The effects of respiratory muscle training on improvement of the internal and external thoraco-pulmonary respiratory mechanism in COPD patients

Tout, Rola; Tayara, Lara; Halimi, Mohamad

doi:10.1016/j.rehab.2013.01.008

Cited by 39 publications

(35 citation statements)

References 27 publications

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“…Two thousand and fifty‐seven articles were identified but only 43 studies (38 RCT, 2 CT, and 3 cohort studies) were included in the systematic review and 37 out of them in the meta‐analysis. Reasons for study exclusion are outlined in Figure …”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Effects of inspiratory muscle training in COPD patients: A systematic review and meta‐analysis

Beaumont¹,

Forget

Couturaud

et al. 2018

Clinical Respiratory J

181

118

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Section: Resultsmentioning

confidence: 99%

“…In the non‐randomized controlled trial, dyspnea was decreased after the program independently on the group (control and treatment) and it was systematically clinically relevant (more than one point of reduction on the MMRC scale) …”

Section: Resultsmentioning

confidence: 99%

Effects of inspiratory muscle training in COPD patients: A systematic review and meta‐analysis

Beaumont¹,

Forget

Couturaud

et al. 2018

Clinical Respiratory J

181

118

View full text Add to dashboard Cite

show abstract

“…12 For the respiratory muscle training, participants performed three sets of 10 breaths through a commercially available hand-held resistance device (Threshold PEP; Chest Co, Japan) set at 60% of the individual's maximum expiratory mouth pressure, with resting periods of 1 minute between sets. 13,14 A threshold PEP costs 3,000 Japanese yen. The cough exercise was performed using 3 sets of 10 active coughs.…”

Section: Respiratory Rehabilitation Programmentioning

confidence: 99%

The Effect of Respiratory Rehabilitation for the Frail Elderly: a Pilot Study

Maki

Takahashi²,

Nakata³

et al. 2016

J of Gen and Family Med

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Objective: To analyze the effects of respiratory rehabilitation on the activities of daily living (ADL) and quality of life (QOL) in community-dwelling frail elderly.Design: Pilot intervention study after a one-year period of observation.Setting: Day care facility in a rehabilitation hospital.Subjects: Thirty community-dwelling frail elderly using rehabilitation services Intervention: After a one-year observation period of usual rehabilitation, 30 participants were given 12 rehabilitation sessions that included respiratory rehabilitation (three sessions a week for four weeks). Journal of General and Family Medicine 2016, vol. 17, no. 4, p. 289-298. Original Articles -289 -evaluation), prior to training (pre-training evaluation), and after the sessions (post-training evaluation). Primary outcome measures included: respiratory function, swallowing function, ADL, and QOL. Secondary outcome measures included: depressive score, exercise tolerance, 6-minute walk distance, thorax flexibility, and muscle strength (knee extension, grip, and abdominal). QOL were estimated using questionnaires.Results: Swallowing function, ADL, QOL (SF8 physical and mental summary score), respiratory function, and physical function were significantly reduced during usual rehabilitation (between the initial evaluation and pre-training evaluation), whereas swallowing function, ADL, QOL (SF8 physical component summary score [PCS]), respiratory function, exercise tolerance, 6-minute walk distance, thorax flexibility, and muscle strength (knee extension) were significantly improved during respiratory rehabilitation (between the pre-training evaluation and post-training evaluation). Conclusions:Our results suggest that a usual rehabilitation program without respiratory training is not sufficient for the frail elderly to maintain their ADL and QOL, and furthermore that respiratory rehabilitation can help improve their ADL and QOL as well as their swallowing and respiratory function.

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“…Hence, altering the Ti/Ttot via EMT and IMT has the potential to significantly improve the pathophysiologic symptoms of HF such as fatigue and dyspnea (Cahalin & Arena, 2015). A study found that IMT was more beneficial than EMT (Tout, Tayara, & Halimi, 2013). Many of the beneficial effects of EMT and IMT that are observed in patients with HF are due to the improvements in pulmonary perfusion or improvements in pulmonary artery pressure (PAP), pulmonary vascular resistance (PVR), and the VE/VCO 2 slope (Cahalin & Arena, 2015).…”

Section: Discussionmentioning

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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The effects of respiratory muscle training on improvement of the internal and external thoraco-pulmonary respiratory mechanism in COPD patients

Abstract: When associated with decluttering techniques, diaphragmatic rehabilitation and lower limb muscle exercise along with psychological support and educational efforts, respiratory muscle training is beneficial when compared with the usual protocols in rehabilitation of COPD patients.

Cited by 39 publications

References 27 publications

Effects of inspiratory muscle training in COPD patients: A systematic review and meta‐analysis

Effects of inspiratory muscle training in COPD patients: A systematic review and meta‐analysis

The Effect of Respiratory Rehabilitation for the Frail Elderly: a Pilot Study

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

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