The Role of Inspiratory Muscle Training in Sickle Cell Anemia Related Pulmonary Damage due to Recurrent Acute Chest Syndrome Attacks

Background. The sickling of red blood cells causes a constellation of musculoskeletal, cardiovascular, and pulmonary manifestations. A 32-year-old gentleman with sickle cell anemia (SCA) had been suffering from recurrent acute chest syndrome (ACS).Aim. To examine the effects of inspiratory muscle training (IMT) on pulmonary functions, respiratory and peripheral muscle strength, functional exercise capacity, and quality of life in this patient with SCA.Methods. Functional exercise capacity was evaluated using six-minute walk test, respiratory muscle strength using mouth pressure device, hand grip strength using hand-held dynamometer, pain using Visual Analogue Scale, fatigue using Fatigue Severity Scale, dyspnea using Modified Medical Research Council Scale, and health related quality of life using European Organization for Research and Treatment of Cancer QOL measurement.Results. A significant improvement has been demonstrated in respiratory muscle strength, functional exercise capacity, pain, fatigue, dyspnea, and quality of life. There was no admission to emergency department due to acute chest syndrome in the following 12 months after commencing regular erythrocytapheresis.Conclusion. This is the first report demonstrating the beneficial effects of inspiratory muscle training on functional exercise capacity, respiratory muscle strength, pain, fatigue, dyspnea, and quality of life in a patient with recurrent ACS.

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Effects of inspiratory muscle training on lung volumes, respiratory muscle strength, and quality of life in patients with ataxia telangiectasia

Pediatric Pulmonology ◽

10.1002/ppul.22828 ◽

2013 ◽

Vol 49 (3) ◽

pp. 238-244 ◽

Cited By ~ 14

Author(s):

Erika Félix ◽

Ana Cristina Gimenes ◽

Beatriz Tavares Costa-Carvalho

Keyword(s):

Quality Of Life ◽

Muscle Strength ◽

Ataxia Telangiectasia ◽

Respiratory Muscle ◽

Inspiratory Muscle ◽

Inspiratory Muscle Training ◽

Respiratory Muscle Strength ◽

Muscle Training ◽

Lung Volumes

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Inspiratory muscle training improves respiratory muscle strength, functional capacity and quality of life in patients with chronic kidney disease: a systematic review

Journal of Physiotherapy ◽

10.1016/j.jphys.2017.02.016 ◽

2017 ◽

Vol 63 (2) ◽

pp. 76-83 ◽

Cited By ~ 16

Author(s):

Ana Irene Carlos de Medeiros ◽

Helen Kerlen Bastos Fuzari ◽

Catarina Rattesa ◽

Daniella Cunha Brandão ◽

Patrícia Érika de Melo Marinho

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Chronic Kidney Disease ◽

Kidney Disease ◽

Muscle Strength ◽

Functional Capacity ◽

Respiratory Muscle ◽

Respiratory Muscle Strength ◽

Muscle Training

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Comparison of functional exercise capacity, quality of life and respiratory and peripheral muscle strength between patients with stable angina and healthy controls

Journal of International Medical Research ◽

10.1177/0300060520979211 ◽

2020 ◽

Vol 48 (12) ◽

pp. 030006052097921

Author(s):

Irem Huzmeli ◽

Aysel-Yildiz Ozer ◽

Oguz Akkus ◽

Nihan Katayıfcı ◽

Fatih Sen ◽

...

Keyword(s):

Quality Of Life ◽

Muscle Strength ◽

Pulmonary Function ◽

Exercise Capacity ◽

Stable Angina ◽

Healthy Controls ◽

Peripheral Muscle ◽

Functional Exercise ◽

Functional Exercise Capacity

Objective We aimed to compare functional exercise capacity, respiratory and peripheral muscle strength, pulmonary function and quality of life between patients with stable angina and healthy controls. Methods We compared 33 patients with stable angina (55.21 ± 6.12 years old, Canada Class II–III, left ventricular ejection fraction: 61.92 ± 7.55) and 30 healthy controls (52.70 ± 4.22 years old). Functional capacity (6-minute walk test (6-MWT)), respiratory muscle strength (mouth pressure device), peripheral muscle strength (dynamometer), pulmonary function (spirometer) and quality of life (Short Form 36 (SF-36)) were evaluated. Results 6-MWT distance (499.20 ± 51.91 m versus 633.05 ± 57.62 m), maximal inspiratory pressure (85.42 ± 20.52 cmH2O versus 110.44 ± 32.95 cmH2O), maximal expiratory pressure (83.33 ± 19.05 cmH2O versus 147.96 ± 54.80 cmH2O) and peripheral muscle strength, pulmonary function and SF-36 sub-scores were lower in the angina group versus the healthy controls, respectively. Conclusion Impaired peripheral and respiratory muscle strength, reduction in exercise capacity and quality of life are obvious in patients with stable angina. Therefore, these parameters should be considered in stable angina physiotherapy programmes to improve impairments.

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Role of Respiratory Muscle Strength and Functional Exercise Capacity in Static and Dynamic Balance Assessments in Pulmonary Hypertension

Turkish Thoracic Journal ◽

10.5152/turkthoracj.2019.148 ◽

2019 ◽

Vol 20 (-1) ◽

pp. 148-148

Author(s):

Buse Ozcan Kahraman ◽

◽

Ismail Ozsoy ◽

Aylin Tanriverdi ◽

Ebru Ozpelit ◽

...

Keyword(s):

Pulmonary Hypertension ◽

Muscle Strength ◽

Exercise Capacity ◽

Respiratory Muscle ◽

Dynamic Balance ◽

Respiratory Muscle Strength ◽

Functional Exercise ◽

Functional Exercise Capacity

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Comparison of functional exercise capacity, pulmonary function and respiratory muscle strength in patients with multiple sclerosis with different disability levels and healthy controls

Journal of Rehabilitation Medicine ◽

10.2340/16501977-0900 ◽

2012 ◽

Vol 44 (1) ◽

pp. 80-86 ◽

Cited By ~ 26

Author(s):

M Bosnak-Guclu ◽

A Gunduz ◽

B Nazliel ◽

C Irkec

Keyword(s):

Multiple Sclerosis ◽

Muscle Strength ◽

Pulmonary Function ◽

Exercise Capacity ◽

Respiratory Muscle ◽

Healthy Controls ◽

Respiratory Muscle Strength ◽

Functional Exercise ◽

Functional Exercise Capacity

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Elastic Taping’s Effect on Exercise Capacity in Recreational Runner with Inspiratory Muscle Training

Surabaya Physical Medicine and Rehabilitation Journal ◽

10.20473/spmrj.v1i1.16166 ◽

2019 ◽

Vol 1 (1) ◽

pp. 25

Author(s):

Asriningrum Asriningrum ◽

Dewi Poerwandari ◽

Andriati Andriati ◽

Soenarnatalina Soenarnatalina

Keyword(s):

Muscle Strength ◽

Exercise Capacity ◽

Inspiratory Muscle ◽

Inspiratory Muscle Training ◽

Muscle Training ◽

P Values ◽

Pressure Threshold ◽

Functional Exercise ◽

Functional Exercise Capacity ◽

Recreational Runners

Background: Running is a new trend of recreational sports in Indonesia. About 70% of recreational runners have difficulty in improving exercise capacity due to exercise-related transient abdominal pain (ETAP), caused by fatigue of the diaphragmatic muscles. Previous studies have shown that various training methods may increase diaphragmatic muscle strength and endurance, for example, inspiratory muscle training (IMT). Unfortunately, improvement of inspiratory muscle strength and endurance after exercise and IMT are still varies. Therefore, other methods are needed to optimize the effect of IMT. Application of the elastic taping on thoracic wall during exercise allows the inspiratory muscles to contract optimally which might improve functional capacity.Aim: To assess the effect of elastic taping on inspiratory muscle training using the pressure threshold IMT, in increasing the functional exercise capacity of recreational runners. Functional capacity was measured based on VO2max value, rating of perceived breathlessness (RPB) and rating of perceived exertion (RPE).Methods: an experimental study involved 14 nonsmoker recreational runners, ages 20-40 years, at Outpatient Clinic of Physical Medicine and Rehabilitation Department of Dr. Soetomo Hospital Surabaya. Subjects were divided into two groups (pressure threshold IMT with and without elastic taping groups), which were observed for four weeks. IMT was done five times a week, twice a day, with 30 repetitions, and 60% resistance 30 RM using Respironics®. Elastic taping Leukotape® was applied on the first until fifth day in each IMT sessions. The running exercises were done three times a week with EnMill® Treadmill ETB-03195 with a speed of 4.5 mph and 0% inclination. RBP, RPE and VO2max were measured using Borg Dyspneu scale, Borg Scale, and Bruce Treadmill Protocol test, respectively, before the first exercise and after 4 weeks of exercise.Results: There were an improvement of functional exercise capacity in both groups which were marked with a decline of RPB and RPE and increase of VO2max (p values < 0.05). However, there were no significant differences in the decrease of RPB and RPE and an increase of VO2max between groups (p values of were 0.31, 0.83, and 0.13, respectively). The effect of the elastic taping (r2 = 0.99) was not reflected in the differences of RPB, RPE and increasing VO2max.Conclusion: Inspiratory muscle training using pressure threshold IMT with or without the elastic taping for four weeks can improve exercise capacity of recreational runners.

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Impacts of Respiratory Muscle Training on Respiratory Functions, Maximal Exercise Capacity, Functional Performance, and Quality of Life in School-Aged Children with Postoperative Congenital Diaphragmatic Hernia

Disease Markers ◽

10.1155/2020/8829373 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Samah A. Moawd ◽

Alshimaa R. Azab ◽

Zizi M. Ibrahim ◽

Anju Verma ◽

Walid Kamal Abdelbasset

Keyword(s):

Quality Of Life ◽

Exercise Capacity ◽

Respiratory Muscle ◽

Maximal Exercise ◽

Functional Performance ◽

Respiratory Muscle Training ◽

Muscle Training ◽

School Aged Children ◽

Maximal Exercise Capacity

Objectives. Congenital diaphragmatic hernia (CDH) is a birth defect affecting the respiratory functions, functional performance, and quality of life (QOL) in school-aged children. Rarely have studies been conducted to evaluate the impacts of respiratory muscle training on school-aged children with postoperative CDH. The current study was designed to evaluate the impacts of respiratory muscle training on respiratory function, maximal exercise capacity, functional performance, and QOL in these children. Methods. This study is a randomized control study. 40 children with CDH (age: 9-11 years) were assigned randomly into two groups. The first group conducted an incentive spirometer exercise combined with inspiratory muscle training (study group, n=20), whereas the second group conducted only incentive spirometer exercise (control group, n=20), thrice weekly for twelve consecutive weeks. Respiratory functions, maximal exercise capacity, functional performance, and pediatric quality of life inventory (PedsQL) were assessed before and after the treatment program. Results. Regarding the posttreatment analysis, the study group showed significant improvements in all outcome measures (FVC%, p<0.001; FEV1%, p=0.002; VO2max, p=0.008; VE/VCO2 slope, p=0.002; 6-MWT, p<0.001; and PedsQL, p<0.001), whereas the control group did not show significant changes (p>0.05). Conclusion. Respiratory muscle training may improve respiratory functions, maximal exercise capacities, functional performance, and QOL in children with postoperative CDH. Clinical commendations have to be considered to include respiratory muscle training in pulmonary rehabilitation programs in children with a history of CDH.

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