Strength and endurance training improves arm function and arm exercises should be included in rehabilitation. Scientific evidence does not support the routine use of ventilatory muscle training in pulmonary rehabilitation. It may be considered in selected patients with decreased respiratory muscle strength and breathlessness. While evidence currently does not support the benefits of short term psychosocial interventions as single therapeutic modalities, longer-term interventions may be beneficial. Expert opinions supports inclusion of educational and psychosocial intervention components in pulmonary rehabilitation.
Pulmonary rehabilitation does improve the symptoms of dyspnea and health-related quality of life.
It also reduces the number of hospitalization and days of stay, and it may improve survival. The hope is that physicians will realize the benefits which can be obtained from rehabilitation and consider it as a vital component of the treatment for patients with lung disease. We also hope that HMO's and third party payors see the benefit.