No abstract available.
Pulmonary Disease, Chronic Obstructive* ; Rehabilitation*

It is known that a pulmonary rehabilitation program improves dyspnea and exercise tolerence in patients with chronic obstructive pulmonary disease. However, it is also known that although it does not improve pulmonary function. This study was performed to evaluate the effect of a 4 week pulmonary rehabilitation on pulmonary function, gas exchange, and exercise tolerance in patients with chronic obstructive pulmonary disease. The pulmonary rehabilitation programs included breathing exercises, such as pursed-lip breathing and diaphragmatic breathing, upper-limb exercises, and inspiratory muscle training. These activities were performed for 4 weeks in twenty one patients with chronic obstructive pulmonary disease. Pre and post-rehabilitation pulmonary function and exercise capacities were compared after the 4 week period. Results are as follows: 1) Before the rehabilitation, the predicted value of FVC and FEV1 of the patients were 70.3+/-16.7% and 41.1+/-11.9% respectively. These pulmonary functions did not change after pulmonary rehabilitation. 2) Aloility of walking a 6 minute distance (325.29+/-122.24 vs 363.03+/-120.01 p=.01) and dyspnea (p=.00) were significantly improved after rehabilitation. Thus showing that pulmonary rehabilitation for 4 weeks can improve exercise performance and dyspnea in patients with chronic obstructive pulmonary disease.
Breathing Exercises ; Dyspnea ; Exercise ; Exercise Tolerance ; Humans ; Pulmonary Disease, Chronic Obstructive* ; Rehabilitation* ; Respiration ; Walking

Pulmonary rehabilitation is a multidisciplinary program of care for patients with chronic respiratory impairment that is individually tailored and designed to optimize physical and social performance and autonomy. It can reduce symptoms, decrease disability, increase participation in physical and social activities, and improve the overall quality of life for individuals with chronic respiratory disease. Pulmonary rehabilitation consists of exercise training, patient and family education, psychosocial and behavioral intervention. The exercise training should be performed at least five times per week for 30 min in each session. The intensity of aerobic exercise training should be more than 60 per cent of the peak oxygen consumption.
Education ; Exercise ; Exercise Therapy ; Humans ; Oxygen Consumption ; Pulmonary Disease, Chronic Obstructive* ; Quality of Life ; Rehabilitation*

Pulmonary rehabilitation is the standard in care and effective in patients with chronic obstructive pulmonary disease (COPD). The goals of pulmonary rehabilitation are to restore their highest possible levels of independent function and to improve their quality of life. Despite optimal medical therapy, pulmonary rehabilitation is appropriate for any patient with dyspnea and disabling symptoms. Pulmonary rehabilitation improves exercise capacity and reduces dyspnea and fatigue in COPD. The goals and benefits of pulmonary rehabilitation are achieved by education, exercise training, and nutrition counseling.
Counseling ; Dyspnea ; Education ; Fatigue ; Humans ; Pulmonary Disease, Chronic Obstructive* ; Quality of Life ; Rehabilitation*

PURPOSE: The purpose of this study was to develop a home-based self-management support intervention (SMSI) for enhancing pulmonary rehabilitation (PR) in patients with chronic obstructive pulmonary disease (COPD) in Korea. METHODS: This methodological study was conducted by following these 4 steps: constructing the preliminary draft of a home-based SMSI from existing recommendation and a literature review on PR and self-management interventions; testing content validity with 6 experts in COPD; exploring clinical applicability of the intervention by applying it to 4 COPD patients; determining the final intervention. RESULTS: The final intervention included 4 components and contents identified from the literature review as essentials for self-management of COPD patients: education; exercise training and practice including breathing, muscle strengthening and aerobic exercises; cognitive behavioral strategies including informative self-decision making, collaborative goal setting and supportive advice; and action planning for exacerbation. The intervention was designed to be run by a trained nurse and had 8 weekly sessions consisting of three 60-minute face-to-face sessions and five 20-minute phone-call sessions. CONCLUSION: The intervention developed in this study incorporates essential components of self-management, i.e. action plan and cognitive behavioral strategies, and will contribute to enhancing and maintaining effects of PR by increasing self-management in COPD patients.
Education ; Exercise ; Humans ; Korea ; Methods ; Pulmonary Disease, Chronic Obstructive* ; Quality of Life ; Rehabilitation* ; Respiration ; Self Care*

Improving quality of life can be achieved by rehabilitating one socially and restoring their sexual life. Holistic care for persons with disabilities means the rehabilitation nurse intervenes when problems of sexual function are discovered, observed, or expressed. However, most people with chronic illnesses and disabilities must confront prevalent myths about their sexual nature and abilities. These myths often have their basis in the notion, common in our society, that the only people who are sexual are those who are young and beautiful. People who are obese, old, or do not conform to current standards of sexual attractiveness are usually deemed as asexual or undesirable. These narrow stereotypes have been particularly damaging to physically or mentally disabled people. People with chronic illnesses and disabilities often have special needs regarding their sexual behavior. Most of us will confront chronic illness or disability in our own lives to some degree. In addition, illness or disability can occur at any age. In this study, I discuss some of the special needs of people with chronic illnesses and disabilities and the methods of coping with those needs. I also discuss some of the sexual concerns that people with chronic illnesses and disabilities have in common, and the assessment of sexual function and nursing strategies through literature review.
Chronic Disease* ; Disabled Persons ; Humans ; Mentally Disabled Persons ; Nursing ; Quality of Life ; Rehabilitation ; Sexual Behavior ; Sexuality

As a result of the increased participation in recreational and competitive sports activity, the incidence of chronic lateral instability has risen. Because chronic ankle instability can cause significant comorbidity and increase the social cost, the interest in this issue is growing. Although there are well-documented and effective surgical treatments for managing this condition, conservative treatments are a viable first option in selected patients. Through conservative treatment, surgical treatments can be reduced or delayed without necessarily affecting the overall outcome, but the failure of conservative treatment results in the need for surgical treatment to reduce the long term complications. Appropriate postoperative rehabilitation is essential for adequate functional recovery, even when surgical treatment is required.
Ankle Injuries ; Ankle ; Chronic Disease ; Collateral Ligaments ; Comorbidity ; Humans ; Incidence ; Rehabilitation ; Sports

Foot problems are common in elderly patients, and the relief of foot pain can increase the rehabilitative potential for patients with chronic diseases, impairments, or disabilities. The author presents a detailed description of techniques for the clinical management of hallux valgus, plantar fascitis, callosities, and myofascial pain syndrome. The focus is clinical and practical, i.e., based upon common foot conditions seen in clinical practice.
Aged ; Callosities ; Chronic Disease ; Fasciitis ; Foot* ; Hallux Valgus ; Humans ; Myofascial Pain Syndromes ; Rehabilitation*

Chronic obstructive pulmonary disease (COPD) is a severe respiratory disease characterized by airway obstruction with high mortality and rate of recurrence. Rehabilitation exercise can lessen the possibility of the progressive exacerbation of the patient's condition, exerting an active role in improving their lung function and the quality of the patients' life. Therefore, we have designed a lung function exercise bottle, which is capable of adjusting the pressure according to the patient's needs. It is easy to operate and apply in practice. The exercise bottle is composed of three components, including bottle body, threaded round cap and air blow pipe. The bottle body is formed in rectangle shape, and utilized to contain liquid. The filling opening is designed on the top of the bottle. Outside of the filling opening, there is a screw thread round cap, which can adjust the pressure according to the patient's tolerance, gradually increasing the training intensity,and improving the training effect thereby. The blowpipe can be inserted into the bottle body and the patient can blow the air through the tube. Compared with the traditional rehabilitation training, when the newly invented lung function exercise bottle has been used for rehabilitation exercise, the air pressure in the bottle can be adjusted, with the advantage of wider range of application, lower cost and more convenient. It provides a good solution for clinical and home-based rehabilitation and is worth of popularizing.
Equipment Design ; Exercise Therapy/instrumentation* ; Humans ; Lung/physiology* ; Pulmonary Disease, Chronic Obstructive/rehabilitation*

PURPOSE: Music therapy is a non-pharmacological treatment of the behavioral and psychological symptoms. This study was conducted to contribute to the rehabilitation of patients with idiopathic Parkinson's disease in the areas of functionality, emotionality and sociability. METHODS: The study included 35 participants, aged between 52 and 77 years, who were diagnosed with idiopathic Parkinson's disease (IPD) and reported suffering from depression, chronic illness anticipated stigma, and worrying about quality of life . The patients were recruited from the department of outpatient neurology at School of Medicine, D University in B Metropolitan City. Group music therapy was performed for nine weeks. The results were analyzed by repeated measures ANOVA. RESULTS: In terms of stigma, there were significant differences between two groups and time (p<.05). Analysis of the interaction between time and service method revealed significant differences (p<.05). Between time, and the interaction between time and service method revealed significant differences in terms of quality of life (p<.05). CONCLUSION: The results suggest that group music therapy will be effective on the psychosocial well-being of patients with Parkinson's disease living in assisted and independent living communities.
Chronic Disease ; Depression ; Humans ; Independent Living ; Methods ; Music Therapy* ; Music* ; Neurology ; Outpatients ; Parkinson Disease* ; Quality of Life ; Rehabilitation