Peripheral muscle training in patients with chronic obstructive pulmonary disease: novel approaches and recent advances
Peripheral muscle training in patients with chronic obstructive pulmonary disease: novel approaches and recent advances
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DOI：
10.1080/17476348.2017.1317598
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发表时间：
2017-05-01
影响因子：
3.9
通讯作者：
Osadnik, Christian R.
中科院分区：
文献类型：
--
作者：
Bisca, Gianna W.;Camillo, Carlos A.;Osadnik, Christian R.
简介：肺康复是慢性阻塞性肺疾病（COPD）患者最有效的非药物治疗选择之一。运动训练是肺康复的基石，但世界各地的运动训练方式存在相当大的差异。人们普遍认为，应努力使具体的治疗方法适合个人的需要。这同样适用于呼吸医学，因为它不呼吸rehabilitation.Areas覆盖：这种叙述性审查新兴的文献评估的进展，运动训练方式针对外周肌肉功能的人与COPD。它旨在强调有关临床有效性的关键证据的交付的实际考虑，以及强调其有效性的一些评估，以告知临床实践。专家评论：虽然在特定情况下，新的疗法可能比传统的训练方法更有优势，但在对临床康复的潜在影响方面存在挑战，确定这种治疗的最佳候选者和获得设备可能对其更广泛的临床实施构成现实的障碍。将讨论如何克服这些障碍的未来方向，包括确定关键的研究重点，以优化这一领域的循证实践。
Introduction: Pulmonary rehabilitation is one of the most effective non-pharmacological management options for individuals with chronic obstructive pulmonary disease (COPD). Exercise training is the cornerstone of pulmonary rehabilitation, however considerable variability exists regarding the way it is delivered across the world. It is widely accepted that efforts should be made to tailor specific therapeutic approaches to individuals' needs. This applies as much to respiratory medicine as it does to respiratory rehabilitation.Areas covered: This narrative review examines the emerging literature evaluating advancements of exercise training modalities targeting peripheral muscle function in people with COPD. It aims to highlight practical considerations regarding the delivery key evidence regarding clinical effectiveness, as well as highlight some of the and evaluation of their effectiveness to inform clinical practice.Expert commentary: Although novel therapies may offer advantages over more traditional' training methods under specific circumstances, challenges regarding the potential impact upon clinical rehabilitation, the identification of the best candidates for such therapy and access to equipment may pose realistic barriers to their more widespread clinical implementation. Future directions regarding the ways in which these barriers could be overcome will be discussed, including identification of the key research priorities to optimize evidence-based practice in this area.