New strategy of respiratory rehabilitation:

1
New strategy of respiratory rehabilitation
Stress and self-management of COPD
patients (collaborative care)
Toneyama National Hospital (Japan) R.Maekura M.D.
2
These results reveal that the level of
breathlessness during CPET might be objectively
evaluated by the measurement of NE ( indicated
the sympathetic nervous stress) in patients with
COPD.
3
Sympathetic nervous stress during exercise is a
good prognostic predictor in patients with COPD
4
The sympathetic nervous stress which was
estimated by ?NA/?VO2 during exercise, was
significantly associated with the survival time
in patients with COPD. In multiple regression
analysis, the ?NA/?VO2 was also a new independent
prognostic predictor from other predictors such
as Age, BMI, FEV1 and rest PaO2, and PaO2-slope,
Peak VO2, and Peak VE on CPET. These results
reveal that measurement of ?NA/?VO2 using CPET
is a useful to accurately assess the prognosis
of patients with COPD.
5
Stress management
Appropriate pulmonary rehabilitation including OT
(stress management ) according to the
pathophysiology of individual patients with COPD
improves his or her prognosis.