Pulmonary Rehabilitation

Syed Sarwat Hassan


Over recent years pulmonary rehabilitation (PR) is recognized as the
standard and comprehensive treatment option to minimize disability and
handicap in patients suffering from chronic lung disease. The first definition
of PR was developed in 1974, at American College of Chest Physicians
(ACCP) annual meeting, and and the first comprehensive statement was
published by the American Thoracic Society in 1981, and adapted in 1999.
In 1997 ACCP in conjunction with American Association of Cardiovascular
and Pulmonary Rehabilitation (AACVPR) published first evidence-based
guidelines on pulmonary rehabilitation (PR). The rehabilitation process
incorporates a program of physical training, disease education, and
nutritional, psychological, social, and behavioral intervention. It is provided
by multidisciplinary team with involvement of the patient’s family and
attention to individual needs. The outcomes of rehabilitation for individuals
and programs should be continually observed with the appropriate measures
of impairment, disability, and handicap. In our part of world there is an ever
strong need to develop widespread pulmonary rehabilitation services, as the
prevalence of disability due to chronic lung disease is increasing. The need
for such services is evident, and its demand is substantial, while the capacity
to provide such services is poor. To improve the situation, action from
consumers, health professionals, and even commissioner of health care both
in private and government sector needs to be stimulated.


Pulmonary rehabilitation, chronic lung disease; Guidelines; Quality of life; Supplemental oxygen; Exercise; Nutrition; Noninvasive ventilation; Chronic obstructive pulmonary diseases.

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