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  1. Book: Physiotherapie bei chronischen Atemwegs- und Lungenerkrankungen

    Van Gestel, Arnoldus J. R. / Teschler, Helmut

    Evidenzbasierte Praxis

    (Physiotherapie)

    2014  

    Author's details Arnoldus van Gestel ; Helmut Teschler
    Series title Physiotherapie
    Keywords Atemwegskrankheit ; Physikalische Therapie ; Lungenkrankheit
    Subject Physiotherapie ; Lungenerkrankung ; Atemwegekrankheit ; Atemwege ; Atemwegserkrankung
    Language German
    Size XXII, 401 S. : Ill., graph. Darst.
    Edition 2. Aufl.
    Publisher Springer
    Publishing place Berlin u.a.
    Publishing country Germany
    Document type Book
    HBZ-ID HT018506940
    ISBN 978-3-662-43677-6 ; 3-662-43677-9 ; 9783662436783 ; 3662436787
    Database Catalogue ZB MED Medicine, Health

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  2. Book: Physiotherapie bei chronischen Atemwegs- und Lungenerkrankungen

    Van Gestel, Arnoldus J. R.

    evidenzbasierte Praxis ; [alle Techniken auf Video-DVD]

    (Physiotherapie)

    2010  

    Author's details Arnoldus J. R. van Gestel
    Series title Physiotherapie
    Keywords Atemwegskrankheit ; Physikalische Therapie ; Lungenkrankheit
    Subject Physiotherapie ; Lungenerkrankung ; Atemwegekrankheit ; Atemwege ; Atemwegserkrankung
    Language German
    Size XX, 329 S. : zahlr. Ill., graph. Darst.
    Publisher Springer
    Publishing place Berlin u.a.
    Publishing country Germany
    Document type Book
    Note Systemvoraussetzungen: Fernsehgeräten mit DVD-Player mit PAL-Unterstützung oder auf allen Computern mit DVD-Laufwerk und einer Software zum Abspielen von DVD-Videos (z.B. VLC media player)
    Accompanying material 1 DVD-Video (12 cm)
    HBZ-ID HT016182178
    ISBN 978-3-642-01434-5 ; 3-642-01434-8
    Database Catalogue ZB MED Medicine, Health

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  3. Book ; Thesis: Stellenwert des individuell abgestimmten respiratorischen Biofeedbacktrainings zur Verbesserung der Atemfunktion bei Patienten mit stabiler COPD im GOLD-Stadium II-IV

    Van Gestel, Arnoldus J. R.

    2009  

    Author's details vorgelegt von Arnoldus van Gestel
    Language German
    Size 77 Bl. : graph. Darst.
    Publishing country Germany
    Document type Book ; Thesis
    Thesis / German Habilitation thesis Duisburg, Essen, Univ., Diss., 2010
    HBZ-ID HT016740450
    Database Catalogue ZB MED Medicine, Health

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  4. Book ; Online: Physiotherapie bei chronischen Atemwegs- und Lungenerkrankungen

    Van Gestel, Arnoldus J.R / Teschler, Helmut

    Evidenzbasierte Praxis

    2014  

    Abstract: Die pulmonale Rehabilitation - sehen, verstehen, anwenden Dieses Praxisbuch vermittelt Ihnen dazu alles, was Sie für die evidenzbasierte Rehabilitation bei  chronischen Atemwegs- und Lungenerkrankungen wissen müssen: Biomedizinische Grundlagen, ... ...

    Title variant LEHR-Programm gemäß § 14 JuSchG
    Author's details Arnoldus J.R. van Gestel; Helmut Teschler
    Abstract Die pulmonale Rehabilitation - sehen, verstehen, anwenden Dieses Praxisbuch vermittelt Ihnen dazu alles, was Sie für die evidenzbasierte Rehabilitation bei  chronischen Atemwegs- und Lungenerkrankungen wissen müssen: Biomedizinische Grundlagen, physiotherapeutische Untersuchungstechniken und Behandlungsverfahren sowie Hinweise zur Patientenschulung aus der langjährigen interdisziplinären Erfahrung von Pneumologen und Physiotherapeuten. Sehen: -          Über 300 Farbfotos, Zeichnungen und Graphiken veranschaulichen Assessments und Interventionen -          Die wichtigsten Techniken als Videos zum Downloaden Verstehen: -          Alle Assessments und Interventionen der pulmonalen Rehabilitation praktisch demonstriert und wissenschaftlich begründet -          Das Schlüsselkonzept „Methodisch Handeln in der pulmonalen Rehabilitation“, Praxistipps und Übersichten erleichtern das Verständnis des vielseitigen Tätigkeitsfeldes Anwenden: -          Physiotherapeutische Untersuchungsmethoden und nicht-medikamentöse Behandlung von chronischen Atemwegs- und Lungenerkrankungen (COPD) sowie respiratorischen Problemen als Begleitsymptom verschiedener Erkrankungen nach den Kriterien der evidenzbasierten Praxis und den medizinischen Leitlinien Neu in der 2. Auflage -          Untersuchungsmethoden des Abdomen -          Untersuchung der peripheren Gefäße -          Untersuchung und Behandlung von Harninkontinenz bei COPD
    Keywords Internal medicine ; Medicine ; Physical therapy ; Pneumology ; Speech pathology
    Language German
    Size Online-Ressource (XXII, 401 S.), Ill.
    Edition 2. Aufl.
    Publisher Springer
    Publishing place Berlin u.a.
    Document type Book ; Online
    ISBN 9783662436776 ; 9783662436783 ; 3662436779 ; 3662436787
    DOI 10.1007/978-3-662-43678-3
    Database Former special subject collection: coastal and deep sea fishing

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  5. Book ; Online: Physiotherapie bei chronischen Atemwegs- und Lungenerkrankungen

    Gestel, Arnoldus J. R. van / Teschler, Helmut

    evidenzbasierte Praxis

    2010  

    Author's details von Arnoldus J. R. van Gestel; Helmut Teschler
    Keywords Internal medicine ; Medicine ; Physical therapy ; Pneumology ; Speech pathology
    Language German
    Size Online-Ressource, v.: digital
    Publisher Springer-Verlag Berlin Heidelberg
    Publishing place Berlin, Heidelberg
    Document type Book ; Online
    Note Includes bibliographical references and index
    ISBN 9783642014345 ; 9783642014352 ; 3642014348 ; 3642014356
    DOI 10.1007/978-3-642-01435-2
    Database Library catalogue of the German National Library of Science and Technology (TIB), Hannover

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  6. Book ; Online: Physiotherapie bei chronischen Atemwegs- und Lungenerkrankungen

    Gestel, Arnoldus J. R. van / Teschler, Helmut

    evidenzbasierte Praxis

    2010  

    Author's details von Arnoldus J. R. van Gestel; Helmut Teschler
    Keywords Internal medicine ; Medicine ; Physical therapy ; Pneumology ; Speech pathology
    Language German
    Size Online-Ressource, v.: digital
    Publisher Springer-Verlag Berlin Heidelberg
    Publishing place Berlin, Heidelberg
    Document type Book ; Online
    Note Includes bibliographical references and index
    ISBN 9783642014345 ; 9783642014352 ; 3642014348 ; 3642014356
    DOI 10.1007/978-3-642-01435-2
    Database Former special subject collection: coastal and deep sea fishing

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  7. Article ; Online: Oxygen Uptake Recovery Kinetics after the 6-Minute Walk Test in Patients with Chronic Obstructive Pulmonary Disease.

    Baty, Florent / van Gestel, Arnoldus J R / Kern, Lukas / Brutsche, Martin H

    Respiration; international review of thoracic diseases

    2016  Volume 92, Issue 6, Page(s) 371–379

    Abstract: Background: There is a growing interest in exercise parameters capable of objectively evaluating the functional capacity of patients with chronic obstructive pulmonary disease (COPD).: Objectives: The purpose of the present study was to analyze ... ...

    Abstract Background: There is a growing interest in exercise parameters capable of objectively evaluating the functional capacity of patients with chronic obstructive pulmonary disease (COPD).
    Objectives: The purpose of the present study was to analyze breath-by-breath cardiopulmonary and gas exchange recovery responses of patients with COPD after a 6-minute walk test (6MWT).
    Methods: Oxygen uptake (VO2) kinetics of patients were obtained using mobile telemetric cardiopulmonary monitoring during and after a 6MWT. Recovery kinetics were modelled using a 4-parameter nonlinear logistic model. Multiple linear regression was performed to assess the association between the half-time of recovery of oxygen consumption (T1/2 VO2) and exercise capacity (6-minute walking distance, 6MWD).
    Results: Sixty-nine patients with COPD (28 females) with a mean age of 65 ± 10 years took part in the study. After adjustment for covariates (body mass index, forced expiratory volume in 1 s, forced vital capacity, and age), T1/2 VO2 was significantly associated with 6MWD (p = 0.002).
    Conclusions: T1/2 VO2 can be used to reflect exercise capacity in patients with COPD. As T1/2 VO2 mostly depends on the rate of increase in pulmonary blood flow, the results of the present study underline the importance of cardiocirculatory impairment for exercise intolerance in patients with COPD.
    MeSH term(s) Aged ; Breath Tests ; Cross-Sectional Studies ; Exercise Tolerance ; Female ; Forced Expiratory Volume ; Humans ; Kinetics ; Linear Models ; Logistic Models ; Male ; Middle Aged ; Oxygen Consumption ; Plethysmography, Whole Body ; Pulmonary Diffusing Capacity ; Pulmonary Disease, Chronic Obstructive/physiopathology ; Pulmonary Gas Exchange ; Vital Capacity ; Walk Test
    Language English
    Publishing date 2016
    Publishing country Switzerland
    Document type Journal Article ; Observational Study
    ZDB-ID 206674-9
    ISSN 1423-0356 ; 0025-7931
    ISSN (online) 1423-0356
    ISSN 0025-7931
    DOI 10.1159/000452307
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Autonomic dysfunction in patients with chronic obstructive pulmonary disease (COPD).

    van Gestel, Arnoldus J R / Steier, Joerg

    Journal of thoracic disease

    2011  Volume 2, Issue 4, Page(s) 215–222

    Abstract: It has been recognized that chronic obstructive pulmonary disease (COPD) is a systemic disease which has been shown to negatively affect the cardiovascular and autonomic nerve system. The complexity of the physiologic basis by which autonomic dysfunction ...

    Abstract It has been recognized that chronic obstructive pulmonary disease (COPD) is a systemic disease which has been shown to negatively affect the cardiovascular and autonomic nerve system. The complexity of the physiologic basis by which autonomic dysfunction occurs in patients with COPD is considerable and the knowledge in this field remains elementary. The purpose of this review is to provide an overview of important potential mechanisms which might affect the autonomic nervous system in patients with COPD. This review aims to summarize the basic research in the field of autonomic dysfunction in patients with COPD. In COPD patients the activity of sympathetic nerves may be affected by recurrent hypoxemia, hypercapnia, increased intrathoracic pressure swings due to airway obstruction, increased respiratory effort, systemic inflammation and the use of betasympathomimetics. Furthermore, experimental findings suggest that autonomic dysfunction characterized by a predominance of sympathetic activity can significantly modulate further inflammatory reactions. The exact relationship between autonomic dysfunction and health status in COPD remains to be elucidated. Treatment aimed to restore the sympathovagal balance towards a reduction of resting sympathetic activity may modulate the inflammatory state, and possibly contributes to improved health status in COPD.
    Language English
    Publishing date 2011-11-04
    Publishing country China
    Document type Journal Article
    ZDB-ID 2573571-8
    ISSN 2077-6624 ; 2077-6624
    ISSN (online) 2077-6624
    ISSN 2077-6624
    DOI 10.3978/j.issn.2072-1439.2010.02.04.5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Sympathetic overactivity and cardiovascular disease in patients with chronic obstructive pulmonary disease (COPD).

    van Gestel, Arnoldus J R / Kohler, Malcolm / Clarenbach, Christian F

    Discovery medicine

    2012  Volume 14, Issue 79, Page(s) 359–368

    Abstract: Cardiovascular disease plays an important role regarding the morbidity and mortality in patients with chronic obstructive pulmonary disease (COPD). Sympathetic overactivity has been suggested to underpin the association between COPD and the development ... ...

    Abstract Cardiovascular disease plays an important role regarding the morbidity and mortality in patients with chronic obstructive pulmonary disease (COPD). Sympathetic overactivity has been suggested to underpin the association between COPD and the development of cardiovascular disease. However, the pathophysiological basis by which sustained sympathetic overactivity affects cardiovascular function in patients with COPD is complex and incompletely understood. Different simple and more sophisticated measures of sympathetic activity, such as assessment of heart rate, blood pressure variability, and baroreflex sensitivity, provide information on the potential dysregulation of the autonomous nervous system. This review summarizes the findings from studies in animal models and humans on the potential relationship between COPD, sympathetic overactivity, and cardiovascular disease. There is preliminary evidence of sympathetic overactivity in COPD. However, direct evidence of a cause-effect relationship between sympathetic overactivity and cardiovascular disease from studies in COPD patients is lacking. Data from large cohorts of COPD patients and well-designed interventional studies looking at the relationship between COPD and autonomic nervous system function are urgently needed, hopefully leading to novel therapeutic and preventive approaches in the care of patients with COPD.
    MeSH term(s) Autonomic Nervous System/physiopathology ; Cardiovascular Diseases/complications ; Cardiovascular Diseases/physiopathology ; Humans ; Models, Biological ; Pulmonary Disease, Chronic Obstructive/complications ; Pulmonary Disease, Chronic Obstructive/physiopathology ; Sympathetic Nervous System/physiopathology
    Language English
    Publishing date 2012-12
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 1944-7930
    ISSN (online) 1944-7930
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Cardiopulmonary and gas-exchange responses during the six-minute walk test in patients with chronic obstructive pulmonary disease.

    van Gestel, Arnoldus J R / Baty, Florent / Rausch-Osthof, Anne-Kathrin / Brutsche, Martin H

    Respiration; international review of thoracic diseases

    2014  Volume 88, Issue 4, Page(s) 307–314

    Abstract: Background: The 6-min walk test (6MWT) is representative of daily life activities and reflects the functional capacity of patients with chronic obstructive pulmonary disease (COPD). Information on the cardiopulmonary and gas exchange responses to the ... ...

    Abstract Background: The 6-min walk test (6MWT) is representative of daily life activities and reflects the functional capacity of patients with chronic obstructive pulmonary disease (COPD). Information on the cardiopulmonary and gas exchange responses to the 6MWT is limited.
    Objectives: We aimed to analyze the breath-by-breath cardiopulmonary and gas exchange responses of patients with COPD during the 6MWT. We also investigated the extent to which parameters reflecting cardiopulmonary and gas exchange function are associated with exercise capacity.
    Methods: The oxygen uptake (VO2) kinetics of patients were obtained using mobile telemetric cardiopulmonary monitoring during a 6MWT. A new mean response time (MRT) index was developed to quantify VO2 on-kinetics by correcting MRT for work rate (wMRT). Multiple linear regression analysis was performed to assess the association between variables reflecting cardiopulmonary and gas exchange function and exercise capacity [6-min walking distance (6MWD) and VO2 at steady state (VO(2SS))].
    Results: In 72 COPD patients (29 females) with a mean (SD) age of 65 (10) years, FEV1 44 (14) % predicted exercise capacity as assessed by VO(2SS) (p = 0.003) was significantly reduced across the stages of COPD. The criteria for maximal effort during the 6MWT were fulfilled by 82% of the patients. After adjustment for covariates, wMRT was independently associated with 6MWD (p = 9.7 × 10(-5)) and VO(2SS) (p = 5.5 × 10(-10)).
    Conclusions: As wMRT mostly depends on the rate of increase of pulmonary blood flow, our results underline the fact that cardiocirculatory function may play a significant role in exercise tolerance in patients with COPD. Our findings imply that modification of cardiocirculatory function may be beneficial in the treatment of COPD patients and improve their outcome more than anticipated previously.
    MeSH term(s) Aged ; Breath Tests/methods ; Exercise Test/methods ; Exercise Tolerance/physiology ; Female ; Forced Expiratory Volume ; Humans ; Male ; Middle Aged ; Oxygen Consumption/physiology ; Pulmonary Disease, Chronic Obstructive/diagnosis ; Pulmonary Disease, Chronic Obstructive/physiopathology ; Pulmonary Gas Exchange ; Reproducibility of Results ; Severity of Illness Index ; Telemetry/methods ; Walking/physiology
    Language English
    Publishing date 2014
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 206674-9
    ISSN 1423-0356 ; 0025-7931
    ISSN (online) 1423-0356
    ISSN 0025-7931
    DOI 10.1159/000365997
    Database MEDical Literature Analysis and Retrieval System OnLINE

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