Inspiratory Muscle Training in Obstructive Sleep Apnea Associating Diabetic Peripheral Neuropathy: A Randomized Control Study

Moawd, Samah A; Azab, Alshimaa R.; Alrawaili, Saud M; Abdelbasset, Walid Kamal

doi:10.1155/2020/5036585

Cited by 16 publications

(49 citation statements)

References 54 publications

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“…[ 12 , 13 ] In addition, a recent study approved that IMT may enhance respiratory muscle strength and improves aerobic capacity among patients with respiratory muscle weakness. [ 14 ] In addition, previous systematic reviews documented that IMT may improve inspiratory muscle strength and endurance, and diminishes dyspnea. [ 15 – 17 ]…”

Section: Introductionmentioning

confidence: 99%

Inspiratory muscle training for recovered COVID-19 patients after weaning from mechanical ventilation

et al. 2021

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Background. To the best of our knowledge, no studies have evaluated the effects of inspiratory muscle training (IMT) on recovered COVID-19 patients after weaning from mechanical ventilation. Therefore, this study assessed the efficacy of IMT on recovered COVID-19 patients following mechanical ventilation. Methods. Forty-two recovered COVID-19 patients (33 men and 9 women) weaned from mechanical ventilation with a mean age of 48.05 ± 8.85 years were enrolled in this pilot control clinical study. Twenty-one patients were equipped to 2-week IMT (IMT group) and 21 matched peers were recruited as a control (control group). Forced vital capacity (FVC%), forced expiratory volume in 1 second (FEV1%), dyspnea severity index (DSI), quality of life (QOL), and six-minute walk test (6-MWT) were assessed initially before starting the study intervention and immediately after intervention. Results. Significant interaction effects were observed in the IMT when compared to control group, FVC% ( F = 5.31, P = .041, η P 2 = 0.13), FEV1% ( F = 4.91, P = .043, η P 2 = 0.12), DSI ( F = 4.56, P = .032, η P 2 = 0.15), QOL ( F = 6.14, P = .021, η P 2 = 0.17), and 6-MWT ( F = 9.34, P = .028, η P 2 = 0.16). Within-group analysis showed a significant improvement in the IMT group (FVC%, P = .047, FEV1%, P = .039, DSI, P = .001, QOL, P < .001, and 6-MWT, P < .001), whereas the control group displayed nonsignificant changes ( P > .05). Conclusions. A 2-week IMT improves pulmonary functions, dyspnea, functional performance, and QOL in recovered intensive care unit (ICU) COVID-19 patients after consecutive weaning from mechanical ventilation. IMT program should be encouraged in the COVID-19 management protocol, specifically with ICU patients.

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Section: Introductionmentioning

confidence: 99%

Inspiratory muscle training for recovered COVID-19 patients after weaning from mechanical ventilation

et al. 2021

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“…Of these, 12 were excluded for conference abstract, two for wrong intervention, one for wrong population, and one for wrong publication type. Ultimately, eight studies met the criteria for eligibility and were included in the review [ 16 , 17 , 21 , 22 , 23 , 24 , 25 , 26 ]. The flow chart of the study selection process is shown in Figure 1 .…”

Section: Resultsmentioning

confidence: 99%

“…Two studies were conducted in the USA [ 17 , 26 ], two in Taiwan [ 23 , 25 ], two in Brazil [ 16 , 21 ], one in Egypt [ 22 ], and one in Turkey [ 24 ]. All studies were published after 2016.…”

Section: Resultsmentioning

confidence: 99%

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Respiratory Muscle Training in Patients with Obstructive Sleep Apnoea: A Systematic Review and Meta-Analysis

et al. 2022

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Background: Effective treatments for obstructive sleep apnoea (OSA) include positive pressure, weight loss, oral appliances, surgery, and exercise. Although the involvement of the respiratory muscles in OSA is evident, the effect of training them to improve clinical outcomes is not clear. We aimed to determine the effects of respiratory muscle training in patients with OSA. Methods: A systematic review was conducted in seven databases. Studies that applied respiratory muscle training in OSA patients were reviewed. Two independent reviewers analysed the studies, extracted the data and assessed the quality of evidence. Results: Of the 405 reports returned by the initial search, eight articles reporting on 210 patients were included in the data synthesis. Seven included inspiratory muscle training (IMT), and one included expiratory muscle training (EMT). Regarding IMT, we found significant improvement in Epworth sleepiness scale in −4.45 points (95%CI −7.64 to −1.27 points, p = 0.006), in Pittsburgh sleep quality index of −2.79 points (95%CI −4.19 to −1.39 points, p < 0.0001), and maximum inspiratory pressure of −29.56 cmH2O (95%CI −53.14 to −5.98 cmH2O, p = 0.01). However, the apnoea/hypopnea index and physical capacity did not show changes. We did not perform a meta-analysis of EMT due to insufficient studies. Conclusion: IMT improves sleepiness, sleep quality and inspiratory strength in patients with OSA.

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“…They found that CDH children who were more active preserved a higher level of performance with less perception of dyspnea and effort compared to children who were less active [ 34 ]. Also, Moawd et al concluded that inspiratory muscle training improves inspiratory muscle strength and aerobic capacity in patients experiencing obstructive sleep apnea [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Impacts of Respiratory Muscle Training on Respiratory Functions, Maximal Exercise Capacity, Functional Performance, and Quality of Life in School-Aged Children with Postoperative Congenital Diaphragmatic Hernia

et al. 2020

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Objectives. Congenital diaphragmatic hernia (CDH) is a birth defect affecting the respiratory functions, functional performance, and quality of life (QOL) in school-aged children. Rarely have studies been conducted to evaluate the impacts of respiratory muscle training on school-aged children with postoperative CDH. The current study was designed to evaluate the impacts of respiratory muscle training on respiratory function, maximal exercise capacity, functional performance, and QOL in these children. Methods. This study is a randomized control study. 40 children with CDH (age: 9-11 years) were assigned randomly into two groups. The first group conducted an incentive spirometer exercise combined with inspiratory muscle training (study group, n=20), whereas the second group conducted only incentive spirometer exercise (control group, n=20), thrice weekly for twelve consecutive weeks. Respiratory functions, maximal exercise capacity, functional performance, and pediatric quality of life inventory (PedsQL) were assessed before and after the treatment program. Results. Regarding the posttreatment analysis, the study group showed significant improvements in all outcome measures (FVC%, p<0.001; FEV1%, p=0.002; VO2max, p=0.008; VE/VCO2 slope, p=0.002; 6-MWT, p<0.001; and PedsQL, p<0.001), whereas the control group did not show significant changes (p>0.05). Conclusion. Respiratory muscle training may improve respiratory functions, maximal exercise capacities, functional performance, and QOL in children with postoperative CDH. Clinical commendations have to be considered to include respiratory muscle training in pulmonary rehabilitation programs in children with a history of CDH.

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Inspiratory Muscle Training in Obstructive Sleep Apnea Associating Diabetic Peripheral Neuropathy: A Randomized Control Study

Cited by 16 publications

References 54 publications

Inspiratory muscle training for recovered COVID-19 patients after weaning from mechanical ventilation

Inspiratory muscle training for recovered COVID-19 patients after weaning from mechanical ventilation

Respiratory Muscle Training in Patients with Obstructive Sleep Apnoea: A Systematic Review and Meta-Analysis

Impacts of Respiratory Muscle Training on Respiratory Functions, Maximal Exercise Capacity, Functional Performance, and Quality of Life in School-Aged Children with Postoperative Congenital Diaphragmatic Hernia

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