Influence of Inspiratory Muscle Weakness on Inspiratory Muscle Training Responses in Chronic Heart Failure Patients: A Systematic Review and Meta-Analysis

Montemezzo, Dayane; Fregonezi, Guilherme; Britto, Raquel Rodrigues; Reid, W. Darlene

doi:10.1016/j.apmr.2014.02.022

Cited by 59 publications

(112 citation statements)

References 40 publications

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“…Numerous findings on various diseases have shown no change in dynamic lung volumes after inspiratory muscle training, [11][12][13][14][15] consistent with our findings. We also investigated the effects of inspiratory muscle training on D LCO and observed no improvement.…”

Section: Pulmonary Functionsupporting

confidence: 82%

“…8 In the literature, studies have shown that inspiratory muscle training improves quality of life in subjects with COPD, 11 bronchiectasis, 13 cystic fibrosis, 14 and heart failure. 15 Although there were improvements in all subgroups and total scores of SGRQ in both groups with a large effect size, no significant improvement was observed between groups (with low statistical power). The effects of inspiratory muscle training on quality of life should be investigated in a larger population of subjects with sarcoidosis.…”

Section: Quality Of Lifementioning

confidence: 99%

“…Consistent with our findings, prior studies showed significant improvement in functional exercise capacity following mild to moderate intensity inspiratory muscle training in subjects with COPD, cystic fibrosis, asthma, bronchiectasis, or heart failure and healthy individuals. [10][11][12][13][14][15] Inspiratory muscle training has been shown to improve cycling endurance, exercising lactate levels, diaphragm thickness, and inspiratory muscle strength in previous studies. [34][35][36][37][38][39] Findings in the literature serve as possible explanations for the large improvement in exercise capacity.…”

Section: Functional and Maximal Exercise Capacitymentioning

confidence: 99%

“…Respiratory muscle weakness is related to increased fatigue and dyspnea perception and reduced exercise capacity and health status. [4][5][6]9 Meta-analyses of randomized controlled trials and systematic reviews on COPD, 10,11 asthma, 12 bronchiectasis, 13 cystic fibrosis, 14 and heart failure 15 have shown the beneficial effects of inspiratory muscle training on several outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Inspiratory Muscle Training in Subjects With Sarcoidosis: A Randomized Controlled Clinical Trial

Karadalli¹,

Boşnak-Güçlü²,

Camcıoğlu³

et al. 2015

Respir Care

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BACKGROUND: Respiratory muscle weakness occurs in sarcoidosis and is related to decreased exercise capacity, greater fatigue, dyspnea, and lower quality of life in sarcoidosis patients. The effects of inspiratory muscle training in this population have not been comprehensively investigated so far. This study was planned to investigate the effects of inspiratory muscle training on exercise capacity, respiratory and peripheral muscle strength, pulmonary function and diffusing capacity, fatigue, dyspnea, depression, and quality of life in subjects with sarcoidosis. METHODS: This was a prospective, randomized, controlled, and double blind study. Fifteen sarcoidosis subjects (treatment group) received inspiratory muscle training at 40% of maximal inspiratory pressure (P Imax ), and 15 subjects (control group) received sham therapy (5% of P Imax ) for 6 weeks. Functional and maximal exercise capacity, respiratory and peripheral muscle strength, pulmonary function and diffusing capacity, fatigue, dyspnea, depression, and quality of life were evaluated. RESULTS: Functional (P < .001) and maximal exercise capacity (P ‫؍‬ .038), respiratory muscle strength (P Imax [P < .001] and P Emax [P ‫؍‬ .001]), severe fatigue (P ‫؍‬ .002), and dyspnea perception (P ‫؍‬ .02) were statistically significantly improved in the treatment group compared with controls; no significant improvements were observed in pulmonary function and diffusing capacity, peripheral muscle strength, fatigue, depression, and quality of life between groups after inspiratory muscle training. CONCLUSIONS: Inspiratory muscle training improves functional and maximal exercise capacity and respiratory muscle strength and decreases severe fatigue and dyspnea perception in subjects with early stages of sarcoidosis. Inspiratory muscle training can be safely and effectively included in rehabilitation programs. (ClinicalTrials.gov registration NCT02270333.)

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Section: Pulmonary Functionsupporting

confidence: 82%

Section: Quality Of Lifementioning

confidence: 99%

Section: Functional and Maximal Exercise Capacitymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effects of Inspiratory Muscle Training in Subjects With Sarcoidosis: A Randomized Controlled Clinical Trial

Karadalli¹,

Boşnak-Güçlü²,

Camcıoğlu³

et al. 2015

Respir Care

View full text Add to dashboard Cite

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“…Moreover, as Authors of review describe (Piña et al, 2003), respiratory training seems to be very promising tool in CR especially in those patients with additionally respiratory system issues. Indeed, as results of meta-analysis shows (Montemezzo, Fregonezi, Pereira, Britto, Reid, 2014), inspiratory muscle training elicits greater improvement in patients with inspiratory muscle weakness.…”

Section: Central European Journal Of Sport Sciences and Medicinementioning

confidence: 99%

Cardiac Rehabilitation in Heart Failure. Part II. Does Higher Intensity Means Better Outcome?

Kujawska

Perkowski

Skierkowska

et al. 2018

Central European Journal of Sport Sciences and Medicine

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Heart failure (HF) due to its universality has become a huge challenge for modern medicine. Second part of the twentieth century brought significant changes in the rehabilitation, diagnostic and pharmacological procedures. There are no definitive guidelines for Cardiac Rehabilitation (CR) in HF. Based on previous studies, the article tried to describe and illustrate the mechanism of effective CR and its intensity in HF patients, which could be helpful in CR protocol development. Cardiac Rehabilitation has confirmed efficacy in increased physical level of participation in inter alia, home/work/recreational activities, improved psychosocial well-being, functional independence, prevention of disability, long-term adherence to maintaining physically active lifestyle, improved cardiopulmonary fitness, strength, muscle endurance, and flexibility, reduced cardiovascular events risk and risk of mortality. Before and after CR conduction, baseline and final aerobic capacity should be examined with an ergospirometry test to evaluate CR protocol intensity and check its effectiveness, respectively. Frequency of training-bouts in CR protocol in HF patients were from 3 to 7 days per week, intensity ranged from 40 to 80% VO 2 max or 9 to 14 on rating of the perceived exertion (RPE) scale or 6 to 20 on the Borg scale. Duration of single bout-exercise ranged from 20 to 60 minutes.

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Association of Low Baseline Diaphragm Muscle Mass With Prolonged Mechanical Ventilation and Mortality Among Critically Ill Adults

et al. 2020

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IMPORTANCE Low diaphragm muscle mass at the outset of mechanical ventilation may predispose critically ill patients to poor clinical outcomes. OBJECTIVE To determine whether lower baseline diaphragm thickness (Tdi) is associated with delayed liberation from mechanical ventilation and complications of acute respiratory failure (reintubation, tracheostomy, prolonged ventilation >14 days, or death in the hospital).

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Influence of Inspiratory Muscle Weakness on Inspiratory Muscle Training Responses in Chronic Heart Failure Patients: A Systematic Review and Meta-Analysis

Cited by 59 publications

References 40 publications

Effects of Inspiratory Muscle Training in Subjects With Sarcoidosis: A Randomized Controlled Clinical Trial

Effects of Inspiratory Muscle Training in Subjects With Sarcoidosis: A Randomized Controlled Clinical Trial

Cardiac Rehabilitation in Heart Failure. Part II. Does Higher Intensity Means Better Outcome?

Association of Low Baseline Diaphragm Muscle Mass With Prolonged Mechanical Ventilation and Mortality Among Critically Ill Adults

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