Inspiratory muscle training, with or without concomitant pulmonary rehabilitation, for chronic obstructive pulmonary disease (COPD)

Ammous, Omar; Feki, W.; Lotfi, Tamara; Khamis, Assem M.; Gosselink, Rik; Rebaï, Ahmed; Kammoun, S.

doi:10.1002/14651858.cd013778.pub2

Cited by 22 publications

(16 citation statements)

References 189 publications

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“…Dyspnea was measured in all but three of the included studies (Liu et al, 2020; Morgan et al, 2023; Palau et al, 2022). The MCID for patient-reported dyspnea has not yet been established for the post-COVID-19 population, but for the five studies that used the modified Medical Research Council Dyspnea Scale (Hayden et al, 2021; Hockele et al, 2022; Jimeno-Almazan et al, 2023; Nagy et al, 2022; Nopp et al, 2022), outcomes exceeded the MCID of −1 that is reported in the chronic obstructive pulmonary disease (COPD) population (Ammous et al, 2023). All studies that reported dyspnea scores reported statistically significant improvements in dyspnea ratings in the respiratory muscle strength training groups (Table 3).…”

Section: Resultsmentioning

confidence: 99%

Respiratory Muscle Strength Training in Patients Post-COVID-19: A Systematic Review

Morgan,

Visovsky,

Thomas

et al. 2023

Clin Nurs Res

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Estimates of 10-49% of patients may experience ongoing symptoms after COVID-19, including dyspnea. Respiratory muscle strength training has been used to reduce dyspnea in other respiratory diseases, thus, it may be a viable option for individuals with post-COVID-19 symptoms. The objective of this review was to evaluate the evidence for the effectiveness of respiratory muscle strength training for individuals with post-COVID-19 dyspnea. A systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. CINAHL, Web of Science, PubMed, EMBASE, Google Scholar, and Scopus databases were searched from 2020-2023. Eleven articles met the inclusion criteria. Pulmonary measures were improved in all but one study, and dyspnea, physical capacity and quality of life measures achieved statistical significance. Outcomes improved following respiratory muscle strength training as a standalone intervention, or with aerobic and peripheral muscle strength training.

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Section: Resultsmentioning

confidence: 99%

Respiratory Muscle Strength Training in Patients Post-COVID-19: A Systematic Review

Morgan,

Visovsky,

Thomas

et al. 2023

Clin Nurs Res

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“…22 Previous studies have demonstrated the effect of IMT on chronic respiratory diseases such as COPD, asthma, and bronchiectasis. [23][24][25] It is suggested that inspiratory muscle strength training induced structural changes within the inspiratory muscles with an increasing amount of type I, type II T A B L E 2 Assessment of risk of bias using the Cochrane risk-of-bias tool. 26 which might explain the improvement in PImax found in our meta-analysis.…”

Section: Discussionmentioning

confidence: 99%

Can inspiratory muscle training benefit patients with COVID‐19? A systematic review and meta‐analysis

Chen,

Liu,

Tong

2023

Journal of Medical Virology

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The possible benefits of inspiratory muscle training (IMT) on mechanical and clinical outcomes in patients with Coronavirus disease‐2019 (COVID‐19) remain controversial. We conducted a meta‐analysis to evaluate the effect of IMT in the rehabilitation strategy of patients with COVID‐19. The Pubmed, Embase, Web of Science (WOS), and Cochrane Central Register of Controlled Trials (CENTRAL) were searched to identify trials evaluating the efficacy of IMT in the treatment of patients with COVID‐19. The primary outcome included change from baseline of VO2max, maximal inspiratory pressure (PImax), 6‐min walk test(6MWT), forced expiratory volume in the first second predicted (FEV1%pred), and quality of life (QOL). Six studies with 349 participants were analyzed. Significant improvements were found in change from baseline of VO2max (MD: 4.54, 95% confidence interval [CI]: 1.79–7.30, Z = 3. 32, I2 = 0, p = 0.001), PImax (MD: 21.43, 95% CI: 1.33–41.52, Z = 2.09, I2 = 90%, p = 0.04), 6MWD (MD: 40.13, 95% CI: 24.92–55.35, Z = 5.17, I2 = 0, p < 0.00001) and FEV1%pred (MD: 8.73, 95% CI 3.07–14.39, Z = 3.02, p = 0.002) while no statistical improvements were found in QOL (SMD: 0.70, 95% CI: 0.37–1.03, Z = 4.15, I2 = 89% p = 0.32) between IMT group and control group. The application of IMT might elicit mechanical and clinical improvement in patients with COVID‐19. IMT could be recommended as an effective strategy of pulmonary rehabilitation for COVID‐19. However, the proper timing, optimal duration, as well as appropriate frequency and intensity of IMT remain uncertain and further studies are needed.

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“…The perceived low self-efficacy towards telemedicine suggests that hybrid strategies of remotely delivered and in-person rehabilitation may be needed to enhance therapeutic relationships and ensure delivery of essential components (ie, exercise training, education, and behavioural support) 23 52. Education could enhance knowledge or learning about the potential benefits of exercise training regimens on impairments (eg, inspiratory muscle training to alleviate dyspnoea)63 and self-management skills (eg, of comorbid cardiopulmonary disease) 64. Behaviour change support may incorporate techniques that align with the SCT (eg, formulate goals) 30.…”

Section: Discussionmentioning

confidence: 99%

Lung cancer survivors’ views on telerehabilitation following curative intent therapy: a formative qualitative study

Nunnery

Klocko

et al. 2023

BMJ Open

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ObjectivesTo inform personalised home-based rehabilitation interventions, we sought to gain in-depth understanding of lung cancer survivors’ (1) attitudes and perceived self-efficacy towards telemedicine; (2) knowledge of the benefits of rehabilitation and exercise training; (3) perceived facilitators and preferences for telerehabilitation; and (4) health goals following curative intent therapy.DesignWe conducted semi-structured interviews guided by Bandura’s Social Cognitive Theory and used directed content analysis to identify salient themes.SettingOne USA Veterans Affairs Medical Center.ParticipantsWe enrolled 20 stage I–IIIA lung cancer survivors who completed curative intent therapy in the prior 1–6 months. Eighty-five percent of participants had prior experience with telemedicine, but none with telerehabilitation or rehabilitation for lung cancer.ResultsParticipants viewed telemedicine as convenient, however impersonal and technologically challenging, with most reporting low self-efficacy in their ability to use technology. Most reported little to no knowledge of the potential benefits of specific exercise training regimens, including those directed towards reducing dyspnoea, fatigue or falls. If they were to design their own telerehabilitation programme, participants had a predominant preference for live and one-on-one interaction with a therapist, to enhance therapeutic relationship and ensure correct learning of the training techniques. Most participants had trouble stating their explicit health goals, with many having questions or concerns about their lung cancer status. Some wanted better control of symptoms and functional challenges or engage in healthful behaviours.ConclusionsFeatures of telerehabilitation interventions for lung cancer survivors following curative intent therapy may need to include strategies to improve self-efficacy and skills with telemedicine. Education to improve knowledge of the benefits of rehabilitation and exercise training, with alignment to patient-formulated goals, may increase uptake. Exercise training with live and one-on-one therapist interaction may enhance learning, adherence, and completion. Future work should determine how to incorporate these features into telerehabilitation.

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Inspiratory muscle training, with or without concomitant pulmonary rehabilitation, for chronic obstructive pulmonary disease (COPD)

Cited by 22 publications

References 189 publications

Respiratory Muscle Strength Training in Patients Post-COVID-19: A Systematic Review

Respiratory Muscle Strength Training in Patients Post-COVID-19: A Systematic Review

Can inspiratory muscle training benefit patients with COVID‐19? A systematic review and meta‐analysis

Lung cancer survivors’ views on telerehabilitation following curative intent therapy: a formative qualitative study

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