In this episode, I discuss the six minute walk test as an assessment tool, and outcome measure, and a way to create an exercise prescription.

I mention a study we did in Canada to characterize the pulmonary rehabilitation programs which were running in 2015, including the use of the 6 minute walk test. The link to that paper is here (https://cts-sct.ca/wp-content/uploads/2018/02/PR-in-Canada-Report_CRJ.pdf). I also talk about an international survey on pulmonary rehabilitation, that citation is here: https://erj.ersjournals.com/content/43/5/1326.short

I mention the technical standard for field tests in chronic lung disease, put out by the European Respiratory Society and the American Thoracic Society. A link to that paper is here: https://erj.ersjournals.com/content/44/6/1428

I mention the Australia Pulmonary Rehabilitation Toolkit, a link to the page where exercise prescription using the six minute walk distance is here: 

https://pulmonaryrehab.com.au/importance-of-exercise/case-studies/case-study-one/

I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section on the LungFIT website.

If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

In this talk, I discuss concepts related to who is missing from pulmonary rehabilitation. I mention a study we did in Canada to characterize the pulmonary rehabilitation programs which were running in 2015. The link to that paper is here (https://cts-sct.ca/wp-content/uploads/2018/02/PR-in-Canada-Report_CRJ.pdf)

I also mention a systematic review on several pulmonary rehabilitation survey studies, the link to that paper is here. https://www.tandfonline.com/doi/abs/10.3109/15412555.2014.922066

The Cochrane review I spoke of can be found here: https://www.cochrane.org/CD003793/AIRWAYS_pulmonary-rehabilitation-for-chronic-obstructive-pulmonary-disease and the associated editorial is found here: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.ED000107/full

The link to Dr. Jenny Alison’s and Mr. David Meharg’s Breathe Easy podcast episode on the American Thoracic Society Pulmonary Rehabilitation Assembly’s website can be found here: https://www.thoracic.org/about/ats-podcasts/pulmonary-rehabilitation-for-hard-to-reach-populations-focus-on-indigenous-people.php

I also talk a bit about health inequality in pulmonary rehabilitation in a different American Thoracic Society Breathe Easy podcast, which can be found here: https://www.thoracic.org/about/ats-podcasts/health-inequality-in-pulmonary-rehabilitation.php

If you want to read a bit more about intersectionality and health care, I found this paper published in the Lancet to be very helpful in explaining this complicated concept: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)31431-4/fulltext

I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section on the LungFIT website.

If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

In this episode I discuss a paper published in 2017 in BMJ Open, entitled “Sing Your Lungs Out—a community singing group for chronic obstructive pulmonary disease: a 1-year pilot study”. The first author of the paper is Dr. Amanda McNaughton from the Medical Research Institute of New Zealand.

Please see https://lungfit.med.ubc.ca to get copies of the open access papers. 

As always, I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section on the LungFIT website.

If you listen to the LungFIT podcast on iTunes, please take a moment to review the show.

Learning on the job: Creating a plan for your professional development in pulmonary rehabilitation

In this episode, I talk about planning your professional development.

I mention Table of Contents alerts for journals. Some suggestions are: 

1. European Respiratory Journal ToC sign-up https://erj.ersjournals.com/alerts
2. Annals of the American Thoracic Society ToC sign-up. [select: ‘eToC Alerts’] https://www.atsjournals.org/toc/annalsats/current
3. Physical Therapy ToC sign-up. [select ‘Email Alerts’] https://academic.oup.com/ptj
4. Journal of Cardiopulmonary Rehabilitation and Prevention ToC sign-up. [select: ‘get new issue alerts’] https://journals.lww.com/jcrjournal/pages/default.aspx
5. Thorax ToC sign-up. [select ‘Email alerts’] https://thorax.bmj.com/

I mention podcasts in this episode. Some suggestions are:

1. Katie Linder has a podcast series dedicated to people in academia. You can learn more about them here: https://www.drkatielinder.com/podcasts/
2. The Physical Therapy journal used to have the Craikcast, which I enjoyed but can’t easily find it online. They do have the PTJ Podcast which can be found here. https://academic.oup.com/ptj/pages/podcasts
3. The American Thoracic Society has several podcasts, which can be found here. https://www.thoracic.org/professionals/all-ats-podcasts.php
4. The ‘White Coat, Black Art’ podcast can be found here. https://www.cbc.ca/listen/live-radio/1-75-white-coat-black-art

I mention the American Thoracic Society Pulmonary Rehabilitation Assembly, the link to the Assembly can be found here: https://www.thoracic.org/members/assemblies/assemblies/pr/

I mention the previous LungFIT episode on starting a journal club. The link to that episode is here.

In this episode, I discuss Patient-Reported Experience Measures, or PREMs. This is a continuation of the previous episode, in which I talk about Patient-Reported Outcomes (PROs) and Patient-Reported Outcome Measures (PROMs).  The previous episode on PROs and PREMs can be found here: https://lungfit.med.ubc.ca/pros-proms-what-are-they-the-dyspnea-example/

In this episode, I talk about the Canadian Institute of Health Information and their work with PREMs. More on this can be found here: https://www.cihi.ca/en/patient-experience/about-the-canadian-patient-experiences-survey-on-inpatient-care

In this episode, I talk about Patient-Reported Outcomes (PROs) and Patient-Reported Outcome Measures (PREMs), using the symptom of dyspnea as my example.

I mention several dyspnea measurement tools in this episode. More information on them can be found here:

1. the modified MRC Dyspnea Scale, which can be found in this paper (Table 3): https://www.thoracic.org/statements/resources/copd/copd-research-st.pdf
2. the Borg Scale of Breathlessness, which can be found here: https://pulmonaryrehab.com.au/~resources/02_Patient_assessment/04_modified_borg_dyspnoea_scale.pdf
3. the Baseline and Transition Dyspnea Index, of which more information can be found here: https://www.thoracic.org/members/assemblies/assemblies/srn/questionaires/bdi-tdi.php
4. the University of California San Diego Breathlessness Questionnaire, of which more information can be found here: https://www.thoracic.org/members/assemblies/assemblies/srn/questionaires/sobq.php

The American Thoracic Society has links and details for a number of different patient-reported outcomes. Go to their website listed below and you’ll will see many different patient-reported outcomes and links on how to access them. https://www.thoracic.org/members/assemblies/assemblies/bshsr/patient-outcome/

In this episode, I provide a brief overview of the history of pulmonary rehabilitation.

I mention several papers in this episode. Several of them are open-access:

1. Celli BR, Goldstein RS. A historical perspective of pulmonary rehabilitation. In: Clini E, Holland AE, Pitta F, Troosters T, eds. Textbook of Pulmonary Rehabilitation. Springer, 2018.
2. Denison C. Exercise and Food for Pulmonary Invalids. Available from Amazon: https://www.amazon.com/Exercise-Pulmonary-Invalids-Classic-Reprint/dp/B008C4AT8E.
3. Petty TL, Nett LM, Finigan MM, Brink GA, Corsello PR. A comprehensive care program for chronic airway obstruction. Annals of Internal Medicine 1969; 70(6):1109-1120. https://pubmed.ncbi.nlm.nih.gov/5789505/
4. Barach AL. A Treatment Manual for Patients with Pulmonary Emphysema. New York, NY: Grune & Stratton, Inc.; 1969.
5. Hodgkin JE, Balchum OJ, Kass I, Glaser EM, Miller WF, Haas A, Shaw DB, Kimbel P, Petty TL. Chronic

obstructive airway diseases. Current concepts in diagnosis and comprehensive care. JAMA 1975; 232:1243–60. https://jamanetwork.com/journals/jama/article-abstract/336862

1. Butland RJ, Pang J, Gross ER, Woodcock AA, Geddes DM. Two-, six-, and 12-minute walking tests in respiratory disease. Br Med J (Clin Res Ed) 1982; 284:1607–8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1498516/
2. Guyatt GH, Berman LB, Townsend M, Pugsley SO, Chambers LW. A measure of quality of life for clinical trials in chronic lung disease. Thorax 1987; 42:773–8. https://thorax.bmj.com/content/thoraxjnl/42/10/773.full.pdf
3. Jones PW, Quirk FH, Baveystock CM, Littlejohns P. A self-complete measure of health status for chronic airflow limitation. The St. George’s Respiratory Questionnaire. Am Rev Respir Dis 1992 ;145:1321–7. https://pubmed.ncbi.nlm.nih.gov/1595997/
4. Singh SJ, Morgan MD, Scott S, Walters D, Hardman AE. Development of a shuttle walking test of disability in patients with chronic airways obstruction. Thorax 1992; 47:1019–24. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1021093/
5. Goldstein RS, Gort EH, Stubbing D, Avendano MA, Guyatt GH. Randomised controlled trial of respiratory rehabilitation. Lancet 1994; 344:1394–7. https://pubmed.ncbi.nlm.nih.gov/7968075/
6. Wijkstra PJ, Van Altena R, Kraan J, Otten V, Postma DS, Koeter GH. Quality of life in patients with chronic obstructive pulmonary disease improves after rehabilitation at home. Eur Respir J 1994; 7:269–73. https://pubmed.ncbi.nlm.nih.gov/8162979/.
7. Ries AL, Kaplan RM, Limberg TM, Prewitt LM. Effects of pulmonary rehabilitation on physiologic and psychosocial outcomes in patients with chronic obstructive pulmonary disease. Ann Intern Med 1995; 122:823–32. https://pubmed.ncbi.nlm.nih.gov/7741366/.
8. Maltais F, LeBlanc P, Simard C, Jobin J, Berube C, Bruneau J, Carrier L, Belleau R. Skeletal muscle adaptation to endurance training in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 1996; 154:442–7. https://pubmed.ncbi.nlm.nih.gov/8756820/
9. Lacasse Y, Goldstein R, Lasserson TJ, Martin S. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2006; Oct 18;(4):CD003793. https://pubmed.ncbi.nlm.nih.gov/17054186/
10. McCarthy B, Casey D, Devane D, Murphy K, Murphy E, Lacasse Y. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2015; 2:CD003793. https://pubmed.ncbi.nlm.nih.gov/25705944/

I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section on the LungFIT website.

If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

In this episode, I discuss how, and why, to start a journal club for your pulmonary rehabilitation team.

I mention two journal club episodes from LungFIT:

1. https://lungfit.med.ubc.ca/episode-2/
2. https://lungfit.med.ubc.ca/journal-club-marino/

I talk about guides that are available to help you with your journal club. Here are two:

1. A open-access paper from BMJ on traditional and novel journal club formats: https://ep.bmj.com/content/105/4/236
2. A web-based guide written by an occupational therapist on starting a journal club, which can be found here: https://www.foxrehab.org/clinical-literature-journal-club-guide/

I also talk about selecting articles from reputable journals. Some of these journals may not be available to you, but many have articles that are open-access. This is not a complete list.

1. American Journal of Respiratory and Critical Care Medicine
2. Annals of the American Thoracic Society
3. Archives of Physical Medicine and Rehabilitation
4. BMC Pulmonary Medicine
5. Chest
6. European Respiratory Journal
7. Physical Therapy
8. Respirology
9. Respiratory Medicine
10. Thorax

In this episode I discuss a paper published in 2019 in the Journal of Physiotherapy, entitled “Physiotherapist advice to older inpatients about the importance of staying physically active during hospitalisation reduces sedentary time, increases daily steps and preserves mobility: a randomised trial”. The first author of the paper is Nayara Alexia Moreno from the University of Sao Paulo in São Paulo, Brazil. This is an open-access paper, the paper is here.

The authors have kindly shared their booklet used in this study. The booklet is here.

I mention a previous journal club episode where I discuss measuring physical activity. That podcast is here.

I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section on the LungFIT website.

If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

In this episode I discuss a paper published in 2019 in the Journal of Physiotherapy, entitled “Physiotherapist advice to older inpatients about the importance of staying physically active during hospitalisation reduces sedentary time, increases daily steps and preserves mobility: a randomised trial”. The first author of the paper is Nayara Alexia Marino from the University of Sao Paulo in São Paulo, Brazil. This is an open-access paper, the link to the paper is here.

The authors have kindly shared their booklet used in this study. The booklet is here.

I mention a previous journal club episode where I discuss measuring physical activity. That podcast is here.

I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section on the LungFIT website.

If you listen to the LungFIT podcast on iTunes, please take a moment to review the show.