A clinical practice guideline for physiotherapists treating patients with chronic obstructive pulmonary disease based on a systematic review of available evidence-Reference-Cited by-同舟云学术

A clinical practice guideline for physiotherapists treating patients with chronic obstructive pulmonary disease based on a systematic review of available evidence

Published:2009-04-23 Issue:5 Volume:23 Page:445-462
ISSN:0269-2155
Container-title:Clinical Rehabilitation
language:en
Short-container-title:Clin Rehabil

Author:

Langer D.¹,Hendriks EJM²,Burtin C.¹,Probst V.³,van der Schans CP⁴,Paterson WJ⁵,Verhoef-de Wijk MCE⁶,Straver RVM⁷,Klaassen M.⁸,Troosters T.⁹,Decramer M.⁹,Ninane V.¹⁰,Delguste P.¹¹,Muris J.¹²,Gosselink R.¹³

Affiliation:

1. Departments of Pneumology and Respiratory Rehabilitation, University Hospital Leuven and Faculty of Kinesiology and Rehabilitation Sciences, Katholieke Universiteit Leuven, Leuven, Belgium

2. Centre for Evidence Based Physiotherapy, Department of Epidemiology and Research Institute CAPHRI, Maastricht University, The Netherlands

3. Departamento de Fisioterapia, Universidade Norte do Paraná-UNOPAR, Londrina, Brazil

4. Research and Innovation Group in Health Care and Nursing, Hanze University, Applied Sciences, Groningen

5. Department of Physical Therapy, Erasmus Medical Centre, Rotterdam

6. Physical Therapy Practice Verhoef Utrecht, Utrecht

7. Hogeschool Leiden, University of Applied Sciences, Leiden, Free University Medical Centre Amsterdam

8. University Lung Centre Dekkerswald, Radboud University Medical Centre Nijmegen, Nijmegen, The Netherlands

9. Departments of Pneumology and Respiratory Rehabilitation, University Hospital Leuven and Faculty of Kinesiology and Rehabilitation Sciences, Katholieke Universiteit Leuven, Leuven

10. Department of Pneumology, CHU Saint-Pierre, ULB (Université Libre de Bruxelles

11. Department of Pneumology, Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Brussels, Belgium

12. Research Institute CAPHRI, Department of General Practice, Maastricht University, The Netherlands

13. Departments of Pneumology and Respiratory Rehabilitation, University Hospital Leuven and Faculty of Kinesiology and Rehabilitation Sciences, Katholieke Universiteit Leuven, Leuven, Belgium,

Abstract

Purpose: Update of a clinical practice guideline for the physiotherapy management of patients with chronic obstructive pulmonary disease supporting the clinical decision-making process.Methods: A systematic computerized literature search was performed on different modalities for improving physical exercise capacity, reducing exertional dyspnoea, improving airway clearance and encouraging changes in physical activity behaviour. Methodological quality was scored with the PEDro Scale. Scientific conclusions were graded according to the criteria of the `Dutch Evidence Based Guideline Development Platform'. These, together with practical considerations, were used to formulate recommendations for clinical practice.Results: A total of 103 studies were included in the systematic review, consisting of five meta-analyses of randomized controlled trials, 84 randomized controlled trials and 14 uncontrolled studies. Twenty scientific conclusions supported six recommendations on physical exercise training. Nineteen scientific conclusions supported eight recommendations on interventions for reducing dyspnoea. Five scientific conclusions supported seven recommendations concerning treatment modalities to improve mucus clearance, and two scientific conclusions supported two recommendations on strategies for encouraging permanent changes in physical activity behaviour.Conclusions: Strong recommendations support the use of physical exercise training to improve health-related quality of life and functional exercise capacity. Future research should investigate whether additional interventions for reducing exertional dyspnoea have a place as adjuncts to physical exercise training in selected patients. In addition, treatment of impaired mucus clearance, especially during acute exacerbations, requires further research. With the advance of new technologies for objective measurements of physical activities in daily life more research is needed concerning interventions to initiate and maintain physical activity behaviour change during and after supervised physical exercise training programmes

Publisher

SAGE Publications

Subject

Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation

Link

http://journals.sagepub.com/doi/pdf/10.1177/0269215509103507

Reference138 articles.

1. American Thoracic Society/European Respiratory Society Statement on Pulmonary Rehabilitation

2. Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease

3. Pulmonary Rehabilitation

4. Grading Recommendations

Cited by 89 articles. 订阅此论文施引文献订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献

1. Determination of the minimal important difference for inspiratory muscle strength in people with severe and very severe COPD;Clinical Rehabilitation;2023-05-15

2. The effect of posture on airflow distribution, airway geometry and air velocity in healthy subjects;BMC Pulmonary Medicine;2022-12-15

3. Comparison of Incremental Shuttle Walking Test, 6-Minute Walking Test, and Cardiopulmonary Exercise Stress Test in Patients with Myocardial Infarction;Medical Science Monitor;2022-09-22

4. Non-pharmacological Management in Palliative Care for Patients With Advanced COPD;Frontiers in Cardiovascular Medicine;2022-07-18

5. Supporting Behavior Change After AECOPD – Development of a Hospital-Initiated Intervention Using the Behavior Change Wheel;International Journal of Chronic Obstructive Pulmonary Disease;2022-07