Additional Effect of Inspiratory Muscle Training Along with Aerobic Exercises in Overweight and Obese Individuals

Ponde, Ketki; Agrawal, Ronika; Chini, Shifa Anis; Amreliwala, Mehzabin Mehboob

doi:10.31782/ijcrr.2021.13305

Cited by 3 publications

(5 citation statements)

References 15 publications

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“…The IMT device may benefit these patients by improving inspiratory muscle strength and endurance. Similar to our findings in children and adolescents, there have been many studies in adults that support the benefit of threshold IMT ( 15 – 17 , 40 ) on inspiratory muscle strength and functional fitness. In contrast, studies of the IS device in obese adults are very limited.…”

Section: Discussionsupporting

confidence: 91%

“…Further clinical trials to determine the appropriate protocol (frequency, duration, and resistance load) of threshold IMT in children and adolescents with obesity are needed. Previous RCTs in obese adults (15)(16)(17)40) that reported substantial benefit after threshold IMT all commented on the importance of periodic adjustment of the training load to yield optimal training outcomes. Concerning other useful recommendations for improving respiratory muscles in clinical practice, Shei et al (12) recommended that the training session be personalized, and to consider setting training goals, such as improving RMS and/or endurance, to facilitate longer training sessions.…”

Section: Resultsmentioning

confidence: 99%

“…Many studies of threshold IMT (15)(16)(17) and IS (18,19) training among obese adults reported substantial improvement in 6-min walk test (6-MWT) distance, inspiratory muscle strength, and spirometry. In children and adolescents, studies of the effect of threshold IMT (20)(21)(22)(23)(24)(25)(26)(27) and IS (28)(29)(30) on pulmonary function were conducted in other diseases, including neuromuscular disease (NMD), cerebral palsy (CP), asthma, and cystic fibrosis (CF).…”

Section: Introductionmentioning

confidence: 99%

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Effect of Threshold Inspiratory Muscle Training on Functional Fitness and Respiratory Muscle Strength Compared to Incentive Spirometry in Children and Adolescents With Obesity: A Randomized Controlled Trial

et al. 2022

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BackgroundTo determine the effect of threshold inspiratory muscle training (IMT) on functional fitness and respiratory muscle strength (RMS) compared to incentive spirometry (IS) in children/adolescents with obesity.MethodsA total of 60 obese children/adolescents aged 8–15 years were randomized into the threshold IMT group (n = 20), the IS group (n = 20), or the control group (n = 20). The IMT group performed 30 inspiratory breaths with the intensity set at 40% of baseline maximal inspiratory pressure (MIP) twice daily for 8 weeks; the IS group performed 30 breaths with sustained maximum inspiration twice daily for 8 weeks; and, the control group was assigned no training device for 8 weeks. Six-min walk test (6-MWT), RMS, and spirometry were compared between baseline and 8 weeks.ResultsSix-MWT distance (528.5 ± 36.2 vs. 561.5 ± 35.2 m, p = 0.002) and MIP (121.2 ± 26.8 vs. 135.3 ± 32.1%Predicted, p = 0.03) were significantly improved after 8 weeks of IMT training. There was no significant difference in any evaluated pulmonary function parameters between baseline and 8 weeks in the IS or control groups; however, 6-MWT distance demonstrated a trend toward significant improvement in the IS group (526.9 ± 59.1 vs.549.0 ± 50.6 m, p = 0.10). No significant difference among groups was found for any variable relative to change from baseline to post-training.ConclusionEight weeks of threshold IMT training significantly improved both inspiratory muscle strength (MIP) and functional fitness (6-MWT) in children/adolescents with obesity. Eight weeks of IS training yielded a trend toward significantly improved functional fitness.

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Section: Discussionsupporting

confidence: 91%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of Threshold Inspiratory Muscle Training on Functional Fitness and Respiratory Muscle Strength Compared to Incentive Spirometry in Children and Adolescents With Obesity: A Randomized Controlled Trial

et al. 2022

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“…[ 69 - 72 ] The rapid and shallow breathing pattern in these individuals also results in increased respiratory oxygen consumption and respiratory workload. [ 70 , 71 , 73 ]…”

Section: Introductionmentioning

confidence: 99%

“…Many studies have shown that respiratory muscle training improves strength and endurance quality of life, and dyspnea sensation in obese individuals. [ 69 , 71 , 75 ]…”

Section: Introductionmentioning

confidence: 99%

Is there a role of pulmonary rehabilitation in extrapulmonary diseases frequently encountered in the practice of physical medicine and rehabilitation?

Köseoğlu¹

2022

Turk J Phys Med Rehab

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There is a group of diseases such as low back pain, osteoporosis, fibromyalgia and obesity for which pulmonary rehabilitation can be applied. Although these diseases do not directly impact the lungs, respiratory dysfunction occurs through various mechanisms during the disease process and complicates the underlying primary disease. Respiratory dysfunction and spirometric abnormalities have been observed from the early stages of these diseases, even without obvious signs and symptoms. These patients should be carefully evaluated for pulmonary problems as a sedentary lifestyle may hide the presence of respiratory symptoms. Once pulmonary problems have been detected, pulmonary rehabilitation should be added to the routine treatment of the primary disease.

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Development of Personalized Respiratory Training Device with Real-time Feedback for Respiratory Muscle Strengthening

Uygun,

Bae,

Choi

et al. 2023

Phys Ther Rehabil Sci

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Positive expiratory Pressure (PEP)는 기도(airway)에 압 력(back pressure)를 발생시켜 일시적으로 폐의 잔존용 량(functional residual capacity)를 증가시켜 점액이 배 출되는 것을 돕는 것으로 알려져있다. PEP를 이용한 호 흡훈련은 Forced expiratory volume at 1 second (FEV1)의 유의한 증가가 있었다 [4]. COPD 환자에서 하루 4시간 가량 사용을 한 PEP 운동은 대조군에 비해

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Additional Effect of Inspiratory Muscle Training Along with Aerobic Exercises in Overweight and Obese Individuals

Cited by 3 publications

References 15 publications

Effect of Threshold Inspiratory Muscle Training on Functional Fitness and Respiratory Muscle Strength Compared to Incentive Spirometry in Children and Adolescents With Obesity: A Randomized Controlled Trial

Effect of Threshold Inspiratory Muscle Training on Functional Fitness and Respiratory Muscle Strength Compared to Incentive Spirometry in Children and Adolescents With Obesity: A Randomized Controlled Trial

Is there a role of pulmonary rehabilitation in extrapulmonary diseases frequently encountered in the practice of physical medicine and rehabilitation?

Development of Personalized Respiratory Training Device with Real-time Feedback for Respiratory Muscle Strengthening

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