title: [Noninvasive ventilation during pulmonary rehabilitation in COPD patients].
abstract: BACKGROUND
  Pulmonary rehabilitation is currently the gold standard treatment for patients with chronic obstructive pulmonary disease (COPD). However, the workload achieved may be insufficient to obtain physiological benefits because of the restricted respiratory capacity.
  
  
  BACKGROUND
  In patients with COPD, changes in flow as well as biomechanical factors (distension) compromise respiratory adaptation to exertion. Some studies have shown that noninvasive ventilation (NIV) during exercise has a positive effect on respiratory muscle workload, physiological parameters and perceived exertion. However the evidence remains insufficient regarding the effects of the NIV during comprehensive pulmonary rehabilitation programs.
  
  
  OBJECTIVE
  The identification of criteria which determine responsive patients is necessary in order to reduce human and time costs and to optimize the use of NIV during exercise.
  
  
  CONCLUSIONS
  NIV is used during training to overcome dyspnoea and to increase muscle workload. Further studies are needed to verify the effectiveness of NIV in pulmonary rehabilitation.
authors.affiliation: ADIR association, 147, avenue du Maréchal-Juin, 76230 Bois-Guillaume, France. Electronic address: francis.gravier@gmail.com.
authors.forename: F-É
authors.initials: FÉ
authors.lastname: Gravier
authors.affiliation: ADIR association, 147, avenue du Maréchal-Juin, 76230 Bois-Guillaume, France.
authors.forename: T
authors.initials: T
authors.lastname: Bonnevie
authors.affiliation: Service de pneumologie, groupe hospitalier du Havre, avenue Pierre-Mendès, 76290 Montivilliers, France.
authors.forename: C
authors.initials: C
authors.lastname: Medrinal
authors.affiliation: UPRES EA3830, service de physiologie digestive, urinaire, respiratoire et sportive, centre hospitalier universitaire, université de Rouen, 76031 Rouen cedex, France.
authors.forename: D
authors.initials: D
authors.lastname: Debeaumont
authors.affiliation: ADIR assistance, parc d'activité des Hauts-Champs, route de Dieppe, 76230 Isneauville, France.
authors.forename: J
authors.initials: J
authors.lastname: Dupuis
authors.affiliation: ADIR association, 147, avenue du Maréchal-Juin, 76230 Bois-Guillaume, France; UPRES EA3830, service de pneumologie et des soins intensifs respiratoires, centre hospitalier universitaire, université de Rouen, 76031 Rouen cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Viacroze
authors.affiliation: ADIR association, 147, avenue du Maréchal-Juin, 76230 Bois-Guillaume, France; UPRES EA3830, service de pneumologie et des soins intensifs respiratoires, centre hospitalier universitaire, université de Rouen, 76031 Rouen cedex, France.
authors.forename: J-F
authors.initials: JF
authors.lastname: Muir
authors.affiliation: ADIR association, 147, avenue du Maréchal-Juin, 76230 Bois-Guillaume, France; UPRES EA3830, service de physiologie digestive, urinaire, respiratoire et sportive, centre hospitalier universitaire, université de Rouen, 76031 Rouen cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Tardif
mesh_terms: D015444:Exercise / Q000502:physiology; D017079:Exercise Tolerance / Q000502:physiology; D006801:Humans; D063087:Noninvasive Ventilation / Q000379:methods; D029424:Pulmonary Disease, Chronic Obstructive / Q000534:rehabilitation*; D015656:Respiratory Mechanics / Q000502:physiology; D012132:Respiratory Muscles / Q000503:physiopathology
keywords: Bronchopneumopathie chronique obstructive; Chronic obstructive pulmonary disease; Exercice; Exercise; Muscles respiratoires; Noninvasive ventilation; Pulmonary rehabilitation; Respiratory muscles; Réhabilitation respiratoire; Ventilation non invasive