Rehabilitation and training therapy as a component of COPD therapy [Rehabilitation und Trainingstherapie als Baustein der COPD-Therapie]

Pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD) involves the application of complex, multidisciplinary, scientifically based therapeutic methods to improve productivity and quality of life. This leads to better social integration, and reduces disease related disabilities and limitations in activities of daily life. Exercise training is the most important part of the rehabilitation process, with respiratory and physical therapy, evaluation and adjustment of medication playing important roles. Education in smoking cessation programs, nutritional support and osteoprotection can add substantial benefits to the therapeutic process. Essential goals of the treatment program are to provide psychological and social support as well as education, motivation to give the patient the necessary tools to handle exacerbation and develop competence in self management. COPD leads to a progressive reduction in cardiopulmonary function. This article is based on exercise training as the "gold standard" for rehabilitation in these patients. Other essential therapeutic options in the rehabilitation of COPD patients are discussed in other parts of this journal. © Springer Medizin Verlag 2006.