Pulmonary Rehabilitation of Chronic Obstructive Pulmonary Diseases (Review of Clinical Trials, National and International Recommendations)

Aim. The review of data from randomized clinical trials, results of systematic reviews, international and national clinical recommendations on the problem of pulmonary rehabilitation (PR) in chronic obstructive pulmonary disease (COPD) was carried out. This analysis of the studies included the databases e-library, MEDLINE, PubMed and Cochrane libraries on the problem of pathophysiology and methods of physical rehabilitation of COPD. The analysis took into account the opinions of expert groups of clinical recommendations developers of the Russian respiratory society, the European respiratory society, and the American thoracic society, presented inthis review. The data of studies confirm the clinical effectiveness of physical rehabilitation methods for COPD that take into account the unique needs of a complex patient. Pulmonary rehabilitation improves the quality of life associated with health, reduces the incidence of exacerbations and mortality of patients with COPD. Increasing the availability and improving PR programs based on individual assessment of the patient’s physical capabilities will increase the use of this method of treatment.