Future Trends in Pulmonary Rehabilitation
During recent years there have been considerable advances in the field of pulmonary rehabilitation.1, 2 However, the advances have been accompanied by some unfulfilled expectations in areas such as respiratory muscle rest and training. This reflects the fact that pulmonary rehabilitation can probably still be regarded as more of an art than a science. In this connection it should be noted that respiratory muscle fatigue is still in search of a precise definition and of objective criteria to assess its presence and prevalence in stable patients with chronic obstructive pulmonary disease (COPD) or other respiratory disorders.3 Apart from providing new valuable information, the 1990 meeting “Up-dating on Cardiopulmonary Rehabilitation” has added a new dimension by combining cardiac and pulmonary rehabilitation. Indeed, cardiac and pulmonary abnormalities are often closely linked, as exemplified by dynamic pulmonary hyperinflation. Such linkage was a most refreshing aspect of this meeting.
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