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Enhanced physiotherapy management of acute exacerbations of chronic obstructive pulmonary disease

Advanced chronic obstructive pulmonary disease (COPD) is characterized by a median of one to three acute exacerbations per year,' which have shown to affect patient's pulmonary function,2 health-related quality of life,3 nutritional status4 and skeletal muscle function.5 Guidelines for treatment of acute exacerbations of COPD have been based largely on consensus expert opinion and have been focused on the effects of pharmacological treatment on pulmonary function.6 The present editorial will focus on the possible future role of physiotherapy in the enhanced management of acute exacerbations of COPD.