The Effect of Pulmonary Rehabilitation on Exercise Capacity in Lung Transplantation

Yıl 2025, Cilt: 14 Sayı: 1, 400 - 407, 23.03.2025

Büşra Öçal , Esra Pehlivan

Öz

Pulmonary rehabilitation is a multidisciplinary therapeutic approach that includes exercise training aimed at restoring the independent functioning of patients, reducing disability, relieving symptoms and improving quality of life. Pulmonary rehabilitation (PR) exercise programs are applied after lung transplantation (ATx). In this study, it was aimed to interpret the effect of PR exercise program on exercise capacity after transplantation.
PUBMED, Cochrane, LILACS, and WOS (Web of Science) databases were searched exclusively in English from January 2015 to December 2021 for this review. Studies in which exercise capacity was discussed in postoperative physiotherapy treatment in patients who had undergone ATx were included. As a result of the scan, n = 684 studies were identified. After repeated publication control, n = 23 studies were eliminated. After the inclusion and exclusion criteria were applied, n = 635 studies were excluded from the study, and full-text readings were started. Due to not being able to reach the full text, language differences, and going out of the subject in full text reading, the remaining n = 3 studies at the end of the analysis were included in this review.
All three studies conducted in 2017 and 2019 included findings that post-transplant PR programs improve exercise capacity in patients undergoing ATx. It is important for patients who underwent ATx to participate in the PR program in order to improve their exercise capacity in the post-transplant phase. Postoperative PR programs can facilitate treatment and speed up the healing process.

Anahtar Kelimeler

Exercise capacity, Lung transplantation, Physical therapy

Akciğer Transplantasyonunda Pulmoner Rehabilitasyonun Egzersiz Kapasitesine Etkisi

Öz

Pulmoner rehabilitasyon, hastaların bağımsız işleyişini geri kazanmayı, sakatlığı azaltmayı, semptomları hafifletmeyi ve yaşam kalitesini artırmayı amaçlayan egzersiz eğitimini içeren multidisipliner bir terapötik yaklaşımdır. Akciğer transplantasyonu (ATx) sonrasında pulmoner rehabilitasyon (PR) egzersiz programları uygulanmaktadır. Bu çalışmada transplantasyondan sonra PR egzersiz programı uygulanmasının egzersiz kapasitesine etkisinin yorumlanması amaçlanmıştır.
Bu derleme için PUBMED, Cochrane, LILACS ve WOS (Web of Science) veritabanlarında, Ocak 2015'ten Aralık 2021’e kadar ve yalnızca ingilizce dilinde arama yapıldı. ATx geçirmiş hastalarda postoperatif fizyoterapi tedavisinde egzersiz kapasitesinin tartışıldığı çalışmalar dahil edildi. Yapılan tarama sonucu n=684 araştırmaya ulaşıldı. Tekrarlı yayın kontrolü sonrasında n=23 araştırma elendi. Dahil edilme ve dışlanma kriterlerinin uygulanmasının ardından n=635 araştırma, çalışma dışı bırakılarak tam metin okumalarına geçildi. Tam metne ulaşamama, dil farklılıkları ve tam metin okumalarında konu dışına çıkılması nedeniyle; analiz sonunda kalan n=3 çalışma bu derlemeye dahil edildi.
2017 ve 2019 yıllarında yapılan üç çalışmanın tamamı, ATx uygulanan olgularda nakil sonrası PR programlarının egzersiz kapasitesini geliştirdiğine dair bulgular içermekteydi. ATx uygulanan olgularda, nakil sonrası aşamada egzersiz kapasitelerini geliştirmek için PR programına katılmaları önem taşımaktadır. Ameliyat sonrası PR programları tedaviyi kolaylaştırabilir ve iyileşme sürecini hızlandırabilir.

Anahtar Kelimeler

Akciğer transplantasyonu, Egzersiz kapasitesi, Fizik tedavi

Kaynakça

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