Pulmonary Rehabilitation  book cover
2nd Edition

Pulmonary Rehabilitation

ISBN 9781138498815
Published August 4, 2020 by CRC Press
550 Pages 58 Color & 110 B/W Illustrations

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Book Description

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.

Table of Contents


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


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

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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