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Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease

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Published on: August 24, 2019

Exercise training after lung transplantation: a systematic review.

Lisa Wickerson¹, Sunita Mathur, Dina Brooks

¹Department of Rehabilitation Services, University Health Network, Toronto, Ontario, Canada.

The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation

|February 6, 2010

Summary

Structured exercise training shows promise for improving exercise capacity and muscle strength in lung transplant recipients. Further research is needed to optimize exercise prescription for these patients.

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Area of Science:

Pulmonary Rehabilitation
Transplantation Medicine
Exercise Physiology

Background:

Lung transplant recipients often have persistent deficits in exercise capacity and skeletal muscle function.
Despite improved lung function post-transplant, functional limitations remain a significant concern.
Exercise training is a potential intervention to address these impairments.

Purpose of the Study:

To systematically review the evidence on the effectiveness of exercise training for functional outcomes in lung transplant recipients.
To assess the impact of exercise on exercise capacity, muscle function, and bone density.
To identify gaps in current research regarding exercise prescription.

Main Methods:

Systematic review of randomized controlled trials, controlled trials, and prospective cohorts.
Searches of electronic databases and reference lists.
Quality assessment using established scales (Physiotherapy Evidence Database, Jadad, Downs).

Main Results:

Seven studies met inclusion criteria, with fair to moderate overall quality.
All included studies reported significant improvements in maximal/functional exercise capacity, skeletal muscle function, and lumbar bone mineral density.
Limitations included lack of randomization and control groups in some studies, hindering separation of training effects from natural recovery.

Conclusions:

Evidence suggests structured exercise training can enhance exercise capacity, muscle strength, and bone density in lung transplant recipients.
Further high-quality studies are necessary to optimize exercise interventions and guidelines.
Exercise training holds potential for improving long-term functional outcomes in this population.