Respiratory diseases have a major epidemiological impact.
According to the Guidelines of the various pathologies, the treatment of acute forms is primarily drug-based. In the treatment of chronic forms, which are an impairment for ill people, drug therapy may be associated with respiratory rehabilitation programs, customized to individual patients.
Respiratory rehabilitation is particularly suitable for chronic and stabilized diseases, and it can reduce symptoms (dyspnoea), improve exercise tolerance and allow a better quality of life (social, family, work). It is a therapy that needs to be included into the general treatment of the patient and should not disregard the optimization of the drug therapy.
As a multidisciplinary treatment (personalized on the individual clinical case), it involves various aspects of Medicine (physiatry, respiratory, general, internal medicine, cardiovascular, physiotherapy, nursing, dietary, psychology). It consists of different interventions, such as physical exercise training, training of the respiratory muscles, training of limb muscles and other muscle groups, and respiratory physiotherapy for bronchial clearing. It also includes diagnostic definition, therapeutic optimization, behavioural and educational interventions and prevention programs.
Respiratory rehabilitation is a multidisciplinary and personalized therapeutic treatment. It starts with the general clinical, respiratory and cardiology tests, to formulate recommendations and rule out contraindications.
After going through the outpatient treatment program, selected and stabilized patients can be offered a home-based program. To maintain the achieved results, treatment may continue at home, under the supervision of the General Practitioner and with tele monitoring coordinated by physiotherapists.
Respiratory Rehabilitation is indicated for those suffering from:
It is also suitable for those suffering from:
Gymnastics prevent and correct skeletal and muscular disorders such as changes in thoracic and shoulder-humeral joint statics, the alterations of the muscular trophism of the chest wall and diaphragm, the functional limitations and movement of the upper limb and shoulder movement; it improves bronchial secretion by increasing the lung expansion and elasticity, it strengthens the diaphragm movement of the ribs and there is a greater oxygenation of blood that tends to decrease in the elderly compared to the young.
OUTPATIENT REHABILITATION TREATMENT IS NOT POSSIBLE IN THE FOLLOWING CASES:
acute and sub-acute respiratory conditions, unstable chronic respiratory diseases treated on an inpatient basis.
In patients with chronic respiratory disorders, respiratory rehabilitation is designed to: