Respiratory muscle strength training applications

Sapienza, Christine M.

doi:10.1097/moo.0b013e3282fe96bd

Cited by 58 publications

(38 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…RESPIRATORY CARE • NOVEMBER 2014 VOL 59 NO 11protocols of expiration at 60% P Emax , 2 whereas in exercise programs of the upper limb, the FVC did not show any improvement. 3 No data have been obtained for this outcome in inspiratory therapies; therefore, it would be interesting to investigate this aspect in future studies.…”

Section: Respiratory Muscle Training In Patients With Msmentioning

confidence: 93%

“…3 In another review, P Emax increases of 41 and 50% were found in a group of healthy people in training for 4 and 8 weeks, respectively. 11 It has been established that a protocol of 10 weeks at a frequency of 7 d/week with 3 sets of 15 inspirations produced a significant improvement in P Imax (P ϭ .003 4 and P Ͻ .001), 5 whereas no significant improvements in P Emax were observed. However, in other studies, improvements have been found in P Imax (P Ͻ .008) but in smaller proportion in protocols of 10 weeks but at 2 sessions/day with 3 sets of 10 inspirations and 1 min of rest between sets.…”

Section: What Is the Evidence For Respiratory Muscle Training With A mentioning

confidence: 99%

“…In addition to this, P Imax was the only outcome in which the experimental group obtained a significant improvement. 6 According to the studies included in this systematic review, [1][2][3][4][5][6][7][8]11,[14][15][16][17]26 the training protocols in which the expirations are done in a specific way achieve greater results in P Emax , and trials that focus on training respiratory muscles through inspirations obtain greater results in P Imax .…”

Section: What Is the Evidence For Respiratory Muscle Training With A mentioning

confidence: 99%

“…There also are other studies that show the relationship between the degree of disability and the impairment at both the physical and pulmonary function levels (2 systematic reviews, 3 study cases, one controlled clinical trial, and one RCT). 3,8,11,[14][15][16][17] The studies are arranged according to the grade of recommendation.…”

Section: What Is the Evidence For Respiratory Muscle Training With A mentioning

confidence: 99%

“…11 Moreover, there are many different types of devices for respiratory muscle training that improve inspiratory and expiratory muscle strength. 11 Despite the variety of studies, the optimal training scheme has yet to be defined. The specification of the loads to be imposed during training is the main factor that determines the outcome.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Training of Respiratory Muscles in Patients With Multiple Sclerosis: A Systematic Review

2014

View full text Add to dashboard Cite

BACKGROUND: The aim of this systematic review was to summarize the level of evidence and grades of recommendation regarding therapeutic respiratory muscle training interventions in patients with multiple sclerosis (MS). METHODS: We conducted a search using a number of electronic databases, and the limits of the search were studies published between 1993 and 2013. The selected documents were classified according to grades of recommendation of the Finnish Medical Society Duodecim. The methodological quality of 11 studies was assessed using the Physiotherapy Evidence Database (PEDro) scale. RESULTS: Fifteen trials (6 randomized controlled trials [RCTs], 2 non-RCTs, one quasi-experimental trial, 3 case studies, and 3 systematic reviews) showed clinical changes from pulmonary function outcomes for MS. The reviewed articles covered training protocols that were carried out for 10 weeks to 3 months at a frequency of 7 d/week with one or 2 daily sessions consisting of 3 sets of 10 or 15 repetitions per set at an intensity of 10 -60% of the subject's maximum expiratory pressure. It was observed that subjects who had minor scores in the Kurtzke Expanded Disability Status Scale showed changes in maximum inspiratory and expiratory pressures after respiratory muscle training. In future studies, it would be suitable to take into account both inspiratory and expiratory muscle training.

show abstract

Section: Respiratory Muscle Training In Patients With Msmentioning

confidence: 93%

Section: What Is the Evidence For Respiratory Muscle Training With A mentioning

confidence: 99%

Section: What Is the Evidence For Respiratory Muscle Training With A mentioning

confidence: 99%

Section: What Is the Evidence For Respiratory Muscle Training With A mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Training of Respiratory Muscles in Patients With Multiple Sclerosis: A Systematic Review

2014

View full text Add to dashboard Cite

show abstract

Speech Breathing Across the Life Span and in Disease

Huber¹,

Stathopoulos²

2015

The Handbook of Speech Production

View full text Add to dashboard Cite

Expiratory muscle strength training evaluated with simultaneous high-resolution manometry and electromyography

et al. 2017

View full text Add to dashboard Cite

Objective To examine feasibility of a simultaneous high-resolution pharyngeal manometry (HRM) and electromyography (EMG) experimental paradigm to detect swallowing-related patterns of palatal, laryngeal, and pharyngeal muscle activity during expiratory training. Study Design Technical report. Methods Simultaneous HRM, surface submental, and intramuscular EMG were acquired in two healthy participants during five tasks: 10-cc water swallow, maximum expiratory pressure (MEP) testing, and expiratory muscle strength training (EMST) at three pressure levels (sham, 50%, and 75% MEP). Results Experimental conditions were feasible. Velopharyngeal closing pressure, palate EMG activity, and pharyngeal EMG activity increased as expiratory load increased. In contrast, thyroarytenoid EMG activity was low during the expiratory task, consistent with glottic opening during exhalation. Submental EMG patterns were more variable during expiratory tasks. Intraluminal air pressures recorded with HRM were correlated with measured expiratory pressures and target valve-opening pressures of the EMST device. Conclusion Results suggest that a simultaneous HRM/EMG/EMST paradigm may be used to detect previously unquantified swallowing-related muscle activity during EMST, particularly in the palate and pharynx. Our approach and initial findings will be helpful to guide future hypothesis-driven studies and may enable investigators to evaluate other muscle groups active during these tasks. Defining mechanisms of action is a critical next step toward refining therapeutic algorithms using EMST and other targeted treatments for populations with dysphagia and airway disorders.

show abstract

Respiratory muscle strength training applications

Cited by 58 publications

References 43 publications

Training of Respiratory Muscles in Patients With Multiple Sclerosis: A Systematic Review

Training of Respiratory Muscles in Patients With Multiple Sclerosis: A Systematic Review

Speech Breathing Across the Life Span and in Disease

Expiratory muscle strength training evaluated with simultaneous high-resolution manometry and electromyography

Contact Info

Product

Resources

About