A home-based nurse-coached inspiratory muscle training intervention in heart failure

Padula, Cynthia; Yeaw, Evelyn M. J.; Mistry, S Devashree

doi:10.1016/j.apnr.2007.02.002

Cited by 32 publications

(80 citation statements)

References 20 publications

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“…Only one study clearly described the blinding (patients and therapists) 14 , and the confidentiality of the allocation concealment 12 , and four trials reported that the outcome evaluation was blind 8,11,14,24 . Moreover, one study 10 also failed to describe the losses and exclusions that occurred during the treatment period.…”

Section: Strengths and Limitations Of The Reviewmentioning

confidence: 99%

“…The other studies performed IMT with 30% [8][9][10]12 or 40% 14 of PImax. When this study was omitted individually from the meta-analyses to assess possible individual influences on results, heterogeneity and weighted mean difference remained unchanged.…”

Section: Maximal Static Inspiratory Pressurementioning

confidence: 99%

“…All articles [8][9][10][11][12]14 included in this meta-analysis evaluated PImax (n = 150). There was a significant improvement (Figure 4).…”

Section: Maximal Static Inspiratory Pressurementioning

confidence: 99%

“…Randomized controlled trials (RCTs) have focused on the effects of IMT on inspiratory muscle strength and endurance, which leads to improvement in peak oxygen consumption, quality of life and dyspnea [8][9][10][11][12][13][14] . However, the sample sizes of studies comparing these benefits to those obtained with a control group in these patients have been small.…”

Section: Introductionmentioning

confidence: 99%

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Treinamento muscular inspiratório em pacientes com insuficiência cardíaca: metanálise de estudos randomizados

Plentz¹,

Sbruzzi²,

Ribeiro³

et al. 2012

Arq. Bras. Cardiol.

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Patients with chronic heart failure (CHF) may have lower inspiratory muscle strength and endurance, which may contribute to exercise intolerance. Inspiratory muscle training (IMT) can have beneficial effects on these patients. Thus, the aim of this study was to systematically review the effects of IMT compared to control groups (placebo-IMT or another intervention) in patients with CHF. A search of databases (MEDLINE, Cochrane CENTRAL and PEDro) and references of published studies, from 1960 to 2011, was conducted. Randomized trials comparing IMT to control groups in the treatment of patients with CHF were included. The GRADE approach was used to determine the quality of evidence for each outcome. Of 119 articles identified, 7 studies were included. IMT increased the distance walked in the six-minute walk test [69 m (95% CI: 7.21 to 130.79)] (very low evidence) and maximal static inspiratory pressure [23.36 cmH20 (95% CI: 11.71 to 35.02)] (low evidence) compared to control groups. However, IMT provides a significant improvement in peak oxygen consumption only in the studies that performed IMT for 12 weeks against no inspiratory load in patients with inspiratory muscle weakness [3.02 ml/kg/min-1 (95% CI: 0.43 to 5.61)]. IMT improves functional capacity and inspiratory muscle strength thereby deserving consideration as an additional intervention in patients with CHF. Larger and better-designed studies, however, are needed to clarify the potential benefit of IMT in this patient population.

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Section: Strengths and Limitations Of The Reviewmentioning

confidence: 99%

Section: Maximal Static Inspiratory Pressurementioning

confidence: 99%

“…All articles [8][9][10][11][12]14 included in this meta-analysis evaluated PImax (n = 150). There was a significant improvement (Figure 4).…”

Section: Maximal Static Inspiratory Pressurementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Treinamento muscular inspiratório em pacientes com insuficiência cardíaca: metanálise de estudos randomizados

Plentz¹,

Sbruzzi²,

Ribeiro³

et al. 2012

Arq. Bras. Cardiol.

View full text Add to dashboard Cite

show abstract

“…Moreover, most severely impaired patients with an New York Heart Association (NYHA) class III/IV have limited physical activity and less adherence to conventional exercise training programs (Smart et al, 2013); for these reasons, home-based IMT programs supervised by nurses and other healthcare professionals have been recommended as a safe, flexible, and adjuvant treatment of pharmacologic interventions in HF patients (Pihl, Cider, Strömberg, Fridlund, & Mårtensson, 2011;Smart et al, 2013). Despite its underuse in clinical practice (Montemezzo et al, 2014), IMT therapy may be an alternative treatment modality for patients who cannot engage in center-based exercise training programs (Padula, Yeaw, & Mistry, 2009;Zwisler et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

The effect of inspiratory muscle training on fatigue and dyspnea in patients with heart failure: A randomized, controlled trial

Pour

Gholami

Saki

et al. 2019

Japan Journal Nursing Sci

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Aim Fatigue and dyspnea are debilitating symptoms in patients with heart failure (HF). The purpose of this study was to evaluate the effects of inspiratory muscle training (IMT) on dyspnea, fatigue and the New York Heart Association (NYHA) functional classification in patients with HF. Methods In this prospective, randomized, controlled trial, 84 patients with HF (NYHA classes II‐III/IV) with a mean age of 56.62 ± 9.56 years were randomly assigned to a 6‐week IMT (n = 42) or a sham IMT (n = 42) program. The IMT was performed at 40% of the maximal inspiratory pressure (MIP) in the IMT group and at 10% in the sham group. The main outcomes were assessed at baseline and after the intervention and included dyspnea severity scale (Modified Medical Research Council [MMRC], Fatigue Severity Scale [FSS] and the NYHA functional classification (based on the presenting symptoms). Results The between‐group analysis showed significant improvements in dyspnea, fatigue and the NYHA functional classification in the IMT group compared to the sham group (P < .05). The within‐group analysis showed significant improvements in dyspnea (from 2.63 ± 0.79 to 1.38 ± 0.66, P < .001), fatigue (from 43.36 ± 8.5 to 28.95 ± 9.11, P < .001) and the NYHA functional classification (from 2.73 ± 0.5 to 2.1 ± 0.6, P = .001) in the IMT group, while fatigue and dyspnea increased significantly in the sham group. Conclusions The 6‐week home‐based IMT was found to be an effective and safe tool for reducing dyspnea and fatigue and improving the NYHA functional classification.

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Functional benefits of respiratory muscle training

McConnell

2013

Respiratory Muscle Training

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A home-based nurse-coached inspiratory muscle training intervention in heart failure

Cited by 32 publications

References 20 publications

Treinamento muscular inspiratório em pacientes com insuficiência cardíaca: metanálise de estudos randomizados

Treinamento muscular inspiratório em pacientes com insuficiência cardíaca: metanálise de estudos randomizados

The effect of inspiratory muscle training on fatigue and dyspnea in patients with heart failure: A randomized, controlled trial

Functional benefits of respiratory muscle training

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