Rehabilitación Pulmonar en Pacientes con Enfermedad Pulmonar Obstructiva Crónica

Pulmonary Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease

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Introducción. La enfermedad Pulmonar Obstructiva Crónica (EPOC) se caracteriza por ser una patología prevenible y tratable, que presenta sintomatología respiratoria permanente por restricción progresiva del flujo aéreo. La rehabilitación pulmonar, ha demostrado mejoría en la actividad física, disminución de la disnea y sintomatología respiratoria, además de mejorar la calidad de vida. El objetivo de este artículo es analizar la evidencia científica disponible sobre la rehabilitación pulmonar en la Enfermedad Pulmonar Obstructiva. Materiales y métodos. Para la búsqueda bibliográfica se incluyeron artículos de las bases de datos PudMed, Jane, Science Direct, Ovid, Medline, Proquest, publicados en los últimos cinco años con evidencia actualizada en relación a la rehabilitación pulmonar EPOC. Se seleccionaron 53 artículos de interés en la temática cumpliendo con los criterios de inclusión. Resultados. Los artículos seleccionados abordan temática de rehabilitación Pulmonar en EPOC, con aplicación de protocolos que incluyen cuestionarios de evaluación respiratoria. Dentro de los resultados analizados, no se evidencia diferencia demográfica significativa entre los grupos intervenidos, la incidencia de participación es de 100 pacientes para cada programa de rehabilitación pulmonar, la media de edad es de 59 años, y los programas de rehabilitación se desarrollan a nivel hospitalario, comunitario y ambulatorio. Conclusiones. Implementar programas de rehabilitación pulmonar en pacientes con EPOC, constituye un elemento fundamental en el manejo de esta enfermedad, mostrando efectos benéficos al optimizar sintomatología, capacidad en el ejercicio, control sobre la enfermedad y mejoría en la calidad de vida.

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Decramer M, Vogelmeier C. Global initiative for chronic obstructive lung disease (GOLD). Iniciativa mundial para la enfermedad pulmonar obstructiva crónica, guía de bolsillo para la prevención y el manejo del diagnóstico de la EPOC. 2018. Fecha de consulta 10 de diciembre 2018. Disponible en: https//goldcopd.org/wp-content/uploads/2016/04wms-spanish-Pocket-Guide-GOLD-2017.pdf

OMS. Enfermedad pulmonar obstructiva crónica; Organización Mundial de la Salud. 2017.Fecha de consulta octubre 2018. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(copd).

ASIS 2017. Análisis de situación de salud. Colombia. Fecha de consulta septiembre 2018. Disponible en https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ED/PSP/asis-nacional-2017.pdf

Ries AL, Bauldoff GS, Carlin BW, Casaburi R, Emery CF, Mahler DA, et al. Pulmonary rehabilitation: Joint ACCP/AACVPR evidence based clinical practice guidelines. Chest. 2007;131(suppl 5):4S–42S. https://doi.org/10.1378/chest.06-2418

American Thoracic Society; American College of Chest Physicians – ATS/ACCP. Statement on cardiopulmonary exercise testing. Am J Respir Crit Care Med. 2003;167(2):211–77. https://doi.org/10.1164/rccm.167.2.211

Nyberg A, Saey D, Martin M, Maltais F. Muscular and functional effects of partitioning exercising muscle mass in patients with chronic obstructive pulmonary disease - a study protocol for a randomized controlled trial. Rev BioMed Central. 2015;16:194. https://doi.org/10.1186/s13063-015-0698-x

Kobayashi S, Yanai M, Hanagama M, Yamanda S.. The burden of chronic obstructive pulmonary disease in the elderly population. Respir Investig. 2014;52(5):296-301. https://doi.org/10.1016/j.resinv.2014.04.005

Holland A, Mahal A, Hill C, Burge A, Moore R, Ndongo R. et al. Benefits and costs of home-based pulmonary rehabilitation in chronic obstructive pulmonary disease-a multi-centre randomised controlled equivalence trial. Rev BMC pulmonary medicine. 2013;13:57. https://doi.org/10.1186/1471-2466-13-57

Benavides V, Wilches E. Cambios en la puntuación del índice BODE en pacientes con enfermedad pulmonar obstructiva crónica antes y después de rehabilitación pulmonar. Revista Ciencias de la Salud. 2018;16(1):101-113. http://dx.doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.6493

Bennett D, Bowen B, McCarthy P, Subramaniam A., O'Connor M, Henry M. Outcomes of pulmonary rehabilitation for COPD in older patients: a comparative study COPD. COPD 2017;14(2):170-175. https://doi.org/10.1080/15412555.2016.1258051

Benton M, Wagner C. Effect of single-set resistance training on quality of life in COPD patients enrolled in pulmonary rehabilitation. Rev Respiratory care. 2013;58(3):487-493. https://doi.org/10.4187/respcare.01892

Nishi S, Zhang W, Kuo Y, Sharma G. Pulmonary rehabilitation use in older adults with chronic obstructive pulmonary disease, 2003-2012. J Cardiopulm Rehabil Prev. 2016; 36(5):375. https://dx.doi.org/10.1097/HCR.0000000000000194

Prunera M, Padín S, Domenech A, Godoy A. Effectiveness of a respiratory rehabilitation programme in patients with chronic obstructive pulmonary disease. Enferm Clin. 2018; 28(1): 5-12. https://doi.org/10.1016/j.enfcli.2017.11.001

Hansen H, Bieler L, Beyer N, Godtfredsen N, Kallemose T, Frølich A. COPD online-rehabilitation versus conventional COPD rehabilitation–rationale and design for a multicenter randomized controlled trial study protocol (CORe trial). BMC Pulm Med. 2017;17(1):140. https://doi.org/10.1186/s12890-017-0488-1

Demeyer H, Burtin C, Remoortel H, Hornikx M, Langer D, Decramer M, et al. Standardizing the analysis of physical activity in patients with COPD following a pulmonary rehabilitation program. Chest. 2014;146(2):318-327. https://doi.org/10.1378/chest.13-1968

Wada J, Borges E, Porras D, Paisani D, Cukier A, Lunardi A, et al. Effects of aerobic training combined with respiratory muscle stretching on the functional exercise capacity and thoracoabdominal kinematics in patients with COPD: a randomized and controlled trial. Int J Chron Obstruct Pulmon Dis. 2016;11:2691. https://doi.org/10.2147/COPD.S114548

Chen J, Liu J, Liu Y, Chen Y, Tu M, Yu H, et al. Effectiveness of a perioperative pulmonary rehabilitation program following coronary artery bypass graft surgery in patients with and without COPD. Int J Chron Obstruct Pulmon Dis. 2018;13:1591. https://doi.org/10.2147/COPD.S157967

Jiménez J, Ugas D, Rojas C. Efectos de un Programa de Rehabilitación Pulmonar con énfasis en el entrenamiento de la musculatura respiratoria y actividades recreativas en un grupo de pacientes con EPOC. Revista chilena de enfermedades respiratorias. 2017;33(29:85-90. http://dx.doi.org/10.4067/s0717-73482017000200085

Rocha T, Souza H, Brandao D, Rattes C, Ribeiro L, Campos S, et al. The Manual Diaphragm Release Technique improves diaphragmatic mobility, inspiratory capacity and exercise capacity in people with chronic obstructive pulmonary disease: a randomised trial. Journal of physiotherapy. 2015;61(4):182-189. https://doi.org/10.1016/j.jphys.2015.08.009

Oria M, Romero B, Cifuentes M, Moreno R, Pacheco V, Duran M. Resultados en salud a largo plazo de un programa estructurado de rehabilitación respiratoria en pacientes con enfermedad pulmonar obstructiva crónica. Rehabilitación. 2015;49(1):10-16. https://doi.org/10.1016/j.rh.2014.04.006

Campaz D, Rosero H, Wilches E, Gutiérrez C. Entrenamiento de fuerza y resistencia muscular de miembros superiores en pacientes con enfermedad respiratoria crónica: Estudio de casos. Fisioterapia. 2014;36(3):143-147. https://doi.org/10.1016/j.ft.2013.09.003

Román M, Larraz C, Gómez A, Ripoll J, Mir I, Miranda E, Esteva M. Efficacy of pulmonary rehabilitation in patients with moderate chronic obstructive pulmonary disease: a randomized controlled trial. BMC Fam Pract. 2013;14:21. https://doi.org/10.1186/1471-2296-14-21

Zambom F, Cebollero P, Hueto J, Hernández M, Cascante J, Antón M. Effects of simple long-term respiratory care strategies in older men with COPD. J Bras Pneumol, 2017 43(6):464-471. https://dx.doi.org/10.1590/S1806-37562017000000103

Larsson P, Borge C, Nygren M, Lerdal A, Edvardsen A. An evaluation of the short physical performance battery following pulmonary rehabilitation in patients with chronic obstructive pulmonary disease. BMC Res Notes. 2018;11(1):348. https://doi.org/10.1186/s13104-018-3458-7

Blánquez Moreno C, Colungo Francia C, Alvira Balada MC, Kostov B, González-de Paz L, Sisó-Almirall A. Effectiveness of an educational program for respiratory rehabilitation of Chronic Obstructive Pulmonary Disease patients in Primary Care in improving the quality of life, symptoms, and clinical risk. Aten Primaria. 2018;50(9):539-546.5. https://doi.org/10.1016/j.aprim.2017.03.019

Ashmore J, Russo R, Peoples J, Sloan J, Jackson B, Bae S, et al. Chronic obstructive pulmonary disease self-management activation research trial (COPD-SMART): design and methods. Contemp Clin Trials. 2013;35(2):77-86. https://doi.org/10.1016/j.cct.2013.05.004

He M, Yu S, Wang L, Lv H, Qiu Z. Efficiency and safety of pulmonary rehabilitation in acute exacerbation of chronic obstructive pulmonary disease. Med Sci Monit. 2015;21:806‐812. https://doi.org/10.12659/msm.892769

Russo R, Coultas D, Ashmore J, Peoples J, Sloan J, Jackson, et al. Chronic obstructive pulmonary disease self-management activation research trial (COPD–SMART): Results of recruitment and baseline patient characteristics. Contemp Clin Trials. 2015;41:192‐201. https://doi.org/10.1016/j.cct.2015.01.018

Bjoernshave B, Korsgaard J, Jensen C, Nielsen C. Pulmonary rehabilitation in clinical routine: a follow-up study. J Rehabil Med. 2013;45(9):916‐923. https://doi.org/10.2340/16501977-1199

Güell, M. R., Cejudo, P., Ortega, F., Puy, M. C., Rodríguez-Trigo, G., Pijoan, et al. Benefits of long-term pulmonary rehabilitation maintenance program in patients with severe chronic obstructive pulmonary disease. Three-year follow-up. Am J Respir Crit Care Med. 2017;195(5):622‐629. https://doi.org/10.1164/rccm.201603-0602oc

Betancourt Peña, Muñoz B, Mora R. Calidad de vida en pacientes con enfermedad pulmonar obstructiva crónica al ingreso de un programa de rehabilitación pulmonar. Revista Colombiana de Rehabilitación. 2015;14:46-53.

Maddocks M, Kon S, Canavan J, Jones S, Nolan C, Labey A, et al. Physical frailty and pulmonary rehabilitation in COPD: a prospective cohort study. Thorax, 71(11),988–995. https://doi.org/10.1136/thoraxjnl-2016-208460

Xi F, Wang Z, Qi Y, Brightwell R, Roberts P, Stewart A, et al. Long-term effect of respiratory training for chronic obstructive pulmonary disease patients at an outpatient clinic: a randomised controlled trial. Clin Transl Med. 2015;4:31. https://dx.doi.org/10.1186/s40169-015-0073-2

O’Neill B, O’Shea O, McDonough S, McGarvey L, Bradbury I, Arden M, et al. Clinician-Facilitated physical activity intervention versus pulmonary rehabilitation for improving physical activity in COPD: a feasibility study. COPD 2018;15(3):254-264. https://doi.org/10.1080/15412555.2018.1486396

van Ranst D, Stoop WA, Meijer JW, Otten HJ, van de Port IG. Reduction of exacerbation frequency in patients with COPD after participation in a comprehensive pulmonary rehabilitation program. Int J Chron Obstruct Pulmon Dis. 2014;9:1059‐1067. https://doi.org/10.2147/copd.s69574

Deepak T, Mohapatra P, Janmeja A, Sood P, Gupta M. Outcome of pulmonary rehabilitation in patients after acute exacerbation of chronic obstructive pulmonary disease. Indian J Chest Dis Allied Sci. 2014;56(1):7‐12.

Greulich T, Koczulla A, Nell C, Kehr K, Vogelmeier C, Stojanovic D, et al. Effect of a three-week inpatient rehabilitation program on 544 consecutive patients with very severe COPD: a retrospective analysis. Respiration. 2015;90(4):287‐292. https://doi.org/10.1159/000436979

Khoshkesht S, Zakerimoghadam M, Ghiyasvandian S, Kazemnejad A, Hashemian M. The effect of home-based pulmonary rehabilitation on self-efficacy in chronic obstructive pulmonary disease patients. J Pak Med Assoc. 2015; 65(10):1041-6

Rausch A, Greco N, Schwank A, Beyer S, Gisi D, Scheermesser M, Wirz M. Effect of counselling during pulmonary rehabilitation on self-determined motivation towards physical activity in people with chronic obstructive pulmonary disease–protocol of a mixed methods study. BMC Pulm Med. 2017;17:115. https://dx.doi.org/10.1186/Fs12890-017-0457-8

Basso R, Di Lorenzo V, Labadessa I, Regueiro E, Jamami M, Gomes E, Costa D. Effects of inspiratory muscle training and calisthenics-and-breathing exercises in COPD with and without respiratory muscle weakness. Respir Care. 2016;61(1):50-60. https://doi.org/10.4187/respcare.03947

Chalise S, Shaheen H, Rizwan M, O'Brien K, Shaw R. Pulmonary Rehabilitation A Retrospective Study in Eastern North Carolina. N C Med J. 2016; 77:(5),314-318. https://doi.org/10.18043/ncm.77.5.314

Cruz J, Brooks D, Marques A. WalkBactive: a randomised controlled trial of a physical activity-focused behavioural intervention beyond pulmonary rehabilitation in chronic obstructive pulmonary disease. Chron Respir Dis. 2016;13(1):57-66. https://doi.org/10.1177/1479972315619574

Endo Y, Dobashi K, Uga D, Kato D, Nakazawa R, Sakamoto M, Makino S. Effect of 12-month rehabilitation with low loading program on chronic respiratory disease. J Phys Ther Sci. 2016; 28(3):1032-1035. https://dx.doi.org/10.1589/jpts.28.1032

Geidl W, Semrau J, Streber R, Lehbert N, Wingart S, Tallner A, Pfeifer K. Effects of a brief, pedometer-based behavioral intervention for individuals with COPD during inpatient pulmonary rehabilitation on 6-week and 6-month objectively measured physical activity: study protocol for a randomized controlled trial. Trials. 2017;18(1):396. https://doi.org/10.1186/s13063-017-2124-z

Beaumont M, Mialon P, Ber Moy C, Lochon C, Péran L, Pichon R, Couturaud F. Inspiratory muscle training during pulmonary rehabilitation in chronic obstructive pulmonary disease: A randomized trial. Chronic respiratory disease. 2015;12:(4),305-312. DOI: 10.1177/1479972315594625

Bourne S, DeVos R, North M, Chauhan A, Green B, Brown T, Wilkinson T. Online versus face-to-face pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: randomised controlled trial. BMJ open. 2017;7:e014580. http://dx.doi.org/10.1136/bmjopen-2016-014580

Chigira Y, Takai T, Oda T, Dobashi K. Difference in the effect of outpatient pulmonary rehabilitation due to variation in the intervention frequency: intervention centering on home-based exercise. J Phys Ther Sci. 2014;26(7):1041-1044. https://dx.doi.org/10.1589/jpts.26.1041

Lan C, Yang M, Huang H, Wu C, Su W, Tzeng I, Wu Y. Serial changes in exercise capacity, quality of life and cardiopulmonary responses after pulmonary rehabilitation in patients with chronic obstructive pulmonary disease. Heart Lung. 2018;47(5):477-484. https://doi.org/10.1016/j.hrtlng.2018.06.006

Varas A, Córdoba S, Rodríguez I, Rueda M, García S, Vilaró J. Effectiveness of a community‐based exercise training programme to increase physical activity level in patients with chronic obstructive pulmonary disease: A randomized controlled trial. Physiother Res Int. 2018;23(4):e1740. https://doi.org/10.1002/pri.1740

Zakrisson A, Hiyoshi A, Theander K. A three‐year follow‐up of a nurse‐led multidisciplinary pulmonary rehabilitation programme in primary health care: a quasi‐experimental study. J Clin Nurs. 2016;25(7-8):962-971. https://doi.org/10.1111/jocn.13132

Vorrink S, Kort H, Troosters T, Zanen P, Lammers J. Efficacy of an mHealth intervention to stimulate physical activity in COPD patients after pulmonary rehabilitation. Eur Respir J. 2016;48(4):1019-1029. https://doi.org/10.1183/13993003.00083-2016

Sahin H, Varol Y, Naz I, Aksel N, Tuksavul F, Ozsoz A. The effect of pulmonary rehabilitation on COPD exacerbation frequency per year. The clinical respiratory journal. 2018;12(1):165-174. https://doi.org/10.1111/crj.12507

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