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Semin Respir Crit Care Med 2009; 30(6): 636-648
DOI: 10.1055/s-0029-1242633
© Thieme Medical PublishersDOI: 10.1055/s-0029-1242633
Pulmonary Rehabilitation and Pharmacotherapy
Further Information
Publication History
Publication Date:
25 November 2009 (online)
ABSTRACT
Though pulmonary rehabilitation can have potent effects on exercise capacity and quality of life in chronic obstructive pulmonary disease (COPD), not all patients benefit to the same degree. Enabling patients to achieve higher training intensities may improve exercise capacity. Adding pharmacological agents to target the abnormal ventilatory mechanics or skeletal muscle dysfunction may enhance the effects of exercise training. This review discusses the rationale and clinical evidence supporting the use of pharmacological adjuncts during the course of pulmonary rehabilitation.
KEYWORDS
COPD - exercise training - bronchodilators - oxygen - helium - anabolic agents
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Roger GoldsteinM.D.
West Park Healthcare Centre
82 Buttonwood Ave., Toronto, ON, M6M 2J5 Canada
Email: rgoldstein@westpark.org