EDKP 485 Lecture 11: EX PATHO 11

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Adults w/ copd benefit from rehabilitative exercise training. *more symptomatic = more benefit because lower baseline. Home-based vs hospital-based pulmonary rehabilitation = associated w/ similar improvements in. Patient-reported dyspnea / quality of life / exercise tolerance. Despite i(cid:373)pro(cid:448)e(cid:373)e(cid:374)ts i(cid:374) symptom burden/quality of life/laboratory-based tests of functional. Patients do not significantly modify daytime physical activity levels. Walking time & intensity in daily life *can change behaviour. Novel interventions to enhance physiologic adaptations of exercise training in copd. *intensity & duration = important determinants of physiologic adaptations that occur in response to. Exercise training if exercise at higher intensity = improve more . Many copd patients = too limited by dyspnea that training restricted to low/moderate-intensity. Exercise limit extent of skeletal muscle adaptation / peripheral muscle re-conditioning) *need to train muscle to decrease metabolic requirement so delay mechanical ventilatory limit. With training intervention a) copd patients can improve to target training duration faster: copd patients cannot reach target training intensity.

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