Effect of inspiratory muscle training on exercise performance and quality of life in patients with chronic obstructive pulmonary disease

El-Morsi, Ahmed; Eldesoky, Mohamad Elsayed; Mohsen, Mona; Shalaby, Nesrien Mohammad; Abdalla, Dina Abouelkheir

doi:10.1016/j.ejcdt.2015.10.006

Cited by 17 publications

(17 citation statements)

References 33 publications

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“…The St George’s Respiratory Questionnaire and BODE index were applied in part of the QOL evaluation for detecting efficiency of the RMT among COPD patients, but more time was spent on evaluating the limitation 45. Moreover, the chronic respiratory questionnaire self-report (CRQ-SR) and other HRQoL instruments used in clinical study also are extensive instruments that spend more time on evaluation 45.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, the chronic respiratory questionnaire self-report (CRQ-SR) and other HRQoL instruments used in clinical study also are extensive instruments that spend more time on evaluation 45. Thus, the CCQ was used in this study with 10 short questions on three items: symptoms, mental state, and function evaluation, which present good internal consistency (Cronbach’s alpha >70%) compared to the CRQ-SR 28.…”

Section: Discussionmentioning

confidence: 99%

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Effects of a simple prototype respiratory muscle trainer on respiratory muscle strength, quality of life and dyspnea, and oxidative stress in COPD patients: a preliminary study

Leelarungrayub¹,

Pinkaew²,

Puntumetakul³

et al. 2017

COPD

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BackgroundThe aim of this study was to evaluate the efficiency of a simple prototype device for training respiratory muscles in lung function, respiratory muscle strength, walking capacity, quality of life (QOL), dyspnea, and oxidative stress in patients with COPD.MethodsThirty COPD patients with moderate severity of the disease were randomized into three groups: control (n=10, 6 males and 4 females), standard training (n=10, 4 males and 6 females), and prototype device (n=10, 5 males and 5 females). Respiratory muscle strength (maximal inspiratory pressure [PImax] and maximal expiratory pressure [PEmax]), lung function (forced vital capacity [FVC], percentage of FVC, forced expiratory volume in 1 second [FEV1], percentage of FEV1 [FEV1%], and FEV1/FVC), 6-minute walking distance (6MWD), QOL, and oxidative stress markers (total antioxidant capacity [TAC]), glutathione (GSH), malondialdehyde (MDA), and nitric oxide (NO) were evaluated before and after 6 weeks of training. Moreover, dyspnea scores were assessed before; during week 2, 4, and 6 of training; and at rest after training.ResultsAll parameters between the groups had no statistical difference before training, and no statistical change in the control group after week 6. FVC, FEV1/FVC, PImax, PEmax, QOL, MDA, and NO showed significant changes after 6 weeks of training with either the standard or prototype device, compared to pre-training. FEV1, FEV1%, 6MWD, TAC, and GSH data did not change statistically. Furthermore, the results of significant changes in all parameters were not statistically different between training groups using the standard and prototype device. The peak dyspnea scores increased significantly in week 4 and 6 when applying the standard or prototype device, and then lowered significantly at rest after 6 weeks of training, compared to pre-training.ConclusionThis study proposes that a simple prototype device can be used clinically in COPD patients as a standard device to train respiratory muscles, improving lung function and QOL, as well as involving MDA and NO levels.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effects of a simple prototype respiratory muscle trainer on respiratory muscle strength, quality of life and dyspnea, and oxidative stress in COPD patients: a preliminary study

Leelarungrayub¹,

Pinkaew²,

Puntumetakul³

et al. 2017

COPD

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“…Moreover, a study found that both aerobic and respiratory exercises were effective in significantly improving the results of six-minute walk test among patients with COPD [23]. Short-term endurance and strengthening exercises of the arm were also found to have positive effects on the exercise and the endurance capacities of the arm, while combined supported and unsupported arm exercises were more effective than unsupported exercises in improving arm endurance capacity [26]. Similarly, a study showed that respiratory muscle exercises had significant roles in improving treatment outcomes and the quality of life among patients with COPD [27].…”

Section: Discussionmentioning

confidence: 99%

Comparing the Effects of Upper Limb and Breathing Exercises on Six-Minute Walking Distance among Patients with Chronic Obstructive Pulmonary Disease: A Three-Group Randomized Controlled Clinical Trial

Dr.yekefallah

Zohal

Keshavarzsarkar

et al. 2019

Advances in Respiratory Medicine

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Introduction: Physical exercise can improve patient outcomes and reduce hospitalization and mortality rates among subjects with chronic obstructive pulmonary disease. This study aimed to compare the effects of upper limb and breathing exercises on six-minute walking distance among these patients. Material and methods: This three-group randomized controlled clinical trial was conducted in 2017-2018 in Velayat hospital, Qazvin, Iran. Seventy-five patients were purposively selected from the outpatient lung clinic of the hospital and randomly allocated to either the 25-patient groups of upper limb exercise, breathing exercise, or control. The patients in the first group were performing upper limb exercises thrice weekly for one month in the study setting. Their counterparts in the second group were doing pursed-lip and diaphragmatic breathing exercises four times daily for one month at their homes. However, the patients in the control group received no exercise intervention. Six-minute walk test was performed by each participant both before and after the study intervention. The SPSS for Windows program (v. 23.0) was used to analyze the data via the Chi-square test, the paired-sample t test, and the one-way analysis of variance. Results: Before the intervention, the groups did not significantly differ from each other respecting six-minute walking distance. During the study, walking distance in the control group did not change significantly, while it remarkably increased in both the upper limb exercise and the breathing exercise groups (p < 0.05). After the intervention, walking distance in the upper limb exercise group was significantly greater than the breathing exercise group (p < 0.05) and the control group (p < 0.05); however, the difference between the breathing exercise and the control groups was not statistically significant (p > 0.05). Conclusion: Upper limb exercise is more effective than breathing exercise in increasing walking distance among patients with chronic obstructive pulmonary disease. Therefore, upper limb exercise can be used as a safe, simple, and inexpensive rehabilitation technique for these patients.

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“…Elmorisi et al 17 also evaluated the effect of IMT in 60 COPD patients who are divided into three groups, each consists of 20 subjects. All subjects still consumed medications at the time of the study.…”

Section: Discussionmentioning

confidence: 99%

“…The difference in the distance in the first two groups were statistically significant, but that is not the case for the third group. 17 Clinically, a SGRQ difference of more than 4 units and distance more than 26±2 meters are also clinically significant. 7,14,1 McKenzie did randomized controlled trial on COPD patients.…”

Section: Discussionmentioning

confidence: 99%

Inspiratory Muscle Trainer Effectiveness in Chronic Obstructive Pulmonary Disease Rehabilitation Program

Nusdwinuringtyas

Islamadina

Rumende

et al. 2019

mkb

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Chronic obstructive pulmonary disease (COPD) is marked by persistent respiratory disturbance which results in altered health status as well as functional capacity. Pulmonary rehabilitation (PR) is a part of comprehensive therapy in patients suffering from respiratory disturbance. This study focused on inspiratory muscles exercise using the inspiratory muscle trainer (IMT), which is a form of a weight training exercise. This experiment was conducted at the COPD outpatient clinic of Dr. Cipto Mangunkusumo Hospital during the period of September 2017 until April 2018. Patients were recruited consecutively. The criteria for inclusion were stable COPD patient with GOLD criteria AD and never received prior exercise for pulmonary rehabilitation. Patients underwent interview about their medical history followed by spirometry testing using Carefusion® and inspiratory muscle strength assessment using Micro RPM Carefusion®. The St George Respiratory Questionnaire (SGRQ) was used to assess the health status and the 6-minute walking test (6MWT) was conducted to assess the functional capacity. Subject exercised using IMT (Philips Respironic®) for eight weeks. Data were analyzed using paired t-test in statistical package for social sciences (SPSS) version 21. A total of 15 subjects with and average age of 65.6±8.40 years old were recruited. Pre-post difference in inspiratory muscle strength was 11.31 cmH 2 O, showing a statistically significant impact. The significant impact was also shown clinically through the results of the Minimal clinical important difference (MCID) on health status and functional capacity. The health status was evaluated using SGRQ with p exceeding 4%. A combined Pulmonary Rehabilitation (PR) and inspiratory muscles exercise program is proven to improve the health status and functional capacity.

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Effect of inspiratory muscle training on exercise performance and quality of life in patients with chronic obstructive pulmonary disease

Cited by 17 publications

References 33 publications

Effects of a simple prototype respiratory muscle trainer on respiratory muscle strength, quality of life and dyspnea, and oxidative stress in COPD patients: a preliminary study

Effects of a simple prototype respiratory muscle trainer on respiratory muscle strength, quality of life and dyspnea, and oxidative stress in COPD patients: a preliminary study

Comparing the Effects of Upper Limb and Breathing Exercises on Six-Minute Walking Distance among Patients with Chronic Obstructive Pulmonary Disease: A Three-Group Randomized Controlled Clinical Trial

Inspiratory Muscle Trainer Effectiveness in Chronic Obstructive Pulmonary Disease Rehabilitation Program

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