Abstract

Chronic obstructive pulmonary disease (COPD) is an obstructive and progressive airway disorder that is linked with a significant loss in daily physical activity as well as psychological issues that contribute to the patient's impairment and poor health-related quality of life. Over the last two decades, however, the research and application of nonpharmacologic therapies such as lung rehabilitation have been expedited with increasing evidence of systemic events in COPD patient groups and their nugatory impact on their functioning pulmonary rehabilitation (PR). It is a key part of integrated treatment for COPD and other chronic breathing disorders and is helpful in supporting the recovery of patients following COPD hospitalization. In this paper, we summarize current evidence regarding the effectiveness of PR in the management of chronic COPD. A systematic review was carried out during June 2021, searching databases PubMed, Google Scholar, and EBSCO. The authors extracted qualitative data, and then the author's names, year, study type, methodology, and the result were reported. The search of the aforementioned databases returned a total of 127 studies that were included for title, abstract, and full-text screening, and nine studies were enrolled for final data extraction.PR alleviates tiredness and dyspnea, improves emotional function, and increases the ability to do daily activities. These benefits are relatively extensive and substantial clinically. Rehabilitation acts as an important component of COPD management and helps to improve the quality of life and training linked to health.

Highlights

  • BackgroundChronic obstructive pulmonary disease (COPD) is an obstructive and progressive airway disorder linked with a significant loss in daily physical activity and psychological issues that contribute to the patient's impairment and poor health-related quality of life [1]

  • Chronic obstructive pulmonary disease (COPD) is an obstructive and progressive airway disorder that is linked with a significant loss in daily physical activity as well as psychological issues that contribute to the patient's impairment and poor health-related quality of life

  • We summarize current evidence regarding the effectiveness of pulmonary rehabilitation (PR) in the management of chronic COPD

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Summary

Introduction

BackgroundChronic obstructive pulmonary disease (COPD) is an obstructive and progressive airway disorder linked with a significant loss in daily physical activity and psychological issues that contribute to the patient's impairment and poor health-related quality of life [1]. COPD patients are disabled by the disease's systemic manifestations, with the most significant systemic dysfunction in COPD patients being peripheral muscle dysfunction caused by both physical inactivity and systemic inflammation, to which we can add undernutrition, hypoxemia, oxidative stress, and systemic corticosteroid therapy [4]. This peripheral muscle dysfunction has to do, in other words, with a decrease in early lactic acidemia and oxidative stress, muscle fiber volume, fiber types redistributions (change from type one to type two of fibers), and altered fiber capillarization [5]

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