Download PDF
Dtsch Med Wochenschr 2007; 132(12): 627-632
DOI: 10.1055/s-2007-973591
Übersicht | Review article
Pneumologie, Rehabilitation
© Georg Thieme Verlag KG Stuttgart · New York

Langzeiteffekte der pneumologischen Rehabilitation bei COPD und interstitiellen Lungenerkrankungen

Synopse der Datenlage seit 1990Long term outcome of pulmonary rehabilitation in COPD and interstitial lung diseaseReview of studies since 1990U. Ochmann1 , D. Nowak1
  • 1Institut und Poliklinik für Arbeits- und Umweltmedizin der LMU München, München
Further Information

Publication History

eingereicht: 5.12.2006

akzeptiert: 27.2.2007

Publication Date:
14 March 2007 (online)

Also available at
    Permissions and Reprints

Zusammenfassung

Die pneumologische Rehabilitation hat sich vor allem bei Patienten mit chronisch-obstruktiver Lungenerkrankung (COPD) als effektive multidisziplinäre Maßnahme erwiesen. Diese Übersicht stellt systematisch die Ergebnisse zur Nachhaltigkeit der Effekte dar, die zeigen, dass für Lebensqualität und Leistungssteigerung auch noch nach einem Jahr signifikante Verbesserungen nachzuweisen sind. Es gibt allerdings noch Forschungsbedarf für mittelbare Effekte wie Anzahl und Dauer von Krankenhausaufenthalten sowie für stationäre und kombinierte Rehabilitationsformen und für Rehabilitation bei nicht COPD-bedingten Lungenerkrankungen.

Summary

The efficacy of pulmonary rehabilitation with a multi-disciplinary approach has been demonstrated especially in patients with chronic obstructive pulmonary disease (COPD). This review focuses particularly on the long-term outcome of pulmonary rehabilitation. Significant improvements have been demonstrated with respect to quality of life and exercise capacity up to one year after rehabilitation. Further investigations are still required on other outcome measures such as effects on repeated hospitalization, different types of rehabilitation (in-patient, out-patient, combined), and on rehabilitation of patients with non-obstructive pulmonary diseases.

Schlüsselwörter

pneumologische Rehabilitation - Langzeiteffekte - interstitielle Lungenerkrankung - chronisch-obstruktive Lungenerkrankung

Key words

pulmonary rehabilitation - long-term outcome - interstitial lung disease - chronic obstructive lung disease

Literatur

  • 1 Bendstrup K E, Ingemann-Jensen J, Holm S. et al . Out-patient rehabilitation improves activities of daily living, quality of life and exercise tolerance in chronic obstructive pulmonary disease.  Eur Respir J. 1997;  10 2801-2806
    Google Scholar
  • 2 Blaukovitsch M, Martina B. et al . Effects and possible predicting factors of exercise training in lung fibrosis.  Eur Respir J. 2006;  28 (Suppl 50) 369s
    Google Scholar
  • 3 Bowen J B, Thrall R S, ZuWallack R L. et al . Long-term benefits of short-stay inpatient pulmonary rehabilitation in severe chronic obstructive pulmonary disease.  Monaldi Arch Chest Dis. 1999;  54 189-192
    Google Scholar
  • 4 Büchi S, Wolf C, Schwarz F. et al . Sind Rehabilitationsbehandlungen bei Patienten mit chronisch obstruktiver Lungenkrankheit (COLK) sinnvoll?.  Psychother Psychosom med Psychol. 1995;  46 423-429
    Google Scholar
  • 5 Büchi S, Brändli O, Klingler K. et al . Stationäre Rehabilitation bei Patienten mit chronisch obstruktiver Lungenkrankheit (COLK): Effekte auf körperliche Leistungsfähigkeit, psychisches Wohlbefinden und Lebensqualität.  Schweiz Med Wochenschr. 2000;  130 135-142
    Google Scholar
  • 6 Cambach W, Chadwick-Straver R V. et al . The effects of a community-based pulmonary rehabilitation programme on exercise tolerance and quality of life: a randomized controlled trial.  Eur Respir J. 1997;  10 104-113
    Google Scholar
  • 7 Cambach W, Wagenaar R C. et al . The long-term effects of pulmonary rehabilitation in patients with asthma and chronic obstructive pulmonary disease: a research synthesis.  Arch Phys Med Rehabil. 1999;  80 103-111
    Google Scholar
  • 8 Connor M C, O’Shea F D, O’Driscoll M F. et al . Efficacy of pulmonary rehabilitation in an Irish population.  Ir Med J. 2001;  94 46-48
    Google Scholar
  • 9 Crouch R, MacIntyre N R. Pulmonary rehabilitation of the patient with nonobstructive lung disease.  Respir Care Clin N Am. 1998;  4 59-70
    Google Scholar
  • 10 Donner C F, Muir J F. Selection criteria and programmes for pulmonary rehabilitation in COPD patients. Rehabilitation and Chronic Care Scientific Group of the European Respiratory Society.  Eur Respir J. 1997;  10 744-757
    Google Scholar
  • 11 Engstrom C P. et al . Long-term effects of a pulmonary rehabilitation programme in outpatients with chronic obstructive pulmonary disease: a randomized controlled study.  Scand J Rehabil Med. 1999;  31 207-213
    Google Scholar
  • 12 Finnerty J P, Keeping I. et al . The effectiveness of outpatient pulmonary rehabilitation in chronic lung disease.  Chest. 2001;  119 1705-1710
    Google Scholar
  • 13 Foglio K, Bianchi L, Ambrosino N. Is it really useful to repeat outpatient pulmonary rehabilitation programs in patients with chronic airway obstruction? .  Chest. 2001;  119 1696-1704
    Google Scholar
  • 14 Foglio K. et al . Long-term effectiveness of pulmonary rehabilitation in patients with chronic airway obstruction.  Eur Respir J. 1999;  13 125-132
    Google Scholar
  • 15 Foster S, Thomas H M. Pulmonary rehabilitation in lung disease other than chronic obstructive pulmonary disease.  Am Rev Respir Dis. 1990;  141 601-604
    Google Scholar
  • 16 Griffiths T L, Burr M L, Campbell I A. et al . Results at 1 year of outpatient multidisciplinary pulmonary rehabilitation.  Lancet. 2000;  355 362-368
    Google Scholar
  • 17 Grosbois J M. et al . Long-term benefits of exercise maintenance after outpatient rehabilitation program in patients with chronic obstructive pulmonary disease.  J Cardiopulm Rehabil. 1999;  19 216-225
    Google Scholar
  • 18 Gudjonsdottir M. et al . Effect of pulmonary rehabilitation on health status, depression and anxiety.  Eur Respir J. 2006;  (Suppl 50) 28 769s
    Google Scholar
  • 19 Guell R, Casan P, Belda J. et al . Long-term effects of outpatient rehabilitation of COPD: A randomized trial.  Chest. 2000;  117 976-983
    Google Scholar
  • 20 Hill N S. Pulmonary rehabilitation.  Proc Am Thorac Soc. 2006;  3 66-74
    Google Scholar
  • 21 Hui K P, Hewitt A B. A simple pulmonary rehabilitation program improves health outcomes and reduces hospital utilization in patients with COPD.  Chest. 2003;  124 94-97
    Google Scholar
  • 22 Inoue M, Ohtsu I. et al . Abstract: One year follow-up of pulmonary rehabilitation in patients with pulmonary emphysema - physiological outcome.  Nihon Kokyuki Gakkai Zasshi. 1998;  36 756-762
    Google Scholar
  • 23 Jastrzebski D, Kozielski J, Gumola A. Clinical benefits of a combined hospital and home-based exercise programm in patients with interstitial lung disease.  Eur Respir J. 2006;  28 (Suppl 50) 371s
    Google Scholar
  • 24 Jeremie U, Grützmacher J, Taube K. et al . Verbesserung der Rehabilitation von Asbestosen durch die Einführung eines ambulanten Rehabilitationsprogramms - Erste Ergebnisse.  Arbeitsm Sozialm Umweltmed. 2006;  41 9
    Google Scholar
  • 25 Karrer W. Pulmonary rehabilitation in Switzerland.  Swiss Med Wkly. 2005;  135 71-75
    Google Scholar
  • 26 Katsura H. et al . Long-term effectiveness of an inpatient pulmonary rehabilitation program for elderly COPD patients: comparison between young-elderly and old-elderly groups.  Respirology. 2004;  9 230-236
    Google Scholar
  • 27 Ketelaars C A, Abu-Saad H H. et al . Long-term outcome of pulmonary rehabilitation in patients with COPD.  Chest. 1997;  112 363-369
    Google Scholar
  • 28 Kida K, Jinno S. et al . Pulmonary rehabilitation program survey in North America, Europe, and Tokyo.  J Cardiopulm Rehabil. 1998;  18 301-308
    Google Scholar
  • 29 Kluge K. Patientenwünsche bezüglich ambulanter versus stationärer Rehabilitationskonzepte nach akutem Myokardinfarkt. Inaugural-Dissertation Medizinische Fakultät Universität zu Lübeck 2004
    Google Scholar
  • 30 Lacasse Y, Wong E. et al . Meta-analysis of respiratory rehabilitation in chronic obstructive pulmonary disease.  Lancet. 1996;  348 1115-1119
    Google Scholar
  • 31 Naji N A, Connor M C. et al . Effectiveness of pulmonary rehabilitation in restrictive lung disease.  J Cardiopulm Rehabil. 2006;  26 237-243
    Google Scholar
  • 32 Nici L, Donner C, Wouters E. et al . American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation.  Am J Respir Crit Care Med. 2006;  173 1390-1413
    Google Scholar
  • 33 Ong K C, Wong W P, Jailani A R. et al . Effects of a pulmonary rehabilitation programme on physiologic and psychosocial outcomes in patients with chronic respiratory disorders.  Ann Acad Med Singapore. 2001;  30 15-21
    Google Scholar
  • 34 Raskin J, Spiegler P, McCusker C. et al . The effect of pulmonary rehabilitation on healthcare utilization in chronic obstructive pulmonary disease: The Northeast Pulmonary Rehabilitation Consortium.  J Cardiopulm Rehabil. 2006;  26 231-236
    Google Scholar
  • 35 Ries A L, Kaplan R M. et al . Maintenance after pulmonary rehabilitation in chronic lung disease.  Am J Respir Crit Care Med. 2003;  167 880-888
    Google Scholar
  • 36 Singh S J, Smith D L. et al . A short outpatient pulmonary rehabilitation programme: immediate and longer-term effects on exercise performance and quality of life.  Respir Med. 1998;  92 1146-1154
    Google Scholar
  • 37 Stewart D G, Drake D F, Robertson C. et al . Benefits of an inpatient pulmonary rehabilitation program: a prospective analysis.  Arch Phys Med Rehabil. 2001;  82 347-352
    Google Scholar
  • 38 Strijbos J H, Postma D S, van Altena R. et al . A comparison between an outpatient hospital-based pulmonary rehabilitation program and a home-care pulmonary rehabilitation program in patients with COPD. A follow-up of 18 months.  Chest. 1996;  109 366-372
    Google Scholar
  • 39 Troosters T, Gosselink R, Decramer M. Short- and long-term effects of outpatient rehabilitation in patients with chronic obstructive pulmonary disease: a randomized trial.  Am J Med. 2000;  109 207-212
    Google Scholar
  • 40 Vale F, Reardon J Z, ZuWallack R L. The long-term benefits of outpatient pulmonary rehabilitation on exercise endurance and quality of life.  Chest. 1993;  103 42-45
    Google Scholar
  • 41 Wewel A, Behnke M, Schwertfeger I. et al . home-based walking training with interstitial dieases.  Eur Respir J. 2005;  28 (Suppl 49) 528s
    Google Scholar
  • 42 Wewel A. et al . Home-based training mediated by phone calls raises daily activity in patients with severe COPD.  Eur Respir J. 2005;  26 (Suppl 49) 71s
    Google Scholar
  • 43 White R J. et al . Outpatient pulmonary rehabilitation in severe chronic obstructive pulmonary disease.  J R Coll Physicians Lond. 1997;  31 541-545
    Google Scholar
  • 44 Wijkstra P J, Ten Vergert E M. et al . Long term benefits of rehabilitation at home on quality of life and exercise tolerance in patients with chronic obstructive pulmonary disease.  Thorax. 1995;  50 824-828
    Google Scholar
  • 45 Young P, Dewse M, Fergusson W. et al . Improvements in outcomes for chronic obstructive pulmonary disease (COPD) attributable to a hospital-based respiratory rehabilitation programme.  Aust N Z J Med. 1999;  29 59-65
    Google Scholar
  • 46 ZuWallack R L. Selection criteria and outcome assessment in pulmonary rehabilitation.  Monaldi Arch Chest Dis. 1998;  53 429-437
    Google Scholar

Dr. med. Uta Ochmann

Institut und Poliklinik für Arbeits- und Umweltmedizin der LMU München

Ziemssenstraße 1

80336 München

Phone: 089/51602470

Fax: 089/51604444

Email: uta.ochmann@med.uni-muenchen.de

      >