© 2005 BMJ Publishing Group Ltd & British Thoracic Society
EDITORIAL
Peripheral muscle training in COPD
Peripheral muscle training in COPD: still much to learn
Correspondence to:
Correspondence to:
Dr M D L Morgan
Institute for Lung Health, Department of Respiratory Medicine and Thoracic Surgery, University Hospitals of Leicester, Glenfield Hospital, Leicester, LE3 9QP, UK; mike.morgan@uhl-tr.nhs.uk
We know that physical training can improve general functional exercise performance in COPD but we still do not understand the subtleties of different training modes
Keywords: chronic obstructive pulmonary disease; rehabilitation; exercise; skeletal muscle dysfunction
| The first 150 words of the full text of this article appear below. |
Activity limitation and breathlessness are the main clinical features of advanced chronic obstructive pulmonary disease (COPD). During the last few years it has become recognised that this activity limitation relates in some way to peripheral muscle dysfunction that can be partly reversed by the process of pulmonary rehabilitation.1,2 There is still debate about the detailed nature of the peripheral muscle dysfunction but most investigators would agree that deconditioning through inactivity plays a major role. In health, the age related loss of muscle mass can be prevented by maintained activity or reversed by training. In COPD the contribution of other factors to a specific myopathy such as systemic inflammation, hypoxia, or steroid damage remains uncertain. Physical training is the obvious way of improving the function of deconditioned peripheral muscles, although other options such as electrical stimulation or pharmacological treatment can also have an effect. There is
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