About
Scope & Aims
Editorial office
Editorial board
Reviewers
Ethical standards and procedures
Abstracting and indexing
Contact
Articles & Issues
Current issue
Articles in press
Archive
For Authors
General rules
Guide for authors
Templates
Publication charge
For Reviewers
Guide for reviewers
Our reviewers
ORIGINAL PAPER
Efficacy of inspiratory muscle training on inspiratory muscles strength, functional capacity, and quality of life in patients with interstitial lung disease. A single non-controlled clinical study
1
Department of Physical Therapy for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt
2
Department of Physical Therapy for Internal Medicine, Faculty of Physical Therapy, Sinai University, East Qantara, Egypt
3
Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia
Submission date: 2020-07-07
Acceptance date: 2020-08-17
Publication date: 2022-05-23
Physiother Quart. 2022;30(2):46-50
KEYWORDS
interstitial lung diseasethreshold inspiratory muscle trainingmaximum inspiratory pressure2-minute walk testquality of life
TOPICS
ABSTRACT
Introduction:
The aim of this study was to investigate the effectiveness of low level laser therapy (extravascular laser blood irradiation) on glycaemic levels in type 2 diabetes mellitus patients The most disabling symptoms in interstitial lung disease (ILD) patients are exertional dyspnoea, functional limitations, and impaired quality of life (QoL), all related to inspiratory muscle dysfunction. Therefore, the purpose of this study was to investigate the impact of inspiratory muscle training by using a threshold device on inspiratory muscle strength, functional capacity, and QoL in patients with ILD.
Methods:
A single non-controlled clinical study was conducted among 30 patients with different subtypes of ILD who received 30-minute threshold inspiratory muscle training 3 times per week for 12 weeks at 30% of the maximum inspiratory pressure (PImax). PImax, distance walked in a 2-minute walk test (2MWT), oxygen saturation (SO2%), and QoL by the 36-item Short-Form Health Survey were measured before and after the intervention.
Results:
A significant improvement was observed in all measured variables: PImax (p = 0.0001), distance walked in 2MWT (p = 0.003), SO2% (p = 0.043), and the QoL score (p < 0.05).
Conclusions:
It was found that threshold inspiratory muscle training is recommended to be a part of the routine care for ILD patients to gain the benefits of improving the control of the symptoms.
The aim of this study was to investigate the effectiveness of low level laser therapy (extravascular laser blood irradiation) on glycaemic levels in type 2 diabetes mellitus patients The most disabling symptoms in interstitial lung disease (ILD) patients are exertional dyspnoea, functional limitations, and impaired quality of life (QoL), all related to inspiratory muscle dysfunction. Therefore, the purpose of this study was to investigate the impact of inspiratory muscle training by using a threshold device on inspiratory muscle strength, functional capacity, and QoL in patients with ILD.
Methods:
A single non-controlled clinical study was conducted among 30 patients with different subtypes of ILD who received 30-minute threshold inspiratory muscle training 3 times per week for 12 weeks at 30% of the maximum inspiratory pressure (PImax). PImax, distance walked in a 2-minute walk test (2MWT), oxygen saturation (SO2%), and QoL by the 36-item Short-Form Health Survey were measured before and after the intervention.
Results:
A significant improvement was observed in all measured variables: PImax (p = 0.0001), distance walked in 2MWT (p = 0.003), SO2% (p = 0.043), and the QoL score (p < 0.05).
Conclusions:
It was found that threshold inspiratory muscle training is recommended to be a part of the routine care for ILD patients to gain the benefits of improving the control of the symptoms.
REFERENCES (26)
1.
Holland AE. Exercise limitation in interstitial lung disease – mechanisms, significance and therapeutic options. Chron Respir Dis. 2010;7(2):101–111; doi: 10.1177/1479972309354689.
2.
Kaushal M, Ali MS, Sharma RK, Talwar D. Effect of respiratory muscle training and pulmonary rehabilitation on exercise capacity in patients with interstitial lung disease: a prospective quasi-experimental study. Eurasian J Pulmonol. 2019;21:87–92; doi: 10.4103/ejop.ejop_21_19.
3.
Panagiotou M, Polychronopoulos V, Strange C. Respiratory and lower limb muscle function in interstitial lung disease. Chron Respir Dis. 2016;13(2):162–172; doi: 10.1177/1479972315626014.
4.
Walterspacher S, Schlager D, Walker DJ, Müller-Quernheim J, Windisch W, Kabitz H-J. Respiratory muscle function in interstitial lung disease. Eur Respir J. 2013;42(1):211–219; doi: 10.1183/09031936.00109512.
5.
Karadallı MN, Boşnak-Güçlü M, Camcıoğlu B, Kokturk N, Türktaş H. Effects of inspiratory muscle training in subjects with sarcoidosis: a randomized controlled clinical trial. Respir Care. 2016;61(4):483–494; doi: 10.4187/respcare.04312.
6.
Kesikburun B, Köseoğlu BF, Şahin A, Turgay M, Doğan A, Öken ÖA. The effects of respiratory muscle weakness and pulmonary involvement on functional status, fatigue and health related quality of life in patients with systemic sclerosis. Arch Rheumatol. 2015;30(2):116–123; doi: 10.5606/ArchRheumatol.2015.5238.
7.
Santana PV, Cardenas LZ, de Albuquerque ALP, de Carvalho CRR, Caruso P. Diaphragmatic ultrasound findings correlate with dyspnea, exercise tolerance, health-related quality of life and lung function in patients with fibrotic interstitial lung disease. BMC Pulm Med. 2019;19(1):183; doi: 10.1186/s12890-019-0936-1.
8.
Illi SK, Held U, Frank I, Spengler CM. Effect of respiratory muscle training on exercise performance in healthy individuals: a systematic review and meta-analysis. Sports Med. 2012;42(8):707–724; doi: 10.1007/BF03262290.
9.
Aboelmagd FM, Hamada HA, Saab IM. Effect of inspiratory muscle training on diaphragm mobility and functional capacity in elderly: a randomized clinical trial. Fizjoterapia Pol. 2019;19(2):28–32.
10.
Gosselink R, De Vos J, van den Heuvel SP, Segers J, Decramer M, Kwakkel G. Impact of inspiratory muscle training in patients with COPD: what is the evidence? Eur Respir J. 2011;37(2):416–425; doi: 10.1183/09031936.00031810.
11.
Elkins M, Dentice R. Inspiratory muscle training facilitates weaning from mechanical ventilation among patients in the intensive care unit: a systematic review. J Physiother. 2015;61(3):125–134; doi: 10.1016/j.jphys.2015.05.016.
12.
Schellekens W-JM, van Hees HWH, Doorduin J, Roesthuis LH, Scheffer GJ, van der Hoeven JG, et al. Strategies to optimize respiratory muscle function in ICU patients. Crit Care. 2016;20(1):103; doi: 10.1186/s13054-016-1280-y.
13.
Koulopoulou M, Chua F, Koutoumanou E, Narayan S, Nikoletou D. Inspiratory muscle training (IMT) in interstitial lung disease (ILD) – a pilot study. Eur Respir J. 2016;48:PA1368; doi: 10.1183/13993003.congress-2016.PA1368.
14.
American Thoracic Society/European Respiratory Society. ATS/ERS statement on respiratory muscle testing. Am J Respir Crit Care Med. 2002;166(4):518–624; doi: 10.1164/rccm.166.4.518.
15.
Johnston KN, Potter AJ, Phillips AC. Minimal important difference and responsiveness of 2-minute walk test performance in people with COPD undergoing pulmonary rehabilitation. Int J Chron Obstruct Pulmon Dis. 2017;12:2849–2857; doi: 10.2147/COPD.S143179.
16.
Lacson E Jr, Xu J, Lin S-F, Dean SG, Lazarus JM, Hakim RM. A comparison of SF-36 and SF-12 composite scores and subsequent hospitalization and mortality risks in long-term dialysis patients. Clin J Am Soc Nephrol. 2010;5(2):252–260; doi: 10.2215/CJN.07231009.
17.
Laveneziana P, Albuquerque A, Aliverti A, Babb T, Barreiro E, Dres M, et al. ERS statement on respiratory muscle testing at rest and during exercise. Eur Respir J. 2019;53(6):1801214; doi: 10.1183/13993003.01214-2018.
18.
Walterspacher S, Pietsch F, Walker DJ, Röcker K, Kabitz H-J. Activation of respiratory muscles during respiratory muscle training. Respir Physiol Neurobiol. 2018;247:126–132; doi: 10.1016/j.resp.2017.10.004.
19.
Ramírez-Sarmiento A, Orozco-Levi M, Güell R, Barreiro E, Hernandez N, Mota S, et al. Inspiratory muscle training in patients with chronic obstructive pulmonary disease: structural adaptation and physiologic outcomes. Am J Respir Crit Care Med. 2002;166(11):1491–1497; doi: 10.1164/rccm.200202-075OC.
20.
Scalzitti DA, Harwood KJ, Maring JR, Leach SJ, Ruckert EA, Costello E. Validation of the 2-minute walk test with the 6-minute walk test and other functional measures in persons with multiple sclerosis. Int J MS Care. 2018;20(4):158–163; doi: 10.7224/1537-2073.2017-046.
21.
Markovitz GH, Cooper CB. Rehabilitation in non-COPD: mechanisms of exercise limitation and pulmonary rehabilitation for patients with pulmonary fibrosis/restrictive lung disease. Chron Respir Dis. 2010;7(1):47–60; doi: 10.1177/1479972309348654.
22.
Simões RP, Castello V, Auad MA, Dionísio J, Mazzonetto M. Prevalence of reduced respiratory muscle strength in institutionalized elderly people. Sao Paulo Med J. 2009;127(2):78–83; doi: 10.1590/S1516-31802009000200005.
23.
HajGhanbari B, Yamabayashi C, Buna TR, Coelho JD, Freedman KD, Morton TA, et al. Effects of respiratory muscle training on performance in athletes: a systematic review with meta-analyses. J Strength Cond Res. 2013;27(6):1643–1663; doi: 10.1519/JSC.0b013e318269f73f.
24.
Beaumont M, Forget P, Couturaud F, Reychler G. Effects of inspiratory muscle training in COPD patients: a systematic review and meta-analysis. Clin Respir J. 2018;12(7):2178–2188; doi: 10.1111/crj.12905.
25.
Martín-Valero R, Jimenez-Cebrian AM, Moral-Munoz JA, de-la-Casa-Almeida M, Rodriguez-Huguet M, Casuso-Holgado MJ. The efficacy of therapeutic respiratory muscle training interventions in people with bronchiectasis: a systematic review and meta-analysis. J Clin Med. 2020;9(1):231; doi: 10.3390/jcm9010231.
26.
Hanada M, Kasawara KT, Mathur S, Rozenberg D, Kozu R, Hassan SA, et al. Aerobic and breathing exercises improve dyspnea, exercise capacity and quality of life in idiopathic pulmonary fibrosis patients: systematic review and meta-analysis. J Thorac Dis. 2020;12(3):1041–1055; doi: 10.21037/jtd.2019.12.27.
Share
RELATED ARTICLE
| eISSN: | 2544-4395 |
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
