Inspiratory muscle training: a simple cost-effective treatment for inspiratory stridor: Table 1

Dickinson, John W.; Whyte, Greg; McConnell, Alison

doi:10.1136/bjsm.2006.033654

Cited by 24 publications

(16 citation statements)

References 8 publications

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“…Indeed posture and core stability exercises and/or inspiratory muscle training interventions have previously been shown to provide utility in eliminating dyspnoea in athletes when dysfunctional breathing is suspected (25,26).…”

Section: Discussionmentioning

confidence: 99%

Exercise-induced bronchoconstriction in athletes – A qualitative assessment of symptom perception

Price

Hull

Ansley

et al. 2016

Respiratory Medicine

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Section: Discussionmentioning

confidence: 99%

Exercise-induced bronchoconstriction in athletes – A qualitative assessment of symptom perception

Price

Hull

Ansley

et al. 2016

Respiratory Medicine

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“…Dickinson et al [110] have previously reported that using breathing technique and inspiratory muscle training has been successful in eliminating exercise respiratory symptoms during high-intensity exercise in an elite athlete; however, the absence of a method to track chest and AB wall movements meant it was impossible to quantify any changes in breathing mechanics.…”

Section: Oep In Exercise Sciencementioning

confidence: 99%

Optoelectronic Plethysmography in Clinical Practice and Research: A Review

Massaroni

Carraro

Vianello³

et al. 2017

Respiration

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Background: Optoelectronic plethysmography (OEP) is a non-invasive motion capture method to measure chest wall movements and estimate lung volumes. Objectives: To provide an overview of the clinical findings and research applications of OEP in the assessment of breathing mechanics across populations of healthy and diseased individuals. Methods: A bibliographic research was performed with the terms “opto-electronic plethysmography,” “optoelectronic plethysmography,” and “optoelectronic plethysmograph” in 50 digital library and bibliographic search databases resulting in the selection of 170 studies. Results: OEP has been extensively employed in studies looking at chest wall kinematics and volume changes in chest wall compartments in healthy subjects in relation to age, gender, weight, posture, and different physiological conditions. In infants, OEP has been demonstrated to be a tool to assess disease severity and the response to pharmacological interventions. In chronic obstructive pulmonary disease patients, OEP has been used to test if patients can dynamically hyperinflate or deflate their lungs during exercise. In neuromuscular patients, respiratory muscle strength and chest kinematics have been analyzed. A widespread application of OEP is in tailoring post-operative pulmonary rehabilitation as well as in monitoring volume increases and muscle contributions during exercise. Conclusions: OEP is an accurate and validated method of measuring lung volumes and chest wall movements. OEP is an appropriate alternative method to monitor and analyze respiratory patterns in children, adults, and patients with respiratory diseases. OEP may be used in the future to contribute to improvements in the therapeutic strategies for respiratory conditions.

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“…Poolside assessment facilitates diagnosis, and pointers to the diagnosis include the presence of wheeze, of stridulous quality, that occurs at peak exercise and rapidly abates on exercise cessation. It is our experience that EILO in aquatic athletes responds well to work with a combination of inspiratory muscle and breathing relaxation training (3).…”

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confidence: 99%

Medical Care of AQUATIC Athlete — Do Not Overlook the Upper Airway

Hull

Scadding

Dickinson

et al. 2016

Current Sports Medicine Reports

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Nichols' (6) recent article in the journal succinctly reviews a broad range of conditions that should be considered by those delivering medical care to aquatic athletes. The review covers airway disease and, more specifically, exerciseinduced bronchoconstriction (EIB). However, we wish to highlight a number of important omissions relating to the assessment of the upper airway, an important aspect of care often overlooked by clinicians.Studies have demonstrated high rates of rhinitis in elite swimmers (2,5). Both symptoms and impairment of quality of life (if not performance) are greatest during periods of intense training and appear to decrease during prolonged rest periods away from the pool (2). Although atopy is at least as common in elite swimmers as age-matched controls, both allergic and nonallergic pathologies may be relevant (4). Falls in nasal peak inspiratory flow are seen after swimming (1); swimmers also have been found to have prolonged mucociliary clearance times, and notably, rhinitis in elite swimmers is likely to be undertreated (2,5).It is also becoming increasingly well recognized that many athletes diagnosed with EIB also have exercise-induced laryngeal obstruction (EILO), a transient narrowing of the upper airways, at the level of the voice box that develops during maximal exercise (7). This acts to generate airway turbulence and increase airflow resistance, thereby causing discomfort and impaired exercise performance. An accurate assessment of the prevalence of this condition in aquatic athletes has been hampered by the obvious difficulties in performing the gold standard test of continuous laryngoscopy during exercise in the pool environment. However, it is our experience that EILO frequently coexists with EIB in elite swimmers. Poolside assessment facilitates diagnosis, and pointers to the diagnosis include the presence of wheeze, of stridulous quality, that occurs at peak exercise and rapidly abates on exercise cessation. It is our experience that EILO in aquatic athletes responds well to work with a combination of inspiratory muscle and breathing relaxation training (3).Overall, we urge clinicians to consider the entire airway tract when assessing respiratory health in aquatic athletes and believe this approach is vitally important to ensure that both health and performance of this group of athletes are optimized. References 1. Alves A, Martins C, Delgado L, et al. Exercise-induced rhinitis in competitive swimmers. Am. J. Rhinol. Allergy. 2010; 24:e114Y7.2. Bougault V, Turmel J, Boulet LP. Effect of intense swimming training on rhinitis in high-level competitive swimmers. Clin. Exp. Allergy. 2010; 40: 1238Y46. 3. Dickinson JW, Whyte G, McConnell A. Inspiratory muscle training: a simple cost-effective treatment for inspiratory stridor. Br. J. Sports Med. 2007; 41: 694Y5. 4. Gelardi M, Ventura MT, Fiorella R, et al. Allergic and non-allergic rhinitis in swimmers: clinical and cytological aspects. Br. J. Sports Med. 2012; 46:54Y8. 5. Katelaris CH, Carrozzi FM, Burke TV, Byth K. Patterns of ...

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Inspiratory muscle training: a simple cost-effective treatment for inspiratory stridor: Table 1

Cited by 24 publications

References 8 publications

Exercise-induced bronchoconstriction in athletes – A qualitative assessment of symptom perception

Exercise-induced bronchoconstriction in athletes – A qualitative assessment of symptom perception

Optoelectronic Plethysmography in Clinical Practice and Research: A Review

Medical Care of AQUATIC Athlete — Do Not Overlook the Upper Airway

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