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DOI: 10.1055/s-2004-830196
Möglichkeiten und Perspektiven häuslichen Trainings bei Patienten mit chronisch-obstruktiven Atemwegserkrankungen
Possibilities and Perspectives of Home-based Exercise Training in Patients with Chronic Obstructive Pulmonary DiseasesPublication History
Eingang: 13. April 2004
Akzeptiert nach Revision: 10. Januar 2005
Publication Date:
18 May 2005 (online)
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Zusammenfassung
In Deutschland haben Rehabilitations- und Trainingsprogramme zur klinischen und funktionellen Verbesserung von Patienten mit chronisch-obstruktiven Atemwegserkrankungen eine lange Tradition. Dies gilt insbesondere für stationäre Programme. Aufbauend auf Erfahrungen des Auslandes wird jedoch inzwischen ambulanten oder häuslichen Programmen zunehmend Beachtung geschenkt. Ein zentraler Bestandteil der Programme ist körperliches Training. Dahinter steht die Erwartung, mit relativ geringem Aufwand den klinischen Zustand, sowie Lebensqualität, Krankheitsverlauf und Prognose des Patienten verbessern zu können. Erste Erfahrungen liegen - neben dem Asthma bronchiale - insbesondere bei der COPD vor. Die Daten legen nahe, dass körperliches Training die Exazerbationsraten senken kann und dieser Effekt mit minimalem Betreuungsaufwand erreichbar ist. Vordringliches Ziel künftiger Untersuchungen scheint daher die Entwicklung und Evaluierung praxisnaher, minimal aufwendiger Trainingsprogramme. Inwieweit diese Programme auf andere Lungenerkrankungen übertragbar sind, sollte ebenfalls geprüft werden.
Abstract
In Germany there is a long tradition of rehabilitation and exercise training programs to improve the clinical state and physical function of patients with chronic obstructive pulmonary diseases. This is particularly true regarding inpatient rehabilitation. Based on experiences gained in other countries, outpatient and home-based programs are currently getting more attention. One of the key components of pulmonary rehabilitation is exercise training which can be expected to exert direct and indirect beneficial effects on physical performance, health-related quality of life and even the progress of the disease. Most of the available experience refers to patients with COPD - besides those with bronchial asthma. The data available so far suggest that exercise training programs can reduce exacerbation rates and that this effect is achievable by minimal personal assistance. Thus the most important aim of future studies seems to be the development and evaluation of training programs which are efficient but also easy to implement and minimally expensive. Furthermore it needs to be studied whether such programs can be transferred to pulmonary disorders other than obstructive airway diseases.
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Ärztin Alexandra R. Wewel
Krankenhaus Großhansdorf · Zentrum für Pneumologie und Thoraxchirurgie
Wöhrendamm 80
22927 Großhansdorf
Email: a.wewel@pulmoresearch.de