Identification of Explanatory Factors for the Lack of Muscle Strength Gain Following a Pulmonary Rehabilitation Program in COPD Patients
Chronic Obstructive Pulmonary Disease (COPD) is a chronic respiratory disease associated with various comorbidities, including muscle weakness (MW), which is very worrying due to its negative impact on patients' quality of life and survival. To address this issue, muscle strengthening is incorporated into pulmonary rehabilitation programs. However, its effectiveness is unclear, as although there is an average improvement in muscle strength, one in two patients does not show a clinically relevant improvement. To understand this non-response, it is crucial to examine the effect of muscle strengthening programs on the two main determinants of force production: the muscle and the central command. Muscle adaptations following a muscle strengthening program are well-documented, showing improvements in muscle function (cross-sectional area, lean mass, etc.). Conversely, only one study has investigated central adaptations after a muscle strengthening program, clearly demonstrating a lack of effect.

The investigators hypothesize that patients showing no improvement in muscle strength after pulmonary rehabilitation (non-responders) have a significantly lower level of voluntary activation before starting the program compared to responding patients (responders).
- EligibilityCriteria: Inclusion Criteria:  Patients aged 40 to 80 years Patients admitted to a 4-week inpatient pulmonary rehabilitation program Patients diagnosed with COPD (Stage I to IV) according to internationally recognized criteria determined by the GOLD Patients able to understanding, speaking, reading, and writing French Patients for whom informed consent will be obtained after a maximum 24-hour reflection period Patients affiliated with a French social security system or beneficiaries of such a system  Exclusion Criteria:  Diagnosis of neurological and/or cerebrovascular disease corresponding to code 8 of the International Classification of Diseases (ICD-11) Possession of any invasive metallic medical devices (pacemaker, prosthesis, etc.) except for dental prostheses (crowns and bridges). Epileptic risk factors (chronic alcoholism, brain surgery, recent head trauma) Orthopedic conditions that may affect the completion of protocol tests and assessments Recent exacerbation (within 4 weeks) Patients in a period of relative exclusion compared to another protocol Adults protected by law or patients under guardianship or conservatorship Individuals deprived of liberty by a judicial or administrative decision Pregnant or breastfeeding women - HealthyVolunteers: No - Gender: All - MinimumAge: 40 Years - MaximumAge: 80 Years - StdAgeList: Adult, Older Adult