Abstract
The aim: to substantiate the structural components of the control system aimed at improving the physical therapist’s work during pulmonary rehabilitation (PR) of COPD persons.
 Materials and methods. Analysis and generalization of the data of the special scientific and methodological literature on the issues of physical therapy of patients with chronic obstructive pulmonary disease; method of analysis of medical records; elaboration of Internet sources, including databases of evidence based medical literature.
 Results. The control system, which is reasonable to be implemented at three stages (preliminary, current, final) of the process of physical therapy (PT) and PR of patients with COPD, is substantiated.
 The control system within the competence of the physical therapist provides for rehabilitation examination (preliminary control), monitoring (current control) and final evaluation of certain indicators. There were 5 groups of main indicators: quality of life/ activity and participation, disease course, body functions, body structures, educational competence. For the selected groups of indicators, the selection of measuring instruments was made, the features of their application at different stages were outlined, the values of the minimum clinically significant difference for the selected indicators were given.
 Conclusions. The process of pulmonary rehabilitation of people with COPD needs to be evaluated and monitored for its effectiveness in accordance with the expected results.
 The monitoring system allows to track all changes in the patient's health and functioning, regulate the intervention and its intensity, evaluate both the individual physical therapy session and the effectiveness of the entire program.
 One of the criteria of the control system is the effectiveness of PT and PR, which is evaluated on the basis of the dynamics and direction of changes of the studied indicators, their compliance with the expected result and taking into account the values of the minimal clinically significant difference for the evaluated indicators.
Highlights
Pulmonary rehabilitation (PR) is a complex system aimed at improving the performance of intervention that helps to improve physical and physical therapist’s work during pulmonary mental state, as well as a level of functioning of rehabilitation of people with chronic obstructive pulmonary disease (COPD)
Analysis and consolidation of data of special assessment of the patient’s condition that in turn, will scientific and methodical literature on the issues of provide the necessary information for the use of physical therapy (PT) in COPD; methods for analyzing medical records; mandatory and/or variable components of therapy to processing online sources, in particular, databases of achieve the most positive effect [2]
Along with a large number of clinical guidelines, systematic reviews and randomized clinical trials devoted to the description of pulmonary rehabilitation components and their contents, analysis of their effectiveness, – the control system in organizing pulmonary rehabilitation, in general, and in PT in particular, has not been described
Summary
Pulmonary rehabilitation programs are multicomponent and multidisciplinary that require clear organization to ensure their implementation, understandable interaction between subjects and with rehabilitation objects, effective and not excessive procedures for assessing and monitoring the patient’s condition before, during, and after rehabilitation, and correction mechanisms for rehabilitation interventions. One of the first steps to substantiate the identify the clinically important benefits of one monitoring system of pulmonary rehabilitation was intervention compared to another [31] This to determine the list of indicators and indices, which approach has had some drawbacks, while the may be the inclusion criteria for patients to MCID may be different for the same parameter participate in the PR program, and serve as depending on the particularities of the methodology markers of effectiveness in the current control for the and calculation method; this value is not preliminary and final assessment. Substantiated and is aimed at increasing the This very assessment of changes in data modification effectiveness of the physical therapist’s performance takes into account the MCID in order to help to in the course of pulmonary rehabilitation of people with COPD, which is implemented in three stages (preliminary, current, and final). The search for appropriate indices and indicators that can assess the presence of functional impairment in a specific category of ICF and qualify the level of these disorders and limitations, allows integrating the ICF into the rehabilitation process, providing control over the implementation of the PR programs and physical therapy, and evaluating the performance of the rehabilitation care system for persons with COPD, in general
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