Pulmonary rehabilitation in Africa: where are we? a multimethod study

Bilungula, Abbi-Monique Mamani; Katoto, Patrick D. M. C.; Gosselink, Rik; Kayembe, Jean-Marie Ntumba; Langer, Daniël

doi:10.11604/pamj.2022.42.78.31954

Cited by 2 publications

(2 citation statements)

References 28 publications

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“…Globally, current capacity of available centre-based pulmonary rehabilitation programmes can serve less than 2% of the population of potential patients [25]. Importantly, this limited access to pulmonary rehabilitation does not only affect low and mid-income countries [26–28], but also exists in high-income countries [9 ▪ ,29,30].…”

Section: Challenges Of Centre-based Pulmonary Rehabilitationmentioning

confidence: 99%

Telerehabilitation in pulmonary diseases

Cox

Khor

2023

Current Opinion in Pulmonary Medicine

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Purpose of reviewTelerehabilitation is an alternative delivery model for pulmonary rehabilitation, an evidence-based nonpharmacological intervention, in people with chronic pulmonary disease. This review synthesizes current evidence regarding the telerehabilitation model for pulmonary rehabilitation with an emphasis on its potential and implementation challenges, as well as the clinical experiences from the COVID-19 pandemic.Recent findingsDifferent models of telerehabilitation for delivering pulmonary rehabilitation exist. Current studies comparing telerehabilitation to centre-based pulmonary rehabilitation primarily focus on the evaluation in people with stable chronic obstructive pulmonary disease, which demonstrated equivalent improvements in exercise capacity, health-related quality of life and symptoms with improved programme completion rates. Although telerehabilitation may improve access to pulmonary rehabilitation by addressing travel burden, improving schedule flexibility and geographic disparity, there are challenges of ensuring satisfaction of healthcare interactions and delivering core components of initial patient assessment and exercise prescription remotely.SummaryFurther evidence is needed on the role of telerehabilitation in various chronic pulmonary diseases, as well as the effectiveness of different modalities in delivering telerehabilitation programmes. Economic and implementation evaluation of currently available and emerging models of telerehabilitation in delivering pulmonary rehabilitation are needed to ensure sustainable adoption into clinical management for people with chronic pulmonary disease.

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Section: Challenges Of Centre-based Pulmonary Rehabilitationmentioning

confidence: 99%

Telerehabilitation in pulmonary diseases

Cox

Khor

2023

Current Opinion in Pulmonary Medicine

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“…[7] Meanwhile, utilization of pulmonary rehabilitation (PR) in the management of CRDs remains very low in Africa. [8] PR is an evidence-based intervention for people living with CRDs, delivered by an interdisciplinary team, with exercise and education at its core. [9,10] To achieve the World Health Organization (WHO) Sustainable Development Goal 3 ("health and well-being for all"), [11] more efforts need to be put into increasing awareness and implementation of PR in Africa.…”

Section: Introductionmentioning

confidence: 99%

Distinguishing pulmonary rehabilitation from chest physiotherapy in the African context

Bilungula

Orme

Bickton

et al. 2023

JPATS

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Chronic respiratory diseases (CRDs) are highly prevalent in low- and middle-income countries. In Africa, the burden of CRDs is set to worsen due to an increase in smoking prevalence and household air pollution. Chest physiotherapy (CP) and pulmonary rehabilitation (PR) are used to manage CRDs in Africa, but distinguishing between these terms is not clear common among health-care professionals (HCPs) and patients. Here, we provide clarity on the differences between PR and CP to facilitate a greater understanding of PR and remove barriers to research and implementation of PR across Africa. CP is a treatment aimed at clearing secretions within airways of the lungs, while PR, through exercise training, education and self-management, treats extrapulmonary or systemic impairments. We know that there is a need for PR among people living with CRDs in Africa. However, health professionals’ knowledge and training in PR remains insufficient. To implement PR services for people with CRDs in Africa, a strong understanding of what PR is, and its evidence base are needed. The development of PR in Africa will start by filling the gaps in knowledge, awareness, advocacy, and training.

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Pulmonary rehabilitation in Africa: where are we? a multimethod study

Cited by 2 publications

References 28 publications

Telerehabilitation in pulmonary diseases

Telerehabilitation in pulmonary diseases

Distinguishing pulmonary rehabilitation from chest physiotherapy in the African context

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