Case report: inspiratory muscle training in chronic critically ill patients — A report of two cases

2005 ◽  
Vol 10 (4) ◽  
pp. 222-226 ◽  
Author(s):  
Angela T Chang ◽  
Robert J Boots ◽  
Robert Henderson ◽  
Jennifer D Paratz ◽  
Paul W Hodges
Keyword(s):  
Case Report ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Inspiratory Muscle ◽  
Inspiratory Muscle Training ◽  
Muscle Training

scholarly journals Inspiratory muscle training is ineffective in mechanically ventilated critically ill patients

Clinics ◽  
2005 ◽  
Vol 60 (6) ◽  
Author(s):  
Pedro Caruso ◽  
Silvia DC Denari ◽  
Soraia AL Ruiz ◽  
Karla G Bernal ◽  
Gabriela M Manfrin ◽  
...  
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Inspiratory Muscle ◽  
Inspiratory Muscle Training ◽  
Muscle Training ◽  
Mechanically Ventilated

Case Studies in Physiology: Cardiopulmonary exercise testing and inspiratory muscle training in a 59-year-old, four years after an extra-pleural pneumonectomy

2021 ◽  
Author(s):  
Reid A. Mitchell ◽  
Scott T. Apperely ◽  
Satvir S. Dhillon ◽  
Julia Zhang ◽  
Kyle G. Boyle ◽  
...  
Keyword(s):  
Case Report ◽  
Muscle Strength ◽  
Exercise Test ◽  
Respiratory Muscle ◽  
Cardiopulmonary Exercise Testing ◽  
Work Rate ◽  
Inspiratory Muscle ◽  
Inspiratory Muscle Training ◽  
Respiratory Muscle Strength ◽  
Muscle Training

This case report characterizes the physiological responses to incremental cycling and determines the effects of 12 weeks of inspiratory muscle training (IMT) on respiratory muscle strength, exercise capacity and dyspnea in a physically active 59-year-old female, four years after a left-sided extra-pleural pneumonectomy (EPP). On separate days, a symptom limited incremental exercise test and a constant work rate (CWR) test at 75% of peak work rate (WR) were completed, followed by 12 weeks of IMT and another CWR test. IMT consisted of two sessions of 30 repetitions twice daily for 5 days per week. Physiological and perceptual variables were measured throughout each exercise test. The participant had a total lung capacity that was 43% predicted post-EPP. A rapid and shallow breathing pattern was adopted throughout exercise, and the ratio of minute ventilation to carbon dioxide output was elevated for a given work rate. Oxygen uptake was 74%predicted and WR was 88%predicted. Following IMT, maximal inspiratory pressure improved by 36% (-27.1 cmH2O) and endurance time by 31s, with no observable changes in any submaximal or peak cardiorespiratory variables during exercise. The intensity and unpleasantness of dyspnea increased by 2 and 3 Borg 0-10 units, respectively, at the highest equivalent submaximal exercise time achieved on both tests. Despite having undergone a significant reduction in lung volume post-EPP, the participant achieved a relatively normal peak incremental WR, which may reflect a high level of physical conditioning. This case report also demonstrates that IMT can effectively increase respiratory muscle strength several years following EPP.

The effect of inspiratory muscle training on respiratory variables in a patient with ankylosing spondylitis: A case report

2017 ◽  
Vol 33 (10) ◽  
pp. 805-814 ◽  
Author(s):  
Marlon L. Wong ◽  
Rachael G. Anderson ◽  
Kelsey Garcia ◽  
Elissa M. Housmann ◽  
Erin McHale ◽  
...  
Keyword(s):  
Case Report ◽  
Ankylosing Spondylitis ◽  
Inspiratory Muscle ◽  
Inspiratory Muscle Training ◽  
Muscle Training ◽  
Respiratory Variables

scholarly journals Suspected Statin-Induced Respiratory Muscle Myopathy During Long-Term Inspiratory Muscle Training in a Patient With Diaphragmatic Paralysis

2009 ◽  
Vol 89 (3) ◽  
pp. 257-266 ◽  
Author(s):  
Ken Chatham ◽  
Colin M Gelder ◽  
Thomas A Lines ◽  
Lawrence P Cahalin
Keyword(s):  
Case Report ◽  
Functional Status ◽  
Statin Therapy ◽  
High Intensity ◽  
Standard Of Care ◽  
Inspiratory Muscle ◽  
Inspiratory Muscle Training ◽  
Muscle Performance ◽  
Lipid Lowering ◽  
Muscle Training

Background and PurposeAbnormal lipids are associated with the development of coronary heart disease; for this reason, lipid-lowering agents have become a standard of care. The purposes of this case report are: (1) to highlight the association of impaired inspiratory muscle performance (IMP) with statin therapy and (2) to describe potentially useful methods of examining and treating people with known or suspected statin-induced skeletal myopathies (SISMs).Case DescriptionThe patient had breathlessness on exertion and a restrictive lung disorder from a right hemidiaphragmatic paralysis, for which he was prescribed high-intensity inspiratory muscle training (IMT). He had a secondary diagnosis of hyperlipidemia, which was treated with 40 mg of simvastatin after 5½ months of IMT.OutcomesThe improvements in IMP, symptoms, and functional status obtained from almost 6 months of high-intensity IMT were lost after the commencement of simvastatin. However, 3 weeks after termination of simvastatin combined with high-intensity IMT, the patient's IMP, symptoms, and functional status exceeded pre-statin levels.DiscussionThis case report suggests that high-intensity IMT can be used effectively in a patient with impaired diaphragmatic function and during recovery from a respiratory SISM. The marked reduction in IMP and inability to perform IMT resolved with the cessation of statin therapy. The case report also highlights the potential effects of SISMs in all skeletal muscle groups. The clinical implications of this case report include the potential role of physical therapy in monitoring and possibly facilitating the spontaneous recovery of an SISM, as well as the need to investigate the IMP of a person with dyspnea and fatigue who is taking a statin.

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