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Evidence Supporting the Use of Endurance Exercise to Decrease Dyspnea in COPD by Wilson, Christine R. is a Medicine article available to read on EtoBox.

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Purpose : Breathlessness is a common complaint and disabling symptom for individuals with chronic obstructive pulmonary disease. Endurance exercise is frequently recommended to prevent the effects of deconditioning and to enable the performance of more activity with less breathlessness. This article reviews the evidence underlying the effectiveness of endurance exercise training in reducing dyspnea in these individuals, and discusses possible mechanisms of dyspnea generation and reduction by exercise. Summary of Key Points : Findings indicate that endurance exercise is very effective at decreasing dyspnea generated during an exercise test, dyspnea during functional activities, and dyspnea affecting the quality of life. During exercise, the severity of dyspnea is related to diffusing capacity of the lung, the amount of ventilation required to eliminate carbon dioxide, and the magnitude of dynamic hyperinflation. After endurance exercise training, dyspnea reduction is related to decreased ventilatory demand at submaximal workloads, improvements in V02 workload and, possibly, desensitization to the sensation of dyspnea. Statement of Conclusions : Research supports the routine use of e

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Author

Wilson, Christine R.

Publisher

Ovid Technologies (Wolters Kluwer) - Lippincott Williams & Wilkins; Lippincott Williams and Wilkins; Ovid Technologies (Wolters Kluwer Health) (ISSN 1541-7891)

Published

2003

Language

EN

Field

Medicine (Health Sciences)