A study on nonlinear estimation of submaximal effort tolerance based on the generalized MET concept and the 6MWT in pulmonary rehabilitation

Abstract Functional capacity evaluations (FCEs) have become an important component of disability evaluation during the past 10 years to assess an individual's ability to perform the essential or specific functions of a job, both preplacement and during rehabilitation. Evaluating both job performance and physical ability is a complex assessment, and some practitioners are not yet certain that an FCE can achieve these goals. An FCE is useful only if it predicts job performance, and factors that should be assessed include overall performance; consistency of performance across similar areas of the FCE; consistency between observed behaviors during the FCE and limitations or abilities reported by the worker; objective changes (eg, blood pressure and pulse) that are appropriate relative to performance; external factors (illness, lack of sleep, or medication); and a coefficient of variation that can be measured and assessed. FCEs can identify specific movement patterns or weaknesses; measure improvement during rehabilitation; identify a specific limitation that is amenable to accommodation; and identify a worker who appears to be providing a submaximal effort. FCEs are less reliable at predicting injury risk; they cannot tell us much about endurance over a time period longer than the time required for the FCE; and the FCE may measure simple muscular functions when the job requires more complex ones.

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624 Improved ventilatory performance at submaximal effort following exercise training in severe CHF patients is independent of improvement in maximal aerobic capacity

European Journal of Heart Failure Supplements ◽

10.1016/s1567-4215(06)80421-2 ◽

2006 ◽

Vol 5 (1) ◽

pp. 146-146

Author(s):

R REUVENI ◽

A PINCHAS ◽

Z IAKOBISHVILI ◽

R STEIN ◽

A BATTLER ◽

...

Keyword(s):

Exercise Training ◽

Aerobic Capacity ◽

Maximal Aerobic Capacity ◽

Submaximal Effort

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Pulmonary rehabilitation in COPD

Therapeutische Umschau ◽

10.1024/0040-5930.56.3.131 ◽

1999 ◽

Vol 56 (3) ◽

pp. 131-135

Author(s):

Villiger

Keyword(s):

Pulmonary Rehabilitation ◽

Psychosoziale Betreuung

Die Pulmonale Rehabilitation (PR) ist ein wichtiger Bestandteil der Behandlung der chronisch obstruktiven Lungenkrankheiten (COPD und Emphysem). Es ist heute wissenschaftlich erwiesen und durch Metaanalysen bestätigt, daß diese Programme die Leistungsfähigkeit und die Lebensqualität verbessern sowie die Symptome reduzieren. Weiterhin bestehen Hinweise, daß durch die PR der Medikamentenverbrauch reduziert und das Überleben verbessert werden kann. Die PR ist multidisziplinär. Von zentraler Bedeutung sind neben der Medizinischen Trainingstherapie (Ausdauer/Kraft) Physiotherapie, Patientenschulung, psychosoziale Betreuung und Ernährungsberatung. Die PR scheint besonders geeignet für Patienten mit geringer Leistungsfähigkeit, Muskelschwäche, ausgeprägten subjektiven Symptomen und schlechter Lebensqualität. Der Ort der Rehabilitation richtet sich nach dem Schweregrad der Symptome, den Anforderungen an das Reha-Team und den lokalen Möglichkeiten.

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