Summary
Principles used in developing skeletal muscle strength and endurance have for some years been applied to training respiratory muscle performance in normal humans.
In COPD, it is feasible to postulate that increased work of breathing may promote a spontaneous training response; muscular strength is clearly not enhanced.
Training programs have thus been instituted to develop the respiratory muscle function of COPD patients, with particular reference to endurance. Voluntary isocapnic hyperpnea, inspiratory resistive loading and threshold loading are the main techniques used.
Respiratory muscle endurance in COPD can be improved by selective exercise, though total enhancement of exercise performance has yet to be confirmed.
Intensity, frequency and duration of exercise stimuli have also to be studied further.
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© 1988 Springer-Verlag Berlin Heidelberg
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Pardy, R.L. (1988). Respiratory muscle training in COPD. In: Grassino, A., Fracchia, C., Rampulla, C., Zocchi, L. (eds) Respiratory Muscles in Chronic Obstructive Pulmonary Disease. Current Topics in Rehabilitation. Springer, London. https://doi.org/10.1007/978-1-4471-3850-1_17
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DOI: https://doi.org/10.1007/978-1-4471-3850-1_17
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