Download PDF
Semin Respir Crit Care Med 2024; 45(05): 605-610
DOI: 10.1055/s-0044-1791825
Review Article

Future Considerations and Areas for Innovation for Pulmonary Rehabilitation in Chronic Obstructive Lung Disease Patients

John W. Connell
1   Rehabilitation Care Line, Cincinnati VA Medical Center, Cincinnati, Ohio
,
Scott A. Humason
1   Rehabilitation Care Line, Cincinnati VA Medical Center, Cincinnati, Ohio
,
Ralph J. Panos
1   Rehabilitation Care Line, Cincinnati VA Medical Center, Cincinnati, Ohio
,
Robert Burkes
1   Rehabilitation Care Line, Cincinnati VA Medical Center, Cincinnati, Ohio
› Author Affiliations Funding None.
› Further Information
    Permissions and Reprints

Abstract

Pulmonary rehabilitation is an effective therapy that improves day-to-day symptoms and quality of life in patients with chronic obstructive pulmonary disease. In this review, we look at the role of virtual programs, implementation of artificial intelligence, emerging areas of improvement within the educational components of programs, and the benefit of advanced practice providers in directorship roles.

Keywords

pulmonary rehabilitation - chronic obstructive pulmonary disease - artificial intelligence


Publication History

Article published online:
25 October 2024

© 2024. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Tamondong-Lachica DR, Skolnik N, Hurst JR. et al. GOLD 2023 Update: implications for clinical practice. Int J Chron Obstruct Pulmon Dis 2023; 18: 745-754
    CrossrefPubMedGoogle Scholar
  • 2 Agusti A. Biologics for COPD - finally here. N Engl J Med 2023; 389 (03) 274-275
    CrossrefPubMedGoogle Scholar
  • 3 Uwagboe I, Adcock IM, Lo Bello F, Caramori G, Mumby S. New drugs under development for COPD. Minerva Med 2022; 113 (03) 471-496
    CrossrefPubMedGoogle Scholar
  • 4 Afroz N, Gutzwiller FS, Mackay AJ, Naujoks C, Patalano F, Kostikas K. Patient-reported outcomes (PROs) in COPD clinical trials: trends and gaps. Int J Chron Obstruct Pulmon Dis 2020; 15: 1789-1800
    CrossrefPubMedGoogle Scholar
  • 5 Rocha V, Cabral J, Souto-Miranda S. et al. Monthly follow-ups of functional status in people with COPD: a longitudinal study. J Clin Med 2022; 11 (11) 3052
    CrossrefPubMedGoogle Scholar
  • 6 Reychler G, Piraux E, Beaumont M, Caty G, Liistro G. Telerehabilitation as a Form of Pulmonary Rehabilitation in Chronic Lung Disease: A Systematic Review. Basel, Switzerland:: Healthcare; 2022. 10:(09): 1795
    Google Scholar
  • 7 Drwal KR, Hurst D, Wakefield BJ. Effectiveness of a home-based pulmonary rehabilitation program in veterans. Telemed J E Health 2024; 30 (09) 2456-2465
    CrossrefPubMedGoogle Scholar
  • 8 Bhatt SP, Casaburi R, Mosher CL, Rochester CL, Garvey C. Telehealth pulmonary rehabilitation: a call for minimum standards. Am J Respir Crit Care Med 2024; 210 (02) 145-146
    CrossrefPubMedGoogle Scholar
  • 9 Rahimipour Anaraki N, Mukhopadhyay M, Wilson M, Karaivanov Y, Asghari S. Virtual healthcare in rural and remote settings: a qualitative study of Canadian rural family physicians' experiences during the COVID-19 pandemic. Int J Environ Res Public Health 2022; 19 (20) 13397
    CrossrefPubMedGoogle Scholar
  • 10 Rowe Ferrara M, Chapman SA. Rural patients' experiences with synchronous video telehealth in the United States: a scoping review. Telemed J E Health 2024; 30 (05) 1357-1377
    CrossrefPubMedGoogle Scholar
  • 11 Barata PI, Crisan AF, Maritescu A. et al. Evaluating virtual and inpatient pulmonary rehabilitation programs for patients with COPD. J Pers Med 2022; 12 (11) 1764
    CrossrefPubMedGoogle Scholar
  • 12 Chung C, Lee JW, Lee SW, Jo MW. Clinical efficacy of mobile app-based, self-directed pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: systematic review and meta-analysis. JMIR Mhealth Uhealth 2024; 12: e41753
    CrossrefPubMedGoogle Scholar
  • 13 Demeyer H, Louvaris Z, Frei A. et al; Mr Papp PROactive Study Group and the PROactive Consortium. Physical activity is increased by a 12-week semiautomated telecoaching programme in patients with COPD: a multicentre randomised controlled trial. Thorax 2017; 72 (05) 415-423
    CrossrefPubMedGoogle Scholar
  • 14 Antão J, de Mast J, Marques A, Franssen FME, Spruit MA, Deng Q. Demystification of artificial intelligence for respiratory clinicians managing patients with obstructive lung diseases. Expert Rev Respir Med 2023; 17 (12) 1207-1219
    CrossrefPubMedGoogle Scholar
  • 15 Al-Anazi S, Al-Omari A, Alanazi S. et al. Artificial intelligence in respiratory care: Current scenario and future perspective. Ann Thorac Med 2024; 19 (02) 117-130
    CrossrefPubMedGoogle Scholar
  • 16 Wouters EFM, Wouters BBREF, Augustin IML, Houben-Wilke S, Vanfleteren LEGW, Franssen FME. Personalised pulmonary rehabilitation in COPD. Eur Respir Rev 2018; 27 (147) 170125
    CrossrefPubMedGoogle Scholar
  • 17 Blackstock FC, Lareau SC, Nici L. et al; American Thoracic Society, Thoracic Society of Australia and New Zealand, Canadian Thoracic Society, and British Thoracic Society. Chronic obstructive pulmonary disease education in pulmonary rehabilitation. An Official American Thoracic Society/Thoracic Society of Australia and New Zealand/Canadian Thoracic Society/British Thoracic Society Workshop Report. Ann Am Thorac Soc 2018; 15 (07) 769-784
    CrossrefPubMedGoogle Scholar
  • 18 Blackstock FC, Evans RA. Rehabilitation in lung diseases: 'Education' component of pulmonary rehabilitation. Respirology 2019; 24 (09) 863-870
    CrossrefPubMedGoogle Scholar
  • 19 Ries AL, Kaplan RM, Limberg TM, Prewitt LM. Effects of pulmonary rehabilitation on physiologic and psychosocial outcomes in patients with chronic obstructive pulmonary disease. Ann Intern Med 1995; 122 (11) 823-832
    CrossrefPubMedGoogle Scholar
  • 20 Blackstock FC, Webster KE, McDonald CF, Hill CJ. Comparable improvements achieved in chronic obstructive pulmonary disease through pulmonary rehabilitation with and without a structured educational intervention: a randomized controlled trial. Respirology 2014; 19 (02) 193-202
    CrossrefPubMedGoogle Scholar
  • 21 Schrijver J, Lenferink A, Brusse-Keizer M. et al. Self-management interventions for people with chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2022; 1 (01) CD002990
    PubMedGoogle Scholar
  • 22 Torres-Sánchez I, Rodríguez-Alzueta E, Cabrera-Martos I, López-Torres I, Moreno-Ramírez MP, Valenza MC. Cognitive impairment in COPD: a systematic review. J Bras Pneumol 2015; 41 (02) 182-190
    CrossrefPubMedGoogle Scholar
  • 23 Roig M, Thomas R, Mang CS. et al. Time-dependent effects of cardiovascular exercise on memory. Exerc Sport Sci Rev 2016; 44 (02) 81-88
    CrossrefPubMedGoogle Scholar
  • 24 Wilson JS, O'Neill B, Reilly J, MacMahon J, Bradley JM. Education in pulmonary rehabilitation: the patient's perspective. Arch Phys Med Rehabil 2007; 88 (12) 1704-1709
    CrossrefPubMedGoogle Scholar
  • 25 Rehman H, Karpman C, Vickers Douglas K, Benzo RP. Effect of a motivational interviewing-based health coaching on quality of life in subjects with COPD. Respir Care 2017; 62 (08) 1043-1048
    CrossrefPubMedGoogle Scholar
  • 26 Benzo RP, Kirsch JL, Hathaway JC, McEvoy CE, Vickers KS. Health coaching in severe COPD after a hospitalization: a qualitative analysis of a large randomized study. Respir Care 2017; 62 (11) 1403-1411
    CrossrefPubMedGoogle Scholar
  • 27 Connor JP, Stjepanović D, Budney AJ, Le Foll B, Hall WD. Clinical management of cannabis withdrawal. Addiction 2022; 117 (07) 2075-2095
    CrossrefPubMedGoogle Scholar
  • 28 Bonnet U, Preuss UW. The cannabis withdrawal syndrome: current insights. Subst Abuse Rehabil 2017; 8: 9-37
    CrossrefPubMedGoogle Scholar
  • 29 Sherman BJ, McRae-Clark AL. Treatment of Cannabis use disorder: current science and future outlook. Pharmacotherapy 2016; 36 (05) 511-535
    CrossrefPubMedGoogle Scholar
  • 30 Tossmann HP, Jonas B, Tensil MD, Lang P, Strüber E. A controlled trial of an internet-based intervention program for cannabis users. Cyberpsychol Behav Soc Netw 2011; 14 (11) 673-679
    CrossrefPubMedGoogle Scholar
  • 31 Carpenter KM, Torres AJ, Salmon EE. et al. Marijuana use and adherence to smoking cessation treatment among callers to tobacco quitlines. Prev Chronic Dis 2020; 17: E102
    CrossrefPubMedGoogle Scholar
  • 32 Erhabor J, Boakye E, Obisesan O. et al. E-cigarette use among US adults in the 2021 Behavioral Risk Factor Surveillance System Survey. JAMA Netw Open 2023; 6 (11) e2340859
    CrossrefPubMedGoogle Scholar
  • 33 Osei AD, Mirbolouk M, Orimoloye OA. et al. Association between e-cigarette use and chronic obstructive pulmonary disease by smoking status: Behavioral Risk Factor Surveillance System 2016 and 2017. Am J Prev Med 2020; 58 (03) 336-342
    CrossrefPubMedGoogle Scholar
  • 34 Hartmann-Boyce J, Lindson N, Butler AR. et al. Electronic cigarettes for smoking cessation. Cochrane Database Syst Rev 2022; 11 (11) CD010216
    PubMedGoogle Scholar
  • 35 Alotaybi M, Alzahrani SS, Algethmi AM. et al. E-cigarettes and vaping: a smoking cessation method or another smoking innovation?. Cureus 2022; 14 (12) e32435
    PubMedGoogle Scholar
  • 36 Wang RJ, Bhadriraju S, Glantz SA. E-cigarette use and adult cigarette smoking cessation: a meta-analysis. Am J Public Health 2021; 111 (02) 230-246
    CrossrefPubMedGoogle Scholar
  • 37 Zhang YY, Bu FL, Dong F. et al. The effect of e-cigarettes on smoking cessation and cigarette smoking initiation: an evidence-based rapid review and meta-analysis. Tob Induc Dis 2021; 19: 04
    CrossrefPubMedGoogle Scholar
  • 38 Major S, Moreno M, Shelton J, Panos RJ. Veterans with chronic obstructive pulmonary disease achieve clinically relevant improvements in respiratory health after pulmonary rehabilitation. J Cardiopulm Rehabil Prev 2014; 34 (06) 420-429
    CrossrefPubMedGoogle Scholar
  • 39 Wang X, Doherty TA, James C. Military burn pit exposure and airway disease: implications for our veteran population. Ann Allergy Asthma Immunol 2023; 131 (06) 720-725
    CrossrefPubMedGoogle Scholar
  • 40 Balmes JR. Exposure to burn pit emissions and respiratory diseases?. JAMA Netw Open 2024; 7 (04) e247581
    CrossrefPubMedGoogle Scholar
  • 41 Murphy DE, Chaudhry Z, Almoosa KF, Panos RJ. High prevalence of chronic obstructive pulmonary disease among veterans in the urban midwest. Mil Med 2011; 176 (05) 552-560
    CrossrefPubMedGoogle Scholar
  • 42 Holland AE, Cox NS, Houchen-Wolloff L. et al. Defining modern pulmonary rehabilitation. An Official American Thoracic Society Workshop Report. Ann Am Thorac Soc 2021; 18 (05) e12-e29
    CrossrefPubMedGoogle Scholar
  • 43 Lahham A, Holland AE. The need for expanding pulmonary rehabilitation services. Life (Basel) 2021; 11 (11) 1236
    PubMedGoogle Scholar
  • 44 Singh DN, Kaur H, Roy S, Juvekar S, Pinnock H, Agarwal D. Needs assessment for introducing pulmonary rehabilitation for chronic obstructive pulmonary disease management in a rural Indian setting: a qualitative study. BMJ Open Respir Res 2023; 10 (01) e001696
    CrossrefPubMedGoogle Scholar
  • 45 Zhang M, Mao X, Li F, Xianyu Y. The effects of nurse-led family pulmonary rehabilitation intervention on quality of life and exercise capacity in rural patients with COPD. Nurs Open 2023; 10 (08) 5606-5615
    CrossrefPubMedGoogle Scholar
  • 46 Locke ER, Young JP, Battaglia C. et al. Care-seeking and delay of care during COPD exacerbations. NPJ Prim Care Respir Med 2022; 32 (01) 7
    CrossrefPubMedGoogle Scholar