Inspiratory Muscle Training Research Articles

Effect Of Inspiratory Muscle Training On Agility In 7-12 Years School Going Children

Effect Of Inspiratory Muscle Training On Agility In 7-12 Years School Going Children

The Effect of Inspiratory Muscle Training, Incentive Spirometer and Deep Breathing Exercise in Asthmatic Patient: A Narrative Review

The Effect of Inspiratory Muscle Training, Incentive Spirometer and Deep Breathing Exercise in Asthmatic Patient: A Narrative Review

Impact of inspiratory muscle training on respiratory muscle function and functional capacity in patients with heart failure: a scoping review

Impact of inspiratory muscle training on respiratory muscle function and functional capacity in patients with heart failure: a scoping review

Impact of inspiratory muscle training on respiratory muscle function and functional capacity in patients with heart failure: a scoping review

Impact of inspiratory muscle training on respiratory muscle function and functional capacity in patients with heart failure: a scoping review

A Review on Optimising Limb Function with Inspiratory Muscle Training: Unlocking Potential with Enhanced Performance

Introduction: The potential of Inspiratory Muscle Training (IMT) to enhance limb function holds broad significance across sports science, rehabilitation, and physical therapy. The present review elucidates the link between respiratory muscle function and limb performance, suggesting that integrating IMT into training protocols and rehabilitation programs, particularly in sports and preventive healthcare, could yield improved outcomes. Recognising the vital role of respiratory muscle function in overall performance may inspire innovative approaches to training and rehabilitation strategies. Aim: To investigate the effect of inspiratory muscle training in optimising limb function and its impact on overall performance enhancement. Materials and Methods: Full text published articles from year 2004 to 2024 from different databases like Google Scholar, PubMed, Physiotherapy Evidence Database (PEDro) and Cochrane library were included. The search items like “Inspiratory muscle training,” “Limb function”, “Respiratory muscle strength” using Boolean operators AND, OR were used. The study involving both male and female individuals were included. Results: From a total of 345 studies, seven full text studies were relevant and meeting the inclusion criteria were selected. IMT was proven to improve limb function especially in athletes. Conclusion: The findings are expected to provide valuable insights into the potential of IMT as a novel intervention for optimising limb function and enhancing overall performance. The conclusion drawn will contribute to the body of knowledge in sports science, rehabilitation and physical therapy, prepare the way for clinical applications.

Ab. No. 40 The Effect of Inspiratory Muscle Training on Respiratory Muscle Strength and Quality of Life in Maintenance Hemodialysis Individuals- A Case Study

Introduction: Chronic kidney disease (CKD) is a global public health concern characterized by multiple organ dysfunction, including lung function. The kidneys and lungs regulate acid-base balance, blood pressure, and fluid homeostasis, and CKD can significantly impair lung function due to persistent fluid overload, individuals with chronic kidney disease (CKD) frequently develop a restrictive spirometry pattern. Pulmonary edema and respiratory muscle dysfunction can occur when the glomerular filtration rate (GFR) decreases as a result of fluid retention as well as alterations in the metabolism, endocrine system, and cardiovascular system. Deteriorating pulmonary function may be associated with both GFR and urine protein excretion. Other significant systemic symptoms associated with lung diseases, such as anemia, osteoporosis, malnutrition, muscular wasting, and cardiovascular disease, are also affected by chronic kidney disease (CKD). The study aims to study the effect of inspiratory muscle trainers on respiratory parameters in CKD patients undergoing hemodialysis. Methods: Individuals with chronic kidney failure and undergoing hemodialysis. Maximum inspiratory pressure (PImax) was assessed by use of a pressure vacuum meter reading. Pulmonary function was assessed by use of spirometry. Functional capacity was assessed by use of walked distance obtained in the six-minute walk test (6MWT). A four-week inspiratory muscle training (IMT) protocol was applied during hemodialysis sessions, with load set to 40% of PImax and a weekly frequency of three alternate days. Result: After 4 weeks of training, there was a significant improvement in the walked distance, pulmonary function test, and respiratory muscle strength (PImax-21cmH2O to -90cmH2O). Conclusion: The study showed significant differences in respiratory muscle strength, and pulmonary function. An increase in the walked distance was observed in the 6MWT. Implications: Based on the current case it is safe to say that inspiratory muscle training can be used in chronic kidney disease to improve respiratory outcomes.

Cumulative Effects of Concurrent Inspiratory Muscle Training and Postural Correction Bands on Older Individuals Community Dwellers: A Randomized Study.

Posture correction bands (PCBs) have been proposed as aids to help chest expansion and to enhance respiratory function. However, the impact of PCBs on community-based older individuals engaged in inspiratory muscle training (IMT) at home remains unclear. Community-based individuals aged 65 years and older were divided into the PCB group, wearing PCBs, and the NPCB group, not wearing PCBs. The IMT regimen lasted 8 weeks, with sessions 5 times a week, including 4 sets per day and 15 repetitions per set. Training intensity was set at 50% of the maximum inspiratory pressure of each subject. To assess the effects of IMT, respiratory function, 6-minute walk test, and grip strength were measured before, during, and after the training period. Data were analyzed using repeated-measures analysis of variance, with post-hoc evaluation employing Bonferroni correction. A total of 40 subjects were evenly divided into the PCB group and the NPCB group, with 20 subjects in each group. No significant difference was observed in respiratory muscle strength based on PCB use. However, during the initial 4 weeks, the PCB group exhibited a trend towards an increase in respiratory muscle strength compared to the NPCB group; this trend, however, did not prove to be statistically significant by the end of the 8-week period. Performance on the 6-minute walk test significantly improved in both groups. The PCB group exhibited a tendency for increase in respiratory muscle strength in the first 4 weeks; however, ultimately there was no significant difference compared to the NPCB group. This study was registered with the Clinical Research Information Service, part of the World Health Organization's International Clinical Trials Registry Platform (Clinical Research Information Service No. KCT0008075).

Challenges of physiotherapy service on a patient with cystic fibrosis and severe pulmonary exacerbation and put on extracorporeal membrane oxygenation: A case report

A 14-year-old male with cystic fibrosis (CF) and severe pulmonary exacerbation was put on venovenous extracorporeal membrane oxygenation (VV-ECMO) and mechanical ventilator. This case report is to share the challenges and vigilant care on service delivery of physiotherapy services faced and gone through at a pediatric intensive care unit of a quaternary care children’s hospital. Sputum clearance technique was provided in the coexistence of VV-ECMO and mechanical ventilator. Inspiratory muscle training and physical rehabilitation commenced at the phase of progressive weaning from noninvasive ventilation. The total intervention duration was 40 days; the lung sound and chest X-ray were cleared up, and the physical tolerance was improved to walking with light assistance. Airway clearance and physical rehabilitation in CF on VV-ECMO are achievable with alertness and alternatives with careful observance. Although ECMO may hinder the efficacy of sputum clearance, cautious and safe-guarded physiotherapy techniques can influence outcomes.

Impact of Inspiratory Muscle Training and Positive Expiratory Pressure on Lung Function and Extubation Success of ICU Patients: a Randomized Controlled Trial.

Preparing patients for extubation from mechanical ventilation (MV) necessitates focused respiratory muscle strengthening. This study aimed to evaluate the effect of threshold inspiratory muscle training (IMT) and positive expiratory pressure (PEP) exercises on outcomes of patients who underwent MV in intensive care unit (ICU). This randomized controlled trial was conducted in 2023 at the ICUs of Imam Reza Hospital, Mashhad, Iran. Participants were allocated to either intervention or control group (each comprising 35 patients) through block randomization. The intervention group received standard daily chest physiotherapy as well as targeted inspiratory and expiratory muscle strengthening exercises using the threshold IMT/PEP device, administered twice daily over one week. The control group received standard daily chest physiotherapy alone. Finally, the outcomes (lung compliance, duration of intubation, extubation success rate, and diaphragmatic metrics) of the two groups were compared. 70 patients with the mean age of 56.10 ± 14.15 (range: 28.00-85.00) years were randomly divided into two groups (50% male). Significant improvements were observed in the intervention group regarding pulmonary compliance values (35.62 ± 4.43 vs. 30.85 ± 6.93; p= 0.001), peak expiratory flow (PEF) (55.20 ± 10.23 vs. 47.80 ± 11.26; p = 0.002), and maximum inspiratory pressure (MIP) (33.40 ± 4.25 vs. 30.08 ± 6.08; p = 0.01) compared to the control group. Diaphragm inspiratory thickness (0.29 ± 0.03 vs. 0.26 ± 0.04; p = 0.001), diaphragm expiratory thickness (0.22 ± 0.03 vs. 0.20 ± 0.04; p = 0.006) and motion (1.61 ± .29 vs. 1.48 ± .21; p = 0.04) also exhibited significant differences between the two groups. Extubation success rate was higher in the intervention group (68.60% vs. 40%; p = 0.01). The duration of mechanical ventilation was 15.14±7.07 days in the intervention group and 17.34±7.87 days in the control group (p = 0.20). The mean extubation time was 7.00 ± 1.88 days for the intervention group and 9.00 ± 2.00 days for the control (p < 0.001). Threshold IMT/PEP device exercises effectively enhance respiratory muscle strength, diaphragm thickness, and reduce ventilator dependency. These findings support their potential for inclusion in rehabilitation programs for ICU patients.

Effects of inspiratory muscle training on inspiratory muscle strength, diaphragm thickness, and exercise capacity in sarcopenic individuals

Effects of inspiratory muscle training on inspiratory muscle strength, diaphragm thickness, and exercise capacity in sarcopenic individuals

Cardiopulmonary Rehabilitation along with Inspiratory Muscle Training to Improve Aerobic Capacity in Athletic Patient Following Atrial Septal Defect Closure: A Case Report

Cardiopulmonary Rehabilitation along with Inspiratory Muscle Training to Improve Aerobic Capacity in Athletic Patient Following Atrial Septal Defect Closure: A Case Report

Implementation of inspiratory muscle training for individuals with acute tetraplegia admitted to a spinal cord injury service

Implementation of inspiratory muscle training for individuals with acute tetraplegia admitted to a spinal cord injury service

문턱값 들숨근훈련과 복합호흡훈련이 만성 뇌졸중 환자의 가로막 두께 및 호흡기능에 미치는 영향

Purpose: The purpose of this study was to identify the effects of the application of inspiratory muscle training and complex breathing training on diaphragm thickness and respiratory function in individuals with chronic stroke.&#x0D; Methods: A total of 30 patients were randomly divided into experimental and control group. The experimental group performed 30 minutes of inspiratory muscle training and complex breathing training and 30 minutes lower limb ergometer training for a total of 60 minutes, 3 times a week for 6 weeks. The control group performed 30 minutes of conventional physical therapy and 30 minutes lower limb ergometer training for a total of 60 minutes, 3 times a week for 6 weeks. The diaphragm thickness of the participants was measured by using rehabilitative ultrasound image, and a respiratory function test was conducted using a Pony FX spirometer. These parameters were evaluated prior to the intervention and 6 weeks after the intervention.&#x0D; Results: In both groups, there was a significant difference (p&lt;.05) between the results obtained before and after training. There was significant improvement in the affected and unaffected diaphragm thickness during contraction, as well as the respiratory function, in the experimental group compared to the control group (p&lt;.05).&#x0D; Conclusion: In this study, we confirmed that there are significant effects of inspiratory muscle training and complex breathing training on diaphragm thickness and respiratory function in patients with chronic stroke.

Inspiratory Muscle Training Effects on Respiratory Function and Coughing Ability in Men With Obesity

Inspiratory Muscle Training Effects on Respiratory Function and Coughing Ability in Men With Obesity

Evidence-based Practice Interventions for Reducing Postoperative Pulmonary Complications: A Narrative Review

Background: Specific surgical procedures, such as upper abdominal and thoracic surgery, are connected to an increased predisposition of postoperative pulmonary complications (PPCs). The incidence of PPCs could vary approximately between 20-90% with upper abdominal surgery, which can be minimized by using treatment procedures that increase lung capacity and encourage inspiration. This review aims to examine the effectiveness of already existing evidence-based interventions that promote lung expansion, thereby preventing PPCs. Method: We mainly focused on the existing evidence of preoperative education on the incentive spirometer, early mobilization, directed coughing, deep breathing exercises, chest physiotherapy, and inspiratory muscle training (IMT) to prevent PPCs. The literature search was limited to experimental, observational studies, systemic reviews, and articles published in the last 15 years, January 2007- Dec. 2022, in PubMed and Google Scholar. Result: This initial search yielded a total of 5301 articles. All articles with titles not related to the topic were eliminated. 1050 records were screened, and the final review was conducted with 22 articles, including 13 randomized controlled trials (RCTs), four systemic reviews, one retrospective review, three observational studies, and one non-experimental study. Our review reveals mixed evidence for individual interventions, including but not limited to incentive spirometry, inspiratory muscle training, early mobilization, cough, deep breathing, etc. Some studies maintain that intervention is effective; others imply there is no substantial difference in the choice of intervention. Conclusion: The literature review concluded that patients who received multiple interventions showed significant improvement in pulmonary function postoperatively. However, definitive studies need to be conducted to solidify this conclusion.

Remote respiratory resistance exercise training improves respiratory function in individuals with VCP multisystem proteinopathy

Valosin-containing protein (VCP) disease is an autosomal dominant multisystem proteinopathy associated with hereditary inclusion body myopathy, Paget disease of bone, and frontotemporal dementia. Myopathy frequently results in respiratory muscle weakness, leading to early mortality due to respiratory failure. We investigated the effects of a remotely administered inspiratory muscle training program in individuals with VCP disease. Nine adults with VCP mutation-positive familial myopathy without evidence of dementia were recruited for a 40-week remotely administered study. Baseline performance was established during the first 8 weeks, followed by 32 weeks of inspiratory muscle training. The primary outcome was maximum inspiratory pressure (MIP). The secondary and exploratory endpoints included spirometry, grip strength, Inclusion Body Myopathy Functional Rating Scale (IBMFRS), Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS), timed up and go, and six-minute walk test (6MWT). During the treatment phase, MIP increased significantly by a weekly mean of 0.392cm. H2O (p=0.023). In contrast, grip strength and ALSFRS significantly decreased by 0.088 lbs. (p=0.031) and 0.043 points (p=0.004) per week, respectively, as expected from the natural progression of this disease. A remotely administered inspiratory muscle training program is therefore feasible, safe, and well-tolerated in individuals with VCP disease and results in improved inspiratory muscle strength.

Isometric Exercise and Inspiratory Muscle Training as the Antihypertensive Treatment in Elderly Population

ABSTRACT: BACKGROUND: Hypertension is a common age related, chronic disorder affecting more than 1 billion people. The risk of developing hypertension is between the age of 55 to 65 years. Inspiratory muscle training (IMT) and isometric resistance training individually shows beneficial outcomes in a number of cardiovascular populations, which may potentially improve condition of elderly patients with hypertension. PURPOSE: To study the effectiveness of combined isometric resistance training and inspiratory muscle training on the change in blood pressure. METHODS: A total of 15 patients were included in the study based on the inclusion who were diagnosed with hypertension above 140/70 mmHg, both genders with age above 60 years, and the patients with any acute illness and other neurological, metabolic, pulmonary and systemic diseases were excluded from the study. All the participants were assessed for SBP and DBP before initiating the study using sphygmomanometer. All the participants were given isometric exercises and inspiratory muscle training for 3 weeks and the post-test measurements were obtained. The pre-test and post-test measurements were statistically analysed. RESULTS: The study shows a statistically significant difference between the pre-test and post -test value of SBP ( -8.47 mmHg) and DBP (-3.2mmHg) with p value &lt;0.0001. CONCLUSION: Our findings and data suggest that this form of training has the potential to produce significant and clinically meaningful blood pressure reductions in the elderly population.

Physical Prehabilitation in Patients who Underwent Major Abdominal Surgery: A Comprehensive Systematic Review and Component Network Meta-Analysis Using GRADE and CINeMA Approach

BackgroundPhysical prehabilitation is recommended before major abdominal surgery to ameliorate short-term outcomes.MethodsA frequentist, random-effects network meta-analysis (NMA) was performed to clarify which type of preoperative physical activity among aerobic exercise (AE), inspiratory muscle training (IMT), and resistance training produces benefits in patients who underwent major abdominal surgery. The surface under the P-score, odds ratio (OR), or mean difference (MD) with a 95% confidence interval (CI) were reported. The results were adjusted by using the component network approach. The critical endpoints were overall and major morbidity rate and mortality rate. The important but not critical endpoints were the length of stay (LOS) and pneumonia.ResultsThe meta-analysis included 25 studies. The best approaches for overall morbidity rate were AE and AE + IMT (OR = 0.61, p-score = 0.76, and OR = 0.66, p-score = 0.68). The best approaches for pneumonia were AE + IMT and AE (OR = 0.21, p-score = 0.91, and OR = 0.52, p-score = 0.68). The component analysis confirmed that the best incremental OR (0.30; 95% CI 0.12–0.74) could be obtained using AE + IMT. The best approach for LOS was AE alone (MD − 1.63 days; 95% CI − 3.43 to 0.18). The best combination of components was AE + IMT (MD − 1.70; 95% CI − 2.06 to − 1.27).ConclusionsPhysical prehabilitation reduces the overall morbidity rate, pneumonia, and length of stay. The most relevant effect of prehabilitation requires the simultaneous use of AE and IMT.

Protocol for the PORT study: short-term perioperative rehabilitation to improve outcomes in cardiac valvular surgery – a randomised control trial

IntroductionPerioperative rehabilitation (PORT) has shown a positive effect on patients undergoing cardiac surgery. However, there are minimal data on the impact of short-term PORT in cardiac surgery, which is associated...

Eficacia de las intervenciones fisioterápicas sobre la musculatura respiratoria mediante técnicas de entrenamiento respiratorio en el postoperatorio de trasplantados pulmonares: una revisión sistemática

IntroductionRespiratory muscles are a limiter of exercise capacity in lung transplant patients. It is necessary to know the effectiveness of specific respiratory muscle training techniques carried out in the management of adult lung transplant patients in the postoperative period. Material and methodsA systematic review of clinical trials was carried out, which included adult lung transplant patients undergoing post-transplant respiratory training. A search was carried out in the databases PubMed/Medline, EMBASE, Scopus, Web of Science, Cochrane Library between January 2012 and September 2023, using the terms: “breathing exercise”, “respiratory muscle training”, “inspiratory muscle training”, “respiratory exercise”, “pulmonary rehabilitation”, “lung rehabilitation”; in combination with “lung transplantation”, “lung transplant”, “posttransplant lung”. No language limit. ResultsEleven trials were included with a total of 639 patients analyzed. Most training programs begin upon hospital discharge (more than one month post-transplant), few do so early (Intensive Care Unit). The duration varies from 1-12 months post-transplant. The interventions were based on aerobic training and peripheral muscle strength. Some of them included breathing exercises and chest expansions. The most used outcome variable was submaximal exercise capacity measured with the 6-minute walk test. ConclusionsTraining the respiratory muscles of the adult transplant patient favors the improvement of exercise capacity and quality of life. Aerobic training, as well as strength training of the rest of the peripheral muscles, contribute to the improvement of respiratory muscles.