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Old and New in Pulmonary Rehabilitation

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Cardiopulmonary Rehabilitation

Part of the book series: Current Topics in Rehabilitation ((CURRENT REHAB))

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Abstract

Pulmonary rehabilitation for patients with chronic lung disease traditionally included interventions designed to improve the position of the diaphragm, breathing exercises based on pursed lips breathing, relaxation, and enhancement of abdominal excursion, and physical exercise training. Newer training programs have been designed specifically to enhance the endurance of the respiratory muscles. This review summarizes the results of these interventions, especially with regard to their effects on respiratory muscle function, capacity for physical exercise, and ability to conduct activities of daily living.

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References

  1. Barach A.L., Beck G.J.: The ventilatory effects of the head-down position in pulmonary emphysema. Am. J. Med. 1954; 16: 55–60

    Article  PubMed  CAS  Google Scholar 

  2. Gayrard P., Becker M., Bergofsky E.H.: The effects of abdominal weights on diaphragmatic position and excursion in man. Clin. Sci. 1968; 35: 589–601

    PubMed  CAS  Google Scholar 

  3. Gaensler E.A., Carter M.G.: Ventilation measurements in pulmonary emphysema treated with pneumoperitoneum. J. Lab. Clin. Med. 1950; 35: 945–959

    PubMed  CAS  Google Scholar 

  4. Furman R.H., Callaway J.J.: Artificial pneumoperitoneum in the treatment of pulmonary emphysema. Chest 1950; 18: 232–243

    Article  CAS  Google Scholar 

  5. Kory R.C., Roehm D.C., Meneely G.R., Goodwin R.A.: Pulmonary function and circulatory dynamics in artificial pneumoperitoneum. Dis. Chest 1953; 23: 608–620

    Article  PubMed  CAS  Google Scholar 

  6. Callaway J.J., McKusick V.A.: Carbon-dioxide intoxication in emphysema: emergency treatment by artificial pneumoperitoneum. N. Engl. J. Med. 1951; 245: 9–13

    Article  PubMed  CAS  Google Scholar 

  7. Thoman R.L., Stoker G.L., Ross J.C.: The efficacy of pursed-lips breathing in patients with chronic obstructive pulmonary disease. Am. Rev. Respir. Dis. 1966; 93: 100–106

    PubMed  CAS  Google Scholar 

  8. Mueller R.E., Petty T.L., Filley G.F.: Ventilation and arterial blood gas changes induced by pursed lips breathing. J. Appl. Physiol. 1970; 28: 784–789

    PubMed  CAS  Google Scholar 

  9. Miller W.F.: A physiologic evaluation of the effects of diaphragmatic breathing training in patients with chronic pulmonary emphysema. Am. J. Med. 1954; 17: 471–484

    Article  PubMed  CAS  Google Scholar 

  10. Sinclair J.D.: The effect of breathing exercises in pulmonary emphysema. Thorax 1955; 10: 246–249

    Article  PubMed  CAS  Google Scholar 

  11. Gimenez M., Uffholtz H., Ferrara G., Plouffe P., Lacoste J.: Exercise training with oxygen supply and directed breathing in patients with chronic airway obstruction. Respiration 1979; 37: 157–166

    Article  PubMed  CAS  Google Scholar 

  12. Casciari R.J., Fairshter R.D., Harrison A., Morrison J.T., Blackburn C., Wilson A.F.: Effects of breathing retraining in patients with chronic obstructive pulmonary disease. Chest 1981; 79: 393–398

    Article  PubMed  CAS  Google Scholar 

  13. Paul G., Eldridge F., Mitchell J., Fiene T.: Some effects of slowing respiration rate in chronic emphysema and bronchitis. J. Appl. Physiol. 1966; 21: 877–882

    PubMed  CAS  Google Scholar 

  14. Sergysels R., Willeput R., Lenders D., Vachaudez J.P., Schandevyl W., Hennebert A.: Low frequency breathing at rest and during exercise in severe chronic obstructive bronchitis. Thorax 1 979; 34: 536–539

    Google Scholar 

  15. Vandevenne A., Weitzenblum E., Moyses B., Durin M., Rasaholinjanahary J.: Regional lung function changes during abdominal breathing at low frequency and large tidal volume. Bull. Eur. Physiopathol. Respir. 1980; 16: 171–184

    PubMed  CAS  Google Scholar 

  16. Bellemare F., Grassino A.: Force reserve of the diaphragm in patients with chronic obstructive pulmonary disease. J. Appl. Physiol.: Respir. Environ. Exercise Physiol. 1983; 55: 8–15

    CAS  Google Scholar 

  17. Noseda A., Carpiaux J.P., Vandeput W., Prigogine T., Schmerber J.: Resistive inspiratory muscle training and exercise performance in COPD patients. A comparative study with conventional breathing retraining. Bull. Eur. Physiopathol. Respir. 1987; 23: 457–463

    PubMed  CAS  Google Scholar 

  18. loli F., Donner C.F., Fracchia C.: Transdiaphragmatic pressure in the assessment of diaphragmatic and abdominal breathing exercise. Bull. Eur. Physiopathol. Respir. 1982; 18 (Supp1.4): 177–180

    Google Scholar 

  19. Merrick J., Axen K.: Inspiratory muscle function following abdominal weight exercises in healthy subjects. Physical Therapy 1981; 61: 651–656

    PubMed  CAS  Google Scholar 

  20. Orenstein D.M., Franklin B.A., Doershuk C.F., Hellerstein H.K., Germann K.J., Horowitz J.G., Stern R.C.: Exercise conditioning and cardiopulmonary fitness in cystic fibrosis: the effects of a three-month supervised running program. Chest 1981; 80: 392–398

    Article  PubMed  CAS  Google Scholar 

  21. Keens T.G., Rrastins I.R.B., Wannamaker E.M., Levison H., Crozier D.N., Bryan A.C.: Ventilatory muscle endurance training in normal subjects and patients with cystic fibrosis. Am. Rev. Respir. Dis. 1977; 116: 853–860

    PubMed  CAS  Google Scholar 

  22. Rochester D.F., Goldberg S.K.: Techniques of respiratory physical therapy. Am. Rev. Respir. Dis. 1980;122(5), Part 2: 133–146

    Google Scholar 

  23. Belman H.J., Kendregan B.A.: Physical training fails to improve ventilatory muscle endurance in patients with chronic obstructive pulmonary disease. Chest 1982; 81: 440–443

    Article  PubMed  CAS  Google Scholar 

  24. Pardy R.L., Rivington R.N., Despas P.J., Macklem P.T.: Inspiratory muscle training compared with physiotherapy in patients with chronic airflow limitation. Am. Rev. Respir. Dis. 1981; 123: 421–425

    PubMed  CAS  Google Scholar 

  25. Madsen F., Secher N.H., Kay L., Kok-Jensen A., Rube N.: Inspiratory resistance versus general physical training in patients with chronic obstructive pulmonary disease. Eur. J. Respir. Dis. 1985; 67: 167–176

    PubMed  CAS  Google Scholar 

  26. Celli B., Criner G., Rassulo J.: Ventilatory muscle recruitment during unsupported arm exercise in normal subjects. J. Appl. Physiol. 1988; 64: 1936–1941

    PubMed  CAS  Google Scholar 

  27. Leith D.E., Bradley M.: Ventilatory muscle strength and endurance training. J. Appl. Physiol. 1976; 41: 508–516

    PubMed  CAS  Google Scholar 

  28. Bellemare F.,Grassino A.: Effect of pressure and timing of contraction on human diaphragm fatigue. J. Appl. Physiol. 1982; 53: 1190–1195

    Article  PubMed  CAS  Google Scholar 

  29. Peress L., McLean P., Woolf C.R., Zamel N.: Ventilatory muscle training in obstructive lung disease. Bull. Eur. Physiopathol. Respir. 1979; 15: 91–92

    PubMed  CAS  Google Scholar 

  30. Belman M.J., Mittman C.: Ventilatory muscle training improves exercise capacity in chronic obstructive pulmonary disease patients. Am. Rev. Respir. Dis. 1980; 121: 273–280

    PubMed  CAS  Google Scholar 

  31. Levine S., Weiser P., Gillen J.: Evaluation of a ventilatory muscle endurance training program in the rehabilitation of patients with chronic obstructive pulmonary disease. Am. Rev. Respir. Dis. 1986; 133: 400–406

    PubMed  CAS  Google Scholar 

  32. Ries A.L., Moser K.M.: Comparison of isocapnic hyperventilation and walking exercise training at home in pulmonary rehabilitation. Chest 19086; 90: 285–289

    Google Scholar 

  33. Chen H., Dukes R., Martin B.J.: Inspiratory muscle training in patients with chronic obstructive pulmonary disease. Am. Rev. Respir. Dis. 1985; 131: 251–255

    PubMed  CAS  Google Scholar 

  34. McKeon J.L., Turner J., Kelly C., Dent A.: The effect of respiratory training on exercise capacity in optimally treated patients with severe chronic airflow limitation. Aust. N.Z. J. Med. 1986; 16: 648–652

    Article  PubMed  CAS  Google Scholar 

  35. Belman M.J., Shadmehr R.: Targeted resistive ventilatory muscle training in chronic obstructive pulmonary disease. J. Appl. Physiol. 1988; 65: 2726–2735

    PubMed  CAS  Google Scholar 

  36. Harver A., Mahler D.A., Daubenspeck J.A.: Targeted inspiratory muscle training improves respiratory muscle function and reduces dyspnea in patients with chronic obstructive pulmonary disease. Ann. Int. Med. 1989; 111: 117–124

    Article  PubMed  CAS  Google Scholar 

  37. Larson J.L., Kim M.J., Sharp J.T., Larson D.A.: Inspiratory muscle training with a pressure threshold breathing device in patients with chronic obstructive pulmonary disease. Am. Rev. Respir. Dis. 1988; 138: 689–696

    Article  PubMed  CAS  Google Scholar 

  38. Flynn M.G., Barter C.D., Nosworthy J.C., Pretto J.J., Rochford P.D., Pierce R.J.: Threshold pressure training, breathing pattern and exercise performance in chronic airflow obstruction. Chest 1989; 95: 535–540

    Article  PubMed  CAS  Google Scholar 

  39. Goldstein R., De Rosie J., Long S., Dolmage T., Avendano M.A.: Applicability of a threshold loading device for inspiratory muscle testing and training in patients with COPD. Chest1989; 96: 564–571

    Google Scholar 

  40. Belman M.J., Thomas S.G., Lewis M.I.: Resistive breathing training in patients with chronic obstructive pulmonary disease. Chest 1986; 90: 662–669

    Article  PubMed  CAS  Google Scholar 

  41. Gross D., Ladd H.W., Riley E.J., Macklem P.T., Grassino A.: The effect of training on strength and endurance of the diaphragm in quadriplegia. Am. J. Med. 1980; 68: 27–35

    Article  PubMed  CAS  Google Scholar 

  42. Pardy R.L., Rivington R.N., Despas P.J., Macklem P.T.: Effects of inspiratory muscle training on exercise performance in chronic airflow limitation. Am. Rev. Respir. Dis. 1981; 123: 426–433

    PubMed  CAS  Google Scholar 

  43. Moreno R., Moreno R., Giugliano C., Lisboa C.: Inspiratory muscle training in patients with chronic limitation of airflow. Rev. Med. Chile 1983; 111: 647–653

    PubMed  CAS  Google Scholar 

  44. Aldrich T.K., Arora N.S., Rochester D.F.: The influence of airway obstruction and respiratory muscle strength on maximal voluntary ventilation in lung disease. Am. Rev. Respir. Dis. 1982; 126: 195–199

    PubMed  CAS  Google Scholar 

  45. Anderson J.B., Dragsted L., Kann T., Johansen S.H., Nielsen K.B., Karbo E., Bentzen L.: Resistive breathing training in severe chronic obstructive pulmonary disease. Scand. J. Respir. Dis. 1979; 60: 151–156

    Google Scholar 

  46. Bjerre-Jepsen K., Secher N.H., Kok-Jensen A.: Inspiratory resistance training in severe chronic obstructive pulmonary disease. Eur. J. Respir. Dis. 1981; 62: 405–411

    PubMed  CAS  Google Scholar 

  47. Sonne L.J., Davis J.A.: Increased exercise performance in patients with severe COPD following inspiratory resistive training. Chest 1982; 81: 436–439

    Article  PubMed  CAS  Google Scholar 

  48. Asher M.I., Pardy R.L., Coates A.L., Thomas E., Macklem P.T.: The effects of inspiratory muscle training in patients with cystic fibrosis. Am. Rev. Respir. Dis. 1982; 126: 855–859

    PubMed  CAS  Google Scholar 

  49. Belman M.J.: Respiratory failure treated by ventilatory muscle training. Eur. J. Respir. Dis. 1981; 62: 391–395

    PubMed  CAS  Google Scholar 

  50. Aldrich T.K., Karpel J.P., Uhrlass R.M., Sparapani M.A., Eramo D., Ferranti R.: Weaning from mechanical ventilation: adjunctive use of inspiratory muscle resistive training. Crit. Care Med. 1989; 17: 143–147

    Article  PubMed  CAS  Google Scholar 

  51. Andersen J.B., Falk P.: Clinical experience with inspiratory resistive breathing training. Int. Rehabil. Med. 1984; 6: 183–185

    PubMed  CAS  Google Scholar 

  52. Falk P., Eriksen A.M., Kolliker K., Andersen J.B.: Relieving dyspnea with an inexpensive and simple method in patients with severe chronic airflow limitation. Eur. J. Respir. Dis. 1985; 66: 181–186

    PubMed  CAS  Google Scholar 

  53. Beacham J., Barnes S.M., Walker W., Morse H.B.: Inspiratory resistance training for pulmonary rehabilitation (letter). Chest 1989; 96: 698–699

    Article  PubMed  CAS  Google Scholar 

  54. Jones D.T., Thomson R.A., Sears M.R.: Physical exercise and resistive breathing training in severe chronic airways obstruction–are they effective ? Eur. J. Respir. Dis. 1985; 67: 159–166

    PubMed  CAS  Google Scholar 

  55. Zack M.B., Palange A.V.: Oxygen supplemental exercise of ventilatory and nonventilatory muscles in pulmonary rehabilitation. Chest 1985; 88: 669–675

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. E. Cato Drash Professor of Medicine, Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Virginia School of Medicine, Charlottesville, Virginia, USA

    D. F. Rochester

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  1. D. F. Rochester
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Editor information

Editors and Affiliations

  1. Division of Pulmonary Disease, Clinica del Lavoro Foundation, Institute of Care and Research, Medical Center of Rehabilitation, Montescano, Pavia, Italy

    C. Rampulla , C. Fracchia  & N. Ambrosino ,  & 

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© 1993 Springer-Verlag London

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Rochester, D.F. (1993). Old and New in Pulmonary Rehabilitation. In: Rampulla, C., Fracchia, C., Ambrosino, N. (eds) Cardiopulmonary Rehabilitation. Current Topics in Rehabilitation. Springer, London. https://doi.org/10.1007/978-1-4471-3779-5_1

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  • DOI: https://doi.org/10.1007/978-1-4471-3779-5_1

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-3781-8

  • Online ISBN: 978-1-4471-3779-5

  • eBook Packages: Springer Book Archive

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