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Educational aims  To describe the potential benefi ts of noninvasive positive-pressure ventilation (NIV) as an adjunct to exercise training in selected patients with chronic obstructive pulmonary disease (COPD) or chest wall restriction.  To outline the mechanisms by which NIV may improve exercise performance in selected patients with COPD or chest wall restriction.  To identify characteristics of patients with chronic respiratory disease who are more likely to respond to NIV-assisted training.  To highlight major practical considerations for implementing NIV-assisted training in an individual with COPD or chest wall restriction.

Noninvasive ventilation as an adjunct to exercise training in patients with chronic respiratory disease