Does the addition of non‐invasive ventilation during pulmonary rehabilitation in patients with chronic obstructive pulmonary disease augment patient outcome in exercise tolerance? A literature review

Corner, Evelyn J; Garrod, Rachel

doi:10.1002/pri.451

Cited by 31 publications

(9 citation statements)

References 20 publications

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“…Regarding the use of noninvasive ventilation, a systematic review concluded that the use of this adjunct during exercise training can augment exercise benefits in people with severe COPD. 24 However, the statement notes that because of its complexity, this may be available only in hospital-based PR programs. There is limited evidence to support the inclusion of breathing strategies such as pursed lip breathing, yoga breathing, and computeraided breathing retraining, 25 but no recommendations on their use are made in the statement.…”

Section: Other Recommendationsmentioning

confidence: 99%

Pulmonary Rehabilitation Exercise Prescription in Chronic Obstructive Pulmonary Disease

Garvey

Bayles

Hamm

et al. 2016

Journal of Cardiopulmonary Rehabilitation and Prevention

182

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Chronic obstructive pulmonary disease (COPD) is associated with disabling dyspnea, skeletal muscle dysfunction, and significant morbidity and mortality. Current guidelines recommend pulmonary rehabilitation (PR) to improve dyspnea, functional capacity, and quality of life. Translating exercise science into safe and effective exercise training requires interpretation and use of multiple guidelines and recommendations. The purpose of this statement is to summarize for clinicians 3 current chronic obstructive pulmonary disease guidelines for exercise that may be used to develop exercise prescriptions in the PR setting. The 3 guidelines have been published by the American College of Sports Medicine, the American Thoracic Society/European Respiratory Society, and the American Association of Cardiovascular and Pulmonary Rehabilitation. In addition to summarizing these 3 guidelines, this statement describes clinical applications, explores areas of uncertainty, and suggests strategies for providing effective exercise training, given the diversity of guidelines and patient complexity.

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Section: Other Recommendationsmentioning

confidence: 99%

Pulmonary Rehabilitation Exercise Prescription in Chronic Obstructive Pulmonary Disease

Garvey

Bayles

Hamm

et al. 2016

Journal of Cardiopulmonary Rehabilitation and Prevention

182

View full text Add to dashboard Cite

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“…Similarly, Corner and Garrod 104 suggested that NIV may allow increased exercise intensity and duration during pulmonary rehabilitation in subjects with moderate-to-verysevere COPD, making it reasonable to propose this treatment for patients with severe COPD. Finally, the authors of a Cochrane Review concluded that NIV during lowerlimb exercise training may allow subjects with COPD to exercise at a higher intensity than subjects without NIV, and some evidence suggests that NIV during exercise training improves the percentage change in peak and endurance exercise capacity.…”

Section: Ventilatory Support During Exercise Trainingmentioning

confidence: 99%

“…[96][97][98][99][100][101][102][103] This topic has been further addressed in 3 systematic reviews. [104][105][106] In all studies, the included study population was small (generally 7-10 per group and study). Moreover, a considerable heterogeneity between studies makes it difficult to draw firm conclusions from the published data.…”

Section: Ventilatory Support During Exercise Trainingmentioning

confidence: 99%

Hot Topics in Noninvasive Ventilation: Report of a Working Group at the International Symposium on Sleep-Disordered Breathing in Leuven, Belgium

et al. 2015

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During the last few decades, attention has increasingly focused on noninvasive ventilation (NIV) in the treatment of chronic respiratory failure. The University of Leuven and the University Hospitals Leuven therefore chose this topic for a 2-day working group session during their International Symposium on Sleep-Disordered Breathing. Numerous European experts took part in this session and discussed (1) NIV in amyotrophic lateral sclerosis (when to start NIV, NIV and sleep, secretion management, and what to do when NIV fails), (2) recent insights in NIV and COPD (high-intensity NIV, NIV in addition to exercise training, and NIV during exercise training), (3) monitoring of NIV (monitoring devices, built-in ventilator software, leaks, and asynchronies) and identifying events during NIV; and (4) recent and future developments in NIV (target-volume NIV, electromyography-triggered NIV, and autoregulating algorithms)

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“…This could include use of rollators, 18 supplemental oxygen 19 and non-invasive ventilation during exercise. 20 Further work needs to be done to provide evidence-based guidelines for exercise prescription in this population.…”

Section: New Populations In Pulmonary Rehabilitationmentioning

confidence: 99%

New horizons for pulmonary rehabilitation

Holland

Hill

2011

Physical Therapy Reviews

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Background: Pulmonary rehabilitation is a cornerstone of management for people with chronic obstructive pulmonary disease (COPD). Recent studies suggest that the traditional model for pulmonary rehabilitation, which focuses on centre-based programs for stable patients, could be broadened. Objectives: To examine evidence for inclusion of new patient populations, different settings and updated outcomes in pulmonary rehabilitation. Major findings: Pulmonary rehabilitation that is commenced early following an acute exacerbation of COPD results in fewer hospital readmissions and reduced mortality. This calls for program models that allow recovering patients to participate without delay. Patients with interstitial lung disease achieve modest benefits from pulmonary rehabilitation and participation should be encouraged in clinically stable patients. Advances in medical therapies for pulmonary arterial hypertension allow patients to achieve clinical stability, providing opportunity to safely engage in exercise training. These challenging groups require consideration of appropriate program content, exercise intensity and monitoring. Despite the known benefits, many patients with COPD do not participate in pulmonary rehabilitation. Increased understanding of the barriers to participation is required to ensure that pulmonary rehabilitation is accessible. Homebased rehabilitation achieves equivalent outcomes to centre-based rehabilitation and may provide new options for debilitated patients. The emergence of physical activity as an important marker of prognosis in COPD challenges clinicians to ensure that gains in exercise capacity are translated into increased daily life activity. Conclusions: The benefits of pulmonary rehabilitation extend to a wider group of patients than was previously understood. Flexible program models that facilitate participation for all those who can benefit are required.

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Does the addition of non‐invasive ventilation during pulmonary rehabilitation in patients with chronic obstructive pulmonary disease augment patient outcome in exercise tolerance? A literature review

Cited by 31 publications

References 20 publications

Pulmonary Rehabilitation Exercise Prescription in Chronic Obstructive Pulmonary Disease

Pulmonary Rehabilitation Exercise Prescription in Chronic Obstructive Pulmonary Disease

Hot Topics in Noninvasive Ventilation: Report of a Working Group at the International Symposium on Sleep-Disordered Breathing in Leuven, Belgium

New horizons for pulmonary rehabilitation

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