Verbesserung von Nachhaltigkeitseffekten in der ambulanten pneumologischen Rehabilitation unter besonderer Berücksichtigung der Sporttherapie

Dalichau, S.; Demedts, A.; Sande, A. im; Möller, T.

doi:10.1055/s-0029-1246154

Cited by 11 publications

(6 citation statements)

References 14 publications

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“…In keeping with our observations of the benefits of continued exercise, Dalichau has demonstrated preserved benefit in a cohort of asbestosis patients to 18 months where they continued exercise, with loss of benefit where exercise was ceased 26,27 .…”

Section: Ildsupporting

confidence: 85%

Duration of benefit following completion of pulmonary rehabilitation in interstitial lung disease—an observational study

Sharp

McCabe

Hussain

et al. 2016

QJM

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Section: Ildsupporting

confidence: 85%

Duration of benefit following completion of pulmonary rehabilitation in interstitial lung disease—an observational study

Sharp

McCabe

Hussain

et al. 2016

QJM

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“…Concerning pulmonary rehabilitation in occupational respiratory diseases, only patients with asbestosis have been previously evaluated [30,31] using a 3-week intensified outpatient program followed by a 3-month maintenance program. This improved quadriceps muscle strength and 6MWD; ergometer testing was not conducted.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Efficacy of Pulmonary Rehabilitation in Patients with Occupational Respiratory Diseases

Ochmann¹,

Kotschy-Lang

Raab

et al. 2012

Respiration

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Background: Pulmonary rehabilitation is a well-recognized treatment option in chronic obstructive lung disease improving exercise performance, respiratory symptoms and quality of life. In occupational respiratory diseases, which can be rather cost-intensive due to the compensation needs, very little information is available. Objectives: This study aims at the evaluation of the usefulness of pulmonary rehabilitation in patients with occupational respiratory diseases, partly involving complex alterations of lung function and of the sustainability of effects. Methods: We studied 263 patients with occupational respiratory diseases (asthma, silicosis, asbestosis, chronic obstructive pulmonary disease) using a 4-week inpatient rehabilitation program and follow-up examinations 3 and 12 months later. The outcomes evaluated were lung function, 6-min walking distance (6MWD), maximum exercise capacity (Wmax), skeletal muscle strength, respiratory symptoms, exacerbations and associated medical consultations, quality of life (SF-36, SGRQ), anxiety/depression (HADS) and Medical Research Council and Baseline and Transition Dyspnea Index scores. Results: Compared to baseline, there were significant (p < 0.05) improvements in 6MWD, Wmax and muscle strength immediately after rehabilitation, and these were maintained over 12 months (p < 0.05). Effects were less pronounced in asbestosis. Overall, a significant reduction in the rate of exacerbations by 35%, antibiotic therapy by 27% and use of health care services by 17% occurred within 12 months after rehabilitation. No changes were seen in the questionnaire outcomes. Conclusions: Pulmonary rehabilitation is effective even in the complex settings of occupational respiratory diseases, providing sustained improvement of functional capacity and reducing health care utilization.

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“…[1314] There are many factors which might have affected quality of life in these patients like old age, poverty, chronic illness, disability and mobility restriction, dependability, and no efficient medical care. Depression is highly prevalent in these patients leading to lack of self-care causing further degradation of health.…”

Section: Discussionmentioning

confidence: 99%

“…[78] It is very well proven that through rehabilitative programs patients can be benefited to a significant extent. [13–15] In order to construct an effective strategy or program for prevention as well as for better rehabilitation of these victims, we need to understand the patients′ perspectives, perceptions, attitude, and knowledge about this disease and its causes in this setup. [16] This study is an effort to facilitate this process and to better understand the special needs of this unorganized and vulnerable group.…”

Section: Introductionmentioning

confidence: 99%

Asbestosis: Past voices from the Mumbai factory floor

Jadhav

Roy

2012

Indian J Occup Environ Med

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Background:Asbestos′s production, processing, and consumption is on very high scale in India and it is increasing, and so do the related diseases. Asbestosis is such a disease which causes progressive respiratory disability.Aim:To find out perceptions and thinking about this disease and its risk among the patients which will help in constructing an effective community-based prevention and rehabilitation program.Materials and Methods:It was a community-based, qualitative study using a semi-structured interview schedule with 17 asbestosis patients from Mumbai, disgnosed by specialist with pulmonary function test and X-rays as per International Labour Organisation′s recommandations.Results:The risk percived by the patients is very less and attitude toward the illness is bengine as there is no clear understanding about the causation. The prolong latent period appears to be the main cause. It suggests a need of very strong program for prevention of asbestosis with the incorporation of worker awareness and eduaction for safety. The socio-economical status and educational levels of the workers make this floating population more vulnarable for manipulation by the corporates.Conclusion:Apart from the radical step of ban on asbestos, there is a need of community-based sustainable, affordable, and accessible rehabilitation program with a component of palliative care which will consider the different needs of this marginalized group. The need for such a program is intense as the number of asbestisis patients will keep on increasing till 30 to 40 years of asbestos ban.

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Verbesserung von Nachhaltigkeitseffekten in der ambulanten pneumologischen Rehabilitation unter besonderer Berücksichtigung der Sporttherapie

Cited by 11 publications

References 14 publications

Duration of benefit following completion of pulmonary rehabilitation in interstitial lung disease—an observational study

Duration of benefit following completion of pulmonary rehabilitation in interstitial lung disease—an observational study

Long-Term Efficacy of Pulmonary Rehabilitation in Patients with Occupational Respiratory Diseases

Asbestosis: Past voices from the Mumbai factory floor

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