Physical therapy in chronic obstructive pulmonary disease (analysis of the evidence-based medicine)

Abstract

Introduction. The purpose of the study is to present the forms of rehabilitation used in chronic obstructive pulmonary disease (CoPd) in various centres. Widespread occurrence of CoPd, significant disability, high treatment costs, permanently increasing and more profound knowledge about the pathogenesis and course of CoPd lead to a comprehensive study of respiratory rehabilitation and physical therapy of the disease. Conclusions. in evidence-based medicine databases, in the total number of the published research results pertaining to CoPd, the proportion of studies on rehabilitation makes up 9.8-15.95%, and that of physical therapy constitutes 3.8-11.5%. Taking into consideration the conclusions of systematic reviews with reference to the key role of rehabilitation and physical therapy in the CoPd patients' treatment, close attention should be focused currently on the identification of indispensable components of respiratory rehabilitation and the evaluation of its efficacy.

Complex physical rehabilitation of patients with chronic obstructive pulmonary disease at a polyclinic stage of treatment

“…Physical rehabilitation in CoPd remains an issue. The current literature provides a description of pulmonary rehabilitation, which should be recommended to all patients apart from the pharmacological treatment [14][15][16][17]. Unfortunately, among the published research results on the treatment of the disease, there are 9.8-15.95% of rehabilitation studies and 3.8-11.5% of those related to physiotherapy [16,18].…”

The dynamics of the functional state of the cardio-respiratory system of patients hospitalized with pneumonia, exacerbation of COPD, and bronchial asthma

“…Nowadays, in international practice of rehabilitation, there are guidelines and recommendations for the use of physical therapy for patients with COPD [7,14,15], asthma [16], and pneumonia [17]; these interventions should have proven effectiveness. The interventions (including breathing exercises, techniques for cleaning the airways, as well as drainage positions) that have been used in this study are actively used in Ukraine [18].…”

Online exercise rehabilitation to stable COPD patients during the second COVID wave: are physiotherapists able to help?

“…Besides the frequent symptomatic exacerbations (that need hospitalization), COPD may contribute to the gradual intolerance of exercise that eventually reduces the quality of life (QoL) of patients [1]. Reduced QoL in COPD patients may be related to the gradual dysfunction of peripheral limb and respiratory muscles that restrict the daily activities [2].…”