Until fairly recently, rehabilitation programmes could be considered a component of pneumology, possibly even of a secondary importance.
Now, with the development of specific evaluation techniques and long-term care programmes, pulmonary rehabilitation can be applied to patients throughout the course of the disease ; from the earliest symptoms to the management of impairment secondary to end-stage respiratory insufficiency.
Although comprehensive programmes of treatment include pulmonary rehabilitation, reports of the benefits are mostly from uncontrolled and unsupervised studies (1).
Proper evaluation of candidates to these programmes is essential to success.
In order to optimize the programme, the pulmonary rehabilitation team needs not only an evaluation of somatic and physiological issues, but also needs to account for, quantify and monitor variables that are important determinants of a patient's quality of life (QOL).
One approach to full account is the so-called functional approach which relates to impairment (the physiological deficit), disability (total effect of impairment on the patient's life) and handicap (the social disadvantages) as part of the comprehensive programme of care.
The functional approach is not only useful for monitoring the patient's functional status, but it enables the rehabilitation team to set and achieve goals to improve the health-related quality of the patient's life (2).
Mots-clés Pascal : Bronchopneumopathie obstructive, Chronique, Evaluation, Evolution, Récupération, Fonction respiratoire, Qualité vie, Capacité travail, Résultat, Homme, Appareil respiratoire pathologie, Poumon pathologie, Bronche pathologie, Réadaptation physique
Mots-clés Pascal anglais : Obstructive pulmonary disease, Chronic, Evaluation, Evolution, Recovery, Lung function, Quality of life, Work capacity, Result, Human, Respiratory disease, Lung disease, Bronchus disease, Physical rehabilitation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0394567
Code Inist : 002B26D. Création : 10/04/1997.