Respiratory muscle strength in volleyball players suffered from COVID-19

Introduction: The respiratory muscle strength regulates the effectiveness of coughing, which clears the airways and protects people from pneumonia. Sarcopenia is an aging-related loss of muscle mass and function, the worsening of which is associated with malnutrition. The loss of respiratory and swallowing muscle strength occurs with aging, but its effect on pneumonia is unclear. This study aimed to determine the risks of respiratory muscle weakness on the onset and relapse of pneumonia in older people in conjunction with other muscle-related factors such as malnutrition. Methods: We conducted a longitudinal study with 47 pneumonia inpatients and 35 non-pneumonia controls aged 70 years and older. We evaluated the strength of respiratory and swallowing muscles, muscle mass, and malnutrition (assessed by serum albumin levels and somatic fat) during admission and confirmed pneumonia relapse within 6 months. The maximal inspiratory and expiratory pressures determined the respiratory muscle strength. Swallowing muscle strength was evaluated by tongue pressure. Bioelectrical impedance analysis was used to evaluate the muscle and fat mass. Results: The respiratory muscle strength, body trunk muscle mass, serum albumin level, somatic fat mass, and tongue pressure were significantly lower in pneumonia patients than in controls. Risk factors for the onset of pneumonia were low inspiratory respiratory muscle strength (odds ratio [OR], 6.85; 95% confidence interval [CI], 1.56–30.11), low body trunk muscle mass divided by height2 (OR, 6.86; 95% CI, 1.49–31.65), and low serum albumin level (OR, 5.46; 95% CI, 1.51–19.79). For the relapse of pneumonia, low somatic fat mass divided by height2 was a risk factor (OR, 20.10; 95% CI, 2.10–192.42). Discussion/Conclusions: Respiratory muscle weakness, lower body trunk muscle mass, and malnutrition were risk factors for the onset of pneumonia in older people. For the relapse of pneumonia, malnutrition was a risk factor.

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Respiratory muscle strength and aerobic performance of wheelchair basketball players

Motriz Revista de Educação Física ◽

10.1590/s1980-6574201600030002 ◽

2016 ◽

Vol 22 (3) ◽

pp. 124-132 ◽

Cited By ~ 2

Author(s):

Raphael N. Pereira ◽

Marcos Fabio R. Abreu ◽

Camila B. Gonçalves ◽

Wilson Flávio S. Corrêa ◽

Daniel R. Mizuhira ◽

...

Keyword(s):

Muscle Strength ◽

Respiratory Muscle ◽

Aerobic Performance ◽

Respiratory Muscle Strength ◽

Wheelchair Basketball ◽

Basketball Players

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Effect of Parathyroidectomy on Respiratory Muscle Strength in Uremic Myopathy

American Journal of Nephrology ◽

10.1159/000167524 ◽

1987 ◽

Vol 7 (6) ◽

pp. 466-469 ◽

Cited By ~ 7

Author(s):

P. Gómez-Fernández ◽

Sanchez Agudo ◽

J.L. Miguel ◽

M. Almaraz ◽

Vila Dupla

Keyword(s):

Muscle Strength ◽

Respiratory Muscle ◽

Respiratory Muscle Strength

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Effects of transcutaneous electrical nerve stimulation on pain, pulmonary function, and respiratory muscle strength in the postoperative period of thoracic surgery in an intensive care unit

Journal of Critical Care ◽

10.1016/j.jcrc.2017.09.141 ◽

2017 ◽

Vol 42 ◽

pp. 414

Author(s):

Hermann Heinrich Husch ◽

Pauline Lopes Carvalho ◽

Camila da Cunha Niedermeyer ◽

Adriana Kessler ◽

Graciele Sbruzzi

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Muscle Strength ◽

Thoracic Surgery ◽

Pulmonary Function ◽

Postoperative Period ◽

Transcutaneous Electrical Nerve Stimulation ◽

Respiratory Muscle ◽

Respiratory Muscle Strength ◽

Electrical Nerve Stimulation

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Heart Rate Variability And Respiratory Muscle Strength In Patients With Type Ii Diabetes Practicing Pilates: A Randomized Clinical Trial

Current Diabetes Reviews ◽

10.2174/1573399817666210928143752 ◽

2021 ◽

Vol 17 ◽

Author(s):

Samara Sousa Vasconcelos Gouveia ◽

Guilherme Pertinni de Morais Gouveia ◽

Leydnaya Maria Souza ◽

Bruno Cunha da Costa ◽

Gustavo Henrique Melo Sousa ◽

...

Keyword(s):

Clinical Trial ◽

Heart Rate ◽

Heart Rate Variability ◽

Muscle Strength ◽

Normal Distribution ◽

Randomized Clinical Trial ◽

Respiratory Muscle ◽

Control Group ◽

Respiratory Muscle Strength

Purpose: This study aimed to analyze the effect of a Pilates protocol on respiratory muscle strength and heart rate variability (HRV) in patients with type 2 diabetes. Method: A randomized clinical trial (RBR-2gc2qj) was conducted with a type 2 diabetic target population. Patients practiced the Pilates protocol for 8 weeks, with two visits per week. The variables tested were maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP), and HRV (time and frequency domains). All variables were tested for normal distribution. Using SPSS 21.0, analysis of variance was performed for variables with normal distribution, and the Wilcoxon and Friedman tests were used for variables that did not show a normal distribution, with a 5% significance level. Results: Forty-four participants were included in the study (intervention group: 22; control group: 22; mean age: 61.23 ± 8.49 years), most of whom were female (77.3%), married or in a consensual union (59.1%), had complete literacy (31.8%), and had an average body mass index of 26.96 ± 4.35 kg/m2. There were no significant differences in MIP and MEP before and after the protocol between the intervention and control groups. Regarding HRV, there were significant differences in autonomic modulation, especially between the moments before and during exercise and between the moments during and after exercise; however, it was not possible to determine which system (sympathetic or parasympathetic) is most involved in these changes. Conclusion: The exercise protocol based on the Pilates method did not alter respiratory muscle strength but promoted changes in HRV, especially between the moments before and during exercise and during and after exercise.

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Assessment and monitoring of ventilatory function and cough efficacy in patients with amyotrophic lateral sclerosis

Monaldi Archives for Chest Disease ◽

10.4081/monaldi.2007.509 ◽

2016 ◽

Vol 67 (1) ◽

Cited By ~ 1

Author(s):

A. Chetta ◽

M. Aiello ◽

P. Tzani ◽

D. Olivieri

Keyword(s):

Amyotrophic Lateral Sclerosis ◽

Muscle Strength ◽

Respiratory Muscle ◽

Gas Analysis ◽

Rational Approach ◽

Strength Testing ◽

Respiratory Muscle Strength ◽

Ventilatory Function ◽

Sleep Study ◽

Lateral Sclerosis

Assessing and monitoring respiratory muscle function is crucial in patients with Amyotrophic Lateral Sclerosis, since impaired function can lead to either ventilatory failure or respiratory tract infection. Spirometry, diffusing capacity of the lung, breathing pattern, sleep study, blood gas analysis and respiratory muscle strength tests, as well as cough peak flow and cough expiratory volume measurements can provide relevant information on ventilatory function and cough efficacy. With regard to respiratory muscle strength testing, the rational approach consists in starting with volitional and non-invasive tests and later using invasive and non-volitional tests. This review focuses on both ventilatory and respiratory muscle strength testing, in order to undertake a timely treatment of respiratory failure and/or impaired cough efficacy. So far, the current literature has not highlighted any gold standard which stipulates when to commence ventilation and cough support in patients with Amyotrophic Lateral Sclerosis. A composite set of clinical and functional parameters is required for treatment scheduling to monitor lung involvement and follow-up in these patients.

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