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Abstract Chronic obstructive pulmonary disease(COPD)is regarded as a systemic disease causing structural and functional changes in many organs as well as in the lung.Malnutrition, weight loss and muscle weakness are some of the systemic manifestations of COPD that seriously affect the health related quality of life and exercise capacity of patients. COPD represents a model of respiratory muscle dysfunction;diaphragm is the main respiratory muscle and its assessment is mandatory in the evaluation of COPD patients. |