Document Detail


Relationship between ventilatory constraint and muscle fatigue during exercise in COPD.
MedLine Citation:
PMID:  19047319     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Dynamic hyperinflation and leg muscle fatigue are independently associated with exercise limitation in patients with chronic obstructive pulmonary disease (COPD). The aims of the present study were to examine 1) the relationship between these limitations and 2) the effect of delaying ventilatory limitation on exercise tolerance and leg muscle fatigue. In total, 11 patients with COPD (with a forced expiratory volume in one second of 52% predicted) completed two cycling bouts breathing either room air or heliox, and one bout breathing heliox but stopping at room air isotime. End-expiratory lung volume (EELV), leg muscle fatigue and exercise time were measured. On room air, end-exercise EELV was negatively correlated with leg fatigue. Heliox increased exercise time (from 346 to 530 s) and leg fatigue (by 15%). At isotime, there was no change in leg fatigue, despite a reduction in EELV compared with end-exercise, in both room air and heliox. The change in exercise time with heliox was best correlated with room air leg fatigue and end-inspiratory lung volume. Patients with chronic obstructive pulmonary disease who had greater levels of dynamic hyperinflation on room air had less muscle fatigue. These patients were more likely to increase exercise tolerance with heliox, which resulted in greater leg muscle fatigue.
Authors:
S J Butcher; O Lagerquist; D D Marciniuk; S R Petersen; D F Collins; R L Jones
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2008-12-01
Journal Detail:
Title:  The European respiratory journal     Volume:  33     ISSN:  1399-3003     ISO Abbreviation:  Eur. Respir. J.     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-04-01     Completed Date:  2009-07-22     Revised Date:  2013-05-23    
Medline Journal Info:
Nlm Unique ID:  8803460     Medline TA:  Eur Respir J     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  763-70     Citation Subset:  IM    
Affiliation:
Dept of Medicine, University of Alberta, Edmonton, AB, Canada. scott.butcher@usask.ca
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MeSH Terms
Descriptor/Qualifier:
Aged
Analysis of Variance
Cross-Over Studies
Exercise Test
Exercise Tolerance / physiology*
Female
Forced Expiratory Volume
Helium
Humans
Leg / physiology
Male
Muscle Fatigue / physiology*
Oxygen
Pulmonary Disease, Chronic Obstructive / physiopathology*
Single-Blind Method
Spirometry
Statistics, Nonparametric
Torque
Chemical
Reg. No./Substance:
58933-55-4/heliox; 7440-59-7/Helium; 7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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