Physical and Occupational Therapy for Patients with Chronic Lung Disease

Horne, Deborah; Corsello, Philip

doi:10.1055/s-2007-1006342

Cited by 2 publications

(3 citation statements)

References 36 publications

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“…Since promoting the patient's autonomy in carrying out ADLs is a primary goal of PR, the measurement of dyspnea as a symptom during these very activities is an aspect that should not be overlooked [46]. …”

Section: Dyspnea Measurement In Daily Living Activitiesmentioning

confidence: 99%

“…When "basic activities of daily living" (BADL) are impaired, the patient needs others to help them fulfill their own personal primary care functions: in severe cases, support is necessary also for elementary functions such as eating, washing, dressing or moving about inside the house. Since promoting the patient's autonomy in carrying out ADLs is a primary goal of PR, the measurement of dyspnea as a symptom during these very activities is an aspect that should not be overlooked [ 46 ].…”

Section: Dyspnea Measurement In Daily Living Activitiesmentioning

confidence: 99%

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Measures of dyspnea in pulmonary rehabilitation

Crisafulli

Clini

2010

Multidiscip Respir Med

127

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Dyspnea is the main symptom perceived by patients affected by chronic respiratory diseases. It derives from a complex interaction of signals arising in the central nervous system, which is connected through afferent pathway receptors to the peripheral respiratory system (airways, lung, and thorax). Notwithstanding the mechanism that generates the stimulus is always the same, the sensation of dyspnea is often described with different verbal descriptors: these descriptors, or linguistic 'clusters', are clearly influenced by socio-individual factors related to the patient. These factors can play an important role in identifying the etiopathogenesis of the underlying cardiopulmonary disease causing dyspnea. The main goal of rehabilitation is to improve dyspnea; hence, quantifying dyspnea through specific tools (scales) is essential in order to describe the level of chronic disability and to assess eventual changes after intervention. Improvements, even if modest, are likely to determine clinically relevant changes (minimal clinically important difference, MCID) in patients.Currently there exist a large number of scales to classify and characterize dyspnea: the most frequently used in everyday clinical practice are the clinical scales (e.g. MRC or BDI/TDI, in which information is obtained directly from the patients through interview) and psychophysical scales (such as the Borg scale or VAS, which assess symptom intensity in response to a specific stimulus, e.g. exercise).It is also possible to assess the individual's dyspnea in relation to specific situations, e.g. chronic dyspnea (with scales that classify patients according to different levels of respiratory disability); exertional dyspnea (with tools that can measure the level of dyspnea in response to a physical stimulus); and transitional (or 'follow up') dyspnea (with scales that measure the effect in time of a treatment intervention, such as rehabilitation).

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Section: Dyspnea Measurement In Daily Living Activitiesmentioning

confidence: 99%

Section: Dyspnea Measurement In Daily Living Activitiesmentioning

confidence: 99%

Measures of dyspnea in pulmonary rehabilitation

Crisafulli

Clini

2010

Multidiscip Respir Med

127

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“…Maximum dyspnea moving about inside the house. Since promoting the patient's autonomy in carrying out ADLs is a primary goal of PR, the measurement of dyspnea as a symptom during these very activities is an aspect that should not be overlooked [46]. A "centralized" assessment of the needs and motivations of the individual will thus require both "subjective" analysis (by means of interview or questionnaire) and "objective" analysis (validated measurement scales capable of precisely assessing the functional status and the individual's living environment).…”

Section: Absence Of Dyspneamentioning

confidence: 99%

Measures of dyspnea in pulmonary rehabilitation

Crisafulli¹,

Clini

2010

Multidis Res Med

View full text Add to dashboard Cite

Dyspnea is the main symptom perceived by patients affected by chronic respiratory diseases. It derives from a complex interaction of signals arising in the central nervous system, which is connected through afferent pathway receptors to the peripheral respiratory system (airways, lung, and thorax). Notwithstanding the mechanism that generates the stimulus is always the same, the sensation of dyspnea is often described with different verbal descriptors: these descriptors, or linguistic ‘clusters’, are clearly influenced by socio-individ- ual factors related to the patient. These factors can play an important role in identifying the etiopathogenesis of the underlying cardiopulmonary disease causing dyspnea. The main goal of rehabilitation is to improve dyspnea; hence, quantifying dyspnea through specific tools (scales) is essen- tial in order to describe the level of chronic disability and to assess eventual changes after intervention. Improvements, even if modest, are likely to determine clinically relevant changes (minimal clinically important difference, MCID) in patients. Currently there exist a large number of scales to classify and characterize dyspnea: the most frequently used in everyday clinical practice are the clinical scales (e.g. MRC or BDI/TDI, in which information is obtained directly from the patients through interview) and psychophysical scales (such as the Borg scale or VAS, which assess symptom intensity in response to a specific stimulus, e.g. exercise). It is also possible to assess the individual’s dyspnea in rela- tion to specific situations, e.g. chronic dyspnea (with scales that classify patients according to different levels of respira- tory disability); exertional dyspnea (with tools that can measure the level of dyspnea in response to a physical stim- ulus); and transitional (or ‘follow up’) dyspnea (with scales that measure the effect in time of a treatment intervention, such as rehabilitation).

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Physical and Occupational Therapy for Patients with Chronic Lung Disease

Cited by 2 publications

References 36 publications

Measures of dyspnea in pulmonary rehabilitation

Measures of dyspnea in pulmonary rehabilitation

Measures of dyspnea in pulmonary rehabilitation

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