已发表论文

COPD 肺康复的运动评估和培训:一个文献综述

 

Authors Zeng Y, Jiang F, Chen Y, Chen P, Cai S

Received 2 March 2018

Accepted for publication 25 April 2018

Published 26 June 2018 Volume 2018:13 Pages 2013—2023

DOI https://doi.org/10.2147/COPD.S167098

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Chunxue Bai

Abstract: Skeletal muscle dysfunction leads to reduction in activity in patients with COPD. As an essential part of the management of COPD, pulmonary rehabilitation (PR) alleviates dyspnea and fatigue, improves exercise tolerance and health-related quality of life, and reduces hospital admissions and mortality for COPD patients. Exercise is the key component of PR, which is composed of exercise assessment and training therapy. To evaluate PR’s application in clinical practice, this article summarizes the common methods of exercise measurement and exercise training for patients with COPD. Exercise assessments should calculate patients’ symptoms, endurance, strength, and health-related quality of life. After calculation, detailed exercise therapies should be developed, which may involve endurance, strength, and respiratory training. The detailed exercise training of each modality is mentioned in this review. Although various methods and therapies of PR have been used in COPD patients, developing an individualized exercise training prescription is the target. More studies are warranted to support the evidence and examine the effects of long-term benefits of exercise training for patients with COPD in each stage.
Keywords: COPD, pulmonary rehabilitation, exercise assessment, exercise training



Table 2 Assessment of exercise endurance in patients with COPD