Home-based rehabilitation

Educational aims To review the benefits of home-based pulmonary rehabilitation programmes. To describe the structure, contents and limitations of these programmes. Summary The evidence to date suggests that, in terms of exercise capacity and HRQoL, home-based programmes offer similar benefits to those provided by hospital-based programmes. Home-based PR programmes have also been shown to reduce the use of medication, and the number of exacerbations and hospitalisations. These programmes may even provide longer-lasting benefits. Therefore, such programmes can be prescribed with confidence. However, they must be well-structured and adhere to some guidelines.

[1]  D. Postma,et al.  A comparison between an outpatient hospital-based pulmonary rehabilitation program and a home-care pulmonary rehabilitation program in patients with COPD. A follow-up of 18 months. , 1996, Chest.

[2]  N. Murphy,et al.  Extending a home from hospital care programme for COPD exacerbations to include pulmonary rehabilitation. , 2005, Respiratory medicine.

[3]  Alison E. Ries.  Pulmonary rehabilitation: joint ACCP/AACVPR evidence-based guidelines. ACCP/AACVPR Pulmonary Rehabilitation Guidelines Panel. American College of Chest Physicians. American Association of Cardiovascular and Pulmonary Rehabilitation. , 1997, Chest.

[4]  R. Casaburi,et al.  Comparison of effects of supervised versus self-monitored training programmes in patients with chronic obstructive pulmonary disease. , 2000, The European respiratory journal.

[5]  J. Galdiz,et al.  [Benefits of a home-based pulmonary rehabilitation program for patients with severe chronic obstructive pulmonary disease]. , 2007, Archivos de bronconeumologia.

[6]  S. Ward,et al.  Home based neuromuscular electrical stimulation as a new rehabilitative strategy for severely disabled patients with chronic obstructive pulmonary disease (COPD) , 2002, Thorax.

[7]  H. Magnussen,et al.  Intervention by phone calls raises domiciliary activity and exercise capacity in patients with severe COPD. , 2008, Respiratory medicine.

[8]  R. Garrod,et al.  Pulmonary rehabilitation: British Thoracic Society Standards of Care Subcommittee on Pulmonary Rehabilitation , 2001 .

[9]  T. Rubio,et al.  Results of a home-based training program for patients with COPD. , 2000, Chest.

[10]  Thierry Troosters,et al.  American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation. , 2006, American journal of respiratory and critical care medicine.

[11]  P. Jones,et al.  Randomized controlled trial of pulmonary rehabilitation in severe chronic obstructive pulmonary disease patients, stratified with the MRC dyspnoea scale. , 1998, The European respiratory journal.

[12]  Y. Lacasse,et al.  Pulmonary rehabilitation for chronic obstructive pulmonary disease. , 2006, The Cochrane database of systematic reviews.

[13]  Richard Casaburi,et al.  Comparison of effects of supervised versus self-monitored training programmes in patients with chronic obstructive pulmonary disease , 2000 .

[14]  H. Magnussen,et al.  Clinical benefits of a combined hospital and home-based exercise programme over 18 months in patients with severe COPD. , 2003, Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace.

[15]  Richard V. Milani,et al.  Long-Term Benefits of Rehabilitation at Home on Quality of Life and Exercise Tolerance in Patients with Chronic Obstructive Pulmonary Disease , 1996 .

[16]  Francisco B. Ortega,et al.  Comparación de un programa de rehabilitación domiciliario con uno hospitalario en pacientes con EPOC: estudio multicéntrico español ☆ , 2008 .