Benefits of combined aerobic/resistance/inspiratory training in patients with chronic heart failure. A complete exercise model? A prospective randomised study

Laoutaris, Ioannis D.; Adamopoulos, Stamatis; Manginas, Athanassios; Panagiotakos, Demosthenes B.; Kallistratos, Manolis S.; Doulaptsis, Costas; Kouloubinis, Alexandros; Voudris, Vasilis; Pavlides, Gregory; Cokkinos, Dennis V.; Dritsas, Athanasios

doi:10.1016/j.ijcard.2012.05.019

Cited by 87 publications

(142 citation statements)

References 33 publications

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“…[10][11][12][13][14][15] Inspiratory muscle training has been shown to improve cycling endurance, exercising lactate levels, diaphragm thickness, and inspiratory muscle strength in previous studies. [34][35][36][37][38][39] Findings in the literature serve as possible explanations for the large improvement in exercise capacity. In the literature, we also noted descriptions of the effects of inspiratory muscle training on maximal exercise capacity; modified incremental shuttle walk test distance improved (45.4 m) with remarkably large effect sizes in subjects with sarcoidosis after inspiratory muscle training.…”

Section: Functional and Maximal Exercise Capacitymentioning

confidence: 99%

“…Combined aerobic, resistance training, and inspiratory muscle training resulted in improved peripheral muscle strength compared with aerobic training in subjects with chronic heart failure and cystic fibrosis. 37,38 Whether the application of higher intensity and/or longer duration training or a combination of inspiratory muscle training with aerobic/resistance training might provide a treatment effect on peripheral muscle strength in recipients should be investigated.…”

Section: Peripheral Muscle Strengthmentioning

confidence: 99%

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Effects of Inspiratory Muscle Training in Subjects With Sarcoidosis: A Randomized Controlled Clinical Trial

Karadalli¹,

Boşnak-Güçlü²,

Camcıoğlu³

et al. 2015

Respir Care

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BACKGROUND: Respiratory muscle weakness occurs in sarcoidosis and is related to decreased exercise capacity, greater fatigue, dyspnea, and lower quality of life in sarcoidosis patients. The effects of inspiratory muscle training in this population have not been comprehensively investigated so far. This study was planned to investigate the effects of inspiratory muscle training on exercise capacity, respiratory and peripheral muscle strength, pulmonary function and diffusing capacity, fatigue, dyspnea, depression, and quality of life in subjects with sarcoidosis. METHODS: This was a prospective, randomized, controlled, and double blind study. Fifteen sarcoidosis subjects (treatment group) received inspiratory muscle training at 40% of maximal inspiratory pressure (P Imax ), and 15 subjects (control group) received sham therapy (5% of P Imax ) for 6 weeks. Functional and maximal exercise capacity, respiratory and peripheral muscle strength, pulmonary function and diffusing capacity, fatigue, dyspnea, depression, and quality of life were evaluated. RESULTS: Functional (P < .001) and maximal exercise capacity (P ‫؍‬ .038), respiratory muscle strength (P Imax [P < .001] and P Emax [P ‫؍‬ .001]), severe fatigue (P ‫؍‬ .002), and dyspnea perception (P ‫؍‬ .02) were statistically significantly improved in the treatment group compared with controls; no significant improvements were observed in pulmonary function and diffusing capacity, peripheral muscle strength, fatigue, depression, and quality of life between groups after inspiratory muscle training. CONCLUSIONS: Inspiratory muscle training improves functional and maximal exercise capacity and respiratory muscle strength and decreases severe fatigue and dyspnea perception in subjects with early stages of sarcoidosis. Inspiratory muscle training can be safely and effectively included in rehabilitation programs. (ClinicalTrials.gov registration NCT02270333.)

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Section: Functional and Maximal Exercise Capacitymentioning

confidence: 99%

Section: Peripheral Muscle Strengthmentioning

confidence: 99%

Effects of Inspiratory Muscle Training in Subjects With Sarcoidosis: A Randomized Controlled Clinical Trial

Karadalli¹,

Boşnak-Güçlü²,

Camcıoğlu³

et al. 2015

Respir Care

View full text Add to dashboard Cite

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“…Consequently, respiratory muscle has been the target of a substantial number of respiratory muscle training trials in patients with CHF [15][16][17][18][19][20][21][22][23][24][25][26][27][28]. Respiratory muscle training induces changes in measurements of respiratory muscle function such as PI max .…”

Section: Introductionmentioning

confidence: 99%

Biological variation, reference change value (RCV) and minimal important difference (MID) of inspiratory muscle strength (PImax) in patients with stable chronic heart failure

et al. 2015

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“…The program consisted of bicycle exercise at 70-80% of the maximum heart rate, quadriceps resistance training at 50% of the onerepetition maximum, upper-limb exercises using dumbbells weighing 1-2 kg, and inspiratory muscle training at 30% of the maximal inspiratory pressure compared with aerobic exercise alone in the Control Group. They found additional and significant improvements in the Study Group in cardiopulmonary function, quadriceps strength and endurance, maximum inspiratory pressure, and dyspnea compared with the Control Group [37]. Because aerobic exercise is the cornerstone of any rehabilitation program for heart failure, we added aerobic exercise in both training groups, and did not assess the impact of inspiratory muscle training alone because we did not want to withhold aerobic exercise from our patients.…”

Section: Discussionmentioning

confidence: 99%

Impact of Inspiratory Muscle Training Versus Resistance Training on Ventricular Dysfunction in Patients With Dilated Cardiomyopathy: A Randomized Controlled Trial

Elsayed¹,

Atya²

2017

IJPR

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Background: Dilated cardiomyopathy is a common cardiac dysfunction affecting patient's functional activities. Inspiratory muscle training retains the progression of the disease and improve cardiac functions.Objectives: To investigate the effect of inspiratory muscle training versus resistance training on left-ventricular dysfunction in patients with dilated cardiomyopathy. Materials and Methods:Thirty male patients with ischemic dilated cardiomyopathy were randomly assigned to either the Inspiratory Muscle Training (n = 15) or Resistance Training (n = 15) Groups. The Inspiratory Muscle Training Group received supervised aerobic training plus inspiratory muscle training at 40% of the maximal inspiratory pressure for 28 min once daily 3 days a week for 16 weeks. The Resistance Training Group received aerobic training plus resistance training (50-60% of the one-repetition maximum) in three sets per session 3 days a week for 16 weeks.Main measures: Left-ventricular end-diastolic and end-systolic diameters via echocardiography, left-ventricular ejection fraction, aerobic capacity, inspiratory muscle strength, and N-terminal prohormone of brain natriuretic peptide levels were assessed at baseline, after 16 weeks of training-based intervention, and at a 24-week followup.Results: The Inspiratory Muscle Training Group exhibited significantly greater improvements in left-ventricular end-diastolic and end-systolic diameters, left-ventricular ejection fraction, aerobic capacity, respiratory muscle strength, and N-terminal prohormone of brain natriuretic peptide levels than the Resistance Training Group (p > 0.05). These significant gains were maintained at a 24-week follow-up. Conclusion:Inspiratory muscle training has more significant effect in eliminating the left ventricular dysfunction than resistance training for patients with dilated cardiomyopathy.

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Benefits of combined aerobic/resistance/inspiratory training in patients with chronic heart failure. A complete exercise model? A prospective randomised study

Cited by 87 publications

References 33 publications

Effects of Inspiratory Muscle Training in Subjects With Sarcoidosis: A Randomized Controlled Clinical Trial

Effects of Inspiratory Muscle Training in Subjects With Sarcoidosis: A Randomized Controlled Clinical Trial

Biological variation, reference change value (RCV) and minimal important difference (MID) of inspiratory muscle strength (PImax) in patients with stable chronic heart failure

Impact of Inspiratory Muscle Training Versus Resistance Training on Ventricular Dysfunction in Patients With Dilated Cardiomyopathy: A Randomized Controlled Trial

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