Fachlicher Austausch

Pulmonale Rehabilitation

Pulmonary rehabilitation is defined as a multidisciplinary programme of care for patients with chronic respiratory impairment that is individually tailored and designed to optimise physical and social performance and autonomy.

Pulmonary rehabilitation results in improvements in multiple outcome areas of considerable importance to the patient, including dyspnoea, exercise ability, health status and healthcare utilisation. These positive effects occur despite the fact that it has a minimal effect on pulmonary function measurements. This reflects the fact that much of the morbidity from COPD results from secondary conditions, which are often treatable if recognised. Examples of these treatable conditions are cardiac deconditioning, peripheral muscle dysfunction, and a reduction in total and lean body mass, anxiety and poor coping skills. Elements of comprehensive pulmonary rehabilitation, including promoting a healthy lifestyle, stressing adherence to therapy and encouraging physical activity, should be incorporated into the care of all patients with COPD.

Pulmonary rehabilitation should be considered for patients with COPD who have dyspnoea or other respiratory symptoms, reduced exercise tolerance, a restriction in activities because of their disease, or impaired health status. There are no specific pulmonary function inclusion criteria that indicate the need for pulmonary rehabilitation, since symptoms and functional limitations direct the need for pulmonary rehabilitation.

The pulmonary rehabilitation programme includes exercise training, education, psychosocial/behavioural intervention, nutritional therapy, outcome assessment and promotion of long-term adherence to the rehabilitation recommendations.

ATS/ERS Statement
Am J Respir Crit Care Med. 2006; 173: 1390-1413

 

Ein Film der Lunge Zürich erklärt die Pulmonale Rehabilitation.

Das Inselspital hat eine Smartphone-App für die Pulmonale Rehabilitation entwickelt und stellt diese kostenlos zur Verfügung.

Selbstmanagement und Coaching

 

Erfahren Sie auf der Seite der Lungenliga Schweiz mehr zum Thema und über konkrete Angebote.

Post-Covid-19-Erkrankung

 

Definition für Erwachsene: Post COVID-19 condition occurs in individuals with a history of probable or confirmed SARS-CoV-2 infection, usually 3 months from the onset of COVID-19 with symptoms that last for at least 2 months and cannot be explained by an alternative diagnosis. Common symptoms include fatigue, shortness of breath, cognitive dysfunction but also others which generally have an impact on everyday functioning. Symptoms may be new onset, following initial recovery from an acute COVID 19 episode, or persist from the initial illness. Symptoms may also fluctuate or relapse over time. A separate definition may be applicable for children.

 

World Health Organization, 6. October 2021 A clinical case definition of post COVID-19 condition by a Delphi consensus

 

 

Definition für Kinder: Post COVID-19 condition in children and adolescents occurs in individuals with a history of confirmed or probable SARS-CoV-2 infection, when experiencing symptoms lasting at least 2 months which initially occurred within 3 months of acute COVID-19. Current evidence suggests that symptoms more frequently reported in children and adolescents with post-COVID-19 condition compared with controls are fatigue, altered smell/anosmia and anxiety. Other symptoms have also been reported. *Symptoms generally have an impact on everyday functioning such as changes in eating habits, physical activity, behaviour, academic performance, social functions (interactions with friends, peers, family) and developmental milestones. Symptoms may be new onset following initial recovery from an acute COVID-19 episode or persist from the initial illness. They may also fluctuate or relapse over time. Workup may reveal additional diagnoses, but this does not exclude the diagnosis of post COVID-19 condition. This can be applied to children of all ages, with age-specific symptoms and impact on everyday function taken into consideration.

*Symptoms described thus far in children and adolescents are non-specific and can occur with other childhood infections and illnesses. Due to the lack of empirical evidence, a broad list of potential post COVID-19 condition symptoms affecting different organ systems should be considered until more data are available.

 

World Health Organization, 16 February 2023 A clinical case definition for post COVID-19 condition in children and adolescents by expert consensus

Unterstützung für Betroffene und Fachpersonen

 

Altea bietet vielfältige Informationen und Ratgeber in Deutsch. Auf Französisch finden sich solche Informationen unter Rafael, einer Seite der Hôpitaux Universitaires Genève und auf Englisch unter Long COVID Physio.

 

Auf der Seite des BAG finden sich die Sprechstunden- und Rehabilitationsangebote der Schweiz.

 

World Physiotherapy stellt auf ihrer Webseite thematische Information Sheets zum kostenlosen Download in verschiedenen Sprachen zur Verfügung.

 

Die Arbeitsgruppe physio for physio stellt auf ihrem Youtube-Kanal Inputs für die physiotherapeutische Behandlung zur Verfügung.

 

Das Luzerner Kantonsspital hat auf seiner Webseite sein Webinar Physio- und Ergotherapie gegen Long COVID vom 11. Mai 2022 veröffentlicht.

 

Das Inselspital hat eine Smartphone-App entwickelt und stellt diese kostenlos zur Verfügung.

Physiotherapie

 

Fachgesellschaften

 

Schweizer Physiotherapie Verband – physioswiss

 

Deutscher Verband für Physiotherapie (ZVK) e.V. – Physio Deutschland

 

AG Atemphysiotherapie Arbeitsgemeinschaft im Deutschen Verband für Physiotherapie

 

Österreichischer Verband für Physiotherapie – Physio Austria

 

International Confederation of Cardiorespiratory Physical Therapists (ICCrPT)

 

World Confederation for Physical Therapy – World Physiotherapy

 

cf-physio.ch Physiokompetenz für Cystische Fibrose

Unterstützende Angebote

 

Die Solothurner Spitäler stellen auf ihrer Webseite zu verschiedenen Themen Übungsvideos in zahlreichen Sprachen kostenlos zur Verfügung.

 

Das Inselspital hat zu verschiedenen Themen Smartphone-Apps entwickelt und stellt diese kostenlos zur Verfügung.