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Recent Advances in Chest Medicine |

Pulmonary RehabilitationRecent Advances in Pulmonary Rehabilitation: A Review of the Recent Literature

Roger S. Goldstein, MBChB, FCCP; Kylie Hill, PhD; Dina Brooks, PhD; Thomas E. Dolmage, MSc
Author and Funding Information

From the Department of Respiratory Medicine (Drs Goldstein and Brooks and Mr Dolmage) and Respiratory Diagnostic and Evaluation Services (Mr Dolmage), West Park Healthcare Centre, Toronto, ON, Canada; Department of Physical Therapy (Drs Goldstein and Brooks) and Department of Medicine (Dr Goldstein), University of Toronto, Toronto, ON, Canada; School of Physiotherapy and Curtin Health Innovation Research Institute (Dr Hill), Curtin University, Bentley, WA, Australia; and Lung Institute of Western Australia and Centre for Asthma, Allergy and Respiratory Research (Dr Hill), University of Western Australia, Crawley, WA, Australia.

Correspondence to: Roger S. Goldstein, MBChB, FCCP, Department of Respiratory Medicine, West Park Healthcare Centre, 82 Buttonwood Ave, Toronto, ON, M6M 2J5, Canada; e-mail: roger.goldstein@westpark.org


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.

Funding/Support: Dr Goldstein is supported by the University of Toronto-NSA Chair in Respiratory Rehabilitation Research. Dr Brooks is supported by a Canada Research Chair.


Chest. 2012;142(3):738-749. doi:10.1378/chest.12-0188
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Pulmonary rehabilitation (PR) is an evidence-based, multidisciplinary, comprehensive intervention that can be integrated into the management of individuals with chronic lung disease. It aims to reduce symptoms, optimize function, increase participation in daily life, and reduce health-care resource utilization. In this review, we summarize the new developments in PR over the past 5 years. Issues related to patient assessment include a comparison of cycle- and walking-based measures of exercise capacity, the emergence of multidimensional indices, the refinement of the minimal clinically important difference, and the importance of assessing physical activity. Issues related to exercise training focus on strategies to optimize the training load. We also comment on the acquisition of self-management skills, balance training, optimizing access, and maintaining gains following completion of PR.

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