Pulmonary rehabilitation relieves dyspnea, but does it reduce mortality?
Rev Med Suisse
2018; volume 14.
To borrow a phrase from Charles Dickens, for pulmonary rehabilitation this is the best of times and the worst of times. A strong scientific basis has been gathered which makes pulmonary rehabilitation arguably the most effective therapy we have to offer patients with pulmonary disease. Yet the lack of availability to the vast majority of patients lessens its impact. This is manifestly true for patients with chronic obstructive pulmonary disease (COPD), and even more so for patients with other chronic pulmonary conditions.Pulmonary rehabilitation entered clinical practice almost 50 years ago when Tom Petty organized the first multi-disciplinary team to deliver pulmonary rehabilitation. In the 1990s, exercise scientists established the scientific basis of the exercise programs for COPD that are the core of pulmonary rehabilitation. They subsequently introduced concepts such as limb muscle dysfunction and dynamic hyperinflation. It was demonstrated that improving limb muscle function...