P1.10-004 Testing Efficacy of a Pulmonary Rehabilitation Program for Post Lung Cancer Resection Surgery

Introduction: Partial lobectomy is one of the surgeries chosen in the early stages of some diseases such as lung cancer. After thoracic surgeries or some respiratory diseases, both hard and soft structures undergo changes that lead to stiffness, lack of mobility, changing the mechanics and the correct respiratory pattern. Case presentation: A 75-year-old female patient entered the pulmonary rehabilitation program of the “Hospital de la Baxada” at Paraná, Entre Ríos, Argentina; referred to by a lower left lobectomy due to lung cancer. Treatment and evolution plan: The patient attended the pulmonary rehabilitation program, for 6 weeks she trained varying the load. We observed a significant change in recovery, compared at the minute of completing the first test the dyspnea was 4 and in the second test 3, the patient told us that after the flexibility session she felt she was able to breathe normally. Conclusion: In the case presented, the application of flexibility techniques increased exercise capacity.Keywords: cancer, flexibility, pulmonary rehabilitation.

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Maintaining Effects of Pulmonary Rehabilitation at Home in Chronic Obstructive Pulmonary Disease: A Systematic Literature Review

Home Health Care Management & Practice ◽

10.1177/1084822321990376 ◽

2021 ◽

pp. 108482232199037

Author(s):

Duarte Pinto ◽

Lissa Spencer ◽

Soraia Pereira ◽

Paulo Machado ◽

Paulino Sousa ◽

...

Keyword(s):

Chronic Obstructive Pulmonary Disease ◽

Literature Review ◽

Pulmonary Rehabilitation ◽

Rehabilitation Program ◽

Chronic Obstructive ◽

Obstructive Pulmonary Disease ◽

Maintenance Strategies ◽

Rehabilitation Programs ◽

Home Based ◽

Pulmonary Rehabilitation Program

To systematize strategies that may support patients with Chronic Obstructive Pulmonary Disease to maintain the effects of pulmonary rehabilitation over time. This systematic literature review was conducted, and the evidence was electronically searched in the Web of Science, Scopus, and EBSCO databases. This review included randomized controlled clinical trials, published until September 2019, that addressed components of an unsupervised home-based pulmonary rehabilitation program, maintenance strategies following outpatient pulmonary rehabilitation programs, as well as data on outcomes for quality of life, exercise performance, and dyspnea. A final sample of 5 articles was obtained from a total of 1693 studies. Data for final synthesis were grouped into 2 categories: components of unsupervised home-based pulmonary rehabilitation programs and maintenance strategies. An unsupervised home-based pulmonary rehabilitation program should consist of an educational component, an endurance training component, and a strength training component. When patients are transferred to the home environment, it is important to include more functional exercises specifically adapted to the patient’s condition, goals, and needs.

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