Handbook of Pulmonary Rehabilitation

Preface
Acknowledgements
Introduction
Abbreviations

• Chapter 1. Brief History of Pulmonary Rehabilitation
  (Paraschiva A. Postolache, MD, PhD, and Maria-Victoria Ruta, MD, Associate Professor, Faculty of Medicine, Medical Specialties Department, “Grigore T. Popa” University of Medicine and Pharmacy, Iași, Romania, and others)
• Chapter 2. Pulmonary Rehabilitation in Romania
  (Paraschiva A. Postolache, MD, PhD, Associate Professor, Faculty of Medicine, Medical Specialties Department, “Grigore T. Popa” University of Medicine and Pharmacy, Iași, Romania, and others)
• Chapter 3. Pulmonary Rehabilitation – General Information
  (Cristiana Libu, MD, Ariadna Petronela Fildan, MD, PhD, and Oana Cristina Arghir, MD, PhD, Associate University Assistant, Doctoral School of Medicine, “Ovidius” University of Constanta, Constanța, Romania, and others)
• Chapter 4. Evaluation of COPD Patients for the Pulmonary Rehabilitation
  (Alina Croitoru, MD, PhD, and Paraschiva A. Postolache, MD, PhD, University Assistant, Pulmonology Department, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, and others)
• Chapter 5. Lung Function in Pulmonary Rehabilitation
  (Roxana Maria Nemes, MD, PhD, and Paraschiva A. Postolache, MD, PhD, Professor, Medical School, “Titu Maiorescu” University, Bucharest, Romania, and others)
• Chapter 6. Pharmacotherapeutic Management in Pulmonary Rehabilitation
  (Andreea-Daniela Meca and Paraschiva A. Postolache, MD, PhD, Specialist Pharmacist in Clinical Pharmacy, Emergency County Clinical Hospital of Craiova, Craiova, Romania, and others)
• Chapter 7. Smoking Cessation Strategies in Pulmonary Rehabilitation
  (Magdalena Ciobanu, MD, and Paraschiva A. Postolache, MD, PhD, Senior Lung Physician, “Marius Nasta” National Institute of Pneumology, Bucharest, Romania, and others)
• Chapter 8. Nutritional Assessment and Pulmonary Rehabilitation in COPD
  (Andreea-Daniela Meca, Madalina Olteanu, MD, PhD, and Floarea Mimi Nitu, MD, PhD, Specialist Pharmacist in Clinical Pharmacy, Emergency County Clinical Hospital of Craiova, Craiova, Romania, and others)
• Chapter 9. Exercise Program and Prescription in Pulmonary Rehabilitation
  (Paraschiva A. Postolache, MD, PhD, and Andreea-Daniela Meca, Associate Professor, Faculty of Medicine, Medical Specialties Department, “Grigore T. Popa” University of Medicine and Pharmacy, Iași, Romania, and others)
• Chapter 10. Respiratory Rehabilitation and Respiratory Muscle Training
  (Gabriela Jimborean, MD, PhD, Edith Simona Ianosi, MD, PhD, Mioara Szatmary, MD, and Paraschiva A. Postolache, MD, PhD, Professor, “George Emil Palade” University of Medicine, Pharmacy, Science and Technology, Targu-Mures, Romania, and others)
• Chapter 11. Respiratory Muscle Training – Practical Aspects
  (Oliver Christian Göhl, PhD, Sports Scientist and Sports Therapist, Germany, and others)
• Chapter 12. The Rehabilitation of Infants with Chronic Neonatal Lung Disease – Clinical Guidelines
  (Andreea Avasiloaiei, MD, PhD, and Maria Stamatin, MD, PhD, Lecturer of Neonatology, “Grigore T. Popa” University of Medicine and Pharmacy, Iași, Romania, and others)
• Chapter 13. Pulmonary Rehabilitation in Children with Chronic Lung Diseases
  (Paul H. Sammut, Professor of Pediatric Pulmonology, University of Nebraska Medical Center and Children’s Hospital, Omaha, Nebraska, US)
• Chapter 14. Pulmonary Rehabilitation in Patients with Pulmonary Fibrosis
  (Edith Simona Ianosi, MD, PhD, Paraschiva A. Postolache, MD, PhD, Roxana Maria Nemes, MD, PhD, and Gabriela Jimborean, MD, PhD, Lecturer, “George Emil Palade” University of Medicine, Pharmacy, Science and Technology, Targu-Mures, Romania, and others)
• Chapter 15. Tuberculosis, a Chronic Disease, a New Indication for a New Pulmonary Rehabilitation Statement
  (Ioan Anton Arghir, MD, Gabriela Jimborean, MD, PhD, and Oana Cristina Arghir, MD, PhD, Associate University Assistant, Doctoral School of Medicine, “Ovidius” University of Constanta, Constanța, Romania, and others)
• Chapter 16. Pulmonary Rehabilitation in COVID-19
  (Paraschiva A. Postolache, MD, PhD, Associate Professor, Faculty of Medicine, Medical Specialties Department, “Grigore T. Popa” University of Medicine and Pharmacy, Iași, Romania, and others)
• Chapter 17. A Successful Surgical Outcome – The Role of Pulmonary Rehabilitation
  (Francis J. Podbielski, MD, Clinical Professor of Surgery, University of Illinois at Chicago, Chicago, Illinois, US, and others)
• Chapter 18. Pulmonary Rehabilitation in the Elderly with Oral Problems
  (Mihaela Monica Scutariu, MD, PhD, Associate Professor, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania, and others)
• Chapter 19. Saline Therapy in the Rehabilitation of COPD Patients
  (Paraschiva A. Postolache, MD, PhD, Associate Professor, Faculty of Medicine, Medical Specialties Department, “Grigore T. Popa” University of Medicine and Pharmacy, Iași, Romania, and others)
• Chapter 20. The Importance of Psychotherapy in Pulmonary Rehabilitation
  (Oana Gabriela Bunescu Lazăr and Paraschiva A. Postolache, MD, PhD, Psychotherapist in Experiential Psychotherapy and Hypnotherapy, Autonomous Clinical Psychologist, Rehabilitation Clinical Hospital, Iasi, Romania, and others)
• Chapter 21. Ethical Framework for Clinical Decision Making in Chronic Respiratory Diseases
  (Cristina Gavrilovici, MD, PhD, Liviu Oprea, MD, PhD, and Teodora Manea, PhD, Professor of Pediatrics, “St. Maria” Emergency Hospital for Children, “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania, and others)
• Chapter 22. Return to Work as a Rehabilitation Factor in Pulmonary Diseases
  (Ioana Soare, MD, PhD, Lecturer in Insurance Medicine, Faculty of Medicine, “Titu Maiorescu” University, Bucharest, Romania)
• Chapter 23. Telemedicine and Pulmonary Rehabilitation
  (Nicolino Ambrosino, MD, Research Consultant, Istituti Clinici Maugeri, Pavia, Italy, and others)
• Chapter 24. The Future of Pulmonary Rehabilitation
  (Paraschiva A. Postolache, MD, PhD, Andreea-Daniela Meca and Darcy D. Marciniuk, MD, Associate Professor, Faculty of Medicine, Medical Specialties Department, “Grigore T. Popa” University of Medicine and Pharmacy, Iași, Romania, and others)

About the authors
Index

In the last three decades, Pulmonary Rehabilitation (PR) has become a cornerstone in the comprehensive management of Chronic Obstructive Pulmonary Disease (COPD) and other chronic respiratory diseases in adults and children, supported by solid physiological bases and wide scientific evidence, with randomized controlled trials, meta-analysis and several guidelines. PR programs are customized to the needs of each patient and carried out by a multidisciplinary team of healthcare specialists (medical specialists in medical rehabilitation and pulmonology, functional explorations, geriatric physicians, nurses, physiotherapists, nutritionists, psychologists, respiratory therapists, occupational therapists, bioengineers, pharmacologists, in collaboration with a family doctor and pharmacists). As a comprehensive intervention, PR involves good collaboration and communication between team members, thus ensuring maximum comfort and benefit to the patient. PR programs improve the quality of life of patients by increasing their degree of independence and reducing the number of exacerbations, the days of hospitalization due to them, and costs. PR has the ability to reduce symptomatic burden, in particular dyspnea, and muscle deconditioning. In turn, it can increase exercise capacity, reduce anxiety and depression, and improve patients’ psycho-emotional status and social reintegration. PR is the standard of care for patients with chronic lung diseases motivated to participate in the rehabilitation program to become more physically active and more independent, being an integral part of clinical management and maintaining health.