Guidelines for the Evaluation and Treatment of Muscle Dysfunction in Patients With Chronic Obstructive Pulmonary Disease

Barreiro Portela, Esther; Bustamante, Víctor; Cejudo, Pilar; Gáldiz, Juan B.; Gea Guiral, Joaquim; Lucas, Pilar de; Martínez-Llorens, Juana Mª; Ortega, Francesc; Puente-Maestu, Luis; Roca, Josep; Rodríguez-González Moro, José Miguel

Guidelines for the Evaluation and Treatment of Muscle Dysfunction in Patients With Chronic Obstructive Pulmonary Disease

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dc.contributor.author Barreiro Portela, Estherca
dc.contributor.author Bustamante, Víctorca
dc.contributor.author Cejudo, Pilarca
dc.contributor.author Gáldiz, Juan B.ca
dc.contributor.author Gea Guiral, Joaquimca
dc.contributor.author Lucas, Pilar deca
dc.contributor.author Martínez-Llorens, Juana Mªca
dc.contributor.author Ortega, Francescca
dc.contributor.author Puente-Maestu, Luisca
dc.contributor.author Roca, Josepca
dc.contributor.author Rodríguez-González Moro, José Miguelca
dc.date.accessioned 2015-10-13T11:35:50Z
dc.date.available 2016-08-31T02:00:04Z
dc.date.issued 2015
dc.description.abstract In patients with chronic obstructive pulmonary disease (COPD), skeletal muscle dysfunction is a major comorbidity that negatively impacts their exercise capacity and quality of life. In the current guidelines, the most recent literature on the various aspects of COPD muscle dysfunction has been included. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) scale has been used to make evidence-based recommendations on the different features. Compared to a control population, one third of COPD patients exhibited a 25% decline in quadriceps muscle strength, even at early stages of their disease. Although both respiratory and limb muscles are altered,the latter are usually more severely affected. Numerous factors and biological mechanisms are involved in the etiology of COPD muscle dysfunction. Several tests are proposed in order to diagnose and evaluate the degree of muscle dysfunction of both respiratory and limb muscles (peripheral), as well as to identify the patients’ exercise capacity (six-minute walking test and cycloergometry). Currently available therapeutic strategies including the different training modalities and pharmacological and nutritional support are also described.ca
dc.format.mimetype application/pdfca
dc.identifier.citation Barreiro E, Bustamante V, Cejudo P, Gáldiz JB, Gea J, de Lucas P. et al. Guidelines for the evaluation and treatment of muscle dysfunction in patients with chronic obstructive pulmonary disease. Arch Bronconeumol. 2015 Aug;51(8):384-95. DOI: 10.1016/j.arbres.2015.04.011.ca
dc.identifier.doi http://dx.doi.org/10.1016/j.arbres.2015.04.011
dc.identifier.issn 0300-2896
dc.identifier.uri http://hdl.handle.net/10230/24839
dc.language.iso engca
dc.language.iso spaca
dc.publisher Elsevierca
dc.relation.ispartof Archivos de Bronconeumología. 2015 Aug;51(8):384-95
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.subject.other Pulmons -- Malalties obstructives -- Manuals, guies, etc.ca
dc.title Guidelines for the Evaluation and Treatment of Muscle Dysfunction in Patients With Chronic Obstructive Pulmonary Diseaseca
dc.type info:eu-repo/semantics/articleca
dc.type.version info:eu-repo/semantics/acceptedVersionca

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Articles (Hospital del Mar Research Institute)
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