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[What are the post-rehabilitation options for patients with COPD?]

Authors :
Alain Varray
Moullec, G.
Gregory Ninot
Prefaut, C.
Euromov (EuroMov)
Université de Montpellier (UM)
Hôpital du Sacré-Cœur
Centre Hospitalier de l'Université de Montréal (CHUM)
Université de Montréal (UdeM)-Université de Montréal (UdeM)
Dynamique des capacités humaines et des conduites de santé (EPSYLON)
Université de Montpellier (UM)-Université Paul-Valéry - Montpellier 3 (UPVM)-Université Montpellier 1 (UM1)
Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046] (PhyMedExp)
Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM)-Centre National de la Recherche Scientifique (CNRS)
Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)
Université de Montpellier (UM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)
Varray, Alain
Source :
Revue des Maladies Respiratoires, Revue des Maladies Respiratoires, Elsevier Masson, 2007, pp.121-32, HAL
Publication Year :
2007
Publisher :
HAL CCSD, 2007.

Abstract

The efficacy of pulmonary rehabilitation in the short term for patients with Chronic Obstructive Pulmonary Disease (COPD) is now clearly established. However, several studies have shown that these benefits last only for between 6 months to one year. On the basis of the current literature, the authors believe that a follow-up of rehabilitation "post-rehabilitation" is necessary not only to maintain benefits but also to reinforce them.We review studies that have focused specifically on post-rehabilitation and found a heterogeneity of tested solutions. As with conventional pulmonary rehabilitation, a multidisciplinary approach including physical activity, health education and psychosocial supports seem to be the key to successfully maintain rehabilitation's gains.Further randomised and controlled research will be needed to confirm the medical and economic effectiveness of this combination of intervention in patients with different severities of COPD.Individualised, objective and coordinated follow-up activities allow COPD patients to cope with the chronicity of their disease and the unpredictability of symptoms in the context of daily life.

Details

Language :
English
ISSN :
07618425
Database :
OpenAIRE
Journal :
Revue des Maladies Respiratoires, Revue des Maladies Respiratoires, Elsevier Masson, 2007, pp.121-32, HAL
Accession number :
edsair.pmid.dedup....0994412a6424f35553cbf7f7f5667c7c