Inspiratory muscle training, with or without concomitant pulmonary rehabilitation, for chronic obstructive pulmonary disease (COPD)

Ammous, Omar; Feki, W.; Lotfi, Tamara; Khamis, Assem M.; Rebai, Ahmed; Kammoun, S.

doi:10.1002/14651858.cd013778

Cited by 7 publications

(8 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It consists of strength training and endurance training 22 . Previous studies have demonstrated the effect of IMT on chronic respiratory diseases such as COPD, asthma, and bronchiectasis 23–25 . It is suggested that inspiratory muscle strength training induced structural changes within the inspiratory muscles with an increasing amount of type I, type II ﬁbers and MyHC‐I isoforms as well as a cut‐down in fiber sizes while the same observation could not be seen in limb muscles when other breathing exercise or walking training was conducted in patients, 26 which might explain the improvement in PImax found in our meta‐analysis.…”

Section: Discussionmentioning

confidence: 58%

Can inspiratory muscle training benefit patients with COVID‐19? A systematic review and meta‐analysis

Chen,

Liu,

Tong

2023

Journal of Medical Virology

View full text Add to dashboard Cite

The possible benefits of inspiratory muscle training (IMT) on mechanical and clinical outcomes in patients with Coronavirus disease‐2019 (COVID‐19) remain controversial. We conducted a meta‐analysis to evaluate the effect of IMT in the rehabilitation strategy of patients with COVID‐19. The Pubmed, Embase, Web of Science (WOS), and Cochrane Central Register of Controlled Trials (CENTRAL) were searched to identify trials evaluating the efficacy of IMT in the treatment of patients with COVID‐19. The primary outcome included change from baseline of VO2max, maximal inspiratory pressure (PImax), 6‐min walk test(6MWT), forced expiratory volume in the first second predicted (FEV1%pred), and quality of life (QOL). Six studies with 349 participants were analyzed. Significant improvements were found in change from baseline of VO2max (MD: 4.54, 95% confidence interval [CI]: 1.79–7.30, Z = 3. 32, I2 = 0, p = 0.001), PImax (MD: 21.43, 95% CI: 1.33–41.52, Z = 2.09, I2 = 90%, p = 0.04), 6MWD (MD: 40.13, 95% CI: 24.92–55.35, Z = 5.17, I2 = 0, p < 0.00001) and FEV1%pred (MD: 8.73, 95% CI 3.07–14.39, Z = 3.02, p = 0.002) while no statistical improvements were found in QOL (SMD: 0.70, 95% CI: 0.37–1.03, Z = 4.15, I2 = 89% p = 0.32) between IMT group and control group. The application of IMT might elicit mechanical and clinical improvement in patients with COVID‐19. IMT could be recommended as an effective strategy of pulmonary rehabilitation for COVID‐19. However, the proper timing, optimal duration, as well as appropriate frequency and intensity of IMT remain uncertain and further studies are needed.

show abstract

Section: Discussionmentioning

confidence: 58%

Can inspiratory muscle training benefit patients with COVID‐19? A systematic review and meta‐analysis

Chen,

Liu,

Tong

2023

Journal of Medical Virology

View full text Add to dashboard Cite

show abstract

“…In adults with COPD, the minimal clinically important difference (MCID) of MIP after IMT was defined as 17 cmH2O. 13…”

Section: Discussionmentioning

confidence: 99%

“…Suggested mechanisms include improved strength and endurance of the inspiratory muscles and reduced respiratory muscle fatigue. 13,14 Previous studies have shown that IMT promotes diaphragm hypertrophy in healthy people and in patients with chronic heart failure; in patients with chronic obstructive pulmonary disease (COPD), the proportion of type I fibers and the size of type II fibers of the external intercostal muscles increased. 15 In asthma patients, IMT improved pulmonary function, respiratory muscle strength and quality of life (QOL).…”

mentioning

confidence: 99%

The effect of inspiratory muscle training in PCD and CF patients: A pilot study

Gur,

Manor,

Hanna

et al. 2023

Pediatric Pulmonology

View full text Add to dashboard Cite

BackgroundEffective work of breathing and bronchial hygiene requires synergy of inspiratory and expiratory muscles. Inspiratory muscle training (IMT) is a part of pulmonary rehabilitation in chronic obstructive pulmonary disease (COPD). There is some evidence of its efficacy in cystic fibrosis (CF) and, recently, in long COVID‐19. We are not aware of studies on IMT in primary ciliary dyskinesia (PCD). Our aim was to assess the effect of IMT on respiratory muscle strength and pulmonary function in PCD and CF patients.MethodsA single center pilot study. Spirometry, lung clearance index (LCI), maximal inspiratory pressure (MIP), and maximal expiratory pressure (MEP) were measured at baseline (visit 1), after a month of IMT with ®POWERbreathe (visit 2), and at follow‐up (visit 3).ResultsThe cohort included 27 patients (19 PCD, 8 CF); mean age 18.4 ± 9.8 years. After a month of IMT, there was a significant increase in MIP and MIP% (6.19–7.44, p = .015; and 81.85%–100.41%, p = .046, respectively), which was sustained at visit 3. Compliance ≥90% led to higher improvement in MIP. In sub‐group analysis, improvement in MIP and MIP% remained significant for PCD patients (p = .026 and p = .049, respectively). No significant changes were found in spirometry, MEP or LCI.ConclusionsIMT was well‐tolerated and led to improved inspiratory muscle strength in PCD patients. The clinical implication of improved MIP should be further investigated. Larger, long‐term studies are needed to evaluate long‐term effects of IMT on pulmonary function, respiratory muscle strength, pulmonary exacerbations, and quality of life.

show abstract

“…Der mittlere Unterschied in der 6-Minuten-Gehteststrecke (6MWT) zwischen der Interventionsgruppe (n=89) und der Kontrollgruppe (n=85) war weder von klinischer (minimal important difference 6MWT: 25–33 m (29)) noch von statistischer Relevanz (p=0,97): 0,3 m, [95% KI: -13 bis 14]. Diese Beobachtung deckt sich mit der Zusammenfassung des 2023 aktualisierten Cochrane-Reviews zu dieser Thematik bei COPD-Patienten unter Berücksichtigung mehrerer Studien 30 .…”

Section: Physio- Bzw Trainingstherapieunclassified

Pneumologische Rehabilitation

Schneeberger,

Abdullayev,

Koczulla

2023

Rehabilitation (Stuttg)

View full text Add to dashboard Cite

Verminderte körperliche Leistungsfähigkeit, Dysfunktion der Skelettmuskulatur und ein inaktiver Lebensstil stehen in direkter Verbindung mit Erschöpfungs- und Dyspnoesymptomen bei Patienten mit chronischer Lungenerkrankung. Viele dieser extrapulmonalen Manifestationen gelten als behandelbare Eigenschaften der pneumologischen Rehabilitation (PR), einer umfassenden, individuellen, nicht-pharmakologischen Intervention.

show abstract

Inspiratory muscle training, with or without concomitant pulmonary rehabilitation, for chronic obstructive pulmonary disease (COPD)

Cited by 7 publications

References 44 publications

Can inspiratory muscle training benefit patients with COVID‐19? A systematic review and meta‐analysis

Can inspiratory muscle training benefit patients with COVID‐19? A systematic review and meta‐analysis

The effect of inspiratory muscle training in PCD and CF patients: A pilot study

Pneumologische Rehabilitation

Contact Info

Product

Resources

About