Pulmonary Rehabilitation

Pulmonary Rehabilitation

Pulmonary (cardiac) rehabilitation is a multidisciplinary treatment program applied to reduce shortness of breath in chronic respiratory diseases, increase quality of life and enable them to perform their daily activities more comfortably. This program includes many components such as exercise training, breathing techniques, patient education, nutritional support and psychosocial support.

Pulmonary rehabilitation provides great benefits especially for people with diseases such as COPD (Chronic Obstructive Pulmonary Disease), asthma, interstitial lung diseases, bronchiectasis, cystic fibrosis and pulmonary hypertension.

What is pulmonary rehabilitation?

Pulmonary rehabilitation is a special program applied to individuals whose physical capacity and daily quality of life have decreased due to respiratory system diseases. According to the American Thoracic Society (ATS), pulmonary rehabilitation is a personalized and evidence-based treatment method and aims to increase patients’ exercise capacity, reduce shortness of breath and reduce hospitalization rates.

Although the program does not directly improve lung function, it makes it easier for patients to cope with their symptoms and strengthens the respiratory muscles, making breathing more efficient.

Who is pulmonary rehabilitation suitable for?

The pulmonary rehabilitation program is suitable for individuals with the following respiratory diseases:

  • COPD (Chronic Obstructive Pulmonary Disease)
  • Asthma
  • Bronchiectasis
  • Interstitial Lung Diseases (ILD)
  • Cystic Fibrosis
  • Pulmonary Hypertension
  • Post-COVID Syndrome
  • Pre- and post-lung transplant patients
  • Restrictive Lung Diseases

In addition, pulmonary rehabilitation is recommended for patients with chronic respiratory failure and frequent hospital admissions.

What are the benefits of pulmonary rehabilitation?

One of the biggest advantages of pulmonary rehabilitation is that it improves patients’ ability to cope with shortness of breath. Clinical studies show that the program provides the following benefits:

  • Reduces shortness of breath and increases the endurance of respiratory muscles.
  • Increases exercise capacity, allows patients to walk for longer periods of time.
  • Facilitates daily activities, helps patients become independent.
  • Reduces anxiety and depression related to the disease, provides psychological support.
  • Reduces hospitalization rates, reduces emergency room visits.
  • Reduces the risk of lung infections and strengthens the immune system.

These benefits increase patients’ quality of life and help prevent complications that may occur due to the disease.

How is pulmonary rehabilitation implemented?

A pulmonary rehabilitation program is a comprehensive process that usually lasts 6-12 weeks and is performed 2-3 days a week. The components of the program are:

  1. Exercise Training

Exercises planned to increase respiratory muscles and general physical endurance include:

  • Walking and cycling exercises to increase cardio capacity
  • Strengthening exercises to work the diaphragm and accessory respiratory muscles
  • Resistance training (Makes daily activities easier by increasing muscle strength.)
  • Stretching and relaxation techniques to ensure efficient breathing
  1. Breathing Techniques
  • Here are some breathing techniques taught to help patients better manage shortness of breath:
  • Pursed-lip breathing: More efficient oxygen provides intake.
  • Diaphragmatic breathing: Supports more effective respiratory muscles.
  • Quick relaxing breathing techniques: Used in acute respiratory crises.
  1. Patient Education and Psychosocial Support

Patients are educated on the following topics:

  • Management and progression of the disease
  • Proper inhaler use
  • Diet and weight control
  • Quitting smoking and its effects on lung health
  • Methods for coping with anxiety and depression
  1. Nutritional Support

Nutrition is very important in respiratory diseases. While being overweight increases shortness of breath, being underweight can also cause muscle loss. Therefore, a personalized nutrition program is applied.

What are the scientific bases of pulmonary rehabilitation?

The effectiveness of pulmonary rehabilitation has been proven by many scientific studies:

  • According to the 2020 report of the British Thoracic Society (BTS), pulmonary rehabilitation reduces hospitalization rates in COPD patients by up to 30%.
  • According to a study published in the American Journal of Respiratory and Critical Care Medicine, patients who participated in a pulmonary rehabilitation program increased their exercise capacity by an average of 25%.
  • A meta-analysis conducted by the Cochrane Review found that pulmonary rehabilitation significantly improves the quality of life and reduces shortness of breath in COPD patients.

Sources:

  • American Thoracic Society (ATS)
  • British Thoracic Society (BTS)
  • American Journal of Respiratory and Critical Care Medicine
  • Cochrane Review
  • Mayo Clinic