Inspiratory muscle training with threshold or incentive spirometry: Which is the most effective?

Paiva, Dulciane Nunes; Assmann, Laíse Bender; Bordin, Diogo Fanfa; Gass, Ricardo; Jost, Renan Trevisan; Bernardo-Filho, Mário; França, Rodrigo Alves; Cardoso, Dannuey Machado

doi:10.1016/j.rppnen.2014.05.005

Cited by 35 publications

(50 citation statements)

References 36 publications

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“…As such, a more detailed assessment system may be needed to define the differences in further studies. Moreover, in our study, the incentive spirometer Voldyne was used, as it is popular used in China so far, however, the device is unfortunately not the best way to improve respiratory muscle performances (28). Meanwhile, we intended to increase the exercise duration combining IMT and CRT during the 7 days to achieve the effect of "high-intensity", as in a relative short it is hardly to incrementally increase the workload.…”

Section: Discussionmentioning

confidence: 99%

Short-term high-intensity rehabilitation in radically treated lung cancer: a three-armed randomized controlled trial

Huang¹,

Lai²,

Zhou³

et al. 2017

J. Thorac. Dis.

117

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Background:The feasibility and practicality of preoperative rehabilitation (PR) programs remains quite controversial in the treatment of lung cancer (LC). This study explored whether a short-term high-intensity rehabilitation program could improve postoperative outcomes compared to those achieved with conventional inspiratory muscle training (IMT).Methods: A three-armed randomized controlled trial comparing the two training modalities and routine care was conducted in surgical LC patients. Patient groups received one of three treatment regimens: (I) high-intensity pulmonary rehabilitation (PR) that combined IMT with conventional resistance training (CRT) (combined PR group); (II) conventional PR (single IMT group); or (III) routine preoperative preparation (control group). The primary endpoint was a change in the occurrence of post-operative pulmonary complications (PPCs) that occurred within 30 days after surgery, while secondary endpoints included changes in length of hospital stay, quality of life (QoL) scores, 6-min walk distance (6-MWD) and peak expiratory flow (PEF).Results: A total of 90 enrolled patients were randomized into three groups with a computer-based 1:1:1 ratio. The intention-to-treat analysis of the study revealed that, compared with the Control Group, the Combined PR Group had a significant increase in Conclusions: This hospital-based short-term program of PR combining high-intensity IMT with CRT was significantly superior to the conventional IMT program, indicating that this approach would be a feasible strategy for treating LC patients, especially those waiting operations with surgery-related risk factors.

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Section: Discussionmentioning

confidence: 99%

Short-term high-intensity rehabilitation in radically treated lung cancer: a three-armed randomized controlled trial

Huang¹,

Lai²,

Zhou³

et al. 2017

J. Thorac. Dis.

117

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“…These findings answer the study's questions regarding the effectiveness of Threshold IMT® and POWERbreath plus® devices with healthy subjects who have minimal daily activity and the comparison between the two devices concerning their effectiveness. Inspiratory muscle strength increased significantly with the experimental groups after training period of four weeks (56 sessions) as it was applied by Paiva et al, [7]. In addition, Paiva et al, [7] studied the effectiveness of incentive spirometry (IS) and threshold on 40 healthy female subjects that confirmed significant improvement on MIP with Threshold group.…”

Section: Discussionmentioning

confidence: 93%

“…Inspiratory muscle strength increased significantly with the experimental groups after training period of four weeks (56 sessions) as it was applied by Paiva et al, [7]. In addition, Paiva et al, [7] studied the effectiveness of incentive spirometry (IS) and threshold on 40 healthy female subjects that confirmed significant improvement on MIP with Threshold group. This finding proved that four weeks of training period is applicable to improve inspiratory muscle strength and it can be useful to train the inspiratory muscles and improve their strength.…”

Section: Discussionmentioning

confidence: 93%

“…In addition, the normal mechanism of PR-IMT devices requires the initiation of a negative pressure (breath) done by the subjects to overcome the load resistance [5]. The effectiveness of these devices has been proved in Turner et al, [7,8] which stated that the PR-IMT devices work on improving the maximal inspiratory pressure (MIP). In International Journal of Physical Medicine & Rehabilitation addition, proved that there is an improvement in MIP [3], maximal expiratory pressure (MEP), diaphragm mobility and thickness.…”

Section: Introductionmentioning

confidence: 99%

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A Comparison between Two Types of Resistive Inspiratory Muscle Training Devices in Normal Subjects in Regards to Pulmonary Functions

Alwohayeb¹,

Alenazi²,

Albuainain³

et al. 2018

Int J Phys Med Rehabil

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Introduction: Inspiratory muscle training (IMT) devices improve respiratory muscle strength, endurance and exercise capacity on healthy subjects. Because of the limited availability of the effect of IMT devices on healthy subjects with minimal activity level, this study was conducted to evaluate the effects of POWERbreath-plus® and Threshold IMT® on healthy subjects by measuring pre and post Maximal inspiratory pressure (MIP), Maximal expiratory pressure (MEP), Peak Expiratory Flow Rate (PEFR) and Mandatory Voluntary Ventilation (MVV) and to compare their effectiveness.

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“…The real efficiency of the IMT has still not been established. Moreover, the devices that might result in improved efficiency have not been identified (de Abreu, Rehder-Santos, Minatel, dos Santos, & Catai, 2017;Paiva et al, 2015). Hence, it is necessary to identify IMT-ideal patient populations and the optimal durations, frequencies, workloads and the parameters required for it (Adamopoulos et al, 2014;Wu et al, 2018), in larger clinical trials (Lin et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

The effect of inspiratory muscle training on fatigue and dyspnea in patients with heart failure: A randomized, controlled trial

Pour

Gholami

Saki

et al. 2019

Japan Journal Nursing Sci

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Aim Fatigue and dyspnea are debilitating symptoms in patients with heart failure (HF). The purpose of this study was to evaluate the effects of inspiratory muscle training (IMT) on dyspnea, fatigue and the New York Heart Association (NYHA) functional classification in patients with HF. Methods In this prospective, randomized, controlled trial, 84 patients with HF (NYHA classes II‐III/IV) with a mean age of 56.62 ± 9.56 years were randomly assigned to a 6‐week IMT (n = 42) or a sham IMT (n = 42) program. The IMT was performed at 40% of the maximal inspiratory pressure (MIP) in the IMT group and at 10% in the sham group. The main outcomes were assessed at baseline and after the intervention and included dyspnea severity scale (Modified Medical Research Council [MMRC], Fatigue Severity Scale [FSS] and the NYHA functional classification (based on the presenting symptoms). Results The between‐group analysis showed significant improvements in dyspnea, fatigue and the NYHA functional classification in the IMT group compared to the sham group (P < .05). The within‐group analysis showed significant improvements in dyspnea (from 2.63 ± 0.79 to 1.38 ± 0.66, P < .001), fatigue (from 43.36 ± 8.5 to 28.95 ± 9.11, P < .001) and the NYHA functional classification (from 2.73 ± 0.5 to 2.1 ± 0.6, P = .001) in the IMT group, while fatigue and dyspnea increased significantly in the sham group. Conclusions The 6‐week home‐based IMT was found to be an effective and safe tool for reducing dyspnea and fatigue and improving the NYHA functional classification.

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Inspiratory muscle training with threshold or incentive spirometry: Which is the most effective?

Cited by 35 publications

References 36 publications

Short-term high-intensity rehabilitation in radically treated lung cancer: a three-armed randomized controlled trial

Short-term high-intensity rehabilitation in radically treated lung cancer: a three-armed randomized controlled trial

A Comparison between Two Types of Resistive Inspiratory Muscle Training Devices in Normal Subjects in Regards to Pulmonary Functions

The effect of inspiratory muscle training on fatigue and dyspnea in patients with heart failure: A randomized, controlled trial

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