EDITORIAL

Exercise training in bronchiectasis

Exercise training and inspiratory muscle training in patients with bronchiectasis

R S Goldstein

Correspondence to:
Correspondence to:
Dr R S Goldstein
Professor of Medicine and Physical Therapy, University of Toronto, West Park Healthcare Centre, 82 Buttonwood Avenue, Toronto, Ontario, M6M 2J5 Canada; rgoldstein@westpark.org

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Evidence for effectiveness of pulmonary rehabilitation in patients with bronchiectasis

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Keywords: exercise training; bronchiectasis; inspiratory muscle training; pulmonary rehabilitation

The first 150 words of the full text of this article appear below.

Pulmonary rehabilitation is now recommended by many professional respiratory societies as the standard of care for patients with chronic lung disease.^1–3 This has occurred because well designed prospective randomised controlled trials using valid responsive and interpretable outcome measures have convinced clinicians of its effectiveness. Benefits of pulmonary rehabilitation include improved health related quality of life, increased functional exercise capacity, and reduced healthcare resource utilisation.^4–6 The key determinant of the success of rehabilitation, and the one best supported by clinical evidence, is exercise training.

A frequently encountered challenge in respiratory medicine is that of extending the clinical application of treatment modalities, for which evidence was derived from one clinical circumstance, to other circumstances or diagnostic categories. For example, we recognise that long term oxygen therapy is life extending for patients with stable severe chronic obstructive pulmonary disease (COPD) who have resting hypoxaemia, but still wrestle with the . . . [Full text of this article]

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