呼吸リハビリテーション

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Pulmonary rehabilitation is one of the most important components of comprehensive treatment for patients with chronic pulmonary diseases. Pulmonary rehabilitation improves muscle fatigue, dyspnea scores for activities of daily living. Pulmonary rehabilitation now has also become an established treatment for those patients to improve quality of life. Pulmonary rehabilitation includes elements of physical therapy, exercise training, education. Exercise training especially lower-limb exercise (e.g., walking, cycling) improves dyspnea sensation after exercise, prolongs walking distance. Upper-limb exercise training improves arm activity with greater increases in unsupported arm training than in supported arm training. Education program decreases the number of hospitalization in patients with asthma but not with chronic obstructive pulmonary diseases (COPD). Some rehabilitation programs contain inspiratory muscle training. However, evidence of clinically important benefits of the inspiratory muscle training has been shown only in inspiratory resistance more than 30% of maximal inspiratory mouth pressure. Pulmonary rehabilitation has these great benefits on patients with chronic pulmonary disease. However, the benefits after the pulmonary rehabilitation program tend to diminish over time and are absent 1 to 2 years. To keep the benefits, home care and/or outpatient pulmonary rehabilitation program are necessary.
社団法人日本リハビリテーション医学会の論文
2002-12-18

呼吸リハビリテーション

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