Issue №5-99, 2020

Review article

https://doi.org/10.38025/2078-1962-2020-99-5-26-37

Pulmonary Rehabilitation of Chronic Obstructive Pulmonary Diseases (Review of Clinical Trials, National and International Recommendations)

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1,2 ORCIDBilichenko T.N.

1 Federal Pulmonology Research Institute, Moscow, Russian Federation
2 Medical and rehabilitation center «The suburbs», Moscow, Russian Federation


ABSTRACT

Aim. The review of data from randomized clinical trials, results of systematic reviews, international and national clinical recommendations on the problem of pulmonary rehabilitation (PR) in chronic obstructive pulmonary disease (COPD) was carried out.

Materials and methods. This analysis of the studies included the databases e-library, MEDLINE, PubMed and Cochrane libraries on the problem of pathophysiology and methods of physical rehabilitation of COPD. The analysis took into account the opinions of expert groups of clinical recommendations developers of the Russian Respiratory Society, the European respiratory society, and the American Thoracic Society, presented in this review.

Results. The data of studies confirm the clinical effectiveness of physical rehabilitation methods for COPD that take into account the unique needs of the high-risk patient. Pulmonary rehabilitation improves the quality of life associated with health, reduces the incidence of exacerbations and mortality of patients with COPD. Increasing the availability and improving PR programs based on individual assessment of the patient’s physical capabilities will increase the use of this treatment method.



KEYWORDS: pulmonary rehabilitation, chronic obstructive pulmonary disease, physical activity, quality of life

For citation: Bilichenko T.N. Pulmonary Rehabilitation of Chronic Obstructive Pulmonary Diseases (Review of Clinical trials, National and International Recommendations). Bulletin of Rehabilitation Medicine. 2020; 5 (99): 26–37. https://doi.org/10.38025/2078-1962-2020-99-5-26-37



References:

  1. Spruit M. A., Singh S. J., Garvey Ch., ZuWallack R., Nici L., Rochester C. et al. An Official American Thoracic Society/European Respiratory Society Statement: Key Concepts and Advances in Pulmonary Rehabilitation. American journal of respiratory and critical care medicine. 2013; 188 (8): e13-e64. DOI:10.1164/rccm.201309-1634ST
  2. Wagg K. Unraveling self-management for COPD: what next? Chronic Respiratory Diseases. 2012; (9): 5-7. DOI: 10.1177/1479972311435910
  3. Gea J., Sancho-Munoz A., Chalela R. Nutritional status and muscle dysfunction in chronic respiratory diseases: stable phase versus acute exacerbations. Journal of Thoracic Disease. 2018; 10 (12): S1332-S1354. DOI:10.21037/jtd.2018.02.66
  4. Belevsky A. S., Meshcheryakova N. N. Reabilitaciya bol’nyh HOBL. Klinicheskie rekomendacii. Hronicheskaya obstruktivnaya bolezn’ legkih. Rossijskoe respiratornoe obshchestvo; Pod red. A. G. CHuchalina. - 2-e izd., ispr. i dop. [Rehabilitation of COPD patients. Clinical recommendations. Chronic obstructive pulmonary disease. Russian respiratory society; ed. by A. G. Chuchalin. - 2nd ed., corr. and add.]. Moscow. Atmosfera. 2007: 221-232. (In Russ.).
  5. Aliverti A., Macklem P. T. The major limitation to exercise performance in COPD is inadequate energy supply to the respiratory and locomotor muscles. International journal of applied exercise physiology. 2008; (105): 749-751, 755-747. DOI:10.1152/japplphysiol.90336.2008c
  6. O’Donnell D. E., Webb K. A. The major limitation to exercise performance in COPD is dynamic hyperinflation. International journal of applied exercise physiology. 2008; (105): 753-755, 755-757. DOI:10.1152/japplphysiol.90336.2008b
  7. Spruit M. A., Franssen F. M., Rutten E. P., Wagers S. S., Wouters E. F. Agegraded reductions in quadriceps muscle strength and peak aerobic capacity in COPD. Brazilian Journal of Physiotherapy. 2012; (16): 148-156. DOI:10.1590/S1413-35552012005000011
  8. Malyavin A. G., Epifanov V. A., Glazkova I. I. Reabilitaciya pri zabolevaniyah organov dyhaniya [Rehabilitation in respiratory diseases]. M. GEOTAR-Media. 2010: 352 p. (In Russ.).
  9. Ovcharenko S. I., Volel B. A., Galetskaite Ya. K. Personalizirovannyj podhod k legochnoj reabilitacii bol’nyh hronicheskoj obstruktivnoj bolezn’yu legkih [Personalized approach to pulmonary rehabilitation of patients with chronic obstructive pulmonary disease]. Therapeutic archive. 2017; (3): 18-23. DOI: 10.17116/terarkh201789318-23 (In Russ.).
  10. Ergeshova L. A. Fizicheskaya reabilitaciya bol’nyh HOBL [Physical rehabilitation of COPD patients]. Bulletin of modern clinical medicine. 2014; 7 (4): 46-49 (In Russ.).
  11. Avdeev S. N., Trushenko N. V. Novye vozmozhnosti dvojnoj bronhodilatacionnoj terapii u pacientov s hronicheskoj obstruktivnoj bolezn’yu legkih [New possibilities of double bronchodilation therapy in patients with chronic obstructive pulmonary disease]. Therapeutic archive. 2019; 91 (3): 76-85. DOI: 10.26442/00403660.2019.03.000136 (In Russ.).
  12. Harrison S. L., Greening N. J., Williams J. E., Morgan M. D., Steiner M. C., Singh S. J. Have we underestimated the efficacy of pulmonary rehabilitation in improving mood? Respiratory Medicine. 2012; (106): 838-844. DOI:10.1016/j.rmed.2011.12.003
  13. Gale N. S., Duckers J. M., Enright S., Cockcroft J. R., Shale D. J., Bolton C. E. Does pulmonary rehabilitation address cardiovascular risk factors in patients with COPD? BMC Pulmonary Medicune. 2011; (11): 20 p. DOI:10.1186/1471-2466-11-20
  14. Camillo C. A., Laburu V. de M., Goncalves N. S., Cavalheri V., Tomasi F. P., Hernandes N. A., Ramos D., Marquez Vanderlei L. C., Cipulo Ramos E. M., Probst V. S. et al. Improvement of heart rate variability after exercise training and its predictors in COPD. Respiratory Medicine. 2011; (105): 1054-1062. DOI:10.1016/j. rmed.2011.01.014
  15. Hill K., Dolmage T. E., Woon L., Coutts D., Goldstein R., Brooks D. Comparing peak and submaximal cardiorespiratory responses during field walking tests with incremental cycle ergometry in COPD. Respirology. 2012; (17): 278-284. DOI:10.1111/j.1440-1843.2011.02089.x
  16. Kerbikov O. B., Averyanov A. V., Borskaya E. N., Krutova T. V. Kardiopul’monal’noe nagruzochnoe testirovanie v klinicheskoj praktike [Cardiopulmonary load testing in clinical practice]. Clinical practice. 2012; (2): 58-70. (In Russ.).
  17. Holland A. E., Hill K., Alison J. A., Luxton N., Mackey M. G., Hill C. J., Jenkins S. C. Estimating peak work rate during incremental cycle ergometry from the 6-minute walk distance: differences between reference equations. Respiration. 2011; (81): 124-128. DOI:10.1159/000308464
  18. de Voogd J. N., Sanderman R., Postema K., van Sonderen E., Wempe J. B. Relationship between anxiety and dyspnea on exertion in patients with chronic obstructive pulmonary disease. Anxiety, Stress & Coping. 2011; (24): 439-449. DOI:10.1080/10615806.2010.520081
  19. Heslop-Marshall K., Baker C., Carrick-Sen D. et al. Randomised controlled trial of cognitive behavioural therapy in COPD. European Respiratory Journal Open Research. 2018; (4): 00094-2018. DOI:10.1183/23120541.00094-2018
  20. Seymour J. M., Spruit M. A., Hopkinson N. S., Natanek S. A., Man W. D., Jackson A., Gosker H. R., Schols A. M., Moxham J., Polkey M. I. et al. The prevalence of quadriceps weakness in COPD and the relationship with disease severity. European Respiratory Journal. 2010; (36): 81-88. DOI:10.1007/978-3-319-65888-9_6
  21. Van Vliet M., Spruit M. A., Verleden G., Kasran A., Van Herck E., Pitta F., Bouillon R., Decramer M. Hypogonadism, quadriceps weakness, and exercise intolerance in chronic obstructive pulmonary disease. American journal of respiratory and critical care medicine. 2005; (172): 1105-1111. DOI:10.1164/rccm.200501-114OC
  22. Wust R. C., Jaspers R. T., van der Laarse W. J., Degens H. Skeletal muscle capillarization and oxidative metabolism in healthy smokers. Applied Physiology, Nutrition, and Metabolism. 2008; (33): 1240-1245. DOI:10.1139/H08-116
  23. Saey D., Michaud A., Couillard A., Cote C. H., Mador M. J., LeBlanc P., Jobin J., Maltais F. Contractile fatigue, muscle morphometry, and blood lactate in chronic obstructive pulmonary disease. American journal of respiratory and critical care medicine. 2005; (171): 1109-1115. DOI:10.1164/rccm.200208-856OC
  24. Jenkins S., Hill K., Cecins N. M. State of the art: how to set up a pulmonary rehabilitation program. Respirology. 2010; (15): 1157-1173. DOI:10.1111/ j.1440-1843.2010.01849.x
  25. Chodzko-Zajko W. J., Proctor D. N., Fiatarone Singh M. A., Minson C. T., Nigg C. R., Salem G. J., Skinner J. S. American College of Sports Medicine. American College of Sports Medicine position stand: exercise and physical activity for older adults. Medicine & Science in Sports & Exercise. 2009; (41): 1510-1530. DOI:10.1249/MSS.0b013e3181a0c95c
  26. Garber C. E., Blissmer B., Deschenes M. R., Franklin B. A., Lamonte M. J., Lee I. M., Nieman D. C., Swain D. P. American College of Sports Medicine. American College of Sports Medicine position stand: quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercises. Medicine & Science in Sports & Exercise. 2011; (43): 1334-1359. DOI:10.1249/MSS.0b013e318213fefb
  27. Leung R. W., Alison J. A., McKeough Z. J., Peters M. J. Ground walk training improves functional exercise capacity more than cycle training in people with chronic obstructive pulmonary disease (COPD): a randomized trial. International Journal of Physiotherapy and Research. 2010; (56): 105-112. DOI:10.1016/s1836-9553 (10)70040-0
  28. Breyer M. K., Breyer-Kohansal R., Funk G. C., Dornhofer N., Spruit M. A., Wouters E. F., Burghuber O. C., Hartl S. Nordic walking improves daily physical activities in COPD: a randomized controlled trial. Respiratory Research. 2010; (11): 112. DOI:10.1186/1465-9921-11-112
  29. Vogiatzis I., Simoes D. C., Stratakos G., Kourepini E., Terzis G., Manta P., Athanasopoulos D., Roussos C., Wagner P. D., Zakynthinos S. Effect of pulmonary rehabilitation on muscle remodeling in cachectic patients with COPD. European Respiratory Journal. 2010; (36): 301-310. DOI:10.1183/09031936.00112909
  30. Mador M. J., Krawza M., Alhajhusian A., Khan A. I., Shaffer M., Kufel T. J. Interval training versus continuous training in patients with chronic obstructive pulmonary disease. Journal of Cardiopulmonary Rehabilitation and Prevention. 2009; (29): 126-132. DOI:10.1097/HCR.0b013e31819a024f
  31. Nasis I. G., Vogiatzis I., Stratakos G., Athanasopoulos D., Koutsoukou A., Daskalakis A., Spetsioti S., Evangelodimou A., Roussos C., Zakynthinos S. Effects of interval-load versus constant-load training on the BODE Index in COPD patients. Respiratory Medicine. 2009; (103): 1392-1398. DOI:10.1016/j. rmed.2009.03.003
  32. Vogiatzis I., Terzis G., Stratakos G., Cherouveim E., Athanasopoulos D., Spetsioti S., Nasis I., Manta P., Roussos C., Zakynthinos S. Effect of pulmonary rehabilitation on peripheral muscle fiber remodeling in patients with COPD in GOLD stages II to IV. Chest. 2011; (140): 744-752. DOI:10.1183/09031936.00112909
  33. Beauchamp M. K., Nonoyama M., Goldstein R. S., Hill K., Dolmage T. E., Mathur S., Brooks D. Interval versus continuous training in individuals with chronic obstructive pulmonary disease - a systematic review. Thorax. 2010; (65): 157-164. DOI:10.1136/thx.2009.123000
  34. Zainuldin R., Mackey M. G., Alison J. A. Optimal intensity and type of leg exercise training for people with chronic obstructive pulmonary disease. Cochrane Database Systemic Reviews. 2011; (11): CD008008. DOI:10.1002/14651858.CD008008.pub2
  35. Vaes A. W., Wouters E. F., Franssen F. M., Uszko-Lencer N. H., Stakenborg K. H., Westra M., Meijer K., Schols A. M., Janssen P. P., Spruit M. A. Task related oxygen uptake during domestic activities of daily life in patients with COPD and healthy elderly subjects. Chest. 2011; (140): 970-979. DOI:10.1378/chest.10-3005
  36. O’Shea S. D., Taylor N. F., Paratz J. D. Progressive resistance exercise improves muscle strength and may improve elements of performance of daily activities for people with COPD: a systematic review. Chest. 2009; (136): 1269-1283. DOI:10.1378/chest.09-0029
  37. Haskell W. L., Lee I. M., Pate R. R., Powell K. E., Blair S. N., Franklin B. A., Macera C. A., Heath G. W., Thompson P. D., Bauman A. American College of Sports Medicine; American Heart Association. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation. 2007; (116): 1081-1093. DOI:10.1161/CIRCULATION.107.185649
  38. Beauchamp M. K., Hill K., Goldstein R. S., Janaudis-Ferreira T., Brooks D. Impairments in balance discriminate fallers from non-fallers in COPD. Respiratory Medicine. 2009; (103): 1885-1891. DOI:10.1016/j.rmed.2009.06.008
  39. Graat-Verboom L., van den Borne B. E., Smeenk F. W., Spruit M. A., Wouters E. F. Osteoporosis in COPD outpatients based on bone mineral density and vertebral fractures. Journal of Bone and Mineral Research. 2011; (26): 561-568.
  40. Miranda F., Simao R., Rhea M., Bunker D., Prestes J., Leite R. D., Miranda H., de Salles B. F., Novaes J. Effects of linear vs. daily undulatory periodized resistance training on maximal and submaximal strength gains. Journal of Strength and Conditioning Research. 2011; (25): 1824-1830. DOI:10.1519/jsc.0b013e3181e7ff75
  41. Spruit M. A., Eterman R. M., Hellwig V. A., Janssen P. P., Wouters E. F., Uszko-Lencer N. H. Effects of moderate-to-high intensity resistance training in patients with chronic heart failure. Heart. 2009; (95): 1399-1408. DOI:10.1136/hrt.2008.159582
  42. Costi S., Crisafulli E., Antoni F. D., Beneventi C., Fabbri L. M., Clini E. M. Effects of unsupported upper extremity exercise training in patients with COPD: a randomized clinical trial. Chest. 2009; (136): 387-395. DOI:10.1378/chest.09-0165
  43. Janaudis-Ferreira T., Hill K., Goldstein R. S., Robles-Ribeiro P., Beauchamp M. K., Dolmage T. E., Wadell K., Brooks D. Resistance army training in patients with COPD: a randomized controlled trial. Chest. 2011; (139): 151-158. DOI.10.1378/chest.10-1292
  44. Troosters T., Probst V. S., Crul T., Pitta F., Gayan-Ramirez G., Decramer M., Gosselink R. Resistance training prevents deterioration in quadriceps muscle function during acute exacerbations of chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine. 2010; (181): 1072-1077. DOI:10.1164/rccm.200908-1203OC
  45. Janaudis-Ferreira T., Hill K., Goldstein R., Wadell K., Brooks D. Arm exercise training in patients with chronic obstructive pulmonary disease: a systematic review. Journal of Cardiopulmonary Rehabilitation and Prevention. 2009; (29): 277-283. DOI:10.1097/HCR.0b013e3181b4c8d0
  46. Sillen M. J., Speksnijder C. M., Eterman R. M., Janssen P. P., Wagers S. S., Wouters E. F., Uszko-Lencer N. H., Spruit M. A. Effects of neuromuscular electrical stimulation of muscles of ambulation in patients with chronic heart failure or COPD: a systematic review of the English-language literature. Chest. 2009; (136): 44-61. DOI:10.1378/chest.08-2481
  47. Sillen M. J., Wouters E. F., Franssen F. M., Meijer K., Stakenborg K. H., Spruit M. A. Oxygen uptake, ventilation, and symptoms during low-frequency versus high-frequency NMES in COPD: a pilot study. Lung. 2011; (189): 21-26. DOI:10.1007/s00408-010-9265-0
  48. Abdellaoui A., Prefaut C., Gouzi F., Couillard A., Coisy-Quivy M., Hugon G., Molinari N., Lafontaine T., Jonquet O., Laoudj-Chenivesse D. et al. Skeletal muscle effects of electro stimulation after COPD exacerbation: a pilot study. European Respiratory Journal. 2011; (38): 781-788. DOI:10.1183/09031936.00167110
  49. Ngai S. P., Jones A. Y., Hui-Chan C. W., Ko F. W., Hui D. S. Effect of 4 weeks of Acu-TENS on functional capacity and b-endorphin level in subjects with chronic obstructive pulmonary disease: a randomized controlled trial. Respiratory Physiology and Neurobiology. 2010; (173): 29-36. DOI:10.1016/j. resp.2010.06.005
  50. Vanderthommen M., Duchateau J. Electrical stimulation as a modality to improve performance of the neuromuscular system. Exercise and Sport Sciences Reviews. 2007; (35): 180-185. DOI:10.1097/jes.0b013e318156e785
  51. Gosselink R., De Vos J., van den Heuvel S. P., Segers J., Decramer M., Kwakkel G. Impact of inspiratory muscle training in patients with COPD: what is the evidence? European Respiratory Journal. 2011; (37): 416-425. DOI:10.1183/09031936.00031810
  52. Global Initiative for Chronic Obstructive Lung Disease. Pocket guide to COPD diagnosis, management, and prevention.A Guide for Health Care Professionals 2017 edition. Disclosure forms for GOLD Committees are posted on the GOLD Website. Available at: https://goldcopd.org/
  53. Corner E., Garrod R. Does the addition of non-invasive ventilation during pulmonary rehabilitation in patients with chronic obstructive pulmonary disease augment patient outcome in exercise tolerance? A literature review. International Journal of Physiotherapy and Research. 2010; (15): 5-15. DOI:10.1002/pri.451
  54. Menadue C., Alison J. A., Piper A. J., Flunt D., Ellis E.R. Bilevel ventilation during exercise in acute or chronic respiratory failure: a preliminary study. Respiratory Medicine. 2010; (104): 219-227. DOI:10.1016/j. rmed.2009.08.015
  55. Nield M. A., Soo Hoo G.W., Roper J. M., Santiago S. Efficacy of pursed-lips breathing: a breathing pattern retraining strategy for dyspnea reduction. European journal of cardiovascular prevention and rehabilitation. 2007; (27): 237-244. DOI:10.1097/01.HCR.0000281770.82652.cb
  56. Pomidori L., Campigotto F., Amatya T. M., Bernardi L., Cogo A. Efficacy and tolerability of yoga breathing in patients with chronic obstructive pulmonary disease: a pilot study. European journal of cardiovascular prevention and rehabilitation. 2009; (29): 133-137. DOI:10.1097/HCR.0b013e31819a0227
  57. Hill K., Goldstein R., Gartner E. J., Brooks D. Daily utility and satisfaction with rollators among persons with chronic obstructive pulmonary disease. Archives of physical medicine and rehabilitation. 2008; (89): 1108-1113. DOI:10.1016/j.apmr.2007.11.032
  58. Vaes A. W., Annegarn J., Meijer K., Cuijpers M.W., Franssen F. M., Wiechert J., Wouters E. F., Spruit M.A. The effects of a “new” walking aid on exercise performance in patients with COPD: a randomized cross-over trial. Chest. 2012; (141): 1224-1232. DOI:10.1378/chest.11-1076
  59. Puhan M. A., Gimeno-Santos E., Scharplatz M., Troosters T., Walters E. H., Steurer J. Pulmonary rehabilitation following exacerbations of chronic obstructive pulmonary disease. Cochrane Database Systemic Reviews. 2011; (10): CD005305. DOI:10.1002/14651858.CD005305.pub2
  60. Ivanova G. E., Trukhanov A.I. Global’nye perspektivy razvitiya medicinskoj reabilitacii [Global prospects for the development of medical rehabilitation]. Bulletin of Rehabilitation Medicine. 2017; 6 (82): 2-6 (In Russ.).



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