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Erschienen in: Der Pneumologe 3/2015

01.05.2015 | Leitthema

Pneumologische Rehabilitation bei Non-COPD

verfasst von: E. Grünig, N. Ehlken, K. Schultz, Dr. R. Glöckl

Erschienen in: Zeitschrift für Pneumologie | Ausgabe 3/2015

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Zusammenfassung

In dem gemeinsamen Positionspapier der American Thoracic Society und der European Respiratory Society (ATS/ERS) aus dem Jahr 2013 werden verschiedene Non-COPD-Erkrankungen als mögliche Indikationen für eine pneumologische Rehabilitation (PR) aufgeführt. Die Datenlage zur Evidenz für PR bei Non-COPD-Erkrankungen ist zwar zunehmend, im Vergleich zur COPD bisher jedoch verhältnismäßig gering. Dennoch gibt es einige Studien, in denen die Effektivität von PR-Programmen bei Indikationen wie Asthma bronchiale, interstitiellen Lungenerkrankungen, Non-CF-Bronchiektasen, Mukoviszidose oder pulmonal arterieller Hypertonie untersucht wurden. Hierbei konnten Verbesserungen sowohl in Bereichen der körperlichen Leistungsfähigkeit als auch der Lebensqualität gezeigt werden. Auch wenn relevante, krankheitsspezifische Komponenten der PR-Programme für Patienten mit Non-COPD-Erkrankungen bislang noch nicht abschließend geklärt sind, scheinen vor allem die körperliche Trainingstherapie und beim Asthma bronchiale zudem die Patientenschulung und die Atemphysiotherapie eine zentrale Rolle einzunehmen. Darüber hinaus ist eine multimodale Rehabilitation der geeignete Ort, um Diagnostik, medikamentöse Therapie, krankheitsspezifische Schulung, Atemphysiotherapie sowie körperliches Training und Aktivität zu initiieren bzw. zu optimieren.
Literatur
1.
Zurück zum Zitat Nathell L (2005) Effects on sick leave of an inpatient rehabilitation programme for asthmatics in a randomized trial. Scand J Public Health 33:57–64CrossRefPubMed Nathell L (2005) Effects on sick leave of an inpatient rehabilitation programme for asthmatics in a randomized trial. Scand J Public Health 33:57–64CrossRefPubMed
2.
Zurück zum Zitat Cambach W, Chadwick-Straver RV, Wagenaar RC et al (1997) The effects of a community-based pulmonary rehabilitation programme on exercise tolerance and quality of life: a randomized controlled trial. Eur Respir J 10:104–113CrossRefPubMed Cambach W, Chadwick-Straver RV, Wagenaar RC et al (1997) The effects of a community-based pulmonary rehabilitation programme on exercise tolerance and quality of life: a randomized controlled trial. Eur Respir J 10:104–113CrossRefPubMed
3.
Zurück zum Zitat Emtner M, Finne M, Stalenheim G (1998) A 3-year follow-up of asthmatic patients participating in a 10-week rehabilitation program with emphasis on physical training. Arch Phys Med Rehabil 79:539–544CrossRefPubMed Emtner M, Finne M, Stalenheim G (1998) A 3-year follow-up of asthmatic patients participating in a 10-week rehabilitation program with emphasis on physical training. Arch Phys Med Rehabil 79:539–544CrossRefPubMed
4.
Zurück zum Zitat Farin E, Opitz U, Jäckel WH et al (2009) Pneumologische Rehabilitation: Langzeitdaten zur Lebensqualität und Prädiktoren der Behandlungseffekte. Phys Med Rehab Kuror 19:75–84CrossRef Farin E, Opitz U, Jäckel WH et al (2009) Pneumologische Rehabilitation: Langzeitdaten zur Lebensqualität und Prädiktoren der Behandlungseffekte. Phys Med Rehab Kuror 19:75–84CrossRef
5.
Zurück zum Zitat Lingner H, Ernst S, Großhennig A et al (2015) Asthma control and health related quality of life one year after inpatient pulmonary rehabilitation: the ProKAR Study. J Asthma 13:1–8CrossRef Lingner H, Ernst S, Großhennig A et al (2015) Asthma control and health related quality of life one year after inpatient pulmonary rehabilitation: the ProKAR Study. J Asthma 13:1–8CrossRef
6.
Zurück zum Zitat Buhl R, Berdel D, Criee CP et al (2006) Leitlinie zur Diagnostik und Therapie von Patienten mit Asthma. Pneumologie 60:139–177CrossRefPubMed Buhl R, Berdel D, Criee CP et al (2006) Leitlinie zur Diagnostik und Therapie von Patienten mit Asthma. Pneumologie 60:139–177CrossRefPubMed
7.
Zurück zum Zitat Gibson PG, Powell H, Coughlan J et al (2002) Limited (information only) patient education programs for adults with asthma. Cochrane Database Syst Rev CD001005 Gibson PG, Powell H, Coughlan J et al (2002) Limited (information only) patient education programs for adults with asthma. Cochrane Database Syst Rev CD001005
8.
Zurück zum Zitat Bott J, Blumenthal S, Buxton M et al (2009) Guidelines for the physiotherapy management of the adult, medical, spontaneously breathing patient. Thorax 64(Suppl 1):i1–i51CrossRefPubMed Bott J, Blumenthal S, Buxton M et al (2009) Guidelines for the physiotherapy management of the adult, medical, spontaneously breathing patient. Thorax 64(Suppl 1):i1–i51CrossRefPubMed
9.
Zurück zum Zitat Avallone KM, McLeish AC (2013) Asthma and aerobic exercise: a review of the empirical literature. J Asthma 50:109–116CrossRefPubMed Avallone KM, McLeish AC (2013) Asthma and aerobic exercise: a review of the empirical literature. J Asthma 50:109–116CrossRefPubMed
10.
Zurück zum Zitat Bundesärztekammer (BAK), Kassenärztliche Bundesvereinigung (KBV), Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF). Nationale Versorgungsleitlinie Asthma bronchiale, 2. Auflage, Version 1.3.2011, www.versorgungsleitlinien.de/themen/asthma/pdf/nvl_asthma_lang.pdf (Aufgerufen am 10.01.2015) Bundesärztekammer (BAK), Kassenärztliche Bundesvereinigung (KBV), Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF). Nationale Versorgungsleitlinie Asthma bronchiale, 2. Auflage, Version 1.3.2011, www.versorgungsleitlinien.de/themen/asthma/pdf/nvl_asthma_lang.pdf (Aufgerufen am 10.01.2015)
11.
Zurück zum Zitat Holloway EA, West RJ (2007) Integrated breathing and relaxation training (the Papworth method) for adults with asthma in primary care: a randomised controlled trial. Thorax 62:1039–1042CrossRefPubMedCentralPubMed Holloway EA, West RJ (2007) Integrated breathing and relaxation training (the Papworth method) for adults with asthma in primary care: a randomised controlled trial. Thorax 62:1039–1042CrossRefPubMedCentralPubMed
12.
Zurück zum Zitat Garcia-Aymerich J, Varraso R, Anto JM, Camargo CA Jr (2009) Prospective study of physical activity and risk of asthma exacerbations in older women. Am J Respir Crit Care Med 179:999–1003CrossRefPubMedCentralPubMed Garcia-Aymerich J, Varraso R, Anto JM, Camargo CA Jr (2009) Prospective study of physical activity and risk of asthma exacerbations in older women. Am J Respir Crit Care Med 179:999–1003CrossRefPubMedCentralPubMed
13.
Zurück zum Zitat Mendes FA, Goncalves RC, Nunes MP et al (2010) Effects of aerobic training on psychosocial morbidity and symptoms in patients with asthma: a randomized clinical trial. Chest 138:331–337CrossRefPubMed Mendes FA, Goncalves RC, Nunes MP et al (2010) Effects of aerobic training on psychosocial morbidity and symptoms in patients with asthma: a randomized clinical trial. Chest 138:331–337CrossRefPubMed
14.
Zurück zum Zitat Eichenberger PA, Diener SN, Kofmehl R, Spengler CM (2013) Effects of exercise training on airway hyperreactivity in asthma: a systematic review and meta-analysis. Sports Med 43:1157–1170CrossRefPubMed Eichenberger PA, Diener SN, Kofmehl R, Spengler CM (2013) Effects of exercise training on airway hyperreactivity in asthma: a systematic review and meta-analysis. Sports Med 43:1157–1170CrossRefPubMed
15.
Zurück zum Zitat Mereles D, Ehlken N, Kreuscher S et al (2006) Exercise and respiratory training improve exercise capacity and quality of life in patients with severe chronic pulmonary hypertension. Circulation 114:1482–1489CrossRefPubMed Mereles D, Ehlken N, Kreuscher S et al (2006) Exercise and respiratory training improve exercise capacity and quality of life in patients with severe chronic pulmonary hypertension. Circulation 114:1482–1489CrossRefPubMed
16.
Zurück zum Zitat Chan L, Chin LM, Kennedy M et al (2013) Benefits of intensive treadmill exercise training on cardiorespiratory function and quality of life in patients with pulmonary hypertension. Chest 143:333–343CrossRefPubMedCentralPubMed Chan L, Chin LM, Kennedy M et al (2013) Benefits of intensive treadmill exercise training on cardiorespiratory function and quality of life in patients with pulmonary hypertension. Chest 143:333–343CrossRefPubMedCentralPubMed
17.
Zurück zum Zitat Weinstein AA, Chin LM, Keyser RE et al (2013) Effect of aerobic exercise training on fatigue and physical activity in patients with pulmonary arterial hypertension. Respir Med 107:778–784CrossRefPubMedCentralPubMed Weinstein AA, Chin LM, Keyser RE et al (2013) Effect of aerobic exercise training on fatigue and physical activity in patients with pulmonary arterial hypertension. Respir Med 107:778–784CrossRefPubMedCentralPubMed
18.
Zurück zum Zitat Yuan P, Yuan XT, Sun XY et al (2015) Exercise training for pulmonary hypertension: a systematic review and meta-analysis. Int J Cardiol 178:142–146CrossRefPubMed Yuan P, Yuan XT, Sun XY et al (2015) Exercise training for pulmonary hypertension: a systematic review and meta-analysis. Int J Cardiol 178:142–146CrossRefPubMed
19.
Zurück zum Zitat Becker-Grünig T, Klose H, Ehlken N et al (2013) Efficacy of exercise training in pulmonary arterial hypertension associated with congenital heart disease. Int J Cardiol 168:375–381CrossRefPubMed Becker-Grünig T, Klose H, Ehlken N et al (2013) Efficacy of exercise training in pulmonary arterial hypertension associated with congenital heart disease. Int J Cardiol 168:375–381CrossRefPubMed
20.
Zurück zum Zitat Nagel C, Prange F, Guth S et al (2012) Exercise training improves exercise capacity and quality of life in patients with inoperable or residual chronic thromboembolic pulmonary hypertension. PLoS One 7:e41603CrossRefPubMedCentralPubMed Nagel C, Prange F, Guth S et al (2012) Exercise training improves exercise capacity and quality of life in patients with inoperable or residual chronic thromboembolic pulmonary hypertension. PLoS One 7:e41603CrossRefPubMedCentralPubMed
21.
Zurück zum Zitat Grünig E, Maier F, Ehlken N et al (2012) Exercise training in pulmonary arterial hypertension associated with connective tissue diseases. Arthritis Res Ther 14:R148CrossRefPubMedCentralPubMed Grünig E, Maier F, Ehlken N et al (2012) Exercise training in pulmonary arterial hypertension associated with connective tissue diseases. Arthritis Res Ther 14:R148CrossRefPubMedCentralPubMed
22.
Zurück zum Zitat Grünig E, Lichtblau M, Ehlken N et al (2012) Safety and efficacy of exercise training in various forms of pulmonary hypertension. Eur Respir J 40:84–92CrossRefPubMed Grünig E, Lichtblau M, Ehlken N et al (2012) Safety and efficacy of exercise training in various forms of pulmonary hypertension. Eur Respir J 40:84–92CrossRefPubMed
23.
Zurück zum Zitat Galie N, Corris PA, Frost A et al (2013) Updated treatment algorithm of pulmonary arterial hypertension. J Am Coll Cardiol 62:D60–D72CrossRefPubMed Galie N, Corris PA, Frost A et al (2013) Updated treatment algorithm of pulmonary arterial hypertension. J Am Coll Cardiol 62:D60–D72CrossRefPubMed
24.
Zurück zum Zitat Kenn K, Gloeckl R, Behr J (2013) Pulmonary rehabilitation in patients with idiopathic pulmonary fibrosis – a review. Respiration 86:89–99CrossRefPubMed Kenn K, Gloeckl R, Behr J (2013) Pulmonary rehabilitation in patients with idiopathic pulmonary fibrosis – a review. Respiration 86:89–99CrossRefPubMed
25.
Zurück zum Zitat Rafii R, Juarez MM, Albertson TE, Chan AL (2013) A review of current and novel therapies for idiopathic pulmonary fibrosis. J Thorac Dis 5:48–73PubMedCentralPubMed Rafii R, Juarez MM, Albertson TE, Chan AL (2013) A review of current and novel therapies for idiopathic pulmonary fibrosis. J Thorac Dis 5:48–73PubMedCentralPubMed
26.
Zurück zum Zitat Gloeckl R, Marinov B, Pitta F (2013) Practical recommendations for exercise training in patients with COPD. Eur Respir Rev 22:178–186CrossRefPubMed Gloeckl R, Marinov B, Pitta F (2013) Practical recommendations for exercise training in patients with COPD. Eur Respir Rev 22:178–186CrossRefPubMed
27.
Zurück zum Zitat Nishiyama O, Kondoh Y, Kimura T et al (2008) Effects of pulmonary rehabilitation in patients with idiopathic pulmonary fibrosis. Respirology 13:394–399CrossRefPubMed Nishiyama O, Kondoh Y, Kimura T et al (2008) Effects of pulmonary rehabilitation in patients with idiopathic pulmonary fibrosis. Respirology 13:394–399CrossRefPubMed
28.
Zurück zum Zitat Huppmann P, Sczepanski B, Boensch M et al (2013) Effects of inpatient pulmonary rehabilitation in patients with interstitial lung disease. Eur Respir J 42:444–453CrossRefPubMed Huppmann P, Sczepanski B, Boensch M et al (2013) Effects of inpatient pulmonary rehabilitation in patients with interstitial lung disease. Eur Respir J 42:444–453CrossRefPubMed
29.
Zurück zum Zitat Ryerson CJ, Cayou C, Topp F et al (2014) Pulmonary rehabilitation improves long-term outcomes in interstitial lung disease: a prospective cohort study. Respir Med 108:203–210CrossRefPubMed Ryerson CJ, Cayou C, Topp F et al (2014) Pulmonary rehabilitation improves long-term outcomes in interstitial lung disease: a prospective cohort study. Respir Med 108:203–210CrossRefPubMed
30.
Zurück zum Zitat Naji NA, Connor MC, Donnelly SC, McDonnell TJ (2006) Effectiveness of pulmonary rehabilitation in restrictive lung disease. J Cardiopulm Rehabil 26:237–243CrossRefPubMed Naji NA, Connor MC, Donnelly SC, McDonnell TJ (2006) Effectiveness of pulmonary rehabilitation in restrictive lung disease. J Cardiopulm Rehabil 26:237–243CrossRefPubMed
31.
Zurück zum Zitat Holland A, Hill C (2008) Physical training for interstitial lung disease. Cochrane Database Syst Rev CD006322 Holland A, Hill C (2008) Physical training for interstitial lung disease. Cochrane Database Syst Rev CD006322
32.
Zurück zum Zitat Spruit MA, Singh SJ, Garvey C et al (2013) An Official American Thoracic Society/European Respiratory Society Statement: key concepts and advances in pulmonary rehabilitation – an executive summary. Am J Respir Crit Care Med 188:e13–e64CrossRefPubMed Spruit MA, Singh SJ, Garvey C et al (2013) An Official American Thoracic Society/European Respiratory Society Statement: key concepts and advances in pulmonary rehabilitation – an executive summary. Am J Respir Crit Care Med 188:e13–e64CrossRefPubMed
33.
Zurück zum Zitat Holland AE, Wadell K, Spruit MA (2013) How to adapt the pulmonary rehabilitation programme to patients with chronic respiratory disease other than COPD. Eur Respir Rev 22:577–586CrossRefPubMed Holland AE, Wadell K, Spruit MA (2013) How to adapt the pulmonary rehabilitation programme to patients with chronic respiratory disease other than COPD. Eur Respir Rev 22:577–586CrossRefPubMed
34.
Zurück zum Zitat Patel IS, Vlahos I, Wilkinson T et al (2004) Bronchiectasis, exacerbation indices, and inflammation in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 15:400–407CrossRef Patel IS, Vlahos I, Wilkinson T et al (2004) Bronchiectasis, exacerbation indices, and inflammation in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 15:400–407CrossRef
35.
Zurück zum Zitat Zeller M van, Mota PC, Amorim A et al (2012) Pulmonary rehabilitation in patients with bronchiectasis: pulmonary function, arterial blood gases, and the 6-minute walk test. J Cardiopulm Rehabil 32:278–283CrossRef Zeller M van, Mota PC, Amorim A et al (2012) Pulmonary rehabilitation in patients with bronchiectasis: pulmonary function, arterial blood gases, and the 6-minute walk test. J Cardiopulm Rehabil 32:278–283CrossRef
36.
37.
Zurück zum Zitat Mandal P, Sidhu MK, Kope L et al (2012) A pilot study of pulmonary rehabilitation and chest physiotherapy versus chest physiotherapy alone in bronchiectasis. Respir Med 34:1086–1092 Mandal P, Sidhu MK, Kope L et al (2012) A pilot study of pulmonary rehabilitation and chest physiotherapy versus chest physiotherapy alone in bronchiectasis. Respir Med 34:1086–1092
38.
Zurück zum Zitat Al Moamary MS (2012) Impact of a pulmonary rehabilitation programme on respiratory parameters and health care utilization in patients with chronic lung diseases other than COPD. East Mediterr Health J 18:120–126 Al Moamary MS (2012) Impact of a pulmonary rehabilitation programme on respiratory parameters and health care utilization in patients with chronic lung diseases other than COPD. East Mediterr Health J 18:120–126
39.
Zurück zum Zitat Gloeckl R, Halle M, Kenn K (2012) Interval versus continuous training in lung transplant candidates: a randomized trial. J Heart Lung Transplant 31:934–941CrossRefPubMed Gloeckl R, Halle M, Kenn K (2012) Interval versus continuous training in lung transplant candidates: a randomized trial. J Heart Lung Transplant 31:934–941CrossRefPubMed
40.
Zurück zum Zitat Kenn K, Gloeckl R, Soennichsen A et al (2014) Predictors of success for pulmonary rehabilitation in patients awaiting lung transplantation. Transplantation (Epub ahead of print) Kenn K, Gloeckl R, Soennichsen A et al (2014) Predictors of success for pulmonary rehabilitation in patients awaiting lung transplantation. Transplantation (Epub ahead of print)
41.
Zurück zum Zitat Vivodtzev I, Debigare R, Gagnon P et al (2012) Functional and muscular effects of neuromuscular electrical stimulation in patients with severe COPD: a randomized clinical trial. Chest 141:716–725CrossRefPubMed Vivodtzev I, Debigare R, Gagnon P et al (2012) Functional and muscular effects of neuromuscular electrical stimulation in patients with severe COPD: a randomized clinical trial. Chest 141:716–725CrossRefPubMed
42.
Zurück zum Zitat Langer D, Gosselink R, Pitta F et al (2009) Physical activity in daily life 1 year after lung transplantation. J Heart Lung Transplant 28:572–578CrossRefPubMed Langer D, Gosselink R, Pitta F et al (2009) Physical activity in daily life 1 year after lung transplantation. J Heart Lung Transplant 28:572–578CrossRefPubMed
43.
Zurück zum Zitat Langer D, Burtin C, Schepers L et al (2012) Exercise training after lung transplantation improves participation in daily activity: a randomized controlled trial. Am J Transplant 12:1584–1592CrossRefPubMed Langer D, Burtin C, Schepers L et al (2012) Exercise training after lung transplantation improves participation in daily activity: a randomized controlled trial. Am J Transplant 12:1584–1592CrossRefPubMed
44.
Zurück zum Zitat Braith RW, Conner JA, Fulton MN et al (2007) Comparison of alendronate vs alendronate plus mechanical loading as prophylaxis for osteoporosis in lung transplant recipients: a pilot study. J Heart Lung Transplant 26:132–137CrossRefPubMed Braith RW, Conner JA, Fulton MN et al (2007) Comparison of alendronate vs alendronate plus mechanical loading as prophylaxis for osteoporosis in lung transplant recipients: a pilot study. J Heart Lung Transplant 26:132–137CrossRefPubMed
Metadaten
Titel
Pneumologische Rehabilitation bei Non-COPD
verfasst von
E. Grünig
N. Ehlken
K. Schultz
Dr. R. Glöckl
Publikationsdatum
01.05.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Zeitschrift für Pneumologie / Ausgabe 3/2015
Print ISSN: 2731-7404
Elektronische ISSN: 2731-7412
DOI
https://doi.org/10.1007/s10405-014-0845-1

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