An Official American Thoracic Society/European Respiratory Society Statement: Key Concepts and Advances in Pulmonary Rehabilitation

Martin Spruit, Sally Singh, Chris Garvey, Richard Zuwallack, Linda Nici, Carolyn Rochester, Kylie Hill, Anne Holland, Suzanne Lareau, William Man, Fabio Pitta, Louise Sewell, Jonathan Raskin, Jean Bourbeau, Rebecca Crouch, Frits Franssen, Richard Casaburi, Jan Vercoulen, Ioannis Vogiatzis, Rik GosselinkEnrico Clini, Tanja Effing, Franc Ois Maltais, Job van der Palen, Thierry Troosters, Daisy Janssen, Eileen Collins, Judith Garcia-Aymerich, Dina Brooks, Bonnie Fahy, Milo Puhan, Martine Hoogendoorn, Rachel Garrod, Annemie Schols, Brian Carlin, Roberto Benzo, Paula Meek, Mike Morgan, Maureen Rutten-Van Mölken, Andrew Ries, Barry Make, Roger Goldstein, Claire Dowson, Jan Brozek, Claudio Donnner, Emiel Wouters

    Research output: Contribution to journalArticlepeer-review

    2188 Citations (Scopus)


    Background: Pulmonary rehabilitation is recognized as a core component of themanagement of individuals with chronic respiratory disease. Since the 2006 American Thoracic Society (ATS)/European Respiratory Society (ERS) Statement on Pulmonary Rehabilitation, there has been considerable growth in our knowledge of its efficacy and scope. Purpose: The purpose of this Statement is to update the 2006 document, including a new definition of pulmonary rehabilitation and highlighting key concepts and major advances in the field. Methods: A multidisciplinary committee of experts representing the ATS Pulmonary Rehabilitation Assembly and the ERS Scientific Group 01.02, "Rehabilitation and Chronic Care," determined the overall scope of this update through group consensus. Focused literature reviews in key topic areas were conducted by committee members with relevant clinicaland scientific expertise.The final content of this Statement was agreed on by all members. Results: An updated definition of pulmonary rehabilitation is proposed. New data are presented on the science and application of pulmonary rehabilitation, including its effectiveness in acutely ill individuals with chronic obstructive pulmonary disease, and in individuals with other chronic respiratory diseases.The important role of pulmonary rehabilitation in chronic disease management is highlighted. In addition, the role of health behavior change in optimizing and maintaining benefits is discussed. Conclusions: The considerable growth in the science and application of pulmonary rehabilitation since 2006 adds further support for its efficacy in a wide range of individuals with chronic respiratory disease.

    Original languageEnglish
    Pages (from-to)e13-e64
    Number of pages52
    JournalAmerican Journal of Respiratory and Critical Care Medicine
    Issue number8
    Publication statusPublished - 15 Oct 2013


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