171 -6 (80) 2025 - Ishankulova D.K. - TRENDS AND PERSPECTIVES IN THE EVOLUTION OF REHABILITATION PULMONOLOGY

TRENDS AND PERSPECTIVES IN THE EVOLUTION OF REHABILITATION PULMONOLOGY

Ishankulova D.K. - Samarkand State Medical University

Resume

The article discusses the key directions in the development of rehabilitation pulmonology. It emphasizes the importance of a staged system for restoring patients with bronchopulmonary diseases, which includes post-hospital, outpatient (dispensary-polyclinic), and sanatorium stages. The roles of physiotherapy, therapeutic exercise, psychotherapy, medical nutrition, climate and balneotherapy are analyzed, along with methods of functional diagnostics and individualization of treatment processes depending on the phases of the disease. Special attention is given to sanatorium-resort rehabilitation, the improvement of patient selection criteria, and the assessment of treatment outcomes.

Keywords: pulmonary rehabilitation; bronchopulmonary diseases; staged system; sanatorium-resort treatment; physiotherapy; therapeutic exercise; aerosol therapy; climatotherapy; balneotherapy; psychotherapy; individualized treatment.

First page

882

Last page

885

For citation:Ishankulova D.K. - TRENDS AND PERSPECTIVES IN THE EVOLUTION OF REHABILITATION PULMONOLOGY//New Day in Medicine 6(80)2025 882-885 https://newdayworldmedicine.com/en/new_day_medicine/6-80-2025

List of References

  1. Spruit M.A., Holland A.E., Singh S.J. et al. COVID-19: Interim Guidance on Rehabilitation in the Hospital and Post-Hospital Phase from a European Respiratory Society and American Thoracic Society-coordinated International Task Force. Eur Respir J. 2020;56(6):2002197. [DOI: 10.1183/13993003.02197-2020] (https://doi.org/10.1183/13993003.02197-2020)
  2. Polkey M.I., Spruit M.A., Edwards L.D. et al. Six-minute-walk test in chronic respiratory disease: A European Respiratory Society technical standard. Eur Respir J. 2022;60(2):2101857. [DOI: 10.1183/13993003.01857-2021](https://doi.org/10.1183/13993003.01857-2021)
  3. Wouters E.F.M., Augustin I.M.L., Houben-Wilke S. et al. Personalized pulmonary rehabilitation in COPD. Eur Respir Rev. 2023;32(168):220191. [DOI: 10.1183/16000617.0191-2022](https://doi.org/10.1183/16000617.0191-2022)
  4. Jenkins A.R., Ghanbarian S., Johnson J. et al. Remote Pulmonary Rehabilitation: An International Delphi Study. Am J Respir Crit Care Med.* 2022;205(10):1234–1245. [DOI: 10.1164/rccm.202111-2597OC] (https://doi.org/10.1164/rccm.202111-2597OC)
  5. Garvey C., Holland A.E., Corn J. et al. Pulmonary Rehabilitation in the COVID-19 Era: A Call for Adaptation and Innovation.Chest. 2021;160(4):1282–1293.[DOI:10.1016/j.chest.2021.04.005](https://doi.org/10.1016/j.chest.2021.04.005)
  6. Al Chikhanie Y., Veale D., Schoeffler M. et al.Effectiveness of pulmonary rehabilitation in COVID-19 respiratory failure. Respir Med. 2021;176:106272. [DOI:10.1016/j.rmed.2020.106272](https://doi.org/10.1016/j.rmed.2020.106272)
  7. Ишанкулова Д.К. О настойчивости лечения на различных этапах при активном комплексном воздействии на инфекционное, аллергическое и иммунологические звенья патогенеза больных хроническим бронхитом. Фундаментальная наука в современной медицине,2020: Тезисы в Сборнике материалов Международной научно-практической онлайн конференции; к 90 летию СамГосМИ С.; С 202-203.
  8. Ишанкулова Д.К. Эффективность применения адаптогенов при формировании противовирусного иммунитета. ХI Международные Авиценновские чтения научно-практическая конференция АБУ АЛИ ИБН СИНО (АВИЦЕННА) И COVID-2019. Бухара-2021, ноябрь. С 22-23
  9. Ишанкулова Д.К. Эффективность противовирусного лечения больных острым затяжным и рецидивирующим бронхитом. “Yevrosiyo tibbiyot va tabiiy fanlar jurnali”. “Eurasian Journal of Medical and Natural Sciences” Innovative Akademy Research Support Center , P. 253-258 , Vol 2 Issue 5 ISSN 2181-287X (Publication Year: may 2022) https://doi.org/10.5281/zenodo.6590331
  10. Ishankulova D. K. The formation of mucociliary insufficiency in the bronches in respiratory viral infection. International Journal of Health Sciences, 6(S3), pp. 4846–4851. https://doi.org/10.53730/ijhs.v6nS3.6968, 2022.
  11. D.K. Ishankulova. Оn the issue of the etiology of acute protracted bronchitis. European journal of modern medicine and practice, 4(9), 306–309. Retrieved from https://inovatus.es/index.php/ejmmp/article/view/4027 Brussels, Belgium
  12. D.K. Ishankulova. The evolution of chronic bronchitis in the early stages of the disease's development and the prospects of prevention. // Journal of cardiorespiratory research. 2025, vol.6, issue 2.1, pp.11- 15 https://www.tadqiqot.uz/index.php/cardio/
  13. Rochester C.L., Lee S.M., ZuWallack R. et al. Pulmonary Rehabilitation in the Management of Chronic Respiratory Disease.Clin Chest Med.2022;43(1):101–115. [DOI:10.1016/j.ccm.2021.11.005] (https://doi.org/10.1016/j.ccm.2021.11.005)
  14. Ryrsø C.K., Godtfredsen N.S., Kofod L.M. et al. Lower mortality after pulmonary rehabilitation in patients with COPD: A nationwide cohort stud Thorax. 2021;76(8):725–732. [DOI: 10.1136/thoraxjnl-2020-216237] https://doi.org/10.1136/thoraxjnl-2020-216237
  15. Chaplin E.J., Houchen L., Greening N.J. Pulmonary rehabilitation and chronic respiratory failure. Curr Opin Crit Care. 2023;29(1):72–78. [DOI: 10.1097/MCC.0000000000000935] https://doi.org/10.1097/MCC.0000000000000935
  16. Puhan M.A., Gimeno-Santos E., Cates C.J. et al. Pulmonary rehabilitation following exacerbations of chronic obstructive pulmonary disease. Cochrane Database Syst Rev.2021;5\:CD005305. [DOI:10.1002/14651858.CD005305.pub4] https://doi.org/10.1002/14651858.CD005305.pub4

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