Effectiveness of 12‐week inspiratory muscle training with manual therapy in patients with COPD: A randomized controlled study

Çirak, Yasemin; Yelvar, Gül Deniz Yılmaz; Elbasi, Nurgul Durustkan

doi:10.1111/crj.13486

Cited by 17 publications

(8 citation statements)

References 36 publications

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“…The findings demonstrate that IMT is beneficial and effective in the treatment of patients with COPD, providing increased inspiratory muscle strength and endurance; reduction of dyspnea; and improved exercise tolerance. The analyzed studies highlight that individuals who performed continuous IMT sessions significantly reduced shortness of breath [10][11][12]14,15,17,18 , improved exercise tolerance [10][11][12][13][14][15][16]18 , and increased inspiratory muscle strength [9][10][11][12][13][14][15]17,18 , when compared with control groups not subjected to IMT.…”

Section: Discussionmentioning

confidence: 99%

Inspiratory muscle training in people with chronic obstructive pulmonary disease (COPD): a systematic review

Mota,

Santos,

Sousa

et al. 2023

Fisioter. Pesqui.

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This systematic review aimed to demonstrate the effectiveness of inspiratory muscle training (IMT) in people with chronic obstructive pulmonary disease (COPD), analyzing the effects of IMT on inspiratory muscle strength and endurance, exercise tolerance and reduction of dyspnea. A systematic search was carried out in the PubMed, Cochrane and Lilacs databases, from August 2021 to February 2023, searching for studies published from 2016. The descriptors used for the search followed the description of the MeSH/DeCS terms, namely: “Pulmonary Disease, Chronic Obstructive,” “Breathing Exercises,” “Exercise Tolerance,” “Dyspnea,” and “Muscle strength,” with the languages: English and Portuguese, using the Boolean operators “AND” and “OR.” Ten studies met the inclusion criteria, including 733 patients. In all examined studies, there was a significant increase in inspiratory muscle strength and endurance compared to the control group; of the ten studies analyzed, four showed advances in reducing dyspnea and exercise tolerance. Notably, inspiratory muscle training is effective in improving dyspnea, exercise tolerance, and in increasing inspiratory muscle strength and endurance in people with moderate to severe COPD.

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Section: Discussionmentioning

confidence: 99%

Inspiratory muscle training in people with chronic obstructive pulmonary disease (COPD): a systematic review

Mota,

Santos,

Sousa

et al. 2023

Fisioter. Pesqui.

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“…Os achados demonstram que o TMI é benéfico e eficaz no tratamento de pacientes com DPOC, proporcionando aumento da força muscular inspiratória e da resistência muscular inspiratória; redução da dispneia; e melhora da tolerância ao exercício. Os estudos analisados destacam que os indivíduos que realizaram sessões contínuas de TMI reduziram expressivamente a falta de ar [10][11][12]14,15,17,18 , melhoraram a tolerância ao exercício [10][11][12][13][14][15][16]18 e aumentaram a força dos músculos inspiratórios [9][10][11][12][13][14][15]17,18 , quando comparados com os grupos-controle não submetidos ao TMI.…”

Section: Discussionunclassified

Treinamento muscular inspiratório em pessoas com doença pulmonar obstrutiva crônica (DPOC): uma revisão sistemática

Mota,

Santos,

Sousa

et al. 2023

Fisioter. Pesqui.

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RESUMO O objetivo desta revisão sistemática foi evidenciar a eficácia do treinamento muscular inspiratório (TMI) em pessoas com doença pulmonar obstrutiva crônica (DPOC), analisando os efeitos do TMI na força e resistência muscular inspiratória; na tolerância ao exercício; e na redução da dispneia. Realizou-se uma busca de forma sistemática nas bases de dados PubMed, Cochrane e LILACS, no período de agosto de 2021 a fevereiro 2023, por estudos publicados a partir de 2016. Os descritores utilizados para a busca seguiram a descrição dos Medical Subject Headings (MeSH)/Descritores em Ciências da Saúde (DeCS), sendo eles: “pulmonary disease, chronic obstructive”, “breathing exercises”, “exercise tolerance”, “dyspnea” e “muscle strength”, com o filtro dos idiomas inglês e português e os operadores booleanos “AND” e “OR”. Dez estudos cumpriram os critérios de inclusão, envolvendo 733 pacientes. Em todos os estudos examinados, houve um aumento expressivo da força e da resistência muscular inspiratória em comparação ao grupo-controle. Ainda, dos 10 estudos analisados, quatro apresentaram progressos na diminuição da dispneia e na tolerância ao exercício. Ressalta-se que o treinamento muscular inspiratório é eficaz na melhora da dispneia, da tolerância ao exercício e do aumento da força e da resistência muscular inspiratória em pessoas com DPOC em estágios moderado a grave.

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“…Inspiratory muscle training (IMT) dengan menggunakan threshold IMT device mampu menurunkan skor rata-rata fatigue secara signifikan (Cirak et al, 2022). IMT merupakan salah satu latihan yang dapat meningkatkan ventilasi dan berpotensi menurunkan dispnea serta meningkatkan toleransi latihan pada pasien PPOK.…”

Section: Pembahasanunclassified

“…MT dilakukan praktisi yang terampil dengan melakukan manipulasi, mobilisasi pada jaringan lunak dan struktur sendi. Penekanan yang dilakukan menyebabkan otot menjadi rileks dan terjadi perubahan sifat pada elastisitas paru-paru serta dinding dada sehingga mampu mengurangi hiperinflasi statis dan meningkatkan airway resistance yang mendukung perbaikan kelemahan otot pernapasan sehingga memperbaiki fatigue dengan lebih baik (Cirak et al, 2022). Beberapa teknik MT telah diterapkan pada pasien PPOK yang dilakukan terpisah maupun bersamaan dengan perawatan lain yang dapat bermanfaat juga untuk menurunkan denyut jantung, laju pernapasan, dan persepsi dyspnea (Clarke et al, 2019).…”

Section: Tinjauan Sistematikunclassified

Efektivitas varian metode terapi komplementer untuk fatigue pada pasien penyakit paru obstruktif kronik (PPOK): Tinjauan sistematik

Dewanti,

Kariasa,

Yona

2024

J.HolHealth

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Background: The process of fighting chronic obstructive pulmonary disease (COPD) is a challenge that affects the patient's quality of life. Moreover, the inevitable symptoms of fatigue often result in limitations in physical, emotional, cognitive and social aspects. However, in overcoming this there are new opportunities, namely the use of complementary therapies to optimally treat fatigue, paving the way for more effective health care for COPD sufferers. Purpose: To investigate and synthesize scientific evidence regarding the use of complementary therapies for fatigue in COPD patients. Method: Systematic review using PRISMA guidelines using five databases, including PubMed, Scopus, ScienceDirect, Cochrane and EMBASE. Search using the keyword combination "COPD" OR "Chronic Obstructive Pulmonary Disease" AND "Complementary Therapy" OR "Nonpharmacologic Therapy" OR "Supportive Therapy" AND "Fatigue" OR "Overtiredness" OR "Exhaustion". The article criteria used were quantitative research, RCT design, COPD patient respondents in inpatient or outpatient settings, complementary therapy or non-pharmacological interventions with a minimum duration of 2 weeks, measuring fatigue with fatigue instruments, English language, full text, and publication 2016-2023 . Results: Seven articles were found that met the criteria for analysis. Complementary therapy is grouped as follows, therapy with additional equipment, therapy carried out by professionals, therapy combined with additional equipment and carried out by professionals, and therapy without additional equipment and not carried out by professionals. Conclusion: Therapy with professional assistance such as yoga and reflexology reduces the average fatigue score the most, followed by therapy without additional equipment and without professional assistance such as PMR and DB, as well as therapy with additional equipment such as TENS and IMT or a combination of additional equipment and carried out professionally (MT on IMT). Yoga with online classes or through media such as videos can be adopted as a rehabilitation program at home. Suggestion: Future research is expected to examine the advantages and limitations of complementary therapies to reduce fatigue, so that they can be combined for better results. Keywords: Complementary Therapy; Chronic Obstructive Pulmonary Disease (COPD); Fatigue. Pendahuluan: Proses melawan penyakit paru obstruktif kronik (PPOK) menjadi sebuah tantangan yang mempengaruhi kualitas hidup pasien. Terlebih, gejala fatigue yang tak terhindarkan sering kali menjadi keterbatasan dalam aspek fisik, emosional, kognitif, dan sosial. Namun, dalam mengatasi hal tersebut terdapat peluang baru, yakni dengan penggunaan terapi komplementer untuk menangani fatigue secara optimal, membuka jalan bagi perawatan kesehatan yang lebih efektif untuk para penderita PPOK. Tujuan: Untuk menyelidiki dan menyintesis bukti-bukti ilmiah mengenai penggunaan terapi komplementer untuk fatigue pada pasien PPOK. Metode: Tinjauan sistematis dengan panduan PRISMA menggunakan lima database antara lain, PubMed, Scopus, ScienceDirect, Cochrane dan EMBASE. Pencarian dengan kombinasi kata kunci ”COPD” OR ”Chronic Obstructive Pulmonary Disease” AND ”Complementary Therapy” OR ”Nonpharmacologic Therapy” OR ”Supportive Therapy” AND ”Fatigue” OR ”Overtiredness” OR ”Exhaustion”. Kriteria artikel yang digunakan adalah penelitian kuantitatif, desain RCT, responden pasien PPOK di rawat inap ataupun rawat jalan, intervensi terapi komplementer atau non-farmakologis berdurasi minimal 2 minggu, mengukur fatigue dengan instrumen fatigue, berbahasa inggris, teks lengkap, dan publikasi 2016-2023. Hasil: Ditemukan tujuh artikel yang sesuai kriteria untuk dilakukan analisis. Terapi komplementer dikelompokkan sebagai berikut, terapi dengan alat tambahan, terapi dilakukan profesional, terapi kombinasi alat tambahan dan dilakukan profesional, serta terapi tanpa alat tambahan dan tanpa dilakukan profesional. Simpulan: Terapi dengan bantuan profesional seperti, yoga dan reflexology menurunkan skor rata-rata fatigue paling besar, diikuti terapi tanpa alat tambahan dan tanpa dilakukan profesional seperti, PMR dan DB, serta terapi dengan alat tambahan seperti, TENS dan IMT maupun kombinasi alat tambahan dan dilakukan profesional (MT pada IMT). Yoga dengan kelas online atau melalui media seperti video dapat diadopsi untuk menjadi program rehabilitasi di rumah. Saran: Penelitian selanjutnya diharapkan dapat mengkaji kelebihan dan keterbatasan terapi komplementer untuk menurunkan fatigue, sehingga dapat dikombinasikan untuk hasil yang lebih baik. Kata Kunci: Fatigue; Penyakit Paru Obstruktif Kronik (PPOK); Terapi Komplementer.

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Effectiveness of 12‐week inspiratory muscle training with manual therapy in patients with COPD: A randomized controlled study

Cited by 17 publications

References 36 publications

Inspiratory muscle training in people with chronic obstructive pulmonary disease (COPD): a systematic review

Inspiratory muscle training in people with chronic obstructive pulmonary disease (COPD): a systematic review

Treinamento muscular inspiratório em pessoas com doença pulmonar obstrutiva crônica (DPOC): uma revisão sistemática

Efektivitas varian metode terapi komplementer untuk fatigue pada pasien penyakit paru obstruktif kronik (PPOK): Tinjauan sistematik

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