552 Pages 58 Color & 110 B/W Illustrations
    by CRC Press

    550 Pages 58 Color & 110 B/W Illustrations
    by CRC Press

    550 Pages 58 Color & 110 B/W Illustrations
    by CRC Press

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    Pulmonary rehabilitation programmes are a fundamental part of the clinical management of patients with chronic respiratory diseases. This comprehensive reference book places pulmonary rehabilitation within the wider framework of respiratory disease. Now in six parts, it includes new sections on the development of PR as a discipline, global perspectives on quality control, new chapters on early PR post exacerbation and personalized rehabilitation, innovative approaches to exercise, PR in interstitial lung disease and lung transplantation, and the latest research into the application of music, dance and yoga.

    Key Features

    • Global contributions compare practice around the world where differences have developed.
    • New six Part structure covers new approaches to exercise testing, interstitial lung diseases and other diseases, and add-on interventions drawing on new technologies.
    • Contains recommendations of the large collaborative ERS/ATS task forces on guidelines for PR as well as suggested policies for its implementation and use.
    • Covers the important topic of balance impairment as a focus of rehabilitation for the at-risk patient and a new chapter on monitoring physical activity.
    • The voices of patients and caregivers describe the impact of chronic respiratory disease on their lives.
    • Features an exclusive chapter on COVID-19 that discusses the short- and long-term pathophysiological consequences, provides information about the potential role of physiotherapy in the management of hospitalized patients with confirmed or suspected COVID-19, and details on who, where, and how to deliver programs to COVID-19 and non COVID-19 patients in the lockdown and post lockdown era.


    1 A framework for medical rehabilitation: Restoring function and improving quality of life

    Julia Warden and Mark Bayley

    2 Pulmonary rehabilitation: The development of a scientific discipline

    Linda Nici and Roger S. Goldstein

    3 Key concepts in pulmonary rehabilitation

    Felipe V.C. Machado, Frits M.E. Franssen and Martijn A. Spruit

    4 Enhancing use and delivery of pulmonary rehabilitation

    Emily Hume, Carolyn L. Rochester and Ioannis Vogiatzis

    5 Pathophysiological basis, evaluation and rationale of exercise training

    Pierantonio Laveneziana and Paolo Palange

    6 Education: Realizing the potential for learning in pulmonary rehabilitation

    Felicity Blackstock and Suzanne C. Lareau

    7 Self-management

    Jean Bourbeau and Tanja W. Effing

    8 Dual therapy: Pharmacologic management in pulmonary rehabilitation

    J. Michael Nicholson and Richard Casaburi


    9 Respiratory muscle function in rehabilitation

    Thierry Troosters, Michael I. Polkey and Rik Gosselink

    10 Peripheral muscles

    Luis Puente-Maestu, François Maltais, André Nyberg and Didier Saey

    11 Anxiety and depression in patients with chronic respiratory disease

    Abebaw Mengistu Yohannes

    12 Dyspnoea

    Pierantonio Laveneziana and Donald A. Mahler

    13 Nutritional management in pulmonary rehabilitation

    Rosanne J.H.C.G. Beijers, Emiel F.M. Wouters and Annemie M.W.J. Schols

    14 Balance impairment

    Marla K. Beauchamp

    15 Monitoring of physical activity

    Heleen Demeyer, Thierry Troosters and Henrik Watz

    16 Monitoring health status

    Claire M. Nolan, William D.-C. Man and Richard L. ZuWallack

    Part 3 HOW, WHO AND WHERE?

    17 Establishing a pulmonary rehabilitation programme

    Michael D.L. Morgan and Sally J. Singh

    18 Quality assurance and control in pulmonary rehabilitation

    Michael Steiner, Chris Garvey, Sally J. Singh and Gerene Bauldoff

    19 The ideal candidate

    Francesca de Blasio, Rafael Mesquita and Enrico Clini

    20 Rehabilitation team

    Inês Machado Vaz, Sofia Viamonte and João Carlos Winck

    21 Modalities of exercise training

    Matthew Armstrong, Rebecca Crouch and Ioannis Vogiatzis

    22 Physiotherapy and airway clearance

    Miguel R. Gonçalves and Amanda J. Piper

    23 Smoking cessation

    Francesco Pistelli, Stefania Brogi and Laura Carrozzi

    24 Early rehabilitation following exacerbation of COPD

    William D.-C. Man, Claire M. Nolan and Milo A. Puhan

    25 Personalized rehabilitation

    Nicolino Ambrosino and Annia Schreiber

    26 Pulmonary rehabilitation and primary care

    Jonathan M. Raskin

    27 Home rehabilitation

    Sally J. Singh and Linzy Houchen-Wolloff

    28 Telerehabilitation

    Michele Vitacca and Michael K. Stickland

    29 Living with chronic lung disease: The experiences and needs of patients and caregivers

    Alda Marques and Roger S. Goldstein


    30 Partitioned aerobic exercise training of ventilatory-limited patients with chronic respiratory disease

    Thomas E. Dolmage and Roger S. Goldstein

    31 Whole-body vibration training

    Rainer Gloeckl

    32 Neuromuscular electrical stimulation

    Matthew Maddocks and Isabelle Vivodtzev

    33 A role for water-based rehabilitation

    Renae J. McNamara and Jennifer A. Alison

    34 Sedentarism and light-intensity physical activity (in COPD)

    Kylie Hill, Zoe McKeough and Daniel F. Gucciardi


    35 The multi-morbidity patient

    Roberto Tonelli, Ernesto Crisafulli, Stefania Costi and Enrico Clini

    36 Is there any role for pulmonary rehabilitation in asthma?

    Elisabetta Zampogna, Martina Zappa, Antonio Spanevello and Dina Visca

    37 Neuromuscular disorders

    Miguel R. Gonçalves and John R. Bach

    38 Interstitial lung diseases

    Nicolino Ambrosino

    39 Management of suppurative lung diseases

    J. Michael Nicholson, Roger S. Goldstein and Dmitry Rozenberg

    40 Rehabilitation in the intensive care unit

    Piero Ceriana and Nicolino Ambrosino

    41 Chronic respiratory failure – pathophysiology

    Mafalda Vanzeller, Marta Drummond and João Carlos Winck

    42 Lung transplantation

    Daniel Langer

    43 Lung volume reduction - old and new approaches

    Nathaniel Marchetti and Gerard Criner


    44 Supplemental oxygen and heliox

    Paolo Palange and Richard Casaburi

    45 Noninvasive ventilation during exercise training

    Nicolino Ambrosino and Lara Pisani

    46 COPD patients requiring chronic nocturnal noninvasive ventilation

    Marieke L. Duiverman and Peter J. Wijkstra

    47 More tools in the toolbox

    Annemarie L. Lee and Dina Brooks

    48 Palliative care and end of life

    Michele Vitacca and Nicolino Ambrosino

    49 Economical evaluation

    Roberto W. Dal Negro and Claudio F. Donner

    50 Pulmonary rehabilitation in the integrated care of the chronic respiratory patient

    Linda Nici and Richard L. ZuWallack

    51 Pulmonary rehabilitation in post-acute patients with COVID-19

    Michele Vitacca, Mara Paneroni, and Nicolino Ambrosino


    Claudio F. Donner

    He is Medical Director of Mondo Medico, Multidisciplinary and Rehabilitation Clinic, Borgomanero (NO),Italy. From 1985 to 2006 he was Chief of the Division of Pulmonary Disease, Scientific Institute of Veruno, “Salvatore Maugeri" Foundation. From 1999 to 2001 he was Director of the Department of Pulmonary Rehabilitative Medicine of the "Salvatore Maugeri" Foundation throughout Italy.

    He was President (1995-1997) of the Italian Association of Hospital Pulmonologists (AIPO).

    He was President (2003-2012), of the Italian Interdisciplinary Association for Research in Lung Disease (AIMAR), and he was from 2006 to 2012 CEO of the non-profit Italian Foundation “Health, Breath & Environment” (FISAR). From September 2013 he is president of the non-profit Italian Foundation” World of Breath,  Study Centre for Respiratory Diseases”

    Previous Head of the ERS Clinical Assembly (1996-1998), he was Secretary General of the European Respiratory Society (ERS) for the period 1998-2004, and member of the Council of the European Lung Foundation (ELF) (2000-2004); he was a member of the ELF Assembly. He was President (2002-2006) of the Pneumology Section & Board of the European Union of Medical Specialists (UEMS) and Representative of Specialty Sections & Boards on the UEMS Management Council (2004-2006).
    He was International Governor of the American College of Chest Physicians (ACCP) Italian Chapter for the term 2009 to 2012.
    From 2009 to 2012 he was  member of the Executive Committee of the initiative GARD-Italia of the Italian Ministry of Health, under the umbrella of the WHO . From March 2015 is on the Agenas (National Agency for Health Services) register of  Experts and Collaborators, thematic area number 4 : Clinics /Organisation/Epidemiology/ Social  Works,

    He is past Editor-in-chief of the scientific Journal "Monaldi Archives for Chest Disease" (1993-2002) and  Associate Editor from august 2017 , past Editor of the ERS publications "European Respiratory Topic" (1997-1998), ERS Newsletter (2002-2004) and “The Buyers’ Guide to Respiratory Care Products” (2003-2004) and  past Co-Editor (1990-2004) of the Italian Review of Respiratory Disease ,Official Journal of AIPO
    He was Editor in Chief (2004-2010) of the “American Journal of Respiratory and Critical Care Medicine - Italian Translation of Selected Articles”.
    From 2005 he is Associate Editor of Respiratory Medicine and is Member of the Editorial Board of Respiratory Medicine Case Reports from January 2016 He was Co-Editor of “Multidisciplinary Respiratory Medicine”, official scientific journal of AIMAR, from 2006 to 2016 

    He had teaching responsibilities in the Schools of Medicine of Turin and Novara.

    He received the following awards:
    - 2003, the Medal “Jan Rudnik in Memoriam”,Diplom n. 24,for the important  contribution made to contemporary pulmonary medicine. Institute for TBC and Lung Diseases, Poland.
    - 2003 a Certificate of Appreciation by the Japanese Respiratory Society for his great contribution to the progress and development of study on respirology
    - 2012 the “Pioneer Award” by the Assembly Pulmonary Rehabilitation of the American Thoracic Society.
    - 2014  Fellowship of the ERS (FERS)” by the European Respiratory Society , the widest respiratory scientific association , in recognition of the excellence in scientific and or educational contributions to respiratory medicine over many years.
    - 2015  a special recognition for his activity by the Associazione Italiana Pneumologi Ospedalieri (AIPO) , the widest italian association in Pulmonary Medicine, on the occasion of the“30 years of AIPO”

    Claudio F. Donner is author of several textbooks, at both national and international level, and of numerous original scientific papers (208 indexed in Medline) on a wide range of topics including pathophysiologic mechanisms of exercise and CO2 retention, follow-up of chronic respiratory failure (CRF), lung mechanics in critical care, pulmonary rehabilitation, COPD genetics, sleep respiratory disorders, and QoL in patients with CRF.

    Dr Nicolino Ambrosino
    Nicolino Ambrosino (FERS) is specialist in Internal Medicine, Pulmonary Diseases and Physiokinesitherapy and Occupational Medicine. He is Research Consultant Istituti Clinici Maugeri, Pavia, Italy. He is also Chief Editor of Pulmonology. Formerly he has been Research and Clinical Department Director, of Auxilium Vitae, Rehabilitation Center Volterra, Director of Pulmonary and Respiratory Intensive Care Unit, Cardio-Thoracic Department, University Hospital, Pisa and Director of Pulmonary Division and Intermediate Intensive Care, S. Maugeri Foundation, Medical Center of Gussago.  He has been also appointed professor at several Italian Universities
    He is one of the earliest contributors to the development of the use of Non-invasive Mechanical Ventilation techniques in acute and chronic respiratory failure, Pulmonary Rehabilitation and Respiratory Intensive Care Units. His research activity has been devoted to Respiratory Critical Care, Pulmonary Rehabilitation and Home Respiratory Care.
    Among the received awards, ERS Educational,  ATS Pulmonary Rehabilitation Assembly, ERS Assembly 2 Lifetime Achievement,  “Livorno Oscar” .

    Roger Goldstein

    Roger Goldstein FRCP (C), FRCP (UK) is a Professor of Medicine and Physical Therapy at the University of Toronto. He held the founding National Sanitarium Association’s Chair in Respiratory Rehabilitation Research (2002-2019).  He is a Senior Scientist and heads the Respiratory Division at West Park Healthcare Centre, which specializes in the management of chronic respiratory conditions.  Together with Dr. Dina Brooks, he co-leads the post-graduate respiratory research program at West Park, which has welcomed fellows from Canada and around the world. He was the founding scientific chair of the 1st Canadian Respiratory Conference. He has made numerous presentations and has published > 200 articles in his field of research. He co-edited the first edition of Pulmonary Rehabilitation in 2005 and is the co-editor of the current 2nd Edition.

    The second edition of "Pulmonary Rehabilitation", by CF Donner, N Ambrosino and RS Goldstein deals with the most recent innovations in the field such as new approaches to exercise training, namely whole-body vibrations and water-based rehabilitation. A section on the  management of lung transplantation, as well as the role of pulmonary rehabilitation in intensive and critical care settings, is undoubtedly providing further insights on these specific arguments. The chapter on COVID-19, the personalized approach to and the role of pulmonary rehabilitation in palliative care are examples of novelties in the field. Professionals seeking to improve their specific knowledge on pulmonary rehabilitation should have this book on their bookcase and when reading it, thinking about the significant value of human cooperation. Looking at the contributors of this edition, we are in the presence of recognized clinical experts in their field, and we stand proudly with them in appreciating their work.

    Massimiliano Polastri

    Medical Department of Continuity of Care and Disability,

    Physical Medicine and Rehabilitation, St. Orsola University

    Hospital, Bologna, Italy

    Stefano Nava

    Department of Clinical, Integrated and Experimental

    Medicine (DIMES), University of Bologna, and Respiratory and

    Critical Care Unit, St. Orsola University Hospital, Bologna, Italy



    The second edition of Pulmonary Rehabilitation edited by Donner, Ambrosino, and Goldstein is a welcome, timely, and comprehensive reference that draws upon an international roster of experts and rising stars in pulmonary rehabilitation. This book will prove to be an excellent source of information for both practitioners and investigators with extensive documentation and timely references focused on new reports since publication of the first edition in 2005. Topics span the past, present, and future horizons of this rapidly emerging field, and are particularly relevant to the transformational changes in the world and in healthcare resulting from the COVID-19 pandemic. Of particular interest in the COVID-19 era that seriously compromised traditional outpatient programs is the discussion of new approaches to expand the reach of pulmonary rehabilitation to the home and via the potential use of telerehabilitation, and even a timely chapter on pulmonary rehabilitation in patients recovering from COVID-19. Overall, this book is well worthwhile as a reference for current pulmonary rehabilitation practices as well as for new ideas and horizons in this rapidly emerging field.

    Andrew Ries
    Department of Medicine and Family Medicine and Public Health, University of California, San Diego, CA, USA