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Physical rehabilitation for lung transplant candidates and recipients: An evidence-informed clinical approach

World Journal of Transplantation 2016年第3期6卷 517-531页

作者： Lisa Wickerson dmitry rozenberg Tania Janaudis-Ferreira Robin Deliva Vincent Lo Gary Beauchamp Denise Helm Chaya Gottesman Polyana Mendes Luciana Vieira Margaret Herridge Lianne G Singer Sunita Mathur Toronto Lung Transplant Program University Health Network Rehabilitation Services University Health Network Department of Physical Therapy University of Toronto Rehabilitation Sciences Institute University of Toronto School of Physical and Occupational Therapy McGill University Canadian National Transplant Research Program Department of Physiotherapy Hospital for Sick Children Department of General Surgery/Gastroen- terology/Plastics St. Michael’s Hospital Health Sciences and Technologies PhD Program University of Brasilia Faculty of Medicine University of Toronto

Physical rehabilitation of lung transplant candidates and recipients plays an important in optimizing physical function prior to transplant and facilitating recovery of function post-transplant. As medical and surgical interventions in lung transplantation have evolved over time, there has been a demographic shift of individuals undergoing lung transplantation including older individuals, those with multiple co-morbidites, and candidates with respiratory failure requiring bridging to transplantation. These changes have an impact on the rehabilitation needs of lung transplant candidates and recipients. This review provides a practical approach to rehabilitation based on research and clinical practice at our transplant centre. It focuses on functional assessment and exercise prescription during an uncomplicated and complicated clinical course in the pre-transplant, early and late post-transplant periods. The target audience includes clinicians involved in pre- and posttransplant patient care and rehabilitation researchers.

关键词： Lung transplantation Rehabilitation Physical therapy Exercise training Physical activity

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