scholarly journals Pulmonary Rehabilitation After Lobectomy On Pulmonary Aspergilloma: Case Report

2019 ◽  
Vol 7 (02) ◽  
pp. 45
Author(s):  
Andwi Setiawan Kokok ◽  
Selly Christina Anggoro ◽  
Siti Chandra Widjanantie
Keyword(s):  
Pulmonary Rehabilitation ◽  
Peak Flow ◽  
Rehabilitation Program ◽  
Case Presentation ◽  
Rehabilitation Programs ◽  
Abnormal Chest ◽  
History Of ◽  
Postural Correction ◽  
Chronic Pulmonary Aspergillosis ◽  
Pulmonary Aspergilloma

Introduction: Complete resection of aspergilloma in chronic pulmonary aspergillosis (CPA), may hasseveral health problem after surgery berupa sesak napas, batuk yang tidak efektif.Methods: A case presentation of 45 years old woman, after lobectomy on right upper of lung dueto aspergilloma, with history of cough and haemoptysis for 3 months. Pulmonary Rehabilitation werebreathing retraining exercise (BE), mobilization technique (MT), chest mobility exercise (CM), activecycle breathing technique (ACBT), postural correction exercise (PC) for three weeks.Results: There were dyspnea, peak flow rate (PFR:60-70-60), peak cough flow (PCF: 70-90-60 L/m),and abnormal chest expansion (CE: 2.5 – 3 – 2) cm. After three weeks of Pulmonary Rehabilitation,there were no dyspnea, increased the PCF: 193L/m, and CE: 2.5-4 -3.Conclusion: Pulmonary Rehabilitation programs for three weeks were relieved dyspnea, increasedcough capacity and CEKeywords: Aspergilloma, Lobectomy, Bell’s Palsy, Rehabilitation program, Cough capacity, Chestexpancy

Pulmonary Rehabilitation After Lobectomy On Pulmonary Aspergilloma: Case Report

2019 ◽  
pp. 35-41
Author(s):  
Andwi Setiawan Kokok ◽  
Selly Christina Anggoro ◽  
Siti Chandra Widjanantie
Keyword(s):  
Pulmonary Rehabilitation ◽  
Peak Flow ◽  
Case Presentation ◽  
Rehabilitation Programs ◽  
Abnormal Chest ◽  
History Of ◽  
Postural Correction ◽  
Chronic Pulmonary Aspergillosis ◽  
Pulmonary Aspergilloma ◽  
Breathing Retraining

Introduction: Complete resection of aspergilloma in chronic pulmonary aspergillosis (CPA), may has several health problem after surgery berupa sesak napas, batuk yang tidak efektif. Methods: A case presentation of 45 years old woman, after lobectomy on right upper of lung due to aspergilloma, with history of cough and haemoptysis for 3 months. Pulmonary Rehabilitation were breathing retraining exercise (BE), mobilization technique (MT), chest mobility exercise (CM), active cycle breathing technique (ACBT), postural correction exercise (PC) for three weeks. Results: There were dyspnea, peak flow rate (PFR:60-70-60), peak cough flow (PCF: 70-90-60 L/m), and abnormal chest expansion (CE: 2.5 – 3 – 2) cm. After three weeks of Pulmonary Rehabilitation, there were no dyspnea, increased the PCF: 193L/m, and CE: 2.5-4 -3. Conclusion: Pulmonary Rehabilitation programs for three weeks were relieved dyspnea, increased cough capacity and CE.

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

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.

Childhood Abuse as a Factor in Attrition from Drug Rehabilitation

1995 ◽  
Vol 76 (3) ◽  
pp. 879-882 ◽  
Author(s):  
Jack A. Palmer ◽  
Linda K. Palmer ◽  
David Williamson ◽  
Krista Michiels ◽  
Brian Thigpen
Keyword(s):  
Childhood Abuse ◽  
Attributional Style ◽  
Substance Abusers ◽  
Epidemiological Studies ◽  
Rehabilitation Program ◽  
Drug Rehabilitation ◽  
History Of Childhood ◽  
Drug Of Choice ◽  
Rehabilitation Programs ◽  
History Of

The following factors were examined as possible influences on clients' attrition from inpatient and outpatient drug-rehabilitation programs: depression (Center of Epidemiological Studies–Depression test), attributional style (Attributional Style Questionnaire), primary drug of choice, family incidence of substance abuse, and history of childhood physical abuse. A step-wise regression analysis indicated that a history of childhood abuse was a statistically reliable predictor of program noncompletion for 92 substance abusers who entered a drug-rehabilitation program.

scholarly journals Eight Weeks Unsupervised Pulmonary Rehabilitation in Previously Hospitalized of SARS-CoV-2 Infection

2021 ◽  
Vol 11 (8) ◽  
pp. 806
Author(s):  
Vasileios T. Stavrou ◽  
Konstantinos N. Tourlakopoulos ◽  
George D. Vavougios ◽  
Eirini Papayianni ◽  
Katerina Kiribesi ◽  
...  
Keyword(s):  
Pulmonary Rehabilitation ◽  
Stress Measurement ◽  
Rehabilitation Program ◽  
Rehabilitation Programs ◽  
Sit To Stand ◽  
Plasma Antioxidant Capacity ◽  
Before And After ◽  
Plasma Antioxidant ◽  
The Impact ◽  
Pulmonary Rehabilitation Program

The aim of our study was to determine the impact of unsupervised Pulmonary Rehabilitation (uns-PR) on patients recovering from COVID-19, and determine its anthropometric, biological, demographic and fitness correlates. All patients (n = 20, age: 64.1 ± 9.9 years, 75% male) participated in unsupervised Pulmonary Rehabilitation program for eight weeks. We recorded anthropometric characteristics, pulmonary function parameters, while we performed 6 min walk test (6 MWT) and blood sampling for oxidative stress measurement before and after uns-PR. We observed differences before and after uns-PR during 6 MWT in hemodynamic parameters [systolic blood pressure in resting (138.7 ± 16.3 vs. 128.8 ± 8.6 mmHg, p = 0.005) and end of test (159.8 ± 13.5 vs. 152.0 ± 12.2 mmHg, p = 0.025), heart rate (5th min: 111.6 ± 16.9 vs. 105.4 ± 15.9 bpm, p = 0.049 and 6th min: 112.5 ± 18.3 vs. 106.9 ± 17.9 bpm, p = 0.039)], in oxygen saturation (4th min: 94.6 ± 2.9 vs. 95.8 ± 3.2%, p = 0.013 and 1st min of recovery: 97.8 ± 0.9 vs. 97.3 ± 0.9%), in dyspnea at the end of 6 MWT (1.3 ± 1.5 vs. 0.6 ± 0.9 score, p = 0.005), in distance (433.8 ± 102.2 vs. 519.2 ± 95.4 m, p < 0.001), in estimated O2 uptake (14.9 ± 2.4 vs. 16.9 ± 2.2 mL/min/kg, p < 0.001) in 30 s sit to stand (11.4 ± 3.2 vs. 14.1 ± 2.7 repetitions, p < 0.001)] Moreover, in plasma antioxidant capacity (2528.3 ± 303.2 vs. 2864.7 ± 574.8 U.cor., p = 0.027), in body composition parameters [body fat (32.2 ± 9.4 vs. 29.5 ± 8.2%, p = 0.003), visceral fat (14.0 ± 4.4 vs. 13.3 ± 4.2 score, p = 0.021), neck circumference (39.9 ± 3.4 vs. 37.8 ± 4.2 cm, p = 0.006) and muscle mass (30.1 ± 4.6 vs. 34.6 ± 7.4 kg, p = 0.030)] and sleep quality (6.7 ± 3.9 vs. 5.6 ± 3.3 score, p = 0.036) we observed differences before and after uns-PR. Our findings support the implementation of unsupervised pulmonary rehabilitation programs in patients following COVID-19 recovery, targeting the improvement of many aspects of long COVID-19 syndrome.

scholarly journals Pulmonary Rehabilitation – Historical Outline, Programs and Physiotherapeutic Treatment

2019 ◽  
Vol 61 (1) ◽  
pp. 61-66
Author(s):  
Agnieszka Lewińska ◽  
Włodzimierz Dolecki ◽  
Witold Rongies
Keyword(s):  
Pulmonary Rehabilitation ◽  
Social Life ◽  
Respiratory Diseases ◽  
Emotional State ◽  
Integrated Treatment ◽  
Chronic Respiratory Diseases ◽  
Rehabilitation Programs ◽  
Functional Capabilities ◽  
Historical Outline ◽  
History Of

Pulmonary rehabilitation (PR) is the basis of an integrated treatment program for patients suffering from chronic respiratory diseases. Contributing to the reduction of dyspnoea and fatigue, increase in exercise tolerance and improvement in functional capabilities and emotional state, PR growths participation in social life, and reduces utilization of health care. Despite the scientifically proven benefits of its use, it is very often, for a variety of reasons, insufficiently exploited or even unavailable. The article presents a brief history of pulmonary rehabilitation and emphasizes the importance of developing PR programs. The aim of the paper is to increase interest in issues related to pulmonary rehabilitation, including its key element - physiotherapy and to persuade professionals dealing with the treatment of respiratory diseases, to implement this form of therapy and become familiar with the current international guidelines, that create foundation of pulmonary rehabilitation programs.

scholarly journals Neuro-muscular rehabilitation approach with favorable results in a case of a tetraplegia after a cervical ganglioneuroma – case presentation

2020 ◽  
pp. 530-532
Author(s):  
Cristina POPESCU ◽  
Mihai BAILA ◽  
Cristina DAIA ◽  
Ioana ANDONE ◽  
Daniel SERBAN ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Daily Living ◽  
Spinal Cord Tumor ◽  
Cord Compression ◽  
Rehabilitation Program ◽  
Traumatic Spinal Cord Injury ◽  
Case Presentation ◽  
Cord Injury ◽  
History Of

This is the case of a 52-year-old male patient with tetraplegia and muscle respiratory failure, due to an extradural compressive cervical ganglioneuroma (C1-C2), with a history of neurological symptoms for 3 years. The tumor was completely surgically removed and the patient followed a neuro-muscular rehabilitation program (NMRP) for 4 months, consisting of rehabilitation nursing, physical and occupational therapy. At the end of NMRP the patient’s achievements were: unilateral supported walking, partial autonomous daily living functioning, the improvement of quality of life and facilitation of social and professional participation. Keywords: ganglioneuroma, spinal cord tumor, neuro-muscular rehabilitation program, non-traumatic spinal cord injury, spinal cord compression,

scholarly journals Individualized, Low-Cost And Accessible Pulmonary Rehabilitation Program Based On Functional Clinical Tests For Individuals With Copd– A Study Protocol Of A Randomized Controlled Trial

2021 ◽  
Author(s):  
Marcela Maria Carvalho da SILVA ◽  
JULIANO FERREIRA ARCURI ◽  
VALERIA AMORIM PIRES DI LORENZO
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Pulmonary Rehabilitation ◽  
Low Cost ◽  
Controlled Trial ◽  
Rehabilitation Program ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Positive Effects ◽  
Rehabilitation Programs

Abstract Backgroud:Patients with Chronic Obstructive Pulmonary Disease (COPD) present pulmonary and extrapulmonary impairments. In order to mitigate these impairments, pulmonary rehabilitation programs (PRP) it is an important strategy but the access to PRP in specialized center is limited and the studied of low-cost home rehabilitation programs had non-individualized prescription, which might have led to insignificant positive effects. So, it is important to develop new low-cost protocols that involves individualized prescription, and the influence of physiotherapist supervision. The aim of this study was to describe an accessible, low-cost and individualized pulmonary rehabilitation protocol and compare its results when performing it with or without a weekly physiotherapist-supervised session on patients with COPD. Methods: This is a descriptive protocol of a clinical trial with parallel equivalent groups, conducted at the Spirometry and Respiratory Physical Therapy Laboratory of the Federal University of São Carlos (UFSCar). The trial was registered at Brazilian Clinical Trials Registry (ReBec) URL: http://www.ensaiosclinicos.gov.br/rg/RBR-533hht/ with Register Number RBR-533hht. The sample size was 40 patients and was calculated using the results of a pilot study.Discussion- potencial impact and significance of the study: It is expected that the low cost and new supervised rehabilitation program complemented with home exercises will present positive results especially on exercise capacity, which will make available a more accessible and effective PRP for patients with COPD.Trial registration: The name of the registry was Responsibility of functional tests on supervised rehabilitation program and education program in patients with chronic obstructive pulmonary disease,with registration number: RBR-533hht. The date of registration and start data was September 20, 2018.

scholarly journals Individualized, low-cost and accessible pulmonary rehabilitation program based on functional clinical tests for individuals with COPD—a study protocol of a randomized controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Marcela Maria Carvalho da Silva ◽  
Juliano Ferreira Arcuri ◽  
Valéria Amorim Pires Di Lorenzo
Keyword(s):  
Pulmonary Rehabilitation ◽  
Low Cost ◽  
Controlled Trial ◽  
Rehabilitation Program ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Positive Effects ◽  
Link Type ◽  
Rehabilitation Programs ◽  
Clinical Trials Registry

Abstract Background Patients with chronic obstructive pulmonary disease (COPD) present pulmonary and extrapulmonary impairments. The strategies used to mitigate these impairments are pulmonary rehabilitation programs (PRP). However, there is limited access to PRP in specialized centers and the study of low-cost home rehabilitation programs had non-individualized prescription, which might have led to insignificant positive effects. So, it is important to develop new low-cost protocols that involve individualized prescription, as well as physiotherapist supervision. This study describes an accessible, low-cost, and individualized pulmonary rehabilitation protocol and compare its results when performed with or without a weekly physiotherapist-supervised session on patients with COPD. Methods This is a descriptive protocol of a clinical trial, randomized, single-blinded, and type of framework is superiority conducted at the Spirometry and Respiratory Physical Therapy Laboratory of the Federal University of São Carlos (UFSCar). The trial is registered in the Brazilian Clinical Trials Registry (ReBec) URL: http://www.ensaiosclinicos.gov.br/rg/RBR-533hht/ with Register Number UTN code U1111–1220-8245. The sample size is 50 patients and is calculated using the results of a pilot study. Discussion-potential impact and significance of the study It is expected that the low-cost and new supervised rehabilitation program complemented with home exercises will present positive results, especially on exercise capacity, which will make available a more accessible and effective PRP for patients with COPD. Trial registration ClinicalTrials.gov U1111-1220-8245. Registered on September 20, 2018.

scholarly journals How resources determine pulmonary rehabilitation programs: A survey among Belgian chest physicians

2018 ◽  
Vol 16 ◽  
pp. 147997231876773 ◽  
Author(s):  
Wim Janssens ◽  
Jean-Louis Corhay ◽  
Peter Bogaerts ◽  
Eric Derom ◽  
Nicolas Frusch ◽  
...  
Keyword(s):  
Pulmonary Rehabilitation ◽  
Online Survey ◽  
Rehabilitation Program ◽  
Direct Access ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Rehabilitation Programs ◽  
Overwhelming Evidence ◽  
Specialized Care

Despite overwhelming evidence of its benefits, a widespread implementation of pulmonary rehabilitation (PR) is lacking and the landscape of multidisciplinary programs remains very scattered. The objective of this study is to assess how PR is organized in specialized care centres in Belgium and to identify which barriers may exist according to respiratory physicians. A telephone and online survey was developed by a Belgian expert panel and distributed among all active Belgian chest physicians ( n = 492). Data were obtained from 200 respondents (40%). Seventy-five percentage of the chest physicians had direct access to an ambulatory rehabilitation program in their hospital. Most of these programs are organized bi or triweekly for an average period of 3–6 months. Programs focus strongly on chronic obstructive pulmonary disease patients from secondary care, have a multidisciplinary approach and provide exercise capacity and quality of life measures as main outcomes. Yet large differences were observed in process and outcome indicators between the programs of centres with standard funding and those of specialized centres with a larger allocated budget. We conclude that multidisciplinary PR programs are available in the majority of Belgian hospitals. Differences in funding determine the quality of the team, the diversity of the interventions and the monitoring of outcomes. More resources for rehabilitation will directly improve the utilization and quality of this essential treatment option in respiratory diseases.

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