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Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
Functional performance and physical activity in chronic obstructive pulmonary disease: theoretical perspectives
1University of Illinois at Chicago, Chicago, Illinois, USA. jllarson@uic.edu
This study explores two models for managing COPD: the disabilities paradigm and the health and fitness paradigm. Integrating these approaches may enhance overall health and functioning for individuals with chronic obstructive pulmonary disease (COPD).
Area of Science:
- Pulmonary Medicine
- Rehabilitation Science
- Health Sciences
Background:
- Chronic obstructive pulmonary disease (COPD) progression imposes significant functional limitations.
- Current evaluation methods include the disabilities paradigm (functional status, disability management) and the health and fitness paradigm (fitness quantification, physical activity promotion).
Purpose of the Study:
- To explore the integration of the disabilities and health and fitness paradigms for managing COPD.
- To identify optimal strategies for improving the health and functioning of individuals with COPD.
Main Methods:
- Review and synthesis of existing models for evaluating functional limitations in COPD.
- Analysis of the roles of functional capacity, physical symptoms, and physical activity in COPD management.
Main Results:
- Functional capacity and physical symptoms are key predictors of functional performance in COPD.
- Existing models effectively identify predictors for pulmonary rehabilitation but often emphasize functional capacity over comorbidity prevention.
- Physical activity offers distinct health benefits separate from physical fitness.
Conclusions:
- Linking the disabilities and health and fitness paradigms holds potential for improving health outcomes in COPD.
- Emphasizing physical activity alongside functional capacity can lead to greater health gains for individuals with COPD.
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