Exploring cardiopulmonary rehabilitation in the middle east and North Africa region: A narrative review of challenges and opportunities.

Autor: Al-Ajlouni YA; Department of Rehabilitation, Montefiore Medical Center, Bronx, NY, USA; New York Medical College, Valhalla, NY, USA. Electronic address: alajlouni.yazan@gmail.com., Tanashat M; Faculty of Medicine, Yarmouk University, Irbid, Jordan., Basheer AA; Department of Physical Therapy for Musculoskeletal Disorders, Faculty of Physical Therapy, Beni Suef University, Beni Suef Governorate, Egypt., Al Ta'ani O; Allegheny Health Network, Pittsburgh, PA, USA., Alhuneafat L; Division of Cardiovascular Disease, University of Minnesota, Minneapolis, MN, USA., Deepak F; Shaheed Mohtarma Benazir Bhutto Medical College, Karachi, Pakistan., Bilgin-Badur N; Department of Rehabilitation, Montefiore Medical Center, Bronx, NY, USA., Etienne M; New York Medical College, Valhalla, NY, USA.
Jazyk: angličtina
Zdroj: Current problems in cardiology [Curr Probl Cardiol] 2024 Aug 31; Vol. 49 (12), pp. 102829. Date of Electronic Publication: 2024 Aug 31.
DOI: 10.1016/j.cpcardiol.2024.102829
Abstrakt: Background and Objectives: Cardiopulmonary Rehabilitation (CR) is crucial for managing conditions like congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), and post-COVID-19 complications. This review examines CR practices in the Middle East and North Africa (MENA) region, exploring challenges, disparities, and emerging trends.
Methods: A comprehensive literature search was conducted in PubMed, Scopus, and Web of Science to identify studies published between date of inception and April 24th, 2024, focusing on CR programs, outcomes, challenges, and strategies specific to the MENA region. Data extraction included study design, population characteristics, CR interventions, and key findings.
Results: CR programs in the MENA region vary widely in scope and execution. While efforts are underway to integrate CR services into national healthcare policies, significant challenges persist, including limited infrastructure, shortages of trained professionals, and cultural barriers. Emerging trends include the use of telehealth and digital monitoring tools to expand access to CR services and policy reforms aimed at improving service delivery and patient access.
Conclusion: CR plays a crucial role in improving the quality of life and health outcomes for cardiopulmonary patients, including those in the MENA region. However, significant challenges hinder the widespread adoption and effectiveness of CR programs. Addressing these challenges requires efforts to increase public education, reduce costs, expand funding, and enhance interprofessional collaboration. Future research should assess virtual rehabilitation, cultural adjustments, and long-term outcomes to tailor interventions to MENA's needs, ultimately enhancing CR accessibility and patient outcomes.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024. Published by Elsevier Inc.)
Databáze: MEDLINE
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