Effect of inspiratory muscle training on exercise performance and quality of life in patients with chronic obstructive pulmonary disease

作者: Ahmed Saad Elmorsi , Mohamad Elsayed Eldesoky , Mona Ahmad Abdelwahab Mohsen , Nesrien Mohammad Shalaby , Dina Abouelkheir Abdalla

DOI: 10.1016/J.EJCDT.2015.10.006

关键词:

摘要: Abstract Background Chronic obstructive pulmonary disease (COPD) is associated with skeletal muscle dysfunction. This study aimed to evaluate effectiveness of inspiratory training (IMT) as a part exercise in COPD patients. Methods Sixty male patients were assigned 3 groups; twenty each group. In addition medical treatment given for all patients; group A received peripheral muscles plus IMT at an intensity that increased from 30% 60% their maximal pressure (P Imax ). Patients B alone, and C; they no training. All underwent clinical evaluation, chest X-ray, electrocardiogram, body mass index, spirometry. Outcome measures the form respiratory strength [P , expiratory Emax )], dyspnea, performance (six minutes walk test) quality life [BODE index St. George’s Respiratory questionnaire (SGRQ-C)] carried out entry, after 4 8 weeks. Results led significant improvement P Emax, 6-min walking distance (6MWD) compared alone. Both alone improved BODE SGRQ-C without differences between 2 groups. Conclusion For 6MWD; provides additional benefits However, this did not translate into dyspnea what achieved by

参考文章(34)
Marc-André Caron, Marie-Eve Thériault, Richard Debigaré, François Maltais, Skeletal Muscle Dysfunction Humana Press. pp. 137- 159 ,(2012) , 10.1007/978-1-60761-673-3_9
Barakat Shahin, Outpatient pulmonary rehabilitation in patients with chronic obstructive pulmonary disease. International Journal of Chronic Obstructive Pulmonary Disease. ,vol. 3, pp. 155- 162 ,(2008) , 10.2147/COPD.S2126
Alba Ramírez-Sarmiento, Mauricio Orozco-Levi, Rosa Güell, Esther Barreiro, Nuria Hernandez, Susana Mota, Merce Sangenis, Joan M. Broquetas, Pere Casan, Joaquim Gea, Inspiratory muscle training in patients with chronic obstructive pulmonary disease: structural adaptation and physiologic outcomes. American Journal of Respiratory and Critical Care Medicine. ,vol. 166, pp. 1491- 1497 ,(2002) , 10.1164/RCCM.200202-075OC
Brita Klefbeck, Jallal Hamrah Nedjad, Effect of inspiratory muscle training in patients with multiple sclerosis Archives of Physical Medicine and Rehabilitation. ,vol. 84, pp. 994- 999 ,(2003) , 10.1016/S0003-9993(03)00133-3
M J Berry, N E Adair, K S Sevensky, A Quinby, H M Lever, Inspiratory muscle training and whole-body reconditioning in chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine. ,vol. 153, pp. 1812- 1816 ,(1996) , 10.1164/AJRCCM.153.6.8665039
Donald A. Mahler, Carolyn K. Wells, Evaluation of Clinical Methods for Rating Dyspnea Chest. ,vol. 93, pp. 580- 586 ,(1988) , 10.1378/CHEST.93.3.580
JANET L. LARSON, MARGARET K. COVEY, SCOTT E. WIRTZ, JEAN K. BERRY, CHARLES G. ALEX, W. EDWIN LANGBEIN, LONNIE EDWARDS, Cycle ergometer and inspiratory muscle training in chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine. ,vol. 160, pp. 500- 507 ,(1999) , 10.1164/AJRCCM.160.2.9804067
Roger Goldstein, Jim De Rosie, Susan Long, Tom Dolmage, Monica A. Avendano, Applicability of a Threshold Loading Device for Inspiratory Muscle Testing and Training in Patients with COPD Chest. ,vol. 96, pp. 564- 571 ,(1989) , 10.1378/CHEST.96.3.564
Anne E. Holland, Catherine J. Hill, Tshepo Rasekaba, Annemarie Lee, Matthew T. Naughton, Christine F. McDonald, Updating the minimal important difference for six-minute walk distance in patients with chronic obstructive pulmonary disease. Archives of Physical Medicine and Rehabilitation. ,vol. 91, pp. 221- 225 ,(2010) , 10.1016/J.APMR.2009.10.017