Physical medicine and Rehabilitation is an integral part of the medical treatment of chronic pulmonary diseases. For many years, the standard of care for pulmonary patients included inactivity and rest. Pulmonary rehabilitation programs encourage the exact opposite. Today, pulmonary rehabilitation is not just an exercise or an education program; it includes assessment, medication, patient training, exercise, psychological intervention and follow-up, with prevention incorporated into every aspect of rehabilitation. In accordance with the Guidelines Panel of the ACCP (American College of Chest Physicians) and AACVPR (American Association of Cardiovascular and Pulmonary Rehabilitation), we consider that pulmonary rehabilitation includes individual patient assessment and multimodality treatment.
The consistency of results of the scientific evidence is demonstrated by the studies on the various aspects of pulmonary rehabilitation programs (lower extremity training, upper extremity training, ventilatory muscle training, psychological, behavioural and educational components and outcomes, dyspnoea control, quality of life and health care utilization).
The pulmonary rehabilitation program should involve an interdisciplinary team. Because of the diversity of impairments (the physiologic deficits), disabilities (the performance deficits of the whole person) and handicap (the societal disadvantages) in the respiratory patients, rehabilitation medicine draws not only on the services of physicians, but also on those of other specialists in the allied health sciences, and the biologic, social and behavioural sciences. All perform efforts to work together to improve the quality of life and the functional capability of the patient.
Previous published articles (in the past 5 years) of the research team related to the pulmonary rehabilitation:
1. Smoking habits and attitudes among young Romanian pulmonologist
Mara Popescu – Hagen, Monica Marc, Rodica Trăistaru, Stefan Mihaicuta, C. Didilescu
16th ERS Annual Congress, september 2 – 6, 2006, Munich, Germany
European Respiratory Journal, Vol 28, Supl 50, sept 2006, ISSN 0904 – 1850
www.erj.erjournals.com
2. Effects of pulmonary rehabilitation in the management of moderate COPD adults
Mara Popescu – Hagen1, Rodica Traistaru2, Cristian Didilescu2; 1Sp. Cl. V. Babes, Craiova, Romania, 2 U.M.F., Craiova, Romania; European Respiratory Journal, vol. 24, supplement 48, september, 2004, 518s; ISSN 0904 – 1850
3. Right postpneumonnectomy gained dextrocardia (Case report – Thoracic general); VNParvulescu, D Camen, L Ioncica, R. Traistaru ; Interactive CardioVascular and Thoracic Surgery, vol 5, No 4, 2006; ISSN 1569 – 9293
4. Immuno-profile in neurotic mild stable bronchial asthma patients; R. (Vladutu) Traistaru, R. Popescu, S. Bezna. Craiova, Romania; Clinical Neurophysiology, 113 (Suppl.1) S1 – S 140 (2002):S1281
5. Physical exercise and bronchial asthma – Rodica Vladutu (Traistaru), Daniela Poenaru; Revista INFOMedica, Nr.8(90), 2001,22–25
6. The benefits of pulmonary rehabilitaiton progrmmes in mild bronchial asthma patients; Roxana Popescu, Rodica Vladutu (Traistaru), A. Bighea; Respiro – Revista trimestriala editata cu sprijinul Schering Plough, Nr. 4 aprilie 2001, pp 12 – 163.
7. Guide for Clinical and Functional Assesment in Medical Rehabilitation vol I si vol II; ISBN 973 – 7757 – 03 – 3, ISBN 973 – 7757 – 04 – 1; Roxana Popescu, Rodica Traistaru, Petrica Badea, Editura Medicala Universitara Craiova, 2004
8. Physical medicine, Balneoclimatology and Rehabilitation ISBN 973-7757-91-2. Sub redactia Roxana Popescu, Editura Medicala Universitara Craiova, 2005