1994
DOI: 10.1378/chest.105.2.475
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Inspiratory Muscle Training in Patients With Duchenne Muscular Dystrophy

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Cited by 121 publications
(120 citation statements)
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“…As well as in patients with obstructive lung disease, there is a theoretical rationale for strengthening the inspiratory muscles of any patient who experiences inappropriate breathlessness, abnormal respiratory mechanics and/or inspiratory muscle weakness/fatigue. Furthermore, there are a small number of randomised, controlled trials in which IMT has elicited a positive effect upon neuromuscular diseases [23,24] as well as less rigorously designed and executed studies in conditions such as kyphoscoliosis [10]. Although the number of our patients is small, the efficacy of preoperative respiratory training using Threshold IMT is shown clinically in this study.…”
Section: Discussionmentioning
confidence: 85%
“…As well as in patients with obstructive lung disease, there is a theoretical rationale for strengthening the inspiratory muscles of any patient who experiences inappropriate breathlessness, abnormal respiratory mechanics and/or inspiratory muscle weakness/fatigue. Furthermore, there are a small number of randomised, controlled trials in which IMT has elicited a positive effect upon neuromuscular diseases [23,24] as well as less rigorously designed and executed studies in conditions such as kyphoscoliosis [10]. Although the number of our patients is small, the efficacy of preoperative respiratory training using Threshold IMT is shown clinically in this study.…”
Section: Discussionmentioning
confidence: 85%
“…ESTRUP et al [14] and recently WANKE et al [11] showed improvements in strength and endurance of the inspiratory muscles in patients with progressive muscular dystrophy. Only the latter was a controlled study.…”
Section: In Ns Sp Pi Ir Ra At To or Ry Y Mmentioning
confidence: 97%
“…The results from other studies should be considered preliminary and interpreted with great caution. In general, most studies show improvements in strength or endurance of the inspiratory muscles [4][5][6][7][8][9][10][11]. The transfer to outcome variables relevant to patients, such as reduced dyspnoea, improved exercise tolerance, better performance of activities of daily living (ADL), reduced postoperative pulmonary complications, or successful weaning from mechanical ventilation, is less obvious.…”
Section: In Ns Sp Pi Ir Ra At To or Ry Y Mmentioning
confidence: 99%
“…However, some patients with hypercapnia or a FVC < 25% had no improvement. 104 Similarly, Koessler et al assessed the effect of inspiratory muscle training in patients with DMD and spinal muscular atrophy. 105 The training consisted of breathing maneuvers against variable inspiratory resistance for endurance, and of maximal inspiratory efforts against a nearly occluded resistance for strength training.…”
Section: Respiratory Muscle Trainingmentioning
confidence: 99%
“…69,[71][72][73]128 In selecting patients for an exercise program of respiratory muscle training, strength training or aerobic exercise, one should consider the patients' limitations. For example, inspiratory muscle training may not be beneficial in patients who are already hypercapnic, 70,104 or have a vital capacity < 25% predicted, 104 and cardiovascular training may be difficult to achieve in patients with significant limb weakness. Additionally, several of the neuromuscular disorders, the dystrophies in particular, may be associated with cardiac impairment, and training in those conditions should proceed with caution and close supervision.…”
Section: Exercise Prescriptionmentioning
confidence: 99%