The Relevance of Limb Muscle Dysfunction in Chronic Obstructive Pulmonary Disease A Review For Clinicians

被引:19
作者
Bui, Kim-Ly [1 ]
Nyberg, Andre [2 ]
Rabinovich, Roberto [3 ,4 ,5 ]
Saey, Didier [1 ]
Maltais, Francois [1 ]
机构
[1] Univ Laval, Inst Univ Cardiol & Pneumol Quebec, Ctr Rech, 2725 Chemin Stefoy, Quebec City, PQ G1V 4G5, Canada
[2] Umea Univ, Sect Physiotherapy, Dept Community Med & Rehabil, Umea, Sweden
[3] Univ Edinburgh, Queens Med Res Inst, ELEGI Lab, 47 Little France Crescent, Edinburgh EH16 4TJ, Midlothian, Scotland
[4] Univ Edinburgh, Queens Med Res Inst, COLT Lab, 47 Little France Crescent, Edinburgh EH16 4TJ, Midlothian, Scotland
[5] Royal Infirm Edinburgh NHS Trust, Dept Resp Med, 51 Little France Crescent, Edinburgh EH16 4SA, Midlothian, Scotland
关键词
Chronic obstructive pulmonary disease; Quadriceps; Muscle atrophy; Muscle weakness; Muscle; Exercise; VASTUS LATERALIS MUSCLE; VOLUNTARY ISOMETRIC CONTRACTION; PERIPHERAL SKELETAL-MUSCLE; X-RAY ABSORPTIOMETRY; CENTRAL MOTOR DRIVE; QUADRICEPS MUSCLE; BODY-COMPOSITION; CYCLE EXERCISE; NUTRITIONAL DEPLETION; ACUTE EXACERBATIONS;
D O I
10.1016/j.ccm.2019.02.013
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
100201 [内科学];
摘要
Chronic obstructive pulmonary disease (COPD) is often accompanied by extrapulmonary manifestations such as limb muscle dysfunction. This term encompasses several features, including atrophy, weakness, and reduced oxidative capacity. Clinicians should become accustomed with this manifestation of COPD because of its relevance for important outcomes such as exercise tolerance and survival. Measuring muscle strength and mass can be performed with simple and valid tools that could be implemented in clinical practice. One identified, limb muscle dysfunction is amenable to therapy such as exercise training that has been repeatedly shown to improve muscle mass, strength, and oxidative capacity in COPD.
引用
收藏
页码:367 / +
页数:18
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