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Pulmonary rehabilitation: promising nonpharmacological approach for treating asthma?

Abstract

PURPOSE OF REVIEW

Asthma is a heterogeneous disease, usually characterized by chronic airway inflammation with a history of respiratory symptoms that vary over time and in intensity, together with variable expiratory airflow limitation. The goal of asthma treatment is to reach symptoms control, reduction in future risk and improvement in quality of life (QoL). Guideline-based pharmacologic therapies and the effect of inhaled steroids and bronchodilators have been widely studied over the past decades. We provide an overview of the available evidence on pulmonary rehabilitation as a nonpharmacologic therapy in asthmatic patients.

RECENT FINDINGS

Recently, some studies have highlighted the promising role of nonpharmacologic therapies in asthma, such as pulmonary rehabilitation demonstrating that a pulmonary rehabilitation programme consisting of exercise training, breathing retraining, educational and psychological support, improve exercise capacity, asthma control and QoL and reduce dyspnea, anxiety, depression and bronchial inflammation at any step of the disease.

SUMMARY

Pulmonary rehabilitation shows positive results on exercise tolerance, respiratory symptoms and QoL in asthmatic patients at any steps of the diseases. However, additional information is required to better characterize rehabilitation programmes in order to improve clinical care in asthma.

Authors+Show Affiliations

Istituti Clinici Scientifici Maugeri IRCCS, Respiratory Rehabilitation of the Institute of Tradate, Tradate, Varese.Istituti Clinici Scientifici Maugeri IRCCS, Respiratory Rehabilitation of the Institute of Tradate, Tradate, Varese. Department of Medicine and Surgery, Respiratory Diseases, University of Insubria, Varese-Como, Italy.Istituti Clinici Scientifici Maugeri IRCCS, Respiratory Rehabilitation of the Institute of Tradate, Tradate, Varese. Department of Medicine and Surgery, Respiratory Diseases, University of Insubria, Varese-Como, Italy.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31633568

Citation

Zampogna, Elisabetta, et al. "Pulmonary Rehabilitation: Promising Nonpharmacological Approach for Treating Asthma?" Current Opinion in Allergy and Clinical Immunology, 2019.
Zampogna E, Spanevello A, Visca D. Pulmonary rehabilitation: promising nonpharmacological approach for treating asthma? Curr Opin Allergy Clin Immunol. 2019.
Zampogna, E., Spanevello, A., & Visca, D. (2019). Pulmonary rehabilitation: promising nonpharmacological approach for treating asthma? Current Opinion in Allergy and Clinical Immunology, doi:10.1097/ACI.0000000000000597.
Zampogna E, Spanevello A, Visca D. Pulmonary Rehabilitation: Promising Nonpharmacological Approach for Treating Asthma. Curr Opin Allergy Clin Immunol. 2019 Oct 16; PubMed PMID: 31633568.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pulmonary rehabilitation: promising nonpharmacological approach for treating asthma? AU - Zampogna,Elisabetta, AU - Spanevello,Antonio, AU - Visca,Dina, Y1 - 2019/10/16/ PY - 2019/10/22/entrez JF - Current opinion in allergy and clinical immunology JO - Curr Opin Allergy Clin Immunol N2 - PURPOSE OF REVIEW: Asthma is a heterogeneous disease, usually characterized by chronic airway inflammation with a history of respiratory symptoms that vary over time and in intensity, together with variable expiratory airflow limitation. The goal of asthma treatment is to reach symptoms control, reduction in future risk and improvement in quality of life (QoL). Guideline-based pharmacologic therapies and the effect of inhaled steroids and bronchodilators have been widely studied over the past decades. We provide an overview of the available evidence on pulmonary rehabilitation as a nonpharmacologic therapy in asthmatic patients. RECENT FINDINGS: Recently, some studies have highlighted the promising role of nonpharmacologic therapies in asthma, such as pulmonary rehabilitation demonstrating that a pulmonary rehabilitation programme consisting of exercise training, breathing retraining, educational and psychological support, improve exercise capacity, asthma control and QoL and reduce dyspnea, anxiety, depression and bronchial inflammation at any step of the disease. SUMMARY: Pulmonary rehabilitation shows positive results on exercise tolerance, respiratory symptoms and QoL in asthmatic patients at any steps of the diseases. However, additional information is required to better characterize rehabilitation programmes in order to improve clinical care in asthma. SN - 1473-6322 UR - https://www.unboundmedicine.com/medline/citation/31633568/Pulmonary_rehabilitation:_promising_nonpharmacological_approach_for_treating_asthma L2 - http://dx.doi.org/10.1097/ACI.0000000000000597 DB - PRIME DP - Unbound Medicine ER -