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Pulmonary Rehabilitation - Objectives, Advantages and Risk Factors

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Pulmonary rehabilitation is a medically supervised program for people with severe lung disease and lung-related disorders. Read the below article to know more.

Medically reviewed by

Dr. Gadge Gauri Narendra

Published At April 8, 2022
Reviewed AtDecember 15, 2022

Introduction:

When you have cystic fibrosis, COPD (chronic obstructive pulmonary disease), lung cancer, or other breathing problems, then pulmonary rehabilitation is a program that helps to improve the quality of life. Primary care providers will teach the new skills and how to supervise exercise programs to increase strength. With the help of pulmonary rehabilitation, you will be able to go outside and get into normal life.

What Is Pulmonary Rehabilitation?

A supervised education and exercise program that is designed to help people with chronic or long-term lung disease is known as pulmonary rehabilitation. The pulmonary rehabilitation program will show fewer improvements in breathing problems, provide more strength, and improve the quality of life, but it does not cure the lung disease.

Who Should Get Pulmonary Rehabilitation?

Any individual with a chronic lung disease may benefit from pulmonary rehabilitation. Some examples of chronic lung diseases include:

  • COPD (chronic obstructive pulmonary disease) includes chronic bronchitis and emphysema.

  • Lung surgery.

  • Pulmonary hypertension.

  • Interstitial lung disease (pulmonary fibrosis and sarcoidosis).

  • Lung cancer.

  • Asthma.

  • Lung volume reduction surgery (done before and after lung transplantation).

  • Cystic fibrosis.

What Are the Objectives of Pulmonary Rehabilitation?

The three main objectives of pulmonary rehabilitation are,

  • This program helps with shortness of breath.

  • It improves the quality of life.

  • Pulmonary rehabilitation improves the ability to do routine daily activities, like household work or going out with close ones or family.

What Are the Advantages of Pulmonary Rehabilitation?

The advantages of pulmonary rehabilitation are:

  • The symptoms are improved.

  • It improves the quality of life.

  • You may be able to walk more.

  • It makes you feel less anxious.

  • You may feel better about yourself.

  • It makes you feel less tired.

  • Improves the ability to do exercise.

  • Avoids frequent hospital visits.

What to Expect While Entering Pulmonary Rehabilitation?

The pulmonary rehabilitation may be overseen by respiratory therapists, nurses, occupational therapists, physical therapists, dieticians, psychologists, spiritual advisors, social workers, and physicians. They will help you to design a personal program.

The pulmonary rehabilitation program may include the following:

  • Examination - You will be examined by the nurse, exercise physiologist, respiratory therapist, or other healthcare providers. You may be asked to do a stress test that measures your heart rate, blood pressure, and oxygen level, followed by pulmonary function tests (PFT) to check your breathing and a walking test to measure how far you walked within six minutes.

  • Nutrition - They will help us to know the right food to eat and the correct weight to sustain.

  • Exercise - By practicing exercises, you will feel better.

  • Psychosocial - Pulmonary rehabilitation will help you to deal with chronic lung conditions mentally and emotionally.

  • Education - This program will help you learn and deal with your chronic lung condition. All of them are allowed to meet in groups, and when needed, they may interact one-on-one with the staff.

Where Does Pulmonary Rehabilitation Occur? How Often Do People Need to Go for the Program?

Most pulmonary rehabilitation programs are done at the outpatient health center or local hospital. The pulmonary rehabilitation program is usually conducted two or three times a week for two to three months or more. Some programs are done even as in-home sessions. However, make sure to attend every session to get the most out of the program. Initially, you might feel hard, and it will take some time to cope. After attending the program, you feel much better. Seek your primary care provider about a local program to get detailed information regarding it.

How Does Pulmonary Rehabilitation Work?

Lung muscles get weak due to chronic lung disease. So the muscles involved in breathing and moving must be re-strengthened to restore your normal activities. The patient who undergoes rehabilitation will be designed with their own exercise program to improve strength and endurance. Also, they will receive education about the disease or condition they have. At the time of education, they will come to learn how to:

  • Manage the symptoms.

  • Deal with shortness of breath.

  • Best use of respiratory medicines to treat the lung condition.

  • Use home medical equipment when it is needed.

  • Make good nutritional choices.

  • Manage the normal body mass index (BMI) and diet.

During the exercise classes, the staff will design a plan that considers all of the patient's needs, weaknesses, and strengths. The exercise program starts with stretching, followed by mild cardio and exercises to practice while sitting. Initially, they will build strength using light weights.

Pulmonary rehabilitation programs also offer counseling support groups to manage mental and emotional health as it is the key to maintaining a balance with physical health.

What Are the Risks Involved in Pulmonary Rehabilitation?

Only a few risks are involved with pulmonary rehabilitation.

  • During this program, shortness of breath is common, but they will carefully monitor the patient at the time of exercise.

  • Sore muscles are common during the start of the program, but this should improve with regular exercise.

How Much Does Pulmonary Rehabilitation Cost?

Most insurances cover pulmonary rehabilitation for COPD (chronic obstructive pulmonary disease) and other lung conditions. The cost will vary based on what type of insurance you have and depending on the program you attend.

Conclusion:

The pulmonary rehabilitation program is a home-based supervised non-pharmacological intervention to manage COPD and other lung-related disorders in elderly patients. This becomes effective when the patients put in the effort. The exercise and breathing techniques they learn from pulmonary rehabilitation will keep them from getting out of breath while walking short distances or within the home (from the living room and the kitchen). This program gives the best results when they continue to do the exercises and use the skills they have learned long after they have completed the program. In addition, the staff will design a long-term non-pharmacological treatment plan, so make sure to follow it.

Frequently Asked Questions

1.

What Exercises Are Followed During Pulmonary Rehabilitation?

The exercises are designed to help improve breathing, physical function, and overall quality of life. It includes
- Aerobic exercises.
- Strength training to build muscle and improve strength.
- Breathing exercises.
- Yoga and stretching exercises to improve flexibility.
- Interval training involves high-intensity exercises with periods of rest.

2.

What Are the Key Factors of Pulmonary Rehabilitation?

Besides exercise, important factors include patient education, psychosocial support, and nutrition to achieve patient well-being. Breathing techniques help reduce anxiety and panic. 
Pulmonary rehabilitation’s main goal is lifestyle modification and maintenance plans. 

3.

For Whom Does Pulmonary Rehabilitation Advise?

Pulmonary rehabilitation is advised for patients with chronic lung diseases such as chronic obstructive pulmonary disease (COPD), pulmonary fibrosis, hospitalized patients with pulmonary diseases, anxiety or depression related to lung diseases, former or current smokers, and asthma. The aim is to improve lung health, quality of life, and physical activity. They are advised for symptoms such as chronic cough, shortness of breath, and fatigue. 

4.

How Long Is Pulmonary Rehabilitation Carried Out?

Pulmonary rehabilitation is a series of two or three weekly sessions for several weeks or months. After the program, the individual is asked for a lung function test to check for improvement in breathing, and based on the reports, the rehabilitation is terminated or carried forward.

5.

Is Pulmonary Rehabilitation Effective?

The efficiency is measured using various parameters. An important outcome is the survival rate within three months of discharge from the hospital. Pulmonary rehabilitation has also shown improvements in quality of life and exercise capacity. 

6.

Why Is Pulmonary Rehabilitation Needed?

Pulmonary rehabilitation is needed for various reasons, such as:
- To improve lung function.
- Increase physical activity through exercise programs, breathing exercises, etc.
- Reduce hospitalization by improving activities and lung function.

7.

What Are the Risk Factors for Pulmonary Rehabilitation?

Risk factors include:
- Underlying medical conditions include angina pectoris, decompensated congestive heart failure, and acute cor-pulmonale.
- Inability to perform exercises due to severe orthopedic impairments
- Severe cognitive deficits.

8.

What Are the Conditions Treated by a Pulmonologist?

Some common conditions treated by a pulmonologist are:
- Asthma.
- Chronic obstructive pulmonary disease (COPD).
- Pulmonary fibrosis.
- Sleep apnea.
- Lung cancer.
- Interstitial lung disease.
- Pneumonia.
- Pulmonary hypertension.
- Tuberculosis. 

9.

What Is the Best Sleeping Position for People With Breathing Difficulties?

The sleeping position varies depending on the severity and type of breathing problems. A few positions include:
- Sleeping on the back with the head elevated.
- Sleeping on the side.

10.

Is It Possible to Carry Out Rehabilitation at Home?

Yes. A few at-home programs are available and effective. It includes a combination of exercises and breathing techniques, along with education. Per a pulmonologist's guidance, aerobic exercises and breathing techniques can be followed at home.

11.

Is It Possible to Restore Lung Function?

Restoring lung function depends on the severity and extent of lung damage and an individual’s overall health. In a few cases, lung function can be restored by properly treating and managing the underlying condition. In chronic cases such as COPD, Asthma, ARDS (acute respiratory distress syndrome), lung cancer, etc., lung function cannot be restored.

12.

Can Exercise Treat Pulmonary Diseases?

Exercise is not a treatment for lung disease but a supportive therapy. Regular exercises improve lung function and breathing, reduce symptoms, improve overall health, and modify lifestyles.

13.

How Long Can a Person With Lung Damage Survive?

The survival rate for people with lung damage varies based on the underlying cause and severity of the damage. People with COPD have a shorter life expectancy, while people with lung cancer depend on the cancer's stage. Other factors, such as diet, smoking, and exercise, are also considered in cases of lung damage.
Dr. Gadge Gauri Narendra
Dr. Gadge Gauri Narendra

Pulmonology (Asthma Doctors)

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