Measures of dyspnea in pulmonary rehabilitation
Ernesto Crisafulli,Enrico Clini +1 more
TLDR
In this article, the main goal of rehabilitation is to improve dyspnea; hence, quantifying dyspaine through specific tools (scales) is essential in order to describe the level of chronic disability and to assess eventual changes after intervention.Abstract:
Dyspnea is the main symptom perceived by patients affected by chronic respiratory diseases. It derives from a complex interaction of signals arising in the central nervous system, which is connected through afferent pathway receptors to the peripheral respiratory system (airways, lung, and thorax). Notwithstanding the mechanism that generates the stimulus is always the same, the sensation of dyspnea is often described with different verbal descriptors: these descriptors, or linguistic 'clusters', are clearly influenced by socio-individual factors related to the patient. These factors can play an important role in identifying the etiopathogenesis of the underlying cardiopulmonary disease causing dyspnea. The main goal of rehabilitation is to improve dyspnea; hence, quantifying dyspnea through specific tools (scales) is essential in order to describe the level of chronic disability and to assess eventual changes after intervention. Improvements, even if modest, are likely to determine clinically relevant changes (minimal clinically important difference, MCID) in patients. Currently there exist a large number of scales to classify and characterize dyspnea: the most frequently used in everyday clinical practice are the clinical scales (e.g. MRC or BDI/TDI, in which information is obtained directly from the patients through interview) and psychophysical scales (such as the Borg scale or VAS, which assess symptom intensity in response to a specific stimulus, e.g. exercise). It is also possible to assess the individual's dyspnea in relation to specific situations, e.g. chronic dyspnea (with scales that classify patients according to different levels of respiratory disability); exertional dyspnea (with tools that can measure the level of dyspnea in response to a physical stimulus); and transitional (or 'follow up') dyspnea (with scales that measure the effect in time of a treatment intervention, such as rehabilitation).read more
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用FEV6.0代替FVC诊断气道阻塞和肺功能受限[英]/Swanney MP…∥Am J Respir Crit Care Med.
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Journal ArticleDOI
Effects of inspiratory muscle training in COPD patients: A systematic review and meta-analysis.
TL;DR: The aim of this systematic review with meta‐analysis was to verify the effect of IMT using threshold devices in COPD patients on Dyspnea, quality of life, exercise capacity, and inspiratory muscles strength, and the added effect on dyspnea ofIMT associated with PR (vs. PR alone).
Journal ArticleDOI
An evaluation of factors associated with completion and benefit from pulmonary rehabilitation in COPD
Afroditi K. Boutou,Rebecca Tanner,Victoria M. Lord,Lauren Hogg,Jane Nolan,Helen Jefford,Evelyn J Corner,Christine Falzon,Cassandra Lee,Rachel Garrod,Michael I. Polkey,Nicholas S Hopkinson +11 more
TL;DR: Patients with better HRQoL are more likely to complete PR while worse baseline exercise performance makes the achievement of a positive MCID in exercise capacity more likely, however, no baseline parameter could predict who would benefit the most in terms of HRZoL.
Journal ArticleDOI
Pathophysiology of dyspnea in COPD.
Antonio Anzueto,Marc Miravitlles +1 more
TL;DR: The goal of this review is to discuss the pathophysiological mechanisms leading to dyspnea, particularly those associated with COPD, the physical and psychological impact on patients, assessment approaches, and modalities currently used to treat it.
Journal ArticleDOI
Extrapulmonary features of bronchiectasis: muscle function, exercise capacity, fatigue, and health status.
Ozge Ozalp,Deniz Inal-Ince,Ebru Calik,Naciye Vardar-Yagli,Melda Saglam,Sema Savci,Hulya Arikan,Meral Bosnak-Guclu,Lutfi Coplu +8 more
TL;DR: Peripheral muscle endurance, exercise capacity, fatigue and health status were adversely affected by the presence of bronchiectasis and Fatigue was associated with dyspnea and health Status.
References
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