1 Temerty Faculty of Medicine, Respirology, Krembil Brain Institute, Toronto, ON, Canada; Respirology, University Health Network, Toronto, ON, Canada; Toronto General Hospital Research Institute, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada. Electronic address: Dmitry.Rozenberg@uhn.ca.
2 Department of Physical Therapy, Krembil Brain Institute, Toronto, ON, Canada; Interdepartmental Division of Critical Care Medicine, Krembil Brain Institute, Toronto, ON, Canada; KITE, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.
3 Department of Physical Therapy, The University of British Columbia, Vancouver, BC, Canada; Centre for Heart Lung Innovation, The University of British Columbia, Vancouver, BC, Canada.
4 Department of Psychology, Krembil Brain Institute, Toronto, ON, Canada; KITE, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.
5 School of Physiotherapy, Faculty of Health, Dalhousie University; Department of Medicine, Respirology, Nova Scotia Health Authority.
6 Department of Physiological Sciences, University of Florida.
7 Lung Health Foundation, Toronto, ON, Canada.
8 Temerty Faculty of Medicine, Respirology, Krembil Brain Institute, Toronto, ON, Canada; Respirology, University Health Network, Toronto, ON, Canada.
9 Department of Physical Therapy, The University of British Columbia, Vancouver, BC, Canada; Centre for Heart Lung Innovation, Providence Research, The University of British Columbia and St Paul's Hospital, Vancouver, BC, Canada; Division of Respiratory Medicine, The University of British Columbia, Gordon and Leslie Diamond Health Care Centre, Vancouver, BC, Canada.
10 Department of Psychiatry, Krembil Brain Institute, Toronto, ON, Canada; Neuropsychology Clinic, University Health Network, Toronto, ON, Canada.
11 Temerty Faculty of Medicine, Respirology, Krembil Brain Institute, Toronto, ON, Canada; Department of Respiratory Medicine, Westpark Healthcare Centre, Toronto, ON, Canada.
12 College of Medicine, Respiratory Research Center, University of Saskatchewan, Saskatoon, SK, Canada.
13 School of Physical & Occupational Therapy, McGill University, Montreal, QB, Canada.
14 Department of Family and Community Medicine, School of Graduate Studies, Temerty Faculty of Medicine, Toronto, ON, Canada; Family Physician Airways Group of Canada.
15 KU Leuven, Faculty of Movement and Rehabilitation Sciences, Department of Rehabilitation Sciences, Research Group for Rehabilitation in Internal Disorders, Leuven, Belgium; Department of Intensive Care Medicine, University Hospitals Leuven, Leuven, Belgium.
16 Division of Respirology, Critical Care and Sleep Medicine, Respiratory Research Center, University of Saskatchewan, Saskatoon, SK, Canada.
17 Library and Information Services, University Health Network, Toronto, ON, Canada.
18 Department of Physical Therapy, Krembil Brain Institute, Toronto, ON, Canada.
19 Department of Health, Kinesiology, and Applied Physiology, Concordia University, Montreal, QB, Canada.
20 Department of Physical Therapy, Krembil Brain Institute, Toronto, ON, Canada; Rehabilitation Sciences Institute, School of Graduate Studies, Temerty Faculty of Medicine, Toronto, ON, Canada.
21 Department of Occupational Science & Occupational Therapy, Rehabilitation Sciences Institute, Toronto, ON, Canada; Rotman Research Institute, Baycrest, Toronto, ON, Canada.
22 Department of Medicine, The University of British Columbia, Vancouver, BC, Canada; Centre f

Topic importance: Cognitive and physical limitations are common in individuals with chronic lung diseases, but their interactions with physical function and activities of daily living are not well characterized. Understanding these interactions and potential contributors may provide insights on disability and enable more tailored rehabilitation strategies.

Review findings: This review summarizes a 2-day meeting of patient partners, clinicians, researchers, and lung associations to discuss the interplay between cognitive and physical function in people with chronic lung diseases. This report covers four areas: (1) cognitive-physical limitations in patients with chronic lung diseases; (2) cognitive assessments; (3) strategies to optimize cognition and motor control; and (4) future research directions. Cognitive and physical impairments have multiple effects on quality of life and daily function. Meeting participants acknowledged the need for a standardized cognitive assessment to complement physical assessments in patients with chronic lung diseases. Dyspnea, fatigue, and age were recognized as important contributors to cognition that can affect motor control and daily physical function. Pulmonary rehabilitation was highlighted as a multidisciplinary strategy that may improve respiratory and limb motor control through neuroplasticity and has the potential to improve physical function and quality of life.

Summary: There was consensus that cognitive function and the cognitive interference of dyspnea in people with chronic lung diseases contribute to motor control impairments that can negatively affect daily function, which may be improved with pulmonary rehabilitation. The meeting generated several key research questions related to cognitive-physical interactions in individuals with chronic lung diseases.