Pulmonary rehabilitation for dyspnea in the palliative-care setting

Current Opinion in Supportive and Palliative Care

Volumn 3, Issue 2, 2009, Pages 112-119

  Sachs, Sharona ^a,b   Weinberg, Richard L ^a  

^a Capital Hospice   (United States)

^b NONE   (United States)

Author keywords

Dyspnea; Palliative care; Pulmonary rehabilitation

Indexed keywords

EID: 67651204492     PISSN: 17514258     EISSN: 17514266     Source Type: Journal    
DOI: 10.1097/SPC.0b013e32832b7248     Document Type: Article

References (58)

1. Ries AL, Bauldoff GS, Carlin BW, et al. Pulmonary rehabilitation: joint ACCP/AACVPR evidence-based clinical practice guidelines. Chest 2007;131: 4-42.
2. Nici L, Donner C, Wouters E, et al. American Thoracic Society/European Respiratory Society Statement on Pulmonary Rehabilitation. Am Rev Respir Crit Care Med 2006;173:1390-1413.
3. Lynn J. Perspectives on care at the close of life. Serving patients who may die soon and their families: the role of hospice and other services. JAMA 2001;285:925-932.
4. Zuwallack R, Hedges H. Primary care of the patient with chronic obstructive pulmonary disease: Part 3: pulmonary rehabilitation and comprehensive care for the patient with chronic obstructive pulmonary disease. Am J Med 2008;121:S25-S32.
5. Lacasse Y, Goldstein R, Lasserson TJ, et al. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews 2006, Issue 4. Art. No. : CD003793. DOI: 10.1002/14651858. CD003793.pub2.
6. Stulberg MS, Carrieri-Kohlman V, Sibel D-D, et al. Exercise training improves outcomes of a dyspnea self-management program. J Cardiopulm Rehab 2002;22:109-121.
7. Carrieri-Kohlman V, Nguyen HO, Donesky-Cuenco D, et al. Impact of brief or extended exercise training on the benefit of a dyspnea self-management program in COPD. J Cardiopulm Rehab 2005;25:275-284.
8. Nguyen HO, Carrieri-Kohlman V. Dyspnea self-management in patients with chronic obstructive pulmonary disease: moderating effects of depressed mood. Psychosomatics 2005;46:402-410.
9. Ninot G, Moullec G, Desplan J, et al. Daily functioning of dyspnea, self-esteem, and physical self in patients with moderate COPD before, during and after a first inpatient rehabilitation program. Disabil Rehabil 2007;29:1671-1678.
10. Paz-Diaz H, Montes de Oca M, Lopez JM, et al. Pulmonary rehabilitation improves depression, anxiety, dyspnea and health status in patients with COPD. Am J Phys Med Rehabil 2007;86:30-36.
11. Norweg AM, Whiteson J, Malgady R, et al. The effectiveness of different combinations of pulmonary rehabilitation components: A randomized controlled trial. Chest 2005;128:663-672.
12. Vogiatzis I, Nanas S, Roussos C. Interval training as an alternative modality to continuous exercise in patients with COPD. Eur Respir J 2002;20:12-19.
13. Puhan MA, Busching G, Schunemann HJ, et al. Interval versus high-intensity exercise in chronic obstructive pulmonary disease: a randomized trial. Ann Intern Med 2006;145:816-825.
14. Puhan MA, Schunemann HJ, Busching G, et al. COPD patients' ability to follow exercise influences short-term outcomes of rehabilitation. Eur Resp J 2008;31:304-310.
15. Dolmage TE, Goldstein RS. Effects of one-legged exercise training of patients with COPD. Chest 2008;133:370-376. This is a small but important randomized study that demonstrates that one-legged exercise, which does not change the metabolic demand on targeted muscles but halves the ventilatory workload imposed on the patient, can improve aerobic capacity compared with conventional two-legged cycling. The authors demonstrate that targeting a smaller muscle mass allows patients to exercise to greater musclespecific intensity with consequent improvement in training response. They show that the equipment modifications and instruction required are modest and feasible.
16. Collins EG, Langbein WE, Fehr L, et al. Can ventilation-feedback training augment exercise tolerance in patients with chronic obstructive pulmonary disease? Am J Respir Crit Care Med 2008;177:844-852. This is a randomized, controlled trial that examines whether visual demonstration of target and actual respiratory patterns can alter respiratory pattern and reduce dynamic hyperinflation during exercise. Ventilation feedback with and without exercise did alter respiratory pattern; the addition of ventilation feedback to exercise reduced dynamic hyperinflation but did not statistically significantly increase exercise duration.
17. Smith K, Cook D, Guyatt GH, et al. Respiratory muscle training in chronic airflow limitation: a meta-analysis. Am Rev Respir Dis 1992;145:533-539.
18. Lotters F, van Tol B, Kwakkel G, et al. Effects of controlled inspiratory muscle training in patients with COPD: a meta-analysis. Eur Respir J 2002;20:570-576.
19. "Brien K, Geddes LE, Reid WD, et al. Inspiratory muscle training compared with other rehabilitation interventions in chronic obstructive pulmonary disease: a systematic review update. J Cardiopulm Rehabil Prev 2008;28:128-141.
20. Ambrosino N, Strambi S. New strategies to improve exercise tolerance in chronic obstructive pulmonary disease. Eur Respir J 2004;24:313-322.
21. Ambrosino N, Casaburi R, Ford G, et al. Developing concepts in the pulmonary rehabilitation of COPD. J Respir Med 2008;102 (suppl 1) : S17-S26. This is an excellent brief review of the principles underlying pulmonary rehabilitation, active and passive exercise strategies, and exercise adjuncts such as supplemental oxygen and noninvasive ventilation.
22. Bourjeily-Habr G, Rochester CL, Palermo F, et al. Randomised controlled trial of transcutaneous electrical muscle stimulation of the lower extremities in patients with chronic obstructive pulmonary disease. Thorax 2002;57: 1045-1049.
23. Vivodtzev I, Pepin J-L, Vottero G, et al. Improvement in quadriceps strength and dyspnea in daily tasks after 1 month of electrical stimulation in severely deconditioned and malnourished COPD. Chest 2006;129:1540-1548.
24. Zanotti E, Felicetti G, Maini M, et al. Peripheral muscle strength training in bed-bound patients with COPD receiving mechanical ventilation: effect of electrical stimulation. Chest 2003;124:292-296.
25. Neder JA, Sword D, Ward SA, et al. Home based neuromuscular electrical stimulation as a new rehabilitative strategy for severely disabled patients with chronic obstructive pulmonary disease (COPD). Thorax 2002;57:333-337.
26. Vivodtzev I, Lacasse Y, Maltais F. Neuromuscular electrical stimulation of the lower limbs in patients with chronic obstructive pulmonary disease. J Cardiopulm Rehabil Prev 2008;28:79-91. The authors review the theoretical basis of neuromuscular electrical stimulation, the technical aspects of delivering this modality, and the results of the major studies to date demonstrating clinical impact.
27. Maillefert JF, Eicher JC, Walker P, et al. Effects of low-frequency electrical stimulation of quadriceps and calf muscles in patients with chronic heart failure. J Cardiopulm Rehabil 1998;18:277-282.
28. Deley G, Kervio G, Verges B, et al. Comparison of low-frequency electrical myostimulation and conventional aerobic exercise training in patients with chronic heart failure. Eur J Cardiovasc Prev Rehabil 2005;12:226-233.
29. Quitan M, Wiesinger GF, Sturm B, et al. Improvement of thigh muscles by neuromuscular electrical stimulation in patients with refractory heart failure: a single-blind, randomized, controlled trial. Am J Phys Med Rehabil 2001;80:206-214.
30. Green RH, Singh SJ, Williams J, et al. A randomized controlled trial of four weeks versus seven weeks of pulmonary rehabilitation in chronic obstructive pulmonary disease. Thorax 2001;56:143-145.
31. Rossi G, Florini F, Romanogli M, et al. Length and clinical effectiveness of pulmonary rehabilitation in outpatients with chronic airway obstruction. Chest 2005;127:105-109.
32. Ringbaek TJ, Broendum E, Hemmingsen L, et al. Rehabilitation of patients with chronic obstructive pulmonary disease: exercise twice a week is not sufficient. Respir Med 2000;94:150-154.
33. Grosbois JM, Lamblin C, Lemaire B, et al. Long-term benefits of exercise maintenance after outpatient rehabilitation program in patients with chronic obstructive pulmonary disease. J Cardiopulm Rehabil 1999;19:216-225.
34. du Moulin M, Taube K, Wegscheider K, et al. Home-based exercise training as maintenance after outpatient pulmonary rehabilitation. Respiration published online July 31, 2008 (DOI:10.1159/000150315). This is a randomized, controlled single-blinded study showing that a daily homebased structured self-monitored exercise intervention facilitates improved training effect following completion of outpatient rehabilitation.
35. Steele BG, Belza B, Cain KC, et al. A randomized clinical trial of an activity and exercise adherence intervention in chronic pulmonary disease. Arch Phys Med Rehabil 2008;89:404-412.
36. Heppner PS, Morgan C, Kaplan RM, et al. Regular walking and long-term maintenance of outcomes after pulmonary rehabilitation. J Cardiopulm Rehabil 2006;26:44-53.
37. Wewel AR, Gellerman I, Schwertfeger I, et al. Intervention by phone calls raises domiciliary activity and exercise capacity in patients with severe COPD. Respir Med 2008;102:20-26. This is a small, nonrandomized uncontrolled prospective study demonstrating that a short-term, frequent telephone intervention can enhance the baseline activity of patients with severe COPD who have not previously undergone pulmonary rehabilitation, with improvement in some indices of quality of life.
38. Wijkstra PJ, van der Mark TW, Kraan J, et al. Effects of home rehabilitation on physical performance in patients with chronic obstructive pulmonary disease (COPD). Eur Respir J 1996;9:104-110.
39. Strijbos JH, Postma DS, van Altena R, et al. A comparison between an outpatient hospital-based pulmonary rehabilitation program and a home-care pulmonary rehabilitation program in patients with COPD. A follow-up of 18 months. Chest 1996;109:366-372.
40. Maltais F, Bourbeau J, Shapiro S, et al. Effects of home-based pulmonary rehabilitation in patients with chronic obstructive pulmonary disease: a randomized trial. Ann Intern Med 2008;149:869-878. This is a large, carefully done, randomized, parallel-group multicenter study of home- versus facility-based pulmonary rehabilitation designed to demonstrate noninferiority in dyspnea scores at 1 year in patients with COPD not previously enrolled in pulmonary rehabilitation. The authors demonstrate that, following an identical 4-week outpatient educational program, a home-based aerobic and strengthening exercise regimen is well tolerated and associated with improvements in exercise capacity, health-related quality of life, and dyspnea comparable to those achieved in a facility setting; the benefits may be more durable with a home-based program.
41. Ashworth NL, Chad KF, Harrison EL, et al. Home versus center based physical activity programs in older adults. Cochrane Database of Systematic Reviews 2005: CD004017.
42. Dracup K, Evangelista LS, Hamilton MA, et al. Effects of a home-based exercise program on clinical outcomes in heart failure. Am Heart J 2007;154:877-883.
43. Carone M, Patessio A, Ambrosino N, et al. Efficacy of pulmonary rehabilitation in chronic respiratory failure (CRF) due to chronic obstructive pulmonary disease (COPD) : the Maugeri study. Respir Med 2007;101:2447-2453.
44. Ries AL, Make BJ, Reilly JJ. Pulmonary rehabilitation in emphysema. Proc Am Thorac Soc 2008;5:524-529. This is an excellent review of the findings regarding the role of pulmonary rehabilitation in severe COPD that derive from the National Emphysema Treatment Trial.
45. Lizak MK, Singh S, Lubina S, et al. Female and male chronic obstructive pulmonary disease patients with severe dyspnea do not benefit less from pulmonary rehabilitation. Polskie Archiwum Medycyny Wewnetrznej 2008;118:413-417.
46. Haave E, Skumlein S, Hyland ME. Gender considerations in pulmonary rehabilitation. J Cardiopulm Rehabil Prev 2008;28:215-219.
47. Foster S, Thomas HM. Pulmonary rehabilitation in lung disease other than chronic obstructive lung disease. Am Rev Respir Dis 1990;141:601-604.
48. Collard HR, Pantilat SZ. Dyspnea in interstitial lung disease. Curr Opin Support Palliat Care 2008;2:100-104.
49. Jastrzebski D, Gumola A, Gawlik R, et al. Dyspnea and quality of life in patients with pulmonary fibrosis after six weeks of respiratory rehabilitation. J Physiol Pharmacol 2006;57 (suppl 4) :139-148.
50. Holland AE, Hill CJ, Conron M, et al. Short term improvement in exercise capacity and symptoms following exercise training in interstitial lung disease. Thorax 2008;63:549-554.
51. Bartlo P. Evidence-based application of aerobic and resistance training in patients with congestive heart failure. J Cardiopulm Rehabil Prev 2007;27:368-375.
52. Niebauer J. Effects of exercise training on inflammatory markers in patients with heart failure. Heart Fail Rev 2008;13:39-49.
53. Arad M, Adler Y, Koren-Morag N, et al. Exercise training in advanced heart failure patients: discordance between improved exercise tolerance and unchanged NT-proBNP levels. Int J Cardiol 2008;126:114-119.
54. Sola I, Thompson E, Subirana M, et al. Noninvasive interventions for improving well being and quality of life in patients with lung cancer. Cochrane Database of Systematic Reviews 2004: Art No: CD004282. DOI:10.1002/14651858. CD004282.pub2.
55. Spruitt MA, Janssen PP, Willemsen SCP, et al. Exercise capacity before and after an 8-week multidisciplinary inpatient rehabilitation program in lung cancer patients: a pilot study. Lung Cancer 2006;52:257-260.
56. Heffner JE, Fahy B, Hilling L, et al. Attitudes regarding advance directives among patients in pulmonary rehabilitation. Am J Respir Crit Care Med 1996;154 (6 Pt 1) :1735-1740.
57. Garber KA, Barnett M, Planchant Y, et al. Attitudes of 100 patients with chronic obstructive pulmonary disease to artificial ventilation and cardiopulmonary resuscitation. Palliat Med 2004;18:626-629.
58. Rocker GM, SinuffT, Horton R, et al. Advanced chronic obstructive pulmonary disease: innovative approaches to palliation. J Palliat Med 2007;10:783-797.