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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/19811

Title: Pulmonary Rehabilitation and Physical Activity in Patients with Chronic Obstructive Pulmonary Disease
Authors: Spruit, Martijn A.
Pitta, Fabio
McAuley, Edward
ZuWallack, Richard L.
Nici, Linda
Issue Date: 2015
Abstract: Physical inactivity is common in patients with chronic obstructive pulmonary disease (COPD) compared with age-matched healthy individuals or patients with other chronic diseases. Physical inactivity independently predicts poor outcomes across several aspects of this disease, but it is (at least in principle) treatable in patients with COPD. Pulmonary rehabilitation has arguably the greatest positive effect of any current therapy on exercise capacity in COPD; as such, gains in this area should facilitate increases in physical activity. Furthermore, because pulmonary rehabilitation also emphasizes behavior change through collaborative self-management, it may aid in the translation of increased exercise capacity to greater participation in activities involving physical activity. Both increased exercise capacity and adaptive behavior change are necessary to achieve significant and lasting increases in physical activity in patients with COPD. Unfortunately, it is readily assumed that this translation occurs naturally. This concise clinical review will focus on the effects of a comprehensive pulmonary rehabilitation program on physical activity in patients with COPD. Changing physical activity behavior in patients with COPD needs an interdisciplinary approach, bringing together respiratory medicine, rehabilitation sciences, social sciences, and behavioral sciences.
Notes: [Spruit, Martijn A.] Ctr Expertise Chron Organ Failure, Dept Res & Educ, CIRO, Horn, Netherlands. [Spruit, Martijn A.] Hasselt Univ, BIOMED Biomed Res Inst, Fac Med & Life Sci, REVAL Rehabil Res Ctr, Diepenbeek, Belgium. [Pitta, Fabio] Univ Estadual Londrina, Dept Physiotherapy, Lab Res Resp Physiotherapy LFIP, Londrina, Brazil. [McAuley, Edward] Univ Illinois, Dept Kinesiol & Community Hlth, Urbana, IL USA. [ZuWallack, Richard L.] St Francis Hosp & Med Ctr, Dept Pulm Crit Care Med, Hartford, CT USA. [Nici, Linda] Providence VA Med Ctr, Pulm Crit Care Sect, Providence, RI USA.
URI: http://hdl.handle.net/1942/19811
DOI: 10.1164/rccm.201505-0929CI
ISI #: 000363359400007
ISSN: 1073-449X
Category: A1
Type: Journal Contribution
Validation: ecoom, 2016
Appears in Collections: Research publications

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