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Lung Transplant Rehabilitation

Summary

Medical and surgical advances continue to improve the availability of lung transplantation and survival of transplant recipients. Exercise training provides an essential role in optimizing functional capacity and fitness pre-transplant, as well as improving outcomes and quality of life post-transplant. In this podcast, Dr Dmitry Rozenberg, a pulmonologist in the Toronto Lung Transplant Program (Toronto, Canada), interviews physical therapists, Lisa Wickerson (Toronto Lung Transplant Program) and Sunita Mathur (University of Toronto), about rehabilitation in lung transplant recipients. The discussion explores the unique rehabilitation needs of lung transplant recipients, the basis of exercise limitation and exercise training in this population, functional outcomes used in clinical practice and research, and a discussion of future research directions.

Speakers

Dr Dmitry Rozenberg, MD, PhD, FRCPC, Pulmonologist, Toronto Lung Transplant Program, University Health Network, Toronto Canada

Lisa Wickerson, BScPT, MSc, PhD(c), Physical Therapist Toronto Lung Transplant Program, University Health Network & Lecturer, Dept of Physical Therapy, University of Toronto, Toronto Canada

Sunita Mathur, PT, PhD, Assistant Professor, Dept of Physical Therapy, University of Toronto, Toronto Canada & Investigator, Canadian National Transplant Research Program

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References

Fuller LM, Button B, Tarrant B, Steward R, Bennett L, Snell G, Holland AE. Longer Versus Shorter Duration of Supervised Rehabilitation After Lung Transplantation: A Randomized Trial. Arch Phys Med Rehabil. 2017;98(2):220-226

Schneeberger T, Gloeckl R, Welte T, Kenn K. Pulmonary Rehabilitation Outcomes after Single or Double Lung Transplantation in Patients with Chronic Obstructive Pulmonary Disease or Interstitial Lung Disease.  Respiration. 2017;94(2):178-185.

Rozenberg D, Singer L, Herridge MS, Goldstein R, Wickerson L, Chowdhury NA, Mathur S. Evaluation of skeletal muscle function in lung transplant candidates. Transplantation. 2017; 101(9):2183-2191.

Rozenberg D, Wickerson L, Singer LG, Mathur S. Sarcopenia in lung transplantation: a systematic review. Journal of Heart and Lung Transplantation. 2014 Dec;33(12):1203-12

Wickerson L, Mathur S, Brooks D. Exercise training after lung transplantation: a systematic review. Journal of Heart and Lung Transplantation, May 2010; 29:497-503.

Wickerson L, Rozenberg D, Janaudis-Ferreira T, Deliva R, Lo V, Beauchamp G, Helm D, Gottesman C, Mendes P, Vieira L, Herridge M, Singer LG, Mathur S. Physical rehabilitation for lung transplant candidates and recipients: an evidence-informed clinical approach. World Journal of Transplantation. 2016; 6(3): 517-531

 

Last Reviewed: October 2017