Document Detail

Nonpharmacologic adjuncts to training during pulmonary rehabilitation: the role of supplemental oxygen and noninvasive ventilation.
MedLine Citation:
PMID:  15074455     Owner:  NLM     Status:  MEDLINE    
Exercise training is the cornerstone of pulmonary rehabilitation. However, patients may not be able to exercise at a level that produces a training effect because of limitations related to their underlying lung disease. Adjuncts during exercise training may increase their exercise capacity and increase the benefit of pulmonary rehabilitation. The pathophysiology of exercise associated limitation is reviewed, as well as the role of supplemental oxygen and noninvasive ventilatory support as nonpharmacologic adjuncts to training. While most studies demonstrate benefit during exercise, the evidence of an added benefit during pulmonary rehabilitation is mixed. Work is needed to better define the benefits and appropriate patient populations. The subgroups that may derive the most benefit from these adjuncts are those with oxygen desaturation during exercise and those with severe chronic obstructive pulmonary disease (defined as a forced expiratory volume in 1 s (FEV1) < 1.0 L). Nocturnal noninvasive ventilation during pulmonary rehabilitation seems to be an effective adjunct and merits further study.
Guy W Soo Hoo
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Journal of rehabilitation research and development     Volume:  40     ISSN:  0748-7711     ISO Abbreviation:  J Rehabil Res Dev     Publication Date:    2003 Sep-Oct
Date Detail:
Created Date:  2004-04-12     Completed Date:  2004-05-11     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8410047     Medline TA:  J Rehabil Res Dev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  81-97     Citation Subset:  IM    
Pulmonary and Critical Care Section, West Los Angeles Healthcare Center, Los Angeles, CA 90073, USA.
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MeSH Terms
Anoxia / physiopathology
Dyspnea / physiopathology,  rehabilitation
Exercise / physiology*
Oxygen Inhalation Therapy
Pulmonary Disease, Chronic Obstructive / physiopathology,  rehabilitation*
Respiration, Artificial*
Treatment Outcome

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