). Methods Two male and one female child, 7, 4 and 3 years of age were treated for symptoms of cough and high temperature in district hospitals. In all three children laboratory blood tests and chest radiography were done. Auscultatory findings showed the presence of pneumonia. Children were treated with appropriate doses of antibiotics...
February 1, 2017: Medicinski Glasnik
https://www.readbyqxmd.com/read/28161686/acute-abdomen-in-a-patient-with-paraesophageal-hernia-resulting-in-acute-compromised-respiratory-function-a-case-report
#12
Mira Mekhael, Alaa El-Hussuna
INTRODUCTION: We present a case of acute abdomen, causing increased intra-abdominal pressure, leading to further herniation of an existing paraesophageal hernia, and consequently acute compromised respiratory function. This acute respiratory complication to a paraesophageal hernia has not previously been reported. PRESENTATION OF CASE: We present a case of a 75-year-old female who was acutely admitted with stridor. The patient was known to have a paraesophageal hernia monitored using watchful waiting, and dyspnoea...
January 23, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28159852/effects-of-pulmonary-rehabilitation-in-lung-transplant-candidates-a-systematic-review
#13
Mariana Hoffman, Gabriela Chaves, Giane Amorim Ribeiro-Samora, Raquel Rodrigues Britto, Verônica Franco Parreira
OBJECTIVES: The aim of this systematic review of randomised controlled trials (RCTs), and quasi-experimental and retrospective studies is to investigate the effects of pulmonary rehabilitation (PR) in patients with advanced chronic disease on the waiting list for lung transplantation. SETTING: PR performed for inpatient or outpatient lung transplant candidates. INTERVENTION: PR programme including aerobic exercise training and/or resistance exercise training...
February 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/28154821/systematic-review-of-interventions-to-improve-patient-uptake-and-completion-of-pulmonary-rehabilitation-in-copd
#14
REVIEW
Arwel W Jones, Abigail Taylor, Holly Gowler, Noel O'Kelly, Sudip Ghosh, Christopher Bridle
Pulmonary rehabilitation is considered a key management strategy for chronic obstructive pulmonary disease (COPD), but its effectiveness is undermined by poor patient uptake and completion. The aim of this review was to identify, select and synthesise the available evidence on interventions for improving uptake and completion of pulmonary rehabilitation in COPD. Electronic databases and trial registers were searched for randomised trials evaluating the effect of an intervention compared with a concurrent control group on patient uptake and completion...
January 2017: ERJ Open Research
https://www.readbyqxmd.com/read/28151078/isolation-and-characterization-of-a-novel-marine-brucella-from-a-southern-sea-otter-enhydra-lutris-nereis-california-usa
#15
Melissa A Miller, Tristan L Burgess, Erin M Dodd, Jack C Rhyan, Spencer S Jang, Barbara A Byrne, Frances M Gulland, Michael J Murray, Sharon Toy-Choutka, Patricia A Conrad, Cara L Field, Inga F Sidor, Woutrina A Smith
We characterize Brucella infection in a wild southern sea otter ( Enhydra lutris nereis) with osteolytic lesions similar to those reported in other marine mammals and humans. This otter stranded twice along the central California coast over a 1-yr period and was handled extensively at two wildlife rehabilitation facilities, undergoing multiple surgeries and months of postsurgical care. Ultimately the otter was euthanized due to severe, progressive neurologic disease. Necropsy and postmortem radiographs revealed chronic, severe osteoarthritis spanning the proximal interphalangeal joint of the left hind fifth digit...
February 2, 2017: Journal of Wildlife Diseases
https://www.readbyqxmd.com/read/28150856/effectiveness-of-cognitive-behavioural-therapy-in-a-community-based-pulmonary-rehabilitation-programme-a-controlled-clinical-trial
#16
Edwin K Luk, Alexandra Gorelik, Louis Irving, Fary Khan
OBJECTIVE: To investigate whether the use of cognitive behavioural therapy in pulmonary rehabilitation addresses the depression and anxiety burden and thereby improves rehabilitation outcomes. DESIGN: Prospective controlled clinical trial. PATIENTS: A total of 70 patients with chronic obstructive pulmonary disease who were referred to a community centre for pulmonary rehabilitation. METHODS: Patients were allocated to either the control group, consisting of pulmonary rehabilitation alone, or to the treatment group, receiving pulmonary rehabilitation and an additional 6 sessions of group-based cognitive behavioural therapy...
February 2, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28150539/current-best-practice-in-rehabilitation-in-interstitial-lung-disease
#17
Atsuhito Nakazawa, Narelle S Cox, Anne E Holland
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...
February 2017: Therapeutic Advances in Respiratory Disease
https://www.readbyqxmd.com/read/28145921/the-effect-of-elective-rotations-on-the-self-assessment-examination-results-of-physical-medicine-and-rehabilitation-residents-implications-for-minimizing-educational-resource-disparities-in-taiwan
#18
I-Nan Lien, Pei-Shen Wu, Tyng-Guey Wang, Wen-Shiang Chen, Henry L Lew
OBJECTIVE: The aims of the study were (1) to assess whether a knowledge disparity existed between physical medicine and rehabilitation residents from community hospitals versus those from medical centers, before the introduction of short-term elective training at the end of 2008 and (2), if such disparity existed, to determine whether 1-month short-term elective training was associated with minimizing such disparity, as reflected in the self-assessment examination scores. DESIGN: Self-assessment examination scores from 2007-2016 were analyzed in each of the following three topics: (a) cardiac rehabilitation, (b) pulmonary rehabilitation, and (c) orthotics...
January 31, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28143453/pulmonary-oxygen-uptake-and-muscle-deoxygenation-kinetics-during-heavy-intensity-cycling-exercise-in-patients-with-emphysema-and-idiopathic-pulmonary-fibrosis
#19
Melitta A McNarry, Nicholas K Harrison, Tom Withers, Narendra Chinnappa, Michael J Lewis
BACKGROUND: Little is known about the mechanistic basis for the exercise intolerance characteristic of patients with respiratory disease; a lack of clearly defined, distinct patient groups limits interpretation of many studies. The purpose of this pilot study was to investigate the pulmonary oxygen uptake ([Formula: see text] O2) response, and its potential determinants, in patients with emphysema and idiopathic pulmonary fibrosis (IPF). METHODS: Following a ramp incremental test for the determination of peak [Formula: see text] O2 and the gas exchange threshold, six emphysema (66 ± 7 years; FEV1, 36 ± 16%), five IPF (65 ± 12 years; FEV1, 82 ± 11%) and ten healthy control participants (63 ± 6 years) completed three repeat, heavy-intensity exercise transitions on a cycle ergometer...
January 31, 2017: BMC Pulmonary Medicine
https://www.readbyqxmd.com/read/28141754/integrated-transitions-of-care-for-patients-with-rare-pulmonary-diseases
#20
Kathleen Moreo, Cheri Lattimer, James E Lett, Cherilyn L Heggen-Peay, Laura Simone
PURPOSE/OBJECTIVES: Many continuing education (CE) resources are available to support case management professionals in developing competencies in transitions of care (TOC) that apply generally across disease areas. However, CE programs and tools are lacking for advanced TOC competencies in specific disease areas. This article describes 2 projects in which leading TOC, case management, and CE organizations collaborated to develop CE-accredited interdisciplinary pathways for promoting safe and effective TOC for patients with rare pulmonary diseases, including pulmonary arterial hypertension (PAH) and idiopathic pulmonary fibrosis (IPF)...
March 2017: Professional Case Management
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